PARK NICOLLET: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: PARK NICOLLET (EIN 45-5023260)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-16
IRS object ID: 201513209349300221
Schema version: 2014v5.0
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	2015-11-16T09:10:17-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	2015-11-16	SignatureDt

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	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	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	$1,651,417,053	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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	1327	TotalVolunteersCnt
Total Gross UBI	$3,722,228	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,492,826	PYContributionsGrantsAmt
CY Contributions Grants	$13,935,944	CYContributionsGrantsAmt
PY Program Service Revenue	$1,220,725,539	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,265,600,379	CYProgramServiceRevenueAmt
PY Investment Income	$25,398,507	PYInvestmentIncomeAmt
CY Investment Income	$29,858,118	CYInvestmentIncomeAmt
PY Other Revenue	$6,862,518	PYOtherRevenueAmt
CY Other Revenue	$6,657,544	CYOtherRevenueAmt
PY Total Revenue	$1,266,479,390	PYTotalRevenueAmt
CY Total Revenue	$1,316,051,985	CYTotalRevenueAmt
PY Grants And Similar Paid	$422,828	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$312,601	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$762,686,851	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$777,493,934	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$322,763	CYTotalFundraisingExpenseAmt
PY Other Expenses	$456,893,137	PYOtherExpensesAmt
CY Other Expenses	$465,186,098	CYOtherExpensesAmt
PY Total Expenses	$1,220,002,816	PYTotalExpensesAmt
CY Total Expenses	$1,242,992,633	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,476,574	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$73,059,352	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,014,855,016	TotalAssetsBOYAmt
Total Assets EOY	$1,113,263,061	TotalAssetsEOYAmt
Total Liabilities BOY	$442,737,764	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$473,917,504	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$572,117,252	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$639,345,557	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	$1,005,519,749	ExpenseAmt
Grant	$312,601	GrantAmt
Revenue	$1,164,507,406	RevenueAmt
Desc	IN 2014, PARK NICOLLET HEALTH SERVICES AND AFFILIATES, A NATIONAL HEALTH CARE IMPROVEMENT LEADER, CONTINUED TO MAKE DRAMATIC PATIENT CARE ADVANCES, WIN PROMINENT AWARDS, EXPAND ACCESS TO SERVICES AND INTEGRATE EFFICIENCY INTO PARK NICOLLET HEALTH SERVICES' OPERATIONS. PARK NICOLLET HEALTH SERVICES AND AFFILIATES ALSO HAVE ENHANCED COMMUNITY HEALTH, INCREASED TEAM MEMBER SATISFACTION AND PROMOTED RESEARCH AND EDUCATION. PARK NICOLLET SPECIALTY CENTERS INCLUDE: ALEXANDER CENTER - THE LARGEST CLINIC IN MINNESOTA SERVING THE DEVELOPMENTAL AND BEHAVIORAL NEEDS OF CHILDREN AND THEIR FAMILIES. BARIATRIC SURGERY CENTER - A BARIATRIC CENTER OF EXCELLENCE THAT HAS PERFORMED MORE THAN 2,000 SURGERIES IN THE PAST FIVE YEARS. 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. 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. 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 2014 THAT ILLUSTRATE PARK NICOLLET HEALTH SERVICE'S VALUES INCLUDE: OUTPATIENT REGIONAL CENTER- PARK NICOLLET BROKE GROUND ON A NEW OUTPATIENTREGIONAL CENTER IN MAPLE GROVE IN JULY. THE $48 MILLION PROJECT WILL BRING A WIDE VARIETY OF SERVICES TO THE NORTHWEST METRO, INCLUDING PRIMARY CARE, SPECIALTY CARE AND AMBULATORY SURGICAL SERVICES. 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. FAMILY BIRTH CENTER OPENS - FROM EXPERT CARE TEAMS TO LABOR, DELIVERY AND RECOVERY SUITES TO OUR SPECIAL CARE NURSERY, WE DELIVER AN EXCEPTIONAL EXPERIENCE FOR MOM AND BABY. MELROSE CENTER OPENS IN ST. PAUL - THE NEW LOCATION IN ST. PAUL BRINGS SPECIALIZED EATING DISORDERS CARE TO THE EAST METRO COMMUNITY, WHERE MANY OF OUR PATIENTS RESIDE. LEADER IN LGBT - THE HUMAN RIGHTS CAMPAIGN RECOGNIZED PARK NICOLLET METHODIST HOSPITAL AS A LEADER IN LGBT HEALTHCARE EQUALITY IN THE HEALTHCARE EQUALITY INDEX 2014 REPORT. WE EARNED TOP MARKS FOR OUR COMMITMENT TO EQUITABLE, INCLUSIVE CARE FOR LGBT PATIENTS AND THEIR FAMILIES. YOUTH SERVED - FOUR SCHOOL-BASED HEALTH CENTERS PROVIDED OVER 2,300 FREE MEDICAL VISITS FOR UNINSURED AND UNDERINSURED YOUTH. SERVICES INCLUDED TREATMENT OF MINOR, ACUTE ILLNESSES; PHYSICALS; IMMUNIZATIONS; MENTAL HEALTH THERAPY; DENTAL CARE; AND VISION CHECKS. HEALTH CARE HOME CERTIFICATION - ALL 20 PARK NICOLLET CLINIC LOCATIONS RECEIVED HEALTH CARE HOME CERTIFICATION IN NOVEMBER. EMERGENCY CENTER - OPERATING OUT OF METHODIST HOSPITAL AND TREATING MEDICAL EMERGENCIES FOR MORE THAN 50,000 PATIENTS A YEAR.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$28,218,169	ExpenseAmt
Revenue	$59,021,241	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, BRANDED AS THE STORES @ PARK NICOLLET, IS A GROUP OF DEPARTMENTS 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 5 LOCATIONS, HEARING CENTER & STORE WITH 3 LOCATIONS, CPAP CLINIC/STORE WITH 3 LOCATIONS AND BREASTFEEDING CENTER, (1 LOCATION WITHIN THE MEADOWBROOK HEALTH & CARE STORE), ORTHOTICS & PROSTHETICS CLINIC, (2 LOCATION), 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 2014 INCLUDE: ENHANCED PRODUCT ASSORTMENTS AVAILABLE FOR PATIENTS ESPECIALLY PATIENTS LIVING WITH CHRONIC HEALTH CONDITIONS SUCH AS DIABETES, CANCER, AND BONE AND JOINT DISEASE. NEW AND 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 PROVIDER'S ABOUT HEALTH CARE STORES PRODUCT OFFERINGS TO BETTER LINK PATIENT HEALTH CARE NEEDS TO PRODUCT SOLUTIONS, INCLUDING SMOKING CESSATION. EXPANDED POINT OF CARE OPERATION AND SPECIALTY STORES IN TRIA ORTHOPEDICS AND THE NEW PLYMOUTH CLINIC. ALONG WITH DME PRODUCTS OFFERED THROUGH THE TARGET STORE CLINICS, BRINGING MORE PRODUCTS DIRECTLY INTO THE CARE ENVIRONMENT TO ASSIST BOTH PROVIDERS AND PATIENTS. EXPANDED PHARMACY SERVICES OFFERED IN THE INFECTIOUS DISEASE DEPARTMENT THROUGH MEDICATION THERAPY MANAGEMENT SERVICES AND DEDICATED RETAIL PHARMACIST ASSIGNED FOR THE DEPARTMENT. IMPLEMENTED RX TAKE BACK PROGRAM DROP SITE FOR PATIENTS AT OUR PHARMACY LOCATIONS IN HENNEPIN COUNTY. IMPLEMENTED A NEW PHARMACY SOFTWARE SYSTEM, ENTERPRISERX, TO IMPROVE WORKFLOW AND EFFICIENCY IN THE PHARMACY TO BETTER SERVE OUR PATIENTS AND EMPLOYEES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$37,434,174	ExpenseAmt
Revenue	$38,346,471	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	$1,071,172,092	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	466	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
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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
Other Website	Yes (X)	OtherWebsiteInd
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 (50 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)	$769,664	$0	$55,907
JEFF MENDELOFF MD
DIRECTOR	55.00	1.00	Yes (X)	$734,774	$0	$62,059
ERIC SCHNED MD
DIRECTOR	55.00	1.00	Yes (X)	$286,647	$0	$48,422
ANN WYNIA
DIRECTOR & CHAIR	4.40		Yes (X)	$0	$40,000	$0
DONALD LEWIS
DIRECTOR & VICE CHAIR	4.30		Yes (X)	$0	$28,000	$0
RUTH MICKELSEN
DIRECTOR & SECRETARY	3.80		Yes (X)	$0	$28,000	$0
JAMES MALECHA
DIRECTOR & TREASURER	4.00		Yes (X)	$0	$28,000	$0
THOMAS R BRINSKO
DIRECTOR	3.50		Yes (X)	$0	$18,750	$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
JOHN E GHERTY
DIRECTOR	3.20		Yes (X)	$0	$28,000	$0
SUSAN L HOYT
DIRECTOR	3.30		Yes (X)	$0	$25,000	$0
TERESA M MORROW
DIRECTOR	2.50		Yes (X)	$0	$28,000	$0
LAURA SCHMALTZ OBERST
DIRECTOR	3.00		Yes (X)	$0	$25,000	$0
BRIAN H RANK MD
DIRECTOR	1.00	63.00	Yes (X)	$0	$790,523	$225,543	Yes (X)
GREGORY S STRONG
DIRECTOR	3.20		Yes (X)	$0	$25,000	$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	3.50		Yes (X)	$0	$28,000	$0
DAVID ABELSON MD
SR EXEC VP & CEO PN	55.00	1.00		$0	$1,434,423	$275,831	Yes (X)
BABETTE APLAND
VP BEHAVIORAL HEALTH AND C	60.00	1.00		$0	$416,573	$126,744	Yes (X)
CURT BOEHMMD
CMIO	55.00	1.00		$0	$295,580	$42,263	Yes (X)
STEVEN CONNELLY MD
CMO SYSTEM ALIGNMENT & INT	55.00	1.00		$0	$736,135	$138,194	Yes (X)
PAUL DAMROW MD
CHIEF SURGICAL SERVICES	55.00	1.00		$0	$624,852	$125,780	Yes (X)
JULIE FLASCHENRIEM
VP AND CIO	55.00	1.00		$0	$456,979	$43,819	Yes (X)
LAURA FRAZIER
VP SURGICAL SERVICES	55.00	1.00		$0	$305,251	$85,968	Yes (X)
ROXANNA GAPSTUR PHD
SR VP & COO METHODIST HOSP	55.00	1.00		$0	$432,969	$89,251	Yes (X)
CHRISTA GETCHELL
PRESIDENT PNF, VP COMMUNIT	55.00	1.00		$0	$257,807	$58,159	Yes (X)
DAVID HOMANS MD
CHIEF SPECIALTY SSERVICES	55.00	1.00		$0	$635,374	$107,375	Yes (X)
MICHAEL KAUPA
EXEC VP & SYSTEM ALIGNMENT	55.00	1.00		$0	$1,715,391	$59,184	Yes (X)
KATE KLUGHERZ
VP SPECIALTY SERVICES	55.00	1.00		$0	$289,574	$67,977	Yes (X)
CATHERINE LENAGH
VP & CFO	55.00	1.00		$0	$358,129	$95,444	Yes (X)
BRETT LONG
VP STRATEGY & GROWTH, HR	55.00	1.00		$0	$335,066	$94,260	Yes (X)
KRISTI LYON
VP PAYER RELATIONS	55.00	1.00		$0	$211,797	$69,926	Yes (X)
JOHN MISA MD
CHIEF PRIMARY CARE	55.00	1.00		$0	$502,397	$99,555	Yes (X)
JOAN SANDSTROM
VP PRIMARY CARE	55.00	1.00		$0	$333,185	$89,108	Yes (X)
MELISSA SCHOENHERR
VP MARKETING AND COMMUNICA	55.00	1.00		$0	$294,340	$60,710	Yes (X)
