2024-11-13T18:39:13-06:00 2023-12-31 135565207 KPMG LLP 350 N 5TH STREET SUITE 600 MINNEAPOLIS MN 55401 990 2023-01-01 363465840 PARK NICOLLET HEALTH SERVICES PARK 9528835613 6500 EXCELSIOR BOULEVARD ST LOUIS PARK MN 55426 ALITA R RISINGER VP & CFO 9528835401 2024-11-13 1 0 HOLLY MOEN P01800653 6123055000 2023 2024-10-15 13:58:12Z ALITA R RISINGER 6500 EXCELSIOR BLVD SLP MN 55426 211333616 0 X WWW.PARKNICOLLET.COM X 1986 MN TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 15 13 31 34 0 0 0 436015 179776053 200973142 327238 9912459 35024 0 180138315 211321616 9811 643 0 0 18473073 121908101 0 0 0 171916362 60662153 190399246 182570897 -10260931 28750719 653980782 617045885 673744801 608356937 -19764019 8688948 X OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 0 0 156473993 643 200973142 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 156473993 1 0 0 1 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 31 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MN X KEVIN J BRANDT 9528835684 8170 33RD AVE S BLOOMINGTON MN 55440 X PARK NICOLLET GROUP RETURN -SEE SCH DIRECTORS 55.00 0.00 X 1096741 3592205 1211708 PARK NICOLLET GROUP RETURN -SEE SCH OFFICERS 55.00 5.00 X 8645540 4512357 2610906 PARK NICOLLET GROUP RETURN -SEE SCH HIGHEST COMPENSATED 0.00 55.00 X 0 6807983 400175 PARK NICOLLET GROUP RETURN -SEE SCH FORMER 0.00 0.00 X 0 482064 97286 9742281 15394609 4320075 2 1 1 0 31 3441 432574 436015 PATIENT SERVICES 621400 179935740 179935740 SERVICES TO AFFILIATES EXEMPT ORG 561000 12123691 12123691 PREMIER PURCHASING 493000 8913711 8913711 200973142 9912459 9912459 12000 12000 0 211321616 200973142 0 9912459 643 643 1342318 1342318 106093611 98553055 7540556 457179 415290 41889 14012796 12364461 1648335 2197 2197 111913 111913 2633 2633 11953720 9884469 2069251 2369107 199227 2169880 2894272 2851060 43212 828219 143386 684833 4575674 4553499 22175 126416 114728 11688 174531 148350 26181 723126 689572 33554 6117569 6002199 115370 1063368 532909 530459 MEDICAL SUPPLIES AND EQ 26232174 26129189 102985 TAXES AND ASSESSMENTS 2221626 2221626 0 MISCELLANEOUS 789641 489123 300518 DUES, SUBSCRIPTIONS AND 466852 82194 384658 11312 -8903184 8914496 182570897 156473993 26096904 0 4144977 16575013 486185601 418890567 20200904 32600689 337 1236264 1120771 107831026 61703491 46513564 46127535 83950071 95495953 11749401 6235020 653980782 617045885 616376446 528566689 10213385 57368355 69576863 673744801 608356937 X -19764019 8688948 -19764019 8688948 653980782 617045885 X 28750719 -414231 116479 X 0 1 X 1 0 X 436015 436015 121917392 117028415 146790787 159318229 179935740 724990563 121917392 117028415 146790787 159318229 180371755 725426578 0 0 0 725426578 327238 9912459 10239697 327238 9912459 10239697 121917392 117028415 146790787 159645467 190284214 735666275 0.98610 0.99950 0.01390 0.00050 X X 210423 210423 182570897 1900679152 182570897 1900889575 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 26776 74751 79739 29157 210423 250000 250000 250000 250000 1000000 1500000 PART II-B, LINE 1: PARK NICOLLET HEALTH SERVICES INCURS LOBBYING EXPENSES ON BEHALF OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET HEALTH CARE PRODUCTS AND PARK NICOLLET CLINIC. OTHER EXEMPT EXPENSES RELATE TO THE MANAGEMENT EXPENSES INCURRED BY PARK NICOLLET HEALTH SERVICES ON BEHALF OF EACH ENTITY. 