CYNTHIA TOHER MD
CHIEF IMPATIENT SERVICES	55.00	1.00		$0	$694,708	$117,517	Yes (X)
DUANE SPIEGLE
VP REAL ESTATE AND SUPPORT	55.00	1.00		$0	$295,284	$92,598	Yes (X)
KATHERINE TARVESTAD
VP AND CARE GROUP COMPLIAN	55.00	1.00		$0	$390,883	$77,369	Yes (X)
THEODORE WEGLEITNER
COO TRIA	55.00	1.00		$0	$293,122	$93,731	Yes (X)
JOSHUA ZIMMERMAN
CHIEF OF BEHAVORIAL HEALTH	55.00	1.00		$0	$381,917	$78,980	Yes (X)
NANCE MCCLURE
CHIEF OPERATING OFFICER	55.00	1.00		$0	$827,398	$213,162	Yes (X)
BARBARA TRETHEWAY
SR. VP, GENERAL COUNSEL	55.00	1.00		$0	$661,426	$167,082	Yes (X)
PRAVEEN BAIMEEDI MD
MEDICAL DOCTOR	55.00			$1,303,572	$0	$71,423		Yes (X)
OLIVER CASS MD
MEDICAL DOCTOR	55.00			$914,722	$0	$65,784		Yes (X)
ANTHONY BOTTINIMD
MEDICAL DOCTOR	55.00			$851,836	$0	$63,475		Yes (X)
TIMOTHY DIEGELMD
MEDICAL DOCTOR	55.00			$839,037	$0	$46,611		Yes (X)
ASRA MOHIUDDIN MD
MEDICAL DOCTOR	55.00			$749,489	$0	$62,273		Yes (X)
SHELIA MCMILLAN
VP & CFO	55.00			$0	$608,274	$16,074			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,449,741	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,990,107	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,287,558	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1217	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 INC
8170 33RD AVE S	MINNEAPOLIS	MN	55440	ADMINSTRATIVE SERVICES	$12,047,880
KNUTSON CONSTRUCTION SERVICES
7515 WAYZATA BLVD	MINNEAPOLIS	MN	55426	CONSTRUCTION SERVICES	$10,646,616
UNIVERSITY OF MN PHYSICIANS
720 WASHINGTON AVENUE SE	MINNEAPOLIS	MN	55407	MEDICAL SERVICES	$9,743,369
RJM CONSTRUCTION
5455 HWY 169	PLYMOUTH	MN	55442	CONSTRUCTION SERVICES	$8,197,980
RYAN COMPANIES US INC
50 SOUTH 10TH STREET	MINNEAPOLIS	MN	55403	CONSTRUCTION SERVICES	$6,113,721

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	145	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,114,242	RelatedOrganizationsAmt
Government Grants	$4,855,888	GovernmentGrantsAmt
All Other Contributions	$5,965,814	AllOtherContributionsAmt
Total Contributions	$13,935,944	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICAL SERVICES	621400	$770,846,068	$770,846,068
MEDICARE/MEDICAID	621400	$393,661,338	$393,661,338
RETAIL SALES	446110	$62,746,502	$59,021,241	$3,722,228	$3,033
SERVICES TO AFFILIATES	561000	$38,346,471	$38,346,471

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,265,600,379	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,472,348	TotalRevenueColumnAmt
Exclusion	$8,472,348	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,646	TotalRevenueColumnAmt
Exclusion	$284,646	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,822,040	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,514,498	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$307,542	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,542	TotalRevenueColumnAmt
Exclusion	$307,542	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$352,589,649	SecuritiesAmt
Other	$1,994,601	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$333,033,923	SecuritiesAmt
Other	$449,203	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,555,726	SecuritiesAmt
Other	$1,545,398	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,101,124	TotalRevenueColumnAmt
Exclusion	$21,101,124	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,181,892	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$367,444	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$814,448	TotalRevenueColumnAmt
Exclusion	$814,448	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PROPERTY MANAGEMENT	812930	$2,869,189	$2,869,189
CAFETERIA	722210	$2,620,956	$2,620,956
MISC SERVICES	722210	$45,409	$45,409

Field	Value	IRS element (for citing)
Other Revenue Total	$5,535,554	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,316,051,985	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,261,875,118	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,722,228	UnrelatedBusinessRevenueAmt
Exclusion	$36,518,695	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$262,601	TotalAmt
Program Services	$262,601	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	$1,791,085	TotalAmt
Program Services	$1,621,622	ProgramServicesAmt
Management And General	$169,463	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$630,305,942	TotalAmt
Program Services	$550,346,440	ProgramServicesAmt
Management And General	$79,689,953	ManagementAndGeneralAmt
Fundraising	$269,549	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$36,885,512	TotalAmt
Program Services	$31,692,166	ProgramServicesAmt
Management And General	$5,177,792	ManagementAndGeneralAmt
Fundraising	$15,554	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$70,457,643	TotalAmt
Program Services	$58,949,578	ProgramServicesAmt
Management And General	$11,483,196	ManagementAndGeneralAmt
Fundraising	$24,869	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,053,752	TotalAmt
Program Services	$32,568,961	ProgramServicesAmt
Management And General	$5,472,000	ManagementAndGeneralAmt
Fundraising	$12,791	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$219,837	TotalAmt
Management And General	$219,837	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$248,512	TotalAmt
Management And General	$248,512	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$78,175	TotalAmt
Management And General	$78,175	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$489,649	TotalAmt
Management And General	$489,649	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$55,676,466	TotalAmt
Program Services	$37,153,365	ProgramServicesAmt
Management And General	$18,523,101	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,652,937	TotalAmt
Program Services	$255,201	ProgramServicesAmt
Management And General	$3,397,736	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,519,297	TotalAmt
Program Services	$9,376,618	ProgramServicesAmt
Management And General	$6,142,679	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,974,855	TotalAmt
Program Services	$8,928,673	ProgramServicesAmt
Management And General	$13,046,182	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$43,706,079	TotalAmt
Program Services	$40,387,469	ProgramServicesAmt
Management And General	$3,318,610	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,366,298	TotalAmt
Program Services	$1,062,613	ProgramServicesAmt
Management And General	$303,685	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$570,208	TotalAmt
Program Services	$513,976	ProgramServicesAmt
Management And General	$56,232	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,830,917	TotalAmt
Program Services	$7,830,917	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$52,024,913	TotalAmt
Program Services	$47,063,042	ProgramServicesAmt
Management And General	$4,961,871	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$122,213	TotalAmt
Program Services	$36,642	ProgramServicesAmt
Management And General	$85,571	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND EQ	$163,649,928	$160,547,979	$3,101,949
COST OF GOOD SOLD	$39,204,589	$39,204,589
BAD DEBT EXPENSE	$20,751,882	$20,751,882
MN CARE TAX EXPENSE	$19,355,417	$19,355,417

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,743,926	TotalAmt
Program Services	$3,212,341	ProgramServicesAmt
Management And General	$15,531,585	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,242,992,633	TotalAmt
Program Services	$1,071,172,092	ProgramServicesAmt
Management And General	$171,497,778	ManagementAndGeneralAmt
Fundraising	$322,763	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,597,067	BOYAmt
EOY	$441,974	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$403,712	BOYAmt
EOY	$132,432	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,388,795	BOYAmt
EOY	$2,888,077	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$134,983,015	BOYAmt
EOY	$140,182,902	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$119	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$69,279	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,696,185	BOYAmt
EOY	$11,932,766	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,813,781	BOYAmt
EOY	$8,778,692	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,077,917,338	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$730,461,995	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$333,193,629	BOYAmt
EOY	$347,455,343	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$501,577,381	BOYAmt
EOY	$570,712,855	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$493,396	BOYAmt
EOY	$201,021	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,638,776	BOYAmt
EOY	$30,536,880	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,014,855,016	BOYAmt
EOY	$1,113,263,061	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$70,382,843	BOYAmt
EOY	$71,275,027	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,727,727	BOYAmt
EOY	$3,644,827	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$361,578,782	BOYAmt
EOY	$351,015,048	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$327,899	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,720,513	BOYAmt
EOY	$47,982,602	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$442,737,764	BOYAmt
EOY	$473,917,504	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$571,120,208	BOYAmt
EOY	$638,468,291	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$717,797	BOYAmt
EOY	$595,829	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$279,247	BOYAmt
EOY	$281,437	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$572,117,252	BOYAmt
EOY	$639,345,557	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,014,855,016	BOYAmt
EOY	$1,113,263,061	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$73,059,352	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,223,300	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$3,706,086	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$2,313,833	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 II, 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) $2,199,099 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) $3,198,415 LINE 11, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $70,026,488 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	$143,687	OtherActivitiesAmt
Total Lobbying Expenditures	$143,687	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 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	$27,216,599	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,127,080	BeginningYearBalanceAmt
Contributions	$1,474,161	ContributionsAmt
Investment Earnings Or Losses	$850,097	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,402,746	GrantsOrScholarshipsAmt
End Year Balance	$22,048,592	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.42000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.58000	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	$511,279,727	OtherCostOrOtherBasisAmt
Depreciation	$297,708,740	DepreciationAmt
Book Value	$213,570,987	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,968,164	OtherCostOrOtherBasisAmt
Depreciation	$37,492,512	DepreciationAmt
Book Value	$14,475,652	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$474,016,388	OtherCostOrOtherBasisAmt
Depreciation	$394,676,534	DepreciationAmt
Book Value	$79,339,854	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,992,015	OtherCostOrOtherBasisAmt
Depreciation	$584,209	DepreciationAmt
Book Value	$12,407,806	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$347,455,343	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBILGATION	$2,982,602
SUBORDINATE NOTE TO RELATED THIRD PARTY	$45,000,000

Field	Value	IRS element (for citing)
Total Liability	$47,982,602	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, 2014 OR 2013 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
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	EDUCATION	SpecificServicesProvidedTxt
Region Total Expenditures	$10,673	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	$10,673	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$10,673	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
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	$8,904,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$240,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,663,877	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,202,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,206,181	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,996,097	NetCommunityBenefitExpnsAmt
Total Expense	0.04020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,106,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,446,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,659,974	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	105160	PersonsServedCnt
Total Community Benefit Expns	$5,692,515	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$703,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,988,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,276,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,123,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,152,474	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,119,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,781,981	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,337,307	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	105160	PersonsServedCnt
Total Community Benefit Expns	$19,087,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,609,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,478,540	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	105160	PersonsServedCnt
Total Community Benefit Expns	$165,194,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$95,056,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,138,514	NetCommunityBenefitExpnsAmt
Total Expense	0.05640	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,808,634	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$145,624,465	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$142,528,355	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,096,110	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	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	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	12	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 App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
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
Other Publicity	Yes (X)	OtherPublicityInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 5: OVER 1,100 COMMUNITY MEMBERS REPRESENTING AREA GOVERNMENT, SCHOOLS, CHURCHES, SOCIAL SERVICE AGENCIES, AND HEALTHCARE PROVIDERS WERE IDENTIFIED TO PARTICIPATE IN AN ONLINE SURVEY AND FOCUS GROUP. AN ONLINE SURVEY WAS CONDUCTED USING SURVEY MONKEY. THE SURVEY TOOL WAS DESIGNED TO GAIN INFORMATION FROM THE RESPONDENTS ABOUT THERE GEOGRAPHIC LOCATION ALONG WITH CONNECTIONS IN THE COMMUNITY. IN ADDITION TO THE ONLINE SURVEY THESE COMMUNITY PARTICIPANTS WERE ALSO OFFERED THE OPPORTUNITY TO ATTEND ONE OF SEVEN CONNUNITY-BASED FOCUS GROUPS USING THE WORLD CAFE MODEL OF FACILITATION. THESE WERE OFFERED IN SEVEN DIFFERENT LOCATIONS AND PROVIDED THE OPPORTUNITY FOR PARTICIPATNS TO ENGAGE IN DIALOGUE THAT WOULD OFFER MORE IN-DEPTH ABOUT THEIR COMMUNITIES AND THE IDENTIFIED NEEDS. TEAM MEMBERS FROM PARK NICOLLET HEALTH SERVICES WERE PRESENT TO TAKE NOTES AND SUMMARIZE REPSONSES. THE COMMUNITY HEALTH NEEDS ASSESSMENT LEADERSHIP TEAM REVIEWED THE INPUT FROM BOTH THE SURVEYS AND THE FOCUS GROUPS AND IDENTIFIED SEVEN KEY THEMES THAT CONSISTENTLY EMERGED. AN ADDITIONAL THREE AREAS OF NEED WERE IDENTIFIED; ALTHOUGH NOT CONSISTENTLY REPORTED, THEY WERE FELT TO BE IMPORTANT FOR INCLUSION IN THIS REPORT.TO BROADEN THE INFORMATION RECEIVED, MEETINGS WERE HELD WITH SMALL GROUPS OF PROFESSIONALS FOR INSIGHT GATHERING AND TARGETED TO SPECIFIC AREAS IDENTIFIED BY OUR COMMUNITY PARTICIPANTS. ADDITIONAL MEETINGS WITH SOMALI COMMUNITY HEALTH WORKERS THROUGH WELLSHARE AND RETIRED PHYSICIANS FROM METHODIST HOSPITAL WERE ALSO HELD.FOCUS GROUP PARTICIPANTS INCLUDED COMMUNITY MEMBERS FROM THE FOLLWOING ORGANIZATIONS: CHILDREN FIRST, IOCP, PNF SUCCESSFUL AGING INITATIVE, CRISIS CONNECTION, PILLSBUY HOUSE, MISSION, INC. MINNEAPOLIS CRISIS NURSERY, SHALOM HOSPICE, TEENS ALONE, WELLSHARE, PATHWAYS, SAINTS HEALTHCARE FOUNDATION, SHAKOPEE SCHOOL DISTRICT, CITY OF SHAKOPEE, PRIOR LAKE/SAVAGE SCHOOL DISSTRICT, PNHS STROKE INSPIRE, ST. MARY'S HEALTH CLINICS, CITY OF ST. LOUIS PARK, DEPOT COFFEE HOUSE, STEP, YOUTH CARE, CHILDREN'S DENTAL SERVICE, BLOOMINGTON SCHOOL DISTRICT, ALZHEIMER'S ASSOCIATION, LENOX CENTER, COMMUNITY IN COLLABORATION COUNCIL, GREATER WAYZATA AREA OF COMMERCE, COMMUNITY EDUCATION ADVISORY COUNCIL, WAYZATA SCHOOL DISTRICT,ST. DAVID'S CENTER FOR CHILD AND FAMILY DEVELOPMENT, ST. LOUIS PARK SCHOOL DISTRICT, CITY OF CHANHASSEN, RELATE COUNSELING CENTER, HOPIKINS SCHOOL DISTRICT, ICA, STORE TO DOOR, CITY OF GOLDEN VALLEY, GREATER MINNEAPOLIS COUNCIL OF CHURCHES.
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 2012. 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: SEE PART VI QUESTION 5 FOR THE DESCRIPTION ON HOW PARK NICOLLET METHODIST HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. PARK NICOLLET METHODIST HOSPITAL DID NOT ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS THESE PROGRAMS ARE ADEQUATELY FUNDED AT THE COUNTY LEVEL THROUGH FEDERAL, STATE AND COUNTY RESOURCES: TEEN PREGANCY AND TEEN PARENTINGTEEN AND YOUNG ADULT DRUG AND ALCOHOL ABUSE SMOKING CESSATION
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.PART V, SECTION B, LINE 16A HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 16I: FAP AND FA APPLICATION WERE INCLUDED IN THE HOSPITAL INPATIENT BOOKLETS THAT ARE IN PATIENT'S ROOMS
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 SURGURY, WHICH IS NOT MEDICALLY NECESSARY.

Field	Value	IRS element (for citing)
Facility	34	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (34 entries)

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

Supplemental Information Detail SupplementalInformationDetail (16 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 METHODIST HOSPITAL BELIEVES THAT ALL OF THE MEDICARE LOSS SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. IF THESE SERVICES WERE NOT PROVIDED BY US THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. BASED ON THIS, MEDICARE LOSSES SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE LOSSES ARE INCURRED IN PERFORMING AN IMPORTANT PUBLIC SERVICE. THE MEDICARE LOSS FOR PARK NICOLLET METHODIST HOSPITAL IS BASED ON THE MEDICARE COST REPORT AS INSTRUCTED PER THE 990 SCHEDULE H INSTRUCTIONS. THE MEDICARE COST REPORT ONLY INCLUDES ALLOWABLE COSTS FOR TRADITIONAL MEDICARE PRODUCTS. ALLOWABLE COSTS ARE DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID AND DO NOT INCLUDE ALL OF THE COSTS THAT ARE INCURRED WHILE PROVIDING SERVICES. IF ALL COSTS WERE INCLUDED IN THE CALCULATION ALONG WITH OUR MEDICARE ADVANTAGE PRODUCTS OUR MEDICARE LOSS WOULD BE $75.7 MILLION.