306042 17891 50884 273049 286886 25031 5875 306042 263522 23364 286886 193077 93611 23166 263522 112267 80810 193077 1.00000 0 1 1 6449488 6449488 38848917 8722221 30126696 22188211 19645362 2542849 39710393 33300507 6409886 634017 35401 598616 46127535 INVESTMENT IN TRI-CARE 4461176 C INVESTMENT IN ST FRANCIS REGIONAL MEDICAL CENTER 91034777 C 95495953 CONTINGENT MALPRACTICE LIABILITY 64199952 LEASE OBGLIGATION 5376911 69576863 X PART V, LINE 4: THE TERM ENDOWMENT FUNDS FOR USE WITHIN PARK NICOLLET HEALTH SERVICES ARE FOR THE CARING FOR COLLEAGUES PROGRAM. PART X, LINE 2: PARK NICOLLET HEALTH SERVICES IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2023 OR 2022 FOR UNRECOGNIZED TAX BENEFITS. X X X X X 0 1 0 0 0 0 0 1 0 PARK NICOLLET GROUP RETURN -SEE SCH OFFICERS 6326191 2776270 1725424 1378420 593925 357667 840224 894021 646659 230002 10132423 5636380 408662 223665 PARK NICOLLET GROUP RETURN -SEE SCH HIGHEST COMPENSATED 0 4711941 0 0 0 2096042 0 151400 0 248775 0 7208158 0 0 PARK NICOLLET GROUP RETURN -SEE SCH DIRECTORS 678948 2260300 331281 1124313 86512 207592 113475 917514 62443 118276 1272659 4627995 69659 117009 PARK NICOLLET GROUP RETURN -SEE SCH FORMER 0 217354 0 263470 0 1240 0 61161 0 36125 0 579350 0 0 PART I, LINE 3 THE PARK NICOLLET HEALTH SERVICES' BOARD OF DIRECTORS IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND OTHER EXECUTIVES. PART I, LINE 4B 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 COMPENSATION STEVEN M. CONNELLY, MD $ 83,195 THOMAS A. JONES $ 46,808 LAURA A. LOBERG $ 39,935 JOAN SANDSTROM $ 41,374 CATHERINE A. KLUGHERZ $ 41,979 KRISTI A. LYON $ 41,318 MELISSA F. SCHOENHERR $ 40,288 DUANE F. SPIEGLE $ 19,864 MARK R. SANNES $ 78,288 NANCY L. EVERT $ 54,148 JENNIFER L. MYSTER $ 45,684 NANCY A. MCLURE $ 54,316 ANDREA M. WALSH $ 314,063 PENNY CERMAK $ 125,285 ALITA RISINGER $ 34,771 PART I, LINE 7 PARK NICOLLET HEALTH SERVICE'S (PNHS) PRESIDENT AND ITS OFFICERS MAY RECEIVE COMPENSATION BASED ON THE PARK NICOLLET HEALTH SERVICES SENIOR EXECUTIVE INCENTIVE PROGRAM (SEIP). SEIP INCENTS AND REWARDS SENIOR BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. SEIP REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, SENIOR MEDICAL DIRECTOR) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO CLINIC AND HOSPITAL QUALITY MEASURES, PATIENT SAFETY, HEALTH EQUITY, HEALTH CARE AFFORDABILITY MEASURES, PATIENT AND MEMBER SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. IN THEIR ROLES AS MANAGEMENT EMPLOYED BY PNHS, CERTAIN DIRECTORS AND MANAGERS MAY RECEIVE COMPENSATION BASED ON THE PARK NICOLLET MIDDLE MANAGEMENT INCENTIVE PROGRAM (MMIP). MMIP INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. MMIP GOALS ARE SIMILAR IN NATURE TO THOSE IN THE SEIP HOWEVER THERE IS A DIFFERENCE AS MMIP GOALS INCLUDE BOTH AN ORGANIZATION FINANCIAL MEASURE AND A LOCAL DEPARTMENT FINANCIAL MEASURE. THE LOCAL MEASURES ARE BASED ON PNHS RESULTS . AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND ONCE MET THE ULTIMATE MMIP PAYOUT DEPENDS ON