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 A SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY AS WELL AS FREQUENTLY ASKED QUESTIONS AND HOW TO APPLY DOCUMENTS. IF THE DEBTOR QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT.
PART VI, LINE 2:	IN 2012, PARK NICOLLET HEALTH SERVICES METHODIST HOSPITAL COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THIS ASSESSMENT WAS THE CULMINATION OF WORK THAT BEGAN IN 2011 AND WAS PRESENTED TO AND APPROVED BY THE PARK NICOLLET BOARD OF DIRECTORS IN DECEMBER 2012. THIS WORK RESULTED IN THE CREATION OF THE PARK NICOLLET METHODIST HOSPITAL 2013-2015 IMPLEMENTATION STRATEGY TO MEET COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THIS PROCESS.TO DEVELOP THIS NEEDS ASSESSMENT, PARK NICOLLET DREW UPON LONG-STANDING RELATIONSHIPS WITH THE BROADER COMMUNITY IT SERVES AND INTERNAL RESOURCES FOCUSING ON RESEARCH AND DATA ANALYTICS. FOR 23 YEARS, PARK NICOLLET HAS CONVENED POPULATIONS OF PATIENTS, GOVERNMENT AND SERVICE ORGANIZATIONS IN ITS SERVICE AREA IN ORDER TO IDENTIFY AND ACT UPON COMMUNITY NEEDS. THESE CONVENING ACTIVITIES BECAME A VALUABLE TOOL TO SURVEY AND IDENTIFY NEEDS ACROSS THE PARK NICOLLET METHODIST HOSPITAL AND PARK NICOLLET CLINIC SERVICE AREAS. PARK NICOLLET FOUNDATION DEVELOPED AND INTEGRATED A SUCCESSFUL COMMUNITY CONNECTIVITY MODEL IN ITS PLANNING PROCESS, DEVELOPING PRIORITIES AND GOALS ACROSS THE ENTIRE ORGANIZATION. AS A CONVENER OF COMMUNITIES ACROSS THE SERVICE AREA, PARK NICOLLET ENGAGED INDIVIDUALS WITHIN THE COMMUNITY, SOCIAL SERVICE AGENCIES BOTH PUBLIC AND PRIVATE, ESTABLISHED COMMUNITY ORGANIZATIONS AND COMMUNITY LEADERS IN ORDER TO IDENTIFY AREAS OF UNMET NEED WITHIN THE COMMUNITY. PARK NICOLLET ALSO BROUGHT TO BEAR INTERNAL EXPERTISE, HEALTH DATA AND ADMINISTRATIVE RESOURCES TO PARTNER WITH THE COMMUNITY TO IDENTIFY NEEDS. THESE RESOURCES INCLUDE MEDICAL EXPERTISE, DATA ANALYTICS AND RESEARCH STAFF, FINANCIAL AND BUSINESS SERVICES AND OTHER ADMINISTRATIVE SERVICES IDENTIFIED AS IMPORTANT THROUGH THE CONVENING PROCESS. THIS CONVENING ACTIVITY HAS RESULTED IN THE CREATION OF INITIATIVES ACROSS THE COMMUNITIES SERVED BY PARK NICOLLET METHODIST HOSPITAL AND PARK NICOLLET CLINIC. THESE INITIATIVES INCLUDE: PARK NICOLLET-SPONSORED COMMUNITY CLINICS GROWING THROUGH GRIEF - PROGRAMS PROVIDING GRIEF SUPPORT AND EDUCATION TO CHILDREN WHO HAVE EXPERIENCED DEATH OF A LOVED ONE NO SHOTS, NO SCHOOL IMMUNIZATION - INITIATIVES PROVIDING ENHANCED ACCESS FOR CHILDREN NEEDING IMMUNIZATIONS AS PART OF THE NO SHOTS, NO SCHOOL PROGRAM HEALTHY COMMUNITY COLLABORATIVES - GROUPS TO DISCUSS THE HEALTH NEEDS OF RESIDENTS IN THE COMMUNITY AND DEVELOPING PROGRAMS TO ADDRESS THOSE NEEDS. THERE ARE CURRENTLY THREE HEALTHY COMMUNITY COLLABORATIVES SUPPORTED BY THE PARK NICOLLET FOUNDATION, SERVING SCOTT COUNTY, DAKOTA COUNTY AND NORTHWEST HENNEPIN COUNTY. A SUCCESSFUL AGING INITIATIVE IN ST. LOUIS PARK - PROVIDING SUPPORT TO SENIOR CITIZENS IN THE COMMUNITY TO ADDRESS THEIR VARIOUS MEDICAL AND SOCIAL NEEDSCOMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESSTHE CONVENING ROLE PARK NICOLLET PLAYS IS SUCCESSFUL IN IDENTIFYING ONGOING NEEDS ACROSS THE MANY COMMUNITIES WE SERVE. IN 2011, PARK NICOLLET BEGAN A MORE FORMAL PROCESS TO IDENTIFY THE GREATEST AREAS OF UNMET NEED. THE CONVENING ROLE WE PLAY IS CRITICAL FOR IDENTIFYING AND CREATING CONNECTIONS TO ADDRESS NEEDS OF RESIDENTS IN THE COMMUNITY. HOWEVER, THE CHNA PROCESS WAS MORE FORMALIZED AND ANALYTIC IN NATURE TO PINPOINT AND PRIORITIZE THE MOST PREVALENT NEEDS IN THE COMMUNITY. DEMOGRAPHIC ANALYSIS/DATAA VARIETY OF DATA SOURCES WAS USED TO COLLECT AND ANALYZE THE GEOGRAPHIC, SOCIO-ECONOMIC AND HEALTH DATA ON THE COMMUNITIES IN THE PARK NICOLLET HEALTH SERVICES' SERVICE AREA. THESE DATA SOURCES PROVIDE A FRAMEWORK FOR REACHING OUT TO COMMUNITY MEMBERS, LOCAL GOVERNMENT AND SOCIAL SERVICE AGENCIES AND SOCIAL SUPPORT GROUPS WITHIN THE COMMUNITY. THE SOURCES USED TO UNDERTAKE OUR COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE: THOMSON REUTERS MINNESOTA STATE DEMOGRAPHIC CENTER THE METROPOLITAN COUNCIL THE U.S. CENSUS BUREAU THE MINNESOTA DEPARTMENT OF EMPLOYMENT AND ECONOMIC DEVELOPMENT THE MINNESOTA DEPARTMENT OF HEALTH, CENTER FOR HEALTH STATISTICS THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE THE CENTERS FOR DISEASE CONTROL (CDC) AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION NATIONAL CENTER FOR HEALTH STATISTICS THE MINNESOTA HOSPITAL ASSOCIATION INTERNAL PARK NICOLLET DATAPARK NICOLLET THE CHNA PROCESS IS DESIGNED TO REACH BROADLY INTO THE COMMUNITY TO IDENTIFY NEEDS, GAPS AND BARRIERS TO HEALTH AND HEALTH SERVICES. DEPLOYING PRIMARY RESEARCH, DATA ANALYSIS, VALIDATION AND PRIORITIZATION, THE ASSESSMENT PROCESS IDENTIFIED THE FOLLOWING SEVEN KEY THEMES OF NEED:1. MENTAL HEALTH2. OBESITY3. SENIORS4. CONNECTING COMMUNITY RESOURCES5. ACCESS AND AFFORDABILITY OF CARE6. WELLNESS 7. CULTURALLY SENSITIVE CARETHE PROCESS ALSO IDENTIFIED THE NEED FOR TEEN AND YOUNG ADULT DRUG AND ALCOHOL ABUSE, TEEN PREGNANCY AND PARENTING AND SMOKING CESSATION; HOWEVER, THESE NEEDS DID NOT ELEVATE THEMSELVES TO THE LEVEL OF THE SEVEN IDENTIFIED THEMES DUE TO THE AVAILABILITY OF SERVICES ALREADY AVAILABLE IN THE COMMUNITY.PARK NICOLLET METHODIST HOSPITAL'S CHNA WAS DESIGNED TO PROVIDE BROAD COMMUNITY INPUT FROM BOTH PRIMARY RESEARCH AND ANALYSIS OF EXISTING COMMUNITY DATA. PARK NICOLLET WAS ABLE TO DRAW UPON THE ABOVE MENTIONED INITIATIVES AND PROCESSES TO UNDERTAKE THIS ANALYSIS OF COMMUNITY NEED. THE KEY ELEMENTS OF THE CHNA PROCESS INCLUDED THE FOLLOWING TEAMS AND PROCESSES:1. A LEADERSHIP TEAM THAT WAS CHARGED TO CONDUCT THE 2011/2012 NEEDS ASSESSMENT. THE RESPONSIBILITIES OF THIS TEAM INCLUDED RESEARCH AND UNDERSTANDING OF THE REQUIREMENTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT, DEVELOPING A STRATEGIC DESIGN FOR PRIMARY RESEARCH AND DATA ANALYTICS, VALIDATION AND PRIORITIZATION OF THE RESULTS AND PREPARATION OF A FINAL FORMAL REPORT THAT WOULD BE PRESENTED TO THE PARK NICOLLET HEALTH SERVICES BOARD OF DIRECTORS. 2. A GUIDANCE GROUP. THE GUIDANCE GROUP PROVIDED THE SKILLS AND EXPERTISE OF A DIVERSE REPRESENTATION OF: PARK NICOLLET METHODIST HOSPITAL PARK NICOLLET FOUNDATION AREA SCHOOLS LOCAL SOCIAL SERVICE AGENCIES MEMBERS OF THE COMMUNITY COUNTY GOVERNMENT HEALTH AGENCIESTHE GUIDANCE GROUP MET THREE TIMES TO REVIEW THE PROPOSED PLAN DESIGN FOR THE CHNA, REVIEW PRELIMINARY RESULTS, ASSIST WITH PRIORITIZATION OF THE NEEDS IDENTIFIED AND PROVIDE INPUT INTO POTENTIAL RESPONSES TO THE IDENTIFIED NEEDS. 3. PRIMARY RESEARCH. MORE THAN 1,100 COMMUNITY MEMBERS REPRESENTING CHURCHES, GOVERNMENT, SCHOOLS, SOCIAL SERVICE AGENCIES AND HEALTH CARE PROVIDERS WERE IDENTIFIED TO PARTICIPATE IN AN ONLINE SURVEY AND FOCUS GROUP MEETINGS ACROSS OUR SERVICE AREA. PARK NICOLLET LEADERS WERE ALSO INVOLVED IN THIS SURVEY AND FOCUS GROUP PROCESS. THE SURVEY WAS CONDUCTED USING SURVEY MONKEY. THE SURVEY TOOL WAS DESIGNED TO OBTAIN INFORMATION FROM THE RESPONDENTS ABOUT THEIR GEOGRAPHIC LOCATION AND THEIR CONNECTIONS IN THE COMMUNITY. THE SURVEY ASKED THE FOLLOWING QUESTIONS OF RESPONDENTS: WHICH GEOGRAPHIC REGION DO YOU MOST AFFILIATE WITH? USING STATE DEMOGRAPHIC DATA FROM THE STATE DEMOGRAPHER, RESPONDENTS WERE GIVEN SEVEN GEOGRAPHIC LOCATIONS TO CHOOSE FROM WITHIN THE SERVICE AREA, WITH CITIES IDENTIFIED WITHIN EACH REGION. IN YOUR OPINION, WHAT ARE THE MAJOR HEALTH CARE CONCERNS IN YOUR COMMUNITY? WHICH HEALTH CARE CONCERNS OF THOSE LISTED IS THE MOST IMPORTANT FOR THE COMMUNITY TO ADDRESS? WHAT ROLE SHOULD PARK NICOLLET CLINIC AND METHODIST HOSPITAL PLAY IN RESPONDING TO THE MOST IMPORTANT CONCERNS YOU IDENTIFY? ARE YOU AWARE OF ANY SERVICES OFFERED IN YOUR COMMUNITY TO ADDRESS CONCERNS YOU IDENTIFIED?4. FOCUS GROUPS. USING THE WORLD CAF MODEL OF FACILITATION, COMMUNITY PARTICIPANTS WERE ALSO OFFERED THE OPPORTUNITY TO ATTEND ONE OF SEVEN COMMUNITY-BASED FOCUS GROUP MEETINGS. EACH FOCUS GROUP WAS ENCOURAGED TO DISCUSS: WHAT TOP NEEDS MOST IMPACT THE HEALTH AND WELLNESS OF INDIVIDUALS AND FAMILIES IN YOUR LOCAL COMMUNITY? WHAT WOULD IT TAKE TO CREATE THE CHANGE NEEDED TO ADDRESS THESE ISSUES? WHAT IS THE UNIQUE ROLE OF PARK NICOLLET METHODIST HOSPITAL IN RESPONDING TO THOSE NEEDS? WHO IN THE COMMUNITY SHOULD BE INVOLVED AND WHY SHOULD THEY CARE?THE RESULTS FROM THE SURVEY AND THE FOCUS GROUPS WERE TABULATED. THE LEADERSHIP TEAM THEN REVIEWED THE SUMMARIES AND IDENTIFIED SEVEN KEY THEMES THAT CONSISTENTLY EMERGED IN THE DATA. 5. ADDITIONAL GROUP MEETINGS. TO BROADEN THE INFORMATION GATHERED, ADDITIONAL MEETINGS WERE ALSO HELD WITH SMALL GROUPS OF PROFESSIONALS FOR INSIGHT GATHERING AND TARGETED TO SPECIFIC AREAS IDENTIFIED BY COMMUNITY PARTICIPANTS. AS A RESULT MEETINGS WERE ALSO HELD WITH SOMALI COMMUNITY HEALTH WORKERS AND RETIRED PHYSICIANS FROM METHODIST HOSPITAL.
PART VI, LINE 2:	6. VALIDATION PROCESS. ONCE THE KEY THEMES OF NEED WERE IDENTIFIED AND PRIORITIZED, MEETINGS WERE SCHEDULED WITH COUNTY HEALTH DEPARTMENTS TO DISCUSS OUR FINDINGS AND COMPARE THEM WITH RESULTS FROM THEIR OWN COUNTY NEEDS ASSESSMENTS, AND TO IDENTIFY ANY POTENTIAL GAPS THAT MAY EXIST FROM OUR OWN RESEARCH. PRIORITIZATION OF COMMUNITY HEALTH NEEDS. ONCE THE RESPONSES THROUGH THE SURVEY AND FOCUS GROUP PROCESS WERE COLLATED, THE RESULTS WERE PRESENTED TO THE CHNA GUIDANCE GROUP, PARK NICOLLET HEALTH SERVICES EXECUTIVE AND MANAGEMENT GROUP AND THE PARK NICOLLET FOUNDATION BOARD OF DIRECTORS FOR REVIEW, COMMENT AND PRIORITIZATION. PARTICIPANTS WERE ASKED TO RANK EACH IDENTIFIED THEME BASED ON TWO CRITERIA: IMPORTANCE OR IMPACT THAT THE THEME HAD ON COMMUNITY HEALTH NEED AND HOW STRONGLY THE THEME CORRELATED WITH PARK NICOLLET'S STRENGTHS AS A HEALTH CARE SYSTEM. THE RESULTS WERE THEN AGGREGATED, SUMMARIZED THROUGH AVERAGING OF RANK VALUES AND PLOTTED INTO A BUBBLE GRAPH. THIS PROCESS INFORMED PARK NICOLLET ON THE MAJOR THEMES OF NEED IDENTIFIED BY THE COMMUNITY AND RESULTED IN THE DEVELOPMENT OF A "PARK NICOLLET METHODIST HOSPITAL 2013-2015 IMPLEMENTATION STRATEGY" TO MEET COMMUNITY HEALTH NEEDS. SINCE THE CONCLUSION OF THIS PROCESS, PARK NICOLLET HIRED STAFF TO LEAD THIS PROCESS.
PART VI, LINE 3:	PARK NICOLLET METHODIST HOSPITAL PARTICIPATES IN MULTIPLE UNIQUE FINANCIAL ASSISTANCE PROGRAMS, INCLUDING OUR OWN FINANCIAL ASSISTANCE (FA). WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT PNHS. APPROXIMATELY 14 PERCENT OF HOSPITAL PATIENTS PARTICIPATE IN STATE PUBLIC PROGRAMS AND APPROXIMATELY 2 PERCENT ARE UNINSURED. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: HOSPITAL BOOKLETS GIVEN TO INPATIENTS WEB SITE, FA INFORMATION FOUND IN BILLING AND INSURANCE SECTION FAQ ON FA FA CALCULATOR ONLINE CALCULATOR ALLOWS QUICK AND EASY ESTIMATION OF ELIGIBILITY UNDER THE PROGRAM FA APPLICATION APPLICATION MAY BE PRINTED FOR SUBMISSION INFORMATION ON MEDICAL ASSISTANCE, INCLUDING ELIGIBILITY AND APPLICATION PROCESS PATIENT STATEMENTS ALL BALANCE FORWARD STATEMENTS, REGARDLESS OF BALANCE, INCLUDE A FINANCIAL ASSISTANCE APPLICATION AND RESPONSES TO FREQUENTLY ASKED QUESTIONS REGARDING FAIN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS AND HOSPITAL PATIENT ACCESS LIAISONS (PALS) INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. PALS ARE ON-SITE IN THE HOSPITAL AND CAN MEET WITH PATIENTS IN THEIR ROOMS OR PRIOR TO ADMISSION. MOST CUSTOMER SERVICE AND COLLECTIONS WORK IS DONE THOUGH PHONE CALLS, BUT OUR MAIN CLINIC HAS AN ON-SITE LOCATION FOR PERSONAL CONVERSATIONS. PARK NICOLLET METHODIST HOSPITAL STAFF IS TRAINED IN HELPING PATIENTS APPLY FOR MEDICAL ASSISTANCE AND HAS ALSO CONTRACTED WITH OUTSIDE SERVICES TO ASSIST PATIENTS IN THE APPLICATION PROCESS FOR MEDICAL ASSISTANCE IN MORE COMPLICATED CIRCUMSTANCES.
PART VI, LINE 4:	PARK NICOLLET HEALTH SERVICES IS AN INTEGRATED DELIVERY SYSTEM THAT INCLUDES PARK NICOLLET METHODIST HOSPITAL, 23 CLINIC LOCATIONS AND 11 SPECIALTY CARE CENTERS, ALL OF WHICH ARE LOCATED IN THE WEST METROPOLITAN AREA OF THE TWIN CITIES. 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. PARK NICOLLET HEALTH SERVICES DRAWS PATIENTS FROM A LARGER 96 ZIP CODE SERVICE AREA. PARK NICOLLET METHODIST HOSPITAL'S PRIMARY CATCHMENT AREA COVERS A SMALLER 28 ZIP CODE SERVICE AREA. NINETY PERCENT OF PARK NICOLLET'S OUTPATIENT CLINIC VISITS AND 88 PERCENT OF METHODIST HOSPITAL ADMISSIONS COME FROM THE 96 ZIP CODE SERVICE AREA. FIFTY-FOUR PERCENT OF METHODIST HOSPITAL ADMISSIONS COME FROM THE 28 ZIP CODE SERVICE AREA. THE POPULATION DENSITY IN THE PARK NICOLLET SERVICE AREA CONSISTS OF A MIX OF URBAN, SUBURBAN, EXURBAN AND RURAL COMMUNITIES. IN ORDER TO FIT OUR ANALYSIS TO MORE SPECIFIC COMMUNITIES WITHIN THE BROADER SERVICE AREA, OUR ASSESSMENT FOCUSED ON THE SUB SERVICES AREAS DEFINED IN THE FOLLOWING MANNER: CORE SERVICE AREA MINNEAPOLIS SERVICE AREA NORTH EAST SERVICE AREA NORTH WEST SERVICE AREA SOUTH EAST SERVICE AREA SOUTH WEST SERVICE AREA WEST SERVICE AREATHIS BREAKDOWN ASSURES THAT NEEDS ARE PROPERLY IDENTIFIED IN ACCORDANCE WITH THE SPECIFIC POPULATION OF PATIENTS SERVED BY SERVICE AREA AND REFLECTS POPULATION DENSITY SOCIO-ECONOMIC FACTORS. IT ALSO PERMITS SURVEY AND FOCUS GROUP RESPONDENTS TO SPEAK TO NEEDS BASED UPON THEIR OWN LOCAL COMMUNITY.POPULATION DEMOGRAPHICSBASED ON 2010 ESTIMATES, 1.65 MILLION PEOPLE RESIDE WITHIN THE PARK NICOLLET 96 ZIP CODE SERVICE AREA. 535,000 PEOPLE (ONE-THIRD) RESIDE WITHIN THE SMALLER 28 ZIP CODE SERVICE AREA. POPULATION DENSITY VARIES BY THE SEVEN SERVICE AREAS PARK NICOLLET SERVES AND IS DESCRIBED BELOW. CORE SERVICE AREA (401,085) MINNEAPOLIS SERVICE AREA (249,171) NORTH EAST SERVICE AREA (184,062) NORTH WEST SERVICE AREA (226,685) SOUTH EAST SERVICE AREA (334,393) SOUTH WEST SERVICE AREA (101,825) WEST SERVICE AREA (157,176)PARK NICOLLET'S SERVICE AREA (96 ZIP CODES) IS ESTIMATED TO GROW 3.2 PERCENT IN THE NEXT FIVE YEARS. THE MOST SIGNIFICANT GROWTH IN POPULATIONS IS PROJECTED TO OCCUR IN THE SUBURBAN AND EX-URBAN SERVICE AREAS WHILE THE CORE SERVICE AREA, THE MINNEAPOLIS SERVICE AREA, AND THE NORTH EAST SERVICE AREA POPULATIONS ARE EXPECTED TO EXPERIENCE NO GROWTH. DURING THE NEXT 20 YEARS THE POPULATION GROWTH IN THE BROADER PARK NICOLLET SERVICE AREA IS EXPECTED TO GROW BY LESS THAN 1 PERCENT PER YEAR, HOWEVER, THE BIGGEST CHANGE DURING THIS 20 YEAR PERIOD WILL BE THE AGING OF THE POPULATION SERVED BY PARK NICOLLET. DURING THE NEXT 20 YEARS THE 65-PLUS AGE GROUP IS ESTIMATED TO MORE THAN DOUBLE. THE FOLLOWING SECTION DESCRIBES THE DEMOGRAPHIC CONSTITUENCIES SERVED BY PARK NICOLLET HEALTH SERVICES: THE AGING POPULATION. THE CORE SERVICE AREA CONTAINS A MORE AGED DEMOGRAPHIC THAN THE OTHER SERVICE AREAS SERVED BY PARK NICOLLET. IN THE CORE SERVICE AREA, 15 PERCENT OF THE POPULATION IS 65-PLUS YEARS OLD AND 45 PERCENT ARE 45-PLUS YEARS OLD. THE NORTH WEST AND THE SOUTH EAST SERVICE AREAS HAVE A LOW DISTRIBUTION OF POPULATION AGED 65-PLUS. THE FIRST RING SUBURBS (GOLDEN VALLEY, RICHFIELD, ST. LOUIS PARK, NEW HOPE AND EDINA) HAVE LARGE SENIOR POPULATIONS. THERE ARE ALSO DENSE POCKETS OF AGED (65-PLUS) IN BURNSVILLE, APPLE VALLEY, MINNEAPOLIS, BROOKLYN CENTER, BROOKLYN PARK, WAYZATA AND EXCELSIOR. 30 PERCENT OF SENIORS IN THE PARK NICOLLET SERVICE AREA ARE CURRENTLY IN SITUATIONS WHERE THEY ARE LIVING ALONE. MINORITY POPULATIONS. PARK NICOLLET HEALTH SERVICES' SERVICE AREA CONTAINS A VERY DIVERSE POPULATION OF PATIENTS. THERE IS WIDE VARIATION IN POPULATIONS SERVED ACROSS THE SEVEN SUB-SERVICE AREAS. THE NORTH EAST SERVICE AREA AND THE MINNEAPOLIS SERVICE AREA HAVE THE LARGEST MINORITY POPULATIONS, 49 PERCENT AND 40 PERCENT RESPECTIVELY. THE WEST AND THE NORTH WEST SERVICE AREAS HAVE LOW MINORITY POPULATIONS, 7 PERCENT AND 8 PERCENT RESPECTIVELY. THE MOST PREVALENT MINORITY GROUPS ALSO VARY BY SERVICE AREA: HISPANIC POPULATION IS THE TOP MINORITY GROUP IN THREE OF SEVEN SERVICE AREAS (MINNEAPOLIS, SOUTH WEST AND WEST) ASIAN POPULATION IS THE TOP MINORITY GROUP IN THREE OF SEVEN SERVICE AREAS (CORE, NORTH WEST AND SOUTH EAST) BLACK POPULATION IS THE TOP MINORITY GROUP IN ONE OF THE SEVEN SERVICE AREAS (NORTH EAST)MINORITY POPULATION DENSITY IS GREATER IN AREAS IN OR NEAR TO THE URBAN CORE OF THE TWIN CITIES.DURING THE NEXT FIVE YEARS, THE PARK NICOLLET SERVICE AREA POPULATION IS ESTIMATED TO GROW BY 3.8 PERCENT. THE MINORITY POPULATIONS ARE EXPECTED TO ACCOUNT FOR 79 PERCENT OF THAT GROWTH. POPULATION GROWTH IN THE HISPANIC POPULATION IS EXPECTED TO SEE THE LARGEST INCREASE OVER THE NEXT FIVE YEARS (22.3 PERCENT). THE LARGEST PORTION OF THE INCREASE IN THE HISPANIC POPULATION IS EXPECTED TO OCCUR IN THE MINNEAPOLIS SERVICE AREA. NEARLY ALL SERVICE AREAS EXPECT TO SEE DOUBLE DIGIT INCREASES IN MINORITY POPULATIONS THROUGH 2015. POPULATION INCOME AND ACCESS TO INSURANCE. THE DIVERSITY IN INCOME IN THE PARK NICOLLET SERVICE AREA ALSO IS WIDE-RANGING. WHILE THE PARK NICOLLET SERVICE AREA CONTAINS 22 OF THE TOP 25 WEALTHIEST ZIP CODES (SITUATED IN THE WEST/NORTH WEST SERVICE AREAS), THE EASTERN SERVICE AREA CONTAINS SEVERAL LOW INCOME ZIP CODES (CORE, MINNEAPOLIS, NORTH EAST SERVICE AREAS). THE WEST, NORTH WEST, SOUTH EAST AND SOUTH WEST SERVICE AREAS HAVE THE HIGHEST DISTRIBUTION OF UPPER INCOME HOUSEHOLDS. LIKE INCOME, THE SUBURBAN/EXURBAN SERVICE AREAS (NORTH WEST, SOUTH EAST, SOUTH WEST AND WEST) HAVE A HIGH PERCENTAGE OF THE POPULATION THAT IS COMMERCIALLY INSURED (80-PLUS PERCENT). THE SUB-SERVICE AREAS WITH THE HIGHEST PERCENT OF MEDICARE PATIENTS INCLUDE THE CORE (16 PERCENT), MINNEAPOLIS (10.8 PERCENT), NORTH EAST (10.5 PERCENT) AND WEST (10.4 PERCENT). THE MINNEAPOLIS AND THE NORTH EAST SERVICE AREAS HAVE HIGH MEDICAID POPULATIONS COMPARED TO THE OTHER SERVICE AREAS, WITH THE MINNEAPOLIS SERVICE AREA HAVING 16.7 PERCENT AND THE NORTH EAST SERVICE AREA HAVING 14.3 PERCENT.
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, 20 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 2014, PARK NICOLLET FOUNDATION GRANTED OVER $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 - SENIORS, MENTAL HEALTH, ACCESS AND AFFORDABILITY AND CULTURALLY-SENSITIVE CARE.PARK NICOLLET SUPPORTS SCHOOL-BASED HEALTH CENTERS. IN 2014, WE OFFERED NO-CHARGE HEALTH CARE TO CHILDREN FROM INFANCY THROUGH HIGH SCHOOL GRADUATION AT OUR SCHOOL-BASED HEALTH CENTERS IN BROOKLYN CENTER, BURNSVILLE, ST. LOUIS PARK AND WAYZATA. 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. IN 2014, THERE WERE MORE THAN 4,300 PRIMARY CARE AND DENTAL VISITS TO THESE HEALTH CENTERS. 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. PARTICIPATING SCHOOL DISTRICTS ENCOURAGE PARENTS TO SCHEDULE APPOINTMENTS WITH A PRIMARY CARE DOCTOR EARLY TO ENSURE REQUIRED IMMUNIZATIONS ARE GIVEN AND DOCUMENTED WELL IN ADVANCE OF STARTING SCHOOL. IT TAKES AT LEAST FOUR MONTHS TO COMPLETE THE HEPATITIS B SERIES.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. AT PARK NICOLLET AND METRO MINNESOTA COMMUNITY CLINICAL ONCOLOGY PROGRAM, BETWEEN 400 AND 500 RESEARCH STUDIES ARE ACTIVE EACH YEAR. PARK NICOLLET AUTHORS PUBLISHED 62 PEER-REVIEWED PAPERS, BOOKS AND BOOK CHAPTERS IN 2014, SHARING THEIR FINDINGS WITH THE MEDICAL COMMUNITY. 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 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. IN 2014, WE HELD 263 PATIENT EDUCATION CLASSES FOR 1,965 ATTENDEES. WE CONDUCTED 7,122 DIABETES EDUCATION VISITS. WE PUBLISHED 337 NEW OR REVISED PATIENT EDUCATION MATERIALS.
PART VI, LINE 5:	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. IN 2014, THE LIBRARY RECEIVED 781 VISITORS AND CONDUCTED 346 INFORMATION SEARCHES FOR PATIENTS AND THEIR FAMILIES. THE INSTITUTE'S PROFESSIONAL EDUCATION DEPARTMENT PROVIDES LEARNING ACTIVITIES TO ENHANCE PHYSICIAN KNOWLEDGE, COMPETENCE AND PERFORMANCE. CONTINUING MEDICAL EDUCATION (CME) STAFF PARTNERS WITH PARK NICOLLET AND HEALTHPARTNERS PHYSICIANS AND DEPARTMENTS TO MANAGE A COMPREHENSIVE EDUCATIONAL PROGRAM THROUGH ACTIVITIES DESIGNED TO MEET INDIVIDUAL AND DEPARTMENT NEEDS. OUR OFFICE OF CONTINUING MEDICAL EDUCATION GRANTED 70,892 CME CREDITS THROUGH 429 PROFESSIONAL EDUCATION ACTIVITIES IN 2014, REACHING 24,821 PARTICIPANTS.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) - FOUR SCHOOL-BASED HEALTH CENTERS PROVIDED OVER 2,300 MEDICAL VISITS 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 $75,000 WORTH OF PRESCRIPTIONS FOR PATIENTS OF THE SBHCS. 5. FOOD AND VEGIE PRESCRIPTIONS - IN PARTNERSHIP WITH CUB FOODS, PARK NICOLLET PRIMARY CARE PHYSICIANS GAVE "PRESCRIPTIONS" FOR HEALTHY FOOD TO YOUNG PATIENTS. THE RX WERE ACCOMPANIED BY A $10 COUPON FOR FRUITS AND VEGETABLES. 2,700 FRUIT AND VEGGIE PRESCRIPTIONS WERE GIVEN OUT; 1,012 WERE REDEEMED.6. FIRE-FIGHTER OUTREACH - IN PARTNERSHIP WITH METHODIST HOSPITAL AND LOCAL FOOD SHELVES, THE FIRE DEPARTMENTS OF THREE COMMUNITIES VISIT RECENTLY-DISCHARGED, AT-RISK SENIORS TO CHECK ON THEIR SAFETY AND ENSURE THEY HAVE ADEQUATE FOOD.7. MAMMO-A-GO-GO - FOUNDATION GRANTS ENABLED THE MAMMO-A-GO-GO MOBILE VAN TO PROVIDE FREE MAMMOGRAM SCREENINGS TO 165 UNDERSERVED WOMEN.8. FLU SHOT CLINICS - OVER 150 FREE FLU SHOTS WERE ADMINISTERED AT TWO SPECIAL EVENTS.9. YUMPOWER - PARK NICOLLET FOUNDATION PROVIDED SUPPORT TO IMPLEMENT THE HEALTHPARTNERS' YUMPOWER PROGRAM ON HEALTHY EATING AT TWO ST. LOUIS PARK ELEMENTARY SCHOOLS.10. MELROSE CENTER COLLEGE OUTREACH - RAISING AWARENESS OF EATING DISORDERS AND RESOURCES AVAILABLE.11. HEALTH FAIRS AND COMMUNITY OUTREACH - PARK NICOLLET CARE TEAMS, DEPARTMENTS AND CLINICS PROVIDE FAIRS AND OUTREACH THROUGHOUT THE YEAR. EXAMPLES INCLUDE: WAYZATA CLINIC TEAM MEMBERS PARTICIPATED IN A MIDDLE SCHOOL PARENTING FORUM CHAMPLIN CLINIC TEAM MEMBERS OFFERED ADVANCE CARE PLANNING CLASSES AND GAVE A TALK ON THE FLU AT NORWEST COMMUNITY CENTER CHAMPLIN CLINIC TEAM MEMBERS PARTICIPATED IN BAG OF SMILES GOLF TOURNAMENT AND MAPLE GROVE HOSPITAL BABY BALL BLOOMINGTON CLINIC TEAM MEMBERS OFFERED A MONTHLY DIABETES SUPPORT GROUP BLOOMINGTON CLINIC TEAM MEMBERS PARTICIPATED IN RACE FOR THE CURE ST. LOUIS PARK CLINIC TEAM MEMBERS OFFERED MULTIPLE INITIATIVES FOR SENIORS ST. LOUIS PARK CLINIC TEAM MEMBERS PARTICIPATED AT PARKTACULAR, TWIN CITIES PRIDE, TOUR DE CURE FOR DIABETES AND WEST END HEALTH & SAFETY FITNESS EXPO MAPLE GROVE CLINIC TEAM MEMBERS PARTICIPATED AT MAPLE GROVE DAYS PARADE AND EXPO PLYMOUTH CLINIC TEAM MEMBERS PARTICIPATED IN A HEALTHY LIVING FAIR, MUSIC IN PLYMOUTH 5, PLYMOUTH ON PARADE, NIGHT TO UNITE CANCER BENEFIT, PLYMOUTH FIRE DEPARTMENT OPEN HOUSE AND PLYMOUTH FARMER'S MARKET BROOKDALE CLINIC TEAM MEMBERS PARTICIPATED IN THE EARLE BROWN PARADE, A FLU CLINIC AND A HIGH SCHOOL EVENT ROGERS CLINIC TEAM MEMBERS PARTICIPATED IN ROCKIN ROGERS PARADE, ST. MICHAEL DAZE & KNIGHTS, OTSEGO FESTIVAL AND MAPLE GROVE HOSPITAL BABY BALL WAZATA AND CARLSON PARKWAY CLINIC TEAM MEMBERS PARTICIPATED IN JAMES J. HILL DAYS AND PARADE AND REGIS CORPORATION EMPLOYEE HEALTH FAIR SHAKOPEE CLINIC TEAM MEMBERS PARTICIPATED IN A BABY FAIR, DERBY DAYS, RELAY FOR LIFE, ST. FRANCIS CANDY BUY-BACK AND SAVAGE PTC CARNIVAL LAKEVILLE CLINIC TEAM MEMBERS PARTICIPATED IN PAN O PROG PARADE, THRIVE FOR 5, CAREER JAMBOREE AT LAKEVILLE NORTH & SOUTH, LAKEVILLE HOME AND GARDEN EXPO AND HALLOWEEN ELKO/NEW MARKET EVENT, DAKOTA COUNTY HEALTHY COMMUNITIES COLLABORATIVE, LAKEVILLE PEDIATRIC MENTAL HEALTH/CHEMICAL USE COLLABORATIVE, MENTAL HEALTH SUMMIT, THRIVE BY FIVE LAKEVILLE COMMITTEE, LIVING LONGER, ADHD SUPPORT GROUPS, LOCAL TALKS AT THE LIBRARY REGARDING SCHOOL READINESS/READING AND LAKEVILLE HIGH SCHOOL ANNUAL PRE-PROM EVENTS METHODIST HOSPITAL TEAM MEMBERS OFFERED A SLEEP HEALTH FAIR VOLUNTEER SERVICES TEAM MEMBERS PARTICIPATED IN AN EMPLOYEE WELLNESS FAIR JANE BRATTAIN BREAST CENTER TEAM MEMBERS PARTICIPATED IN BE PINK WAYZATA AND BE PINK COMMUNITY OUTREACH PROGRAMS AND EVENTS CONGREGATION NURSES VISITED MEMBERS FROM THEIR CONGREGATION AND LOCAL COMMUNITY FOR HEALTH ASSESSMENT, HEALTH EDUCATION, HEALTH COUNSELING ASTHMA AND ALLERGY TEAM MEMBERS PARTICIPATED IN AMERICAN LUNG ASSOCIATION ASTHMA CAMPIN ADDITION TO THE INITIATIVES SITED ABOVE, PARK NICOLLET FOUNDATION PROVIDES FINANCIAL AND OTHER SUPPORT TO ASSIST COMMUNITY NON-PROFIT PARTNERS. IN 2014, COMMUNITY GRANTEES INCLUDED: FOOD ACCESS FOR LOW-INCOME SENIORS 360 COMMUNITIES ICA MOBILE FOOD SHELF PRISM ST. LOUIS PARK EMERGENCY PROGRAM (STEP) NORTH MINNEAPOLIS MEALS ON WHEELS OPEN ARMS MN STORE TO DOOR OTHER SERVICES FOR LOW-INCOME SENIORS CATHOLIC CHARITIES OF ST. PAUL AND MINNEAPOLIS - CARE COORDINATION AND MANAGEMENT INTERFAITH OUTREACH AND COMMUNITY PARTNERS (IOCP) - SOCIAL CONNECTIVITY NEIGHBORHOOD INVOLVEMENT PROGRAM - IN-HOME CHORES, SAFETY ASSESSMENTS, SOCIAL EVENTS SENIOR COMMUNITY SERVICES - CARE TEAM COORDINATION, REFERRALS, NEEDS ASSESSMENTS VEAP - TRANSPORTATION JEWISH FAMILY AND CHILDREN'S SERVICES OF MPLS. - SUPPORT DEMENTIA CAPABLE COMMUNITIES YOUTH MENTAL HEALTH AVENUES FOR HOMELESS YOUTH BROOKLYN CENTER COMMUNITY SCHOOLS GUADALUPE ALTERNATIVE PROGRAMS ST. LOUIS PARK SCHOOL DISTRICT MINNESOTA AIDS PROJECT MYHEALTH FOR TEENS AND YOUNG ADULTS NATIONAL ALLIANCE ON MENTAL ILLNESS MN NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE RELATE ROBBINSDALE AREA SCHOOLS ST. DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT TEENS ALONE THE FAMILY PARTNERSHIP WALK-IN COUNSELING CENTER WASHBURN CENTER FOR CHILDREN ACCESS AND AFFORDABILITY CHILDREN'S DENTAL SERVICES DOORSTEP HEALTHCARE SERVICES - DENTAL CARE FOR LOW-INCOME SENIORS CULTURALLY-SENSITIVE SERVICES PILLSBURY UNITED COMMUNITIES - CLOSING HEALTH DISPARITY GAPS FOR EAST AFRICAN SENIORS WELLSHARE INTERNATIONAL - SOMALI HEALTHY COMMUNITY INITIATIVE
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 CLINICS IN 23 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. TRIA ORTHOPAEDIC CENTER FOCUSED ON ORTHOPAEDIC CARE.ALL AFFILIATES ARE UNDER A COMMON BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION HAS A SEPARATE BOARD WHICH IS OVERSEEN BY THE PARK NICOLLET HEALTH SERVICES BOARD. THE COMMUNITIES' HEALTH NEEDS ARE SHARED AMONG THE AFFILIATES AND DECISIONS REGARDING THE EFFECTIVE USE OF RESOURCES TO RESPOND TO THESE NEEDS ARE COORDINATED.A SPECIFIC EXAMPLE OF THIS COORDINATION OF SERVICES TO RESPOND TO COMMUNITY NEED IS WITH THE FOUR SCHOOL-AFFILIATED COMMUNITY CLINICS. INITIAL DEVELOPMENT, FUNDING AND ONGOING FACILITATION IS PROVIDED BY THE PARK NICOLET FOUNDATION, STAFFING THROUGH THE PARK NICOLLET CLINICS, LABORATORY AND OTHER DIAGNOSTIC SERVICES THROUGH PARK NICOLLET METHODIST HOSPITAL, AND OUTPATIENT MEDICATIONS, EYE GLASSES, AND DME SUPPLIES THROUGH PARK NICOLLET HEALTH CARE PRODUCTS.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PARK NICOLLET FOUNDATION
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	237346465	501(C)(3)	$240,000	GRANT MONEY TO OTHER ORGANIZATIONS
HOPE CHEST FOR BREAST CANCER
3850 SHORELINE DRIVE	ORONO	MN	55391	412019565	501(C)(3)	$6,000	SCHOOL OF NURSING
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SW	ROCHESTER	MN	55905	411506440	501(C)(3)	$5,000	RESEARCH AND EDUCATION

Field	Value	IRS element (for citing)
Total501c3 Org	3	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 (35 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	$672,471	$0	$17,623	$0	$79,570	$0	$24,336	$0	$31,571	$0	$825,571	$0	$0	$0
JEFF MENDELOFF MD
DIRECTOR	$651,930	$0	$25,182	$0	$57,662	$0	$24,336	$0	$37,723	$0	$796,833	$0	$0	$0
ERIC SCHNED MD
DIRECTOR	$226,738	$0	$7,744	$0	$52,165	$0	$24,336	$0	$24,086	$0	$335,069	$0	$0	$0
BRIAN H RANK MD
DIRECTOR	$0	$563,458	$0	$170,198	$0	$56,867	$0	$182,005	$0	$43,538	$0	$1,016,066	$0	$32,856
DAVID ABELSON MD
SR EXEC VP & CEO PN	$0	$933,438	$0	$355,500	$0	$145,485	$0	$212,674	$0	$63,157	$0	$1,710,254	$0	$135,325
BABETTE APLAND
VP BEHAVIORAL HEALTH AND C	$0	$309,323	$0	$82,668	$0	$24,582	$0	$87,751	$0	$38,993	$0	$543,317	$0	$8,716
CURT BOEHMMD
CMIO	$0	$244,722	$0	$47,903	$0	$2,955	$0	$24,336	$0	$17,927	$0	$337,843	$0	$0
STEVEN CONNELLY MD
CMO SYSTEM ALIGNMENT & INT	$0	$503,866	$0	$156,291	$0	$75,978	$0	$85,590	$0	$52,604	$0	$874,329	$0	$64,180
PAUL DAMROW MD
CHIEF SURGICAL SERVICES	$0	$525,147	$0	$87,316	$0	$12,389	$0	$87,336	$0	$38,444	$0	$750,632	$0	$0
JULIE FLASCHENRIEM
VP AND CIO	$0	$179,385	$0	$59,293	$0	$218,301	$0	$7,007	$0	$36,812	$0	$500,798	$0	$40,059
LAURA FRAZIER
VP SURGICAL SERVICES	$0	$237,166	$0	$41,800	$0	$26,285	$0	$53,489	$0	$32,479	$0	$391,219	$0	$19,894
ROXANNA GAPSTUR PHD
SR VP & COO METHODIST HOSP	$0	$330,216	$0	$63,446	$0	$39,307	$0	$64,311	$0	$24,940	$0	$522,220	$0	$29,405
CHRISTA GETCHELL
PRESIDENT PNF, VP COMMUNIT	$0	$195,508	$0	$39,755	$0	$22,544	$0	$39,154	$0	$19,005	$0	$315,966	$0	$13,727
DAVID HOMANS MD
CHIEF SPECIALTY SSERVICES	$0	$559,872	$0	$11,299	$0	$64,203	$0	$73,956	$0	$33,419	$0	$742,749	$0	$44,108
MICHAEL KAUPA
EXEC VP & SYSTEM ALIGNMENT	$0	$223,875	$0	$167,214	$0	$1,324,302	$0	$10,600	$0	$48,584	$0	$1,774,575	$0	$184,610
KATE KLUGHERZ
VP SPECIALTY SERVICES	$0	$224,584	$0	$40,249	$0	$24,741	$0	$44,990	$0	$22,987	$0	$357,551	$0	$15,972
CATHERINE LENAGH
VP & CFO	$0	$285,398	$0	$45,167	$0	$27,564	$0	$59,897	$0	$35,547	$0	$453,573	$0	$17,553
BRETT LONG
VP STRATEGY & GROWTH, HR	$0	$261,581	$0	$46,471	$0	$27,014	$0	$57,090	$0	$37,170	$0	$429,326	$0	$18,453
KRISTI LYON
VP PAYER RELATIONS	$0	$172,086	$0	$31,390	$0	$8,321	$0	$35,237	$0	$34,689	$0	$281,723	$0	$0
JOHN MISA MD
CHIEF PRIMARY CARE	$0	$366,557	$0	$66,126	$0	$69,714	$0	$68,616	$0	$30,939	$0	$601,952	$0	$50,613
JOAN SANDSTROM
VP PRIMARY CARE	$0	$270,725	$0	$48,807	$0	$13,653	$0	$57,300	$0	$31,808	$0	$422,293	$0	$0
MELISSA SCHOENHERR
VP MARKETING AND COMMUNICA	$0	$229,061	$0	$47,720	$0	$17,559	$0	$44,170	$0	$16,540	$0	$355,050	$0	$9,977
CYNTHIA TOHER MD
CHIEF IMPATIENT SERVICES	$0	$520,493	$0	$82,665	$0	$91,550	$0	$73,961	$0	$43,556	$0	$812,225	$0	$80,888
DUANE SPIEGLE
VP REAL ESTATE AND SUPPORT	$0	$218,692	$0	$42,870	$0	$33,722	$0	$52,056	$0	$40,542	$0	$387,882	$0	$22,330
KATHERINE TARVESTAD
VP AND CARE GROUP COMPLIAN	$0	$260,731	$0	$78,134	$0	$52,018	$0	$56,009	$0	$21,360	$0	$468,252	$0	$42,271
THEODORE WEGLEITNER
COO TRIA	$0	$193,239	$0	$59,187	$0	$40,696	$0	$56,103	$0	$37,628	$0	$386,853	$0	$31,366
JOSHUA ZIMMERMAN
CHIEF OF BEHAVORIAL HEALTH	$0	$318,346	$0	$48,983	$0	$14,588	$0	$51,259	$0	$27,721	$0	$460,897	$0	$0
NANCE MCCLURE
CHIEF OPERATING OFFICER	$0	$532,589	$0	$147,256	$0	$147,553	$0	$169,454	$0	$43,708	$0	$1,040,560	$0	$125,058
BARBARA TRETHEWAY
SR. VP, GENERAL COUNSEL	$0	$466,923	$0	$140,620	$0	$53,883	$0	$131,825	$0	$35,257	$0	$828,508	$0	$38,188
PRAVEEN BAIMEEDI MD
MEDICAL DOCTOR	$1,260,988	$0	$39,547	$0	$3,037	$0	$24,336	$0	$47,087	$0	$1,374,995	$0	$0	$0
OLIVER CASS MD
MEDICAL DOCTOR	$882,405	$0	$24,547	$0	$7,770	$0	$24,336	$0	$41,448	$0	$980,506	$0	$0	$0
ANTHONY BOTTINIMD
MEDICAL DOCTOR	$814,131	$0	$35,227	$0	$2,478	$0	$24,336	$0	$39,139	$0	$915,311	$0	$0	$0
TIMOTHY DIEGELMD
MEDICAL DOCTOR	$444,371	$0	$15,075	$0	$379,591	$0	$24,336	$0	$22,275	$0	$885,648	$0	$0	$0
ASRA MOHIUDDIN MD
MEDICAL DOCTOR	$666,450	$0	$21,571	$0	$61,468	$0	$24,336	$0	$37,937	$0	$811,762	$0	$0	$0
SHELIA MCMILLAN
VP & CFO	$0	$19,276	$0	$79,648	$0	$509,350	$0	$0	$0	$16,074	$0	$624,348	$0	$54,582

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 2014 IS AS FOLLOWS: SHEILA MCMILLAN $454,846 MICHAEL KAUPA $1,060,000 JULIE FLASCHENRIEM $115,455 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 2014 COMPENSATION STEVEN CONNELLY, MD $ 64,180 JULIE FLASCHENRIEM $ 40,059 LAURA FRAZIER $ 19,894 ROXANNA GAPSTUR $ 29,405 DAVID HOMANS, MD $ 44,108 MICHAEL KAUPA $ 184,610 CATHERINE LENAGH $ 17,553 BRETT LONG $ 18,453 SHEILA MCMILLAN $ 54,582 JOHN MISA, MD $ 50,613 DUANE SPIEGLE $ 22,330 THEODORE WEGLEITNER $ 31,366 CATHERINE KLUGHERZ $ 15,972 CHRISTA GETCHELL $ 13,727 KATHERINE TARVESTAD $ 42,271 CYNTHIA TOHER, MD $ 80,888 MELISSA SCHOENHERR $ 9,977 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: DAVID ABELSON, MD $ 135,325 BABETTTE APLAND $ 8,716 BRIAN RANK, MD $ 32,856 NANCE MCCLURE $ 125,058 BARBARA TRETHEWAY $ 38,138

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 WITH AN OPPORTUNITY FOR INCENTIVE CREDIT ABOVE THE TARGET LEVEL. THE ULTIMATE PAYOUT INCLUDES A REDUCTION/INCREASE MULTIPLIER DEPENDING ON WHETHER THE CONSOLIDATED PARK NICOLLET HEALTH SERVICES ORGANIZATION REACHED THAT YEAR'S OPERATING MARGIN GOAL AS SET BY THE BOARD OF DIRECTORS. EACH PARTICIPANT WILL BE RESPONSIBLE FOR TWO FINANCIAL GOALS, AND NOT LESS THAN THREE AND NOT MORE THAN FIVE INDIVIDUAL STRATEGIC OBJECTIVES. IN THEIR ROLES AS MANAGEMENT EMPLOYED BY PARK NICOLLET HEALTH SERVICES, CERTAIN 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

Field	Value	IRS element (for citing)
Person	ERIC SCHNED MD	PersonNm
Loan Purpose	SALARY DRAW IN EXCESS	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$119	OriginalPrincipalAmt
Balance Due	$119	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	0	BoardOrCommitteeApprovalInd
Written Agreement	0	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$119	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
RANDI NORBY
ROXANNA GAPSTUR, PHD	$150,567	EMPLOYMENT	Yes (1)
SUSAN SPIEGLE
DUANE SPIEGLE	$47,387	EMPLOYMENT	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	PARK NICOLLET HEALTH SERVICES IS THE SOLE MEMBER OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET INSTITUTE AND PARK NICOLLET HEALTH CARE PRODUCTS. PARK NICOLLET CLINIC IS THE SOLE MEMBER OF PNMC HOLDINGS.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET INSTITUTE, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE THOSE INDIVIDUALS WHO ARE CONTEMPORANEOUSLY MEMBERS OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES.
FORM 990, PART VI, SECTION A, LINE 7B	ALL DECISIONS, INCLUDING DISSOLUTION OF THE ORGANIZATION, MADE BY THE GOVERNING BODY OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET INSTITUTE, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES.
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 INDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNCEL 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	THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES AFFILIATES ARE THOSE INDIVIDUALS WHO ARE CONTEMPORANEOUSLY MEMBERS OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES. THE PARK NICOLLET HEALTH SERVICES' BOARD OF DIRECTORS IS RESPONSIBLE FOR THE IMPLEMENTATION AND OVERSIGHT OF EXECUTIVE COMPENSATION AND BENEFIT PLANS. PARK NICOLLET USES AN OUTSIDE CONSULTANT TO PROVIDE A YEARLY MARKET BASED INDEX OF SALARY ADJUSTMENTS FOR EXECUTIVES IN SIMILAR LEADERSHIP POSITIONS. THE BOARD OF DIRECTORS REVIEWS THE SALARY RANGES AND RECOMMENDS SALARY INCREASES FOR EACH EXECUTIVE, INCLUDING THE CEO, BASED UPON THE BOARD OF DIRECTORS' EVALUATION OF JOB PERFORMANCE AND EXPERIENCE LEVEL OF THE INDIVIDUAL WITHIN THE ORGANIZATION. THE AVERAGE SALARY INCREASES FOR ALL PARK NICOLLET EXECUTIVES CANNOT EXCEED THE AVERAGE MARKET SALARY INCREASE REPORTED FOR EXECUTIVES BY THE CONSULTANT. THE COMPENSATION COMMITTEE THEN REVIEWS AND APPROVES COMPENSATION ADJUSTMENTS BASED ON THE INFORMATION PROVIDED BY THE OUTSIDE CONSULTANTS AND THE BOARD OF DIRECTORS' RECOMMENDATIONS. FOR CERTAIN PHYSICIANS, THE MAJORITY OF PAY DISCLOSED IS FOR HIS/HER WORK AS A PHYSICIAN FOR PARK NICOLLET INSTITUTE OR PARK NICOLLET CLINIC. A SMALL STIPEND IS ADDED FOR SERVING ON THE BOARD OF DIRECTORS. THE FOLLOWING IS A DESCRIPTION OF HOW PAY FOR PHYSICIANS' PATIENT CARE WORK IS DETERMINED. THE PARK NICOLLET HEALTH SERVICES' BOARD OF DIRECTORS IS RESPONSIBLE FOR THE IMPLEMENTATION AND OVERSIGHT OF THE PHYSICIAN COMPENSATION AND BENEFIT PLANS. THE BOARD OF DIRECTORS DELEGATES THE DAY-TO-DAY ADMINISTRATION OF THE PHYSICIAN COMPENSATION PLAN TO THE CEO. THE CHIEF MEDICAL OFFICER, WHO REPORTS DIRECTLY TO THE CEO, ADMINISTERS THE COMPENSATION PROGRAM. A COMPENSATION AND BENEFITS COMMITTEE SERVES IN AN ADVISORY CAPACITY TO THE CMO IN ORDER TO ADMINISTER PHYSICIAN COMPENSATION WITHIN THE BUDGET TO ENSURE FAIRNESS AND ALIGNMENT WITH PARK NICOLLET HEALTH SERVICES' GOALS. THE RESPONSIBILITIES OF THE CMO: RECOMMENDING COMPENSATION POLICIES AND PLAN DESIGNS FOR PHYSICIANS TO THE CEO AND BOARD OF DIRECTORS; OVERSEEING COMPENSATION PLAN OPERATION AND PAYMENTS TO CLINICAL DEPARTMENTS; EVALUATING COMPENSATION PLAN FOR PERFORMANCE ON A PERIODIC BASIS; SERVING AS FINAL APPEAL PROCESS FOR ISSUES UNRESOLVED BY INDIVIDUALS, DEPARTMENT CHAIRS AND CHIEFS OF SERVICES. ANNUALLY, INFORMATION ON EACH PHYSICIAN'S PAY AND PRODUCTIVITY IS GRAPHED AGAINST THE SURVEY RESULTS FOR THE SAME YEAR. THIS INFORMATION IS PRESENTED TO THE COMPENSATION COMMITTEE OF THE PARK NICOLLET HEALTH SERVICES BOARD OF DIRECTORS FOR REVIEW. PARK NICOLLET HEALTH SERVICES' PHYSICIAN PAY PROGRAM IS DESIGNED TO ENSURE MARKET BASED PAY FOR MARKET BASED PRODUCTIVITY STANDARDS. THE MARKET IS DETERMINED BY THE AMERICAN MEDICAL GROUP ASSOCIATION (AMGA) NATIONAL PHYSICIAN COMPENSATION SURVEY DATA, WHICH PROVIDES MARKET DATA FOR BOTH COMPENSATION AND PRODUCTIVITY. WHEN APPROPRIATE, THE CMO MAY RECOMMEND ADJUSTMENTS TO THESE GUIDELINES WITH EVIDENCE OF LOCAL MARKET DATA.
FORM 990, PART VI, SECTION C, LINE 19	PARK NICOLLET GROUP MEMBERS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PARK NICOLLET HEALTH SERVICES, AS THE PARENT ORGANIZATION OF THE PARK NICOLLET 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 XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTIONS -151,203. GRANTS RUN THROUGH THE FOUNDATION -2,162,630.

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)	Yes (1)	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	Yes (1)	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)		Yes (1)		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	Yes (1)	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)	Yes (1)	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	Yes (1)	GROUP HEALTH PLAN 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)	Yes (1)	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)	Yes (1)	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)	Yes (1)	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	Yes (1)	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	Yes (1)	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	Yes (1)	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)	Yes (1)	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)	Yes (1)	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 II	Yes (1)	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	Yes (1)	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)	Yes (1)	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)	Yes (1)	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	Yes (1)	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)	Yes (1)	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	Yes (1)	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)	Yes (1)	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)	Yes (1)	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)	Yes (1)	AMERY REGIONAL MEDICAL CENTER 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	-$56,888	$15,311,093	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	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	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	$14,102,800	COST
PARK NICOLLET HEALTH SERVICES
P	$1,175,249,310	COST
PARK NICOLLET HEALTH SERVICES
J	$519,109	COST
PARK NICOLLET HEALTH SERVICES
R	$1,214,905,157	COST
METHODIST BRAIN LAB LEASING LLC
K	$538,340	COST
METHODIST BRAIN LAB LEASING LLC
S	$212,183	COST
HEALTHPARTNERS INC
L	$48,379,255	COST