THE RESULTS OF THE BUSINESS GOAL PERFORMANCE, THE ORGANIZATION FINANCIAL MEASURES, THE LOCAL OPERATIONAL MEASURES AND THE PERCENTAGE PAYOUT ALLOWED BASED ON THE PARTICIPATION LEVEL. FORM 990, SCHEDULE J PART II, COLUMN F: PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEAR'S 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS: STEVEN M. CONNELLY, MD $ 69,659 LAURA A. LOBERG $ 29,862 JOAN SANDSTROM $ 63,203 CATHERINE A. KLUGHERZ $ 39,197 KRISTI A. LYON $ 41,983 MELISSA F. SCHOENHERR $ 33,897 THOMAS A. JONES $ 46,036 MARK R. SANNES $ 37,250 DUANE F SPIEGLE $ 77,727 NANCY A. MCLURE $ 171,043 JENNIFER L. MYSTER $ 16,047 ANDREA M. WALSH $ 117,009 NANCY L. EVERT $ 36,575 JOSHUA ZIMMERMAN $37,250 FORM 990, PART III, LINE 4A, EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE PARK NICOLLET HEALTH SERVICE (PNHS) IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS "HEALTHPARTNERS." FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 2,000 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS, AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. PNHS IS THE PARENT ORGANIZATION TO AN INTEGRATED CARE SYSTEM THAT INCLUDES PARK NICOLLET METHODIST HOSPITAL (PNMH), PARK NICOLLET CLINIC (PNC), PARK NICOLLET HEALTH CARE PRODUCTS (PNHCP), PARK NICOLLET FOUNDATION (PNF), HUTCHINSON HEALTH (HH), HEALTHPARTNERS RC (OLIVIA) AND TRIA ORTHOPEDIC CENTER, LLC (TRIA). PARK NICOLLET HEALTH SERVICES NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION, LLC, WAS ORGANIZED AS AN LLC IN 2018, FOR WHICH PNC IS THE SOLE MEMBER. PNHS IS A NONPROFIT, INTEGRATED CARE DELIVERY SYSTEM. IT IS STAFFED BY NATIONALLY RECOGNIZED HOSPITAL AND CLINIC DOCTORS, CLINICAL PROFESSIONALS, NURSES AND OTHER TEAM MEMBERS WHO HELP PATIENTS STAY HEALTHY AND TAKE CARE OF THEM WHEN THEY ARE SICK. OUR PATIENTS' HEALTH AND WELL-BEING IS AT THE CENTER OF EVERYTHING WE DO. WE BELIEVE GREAT HEALTH CARE OCCURS BY COMBINING THE SCIENCE OF MEDICINE WITH THE SPIRIT AND HUMANITY OF OUR HEARTS. WE REFER TO THIS AS "HEAD + HEART, TOGETHER." THAT SAYING INSPIRES CONSTANT IMPROVEMENT AND LASTING SUCCESS. AND WE DO THAT BY PARTNERING WITH PATIENTS AND FAMILIES. AT PARK NICOLLET, SOME OF OUR BEST INNOVATIONS HAVE BEEN SHAPED BY INPUT FROM PATIENT AND FAMILY PARTNERSHIP COUNCILS. FROM THE REVOLUTIONARY PATIENT-FOCUSED DESIGNS OF FRAUENSHUH CANCER CENTER TO INNOVATIVE CARE MODELS AT MELROSE CENTER, PATIENTS ARE HELPING CREATE A BRIGHTER FUTURE AT PARK NICOLLET. MISSION OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. VISION HEALTH AS IT COULD BE, AFFORDABILITY AS IT MUST BE, THROUGH RELATIONSHIPS BUILT ON TRUST. VALUES EXCELLENCE, COMPASSION, PARTNERSHIP AND INTEGRITY WE ARE COMMITTED TO LIVING OUR VALUES. THAT MEANS YOU CAN EXPECT CERTAIN THINGS FROM EACH OF US. YOU CAN EXPECT US TO BE YOUR PARTNER AND TREAT YOU WITH DIGNITY AND RESPECT. YOU CAN EXPECT US TO LISTEN CAREFULLY AND GIVE YOU GOOD, TIMELY INFORMATION. YOU CAN EXPECT US TO DO OUR BEST TO PROVIDE AFFORDABLE, COORDINATED, HIGH-QUALITY CARE AND SERVICES THAT ARE EASY TO FIND AND SIMPLE TO USE. YOU CAN EXPECT SAFE, CLEAN SPACES. AND WE WILL DO OUR VERY BEST TO EARN YOUR TRUST BY BEING OPEN AND HONEST, AND KEEPING OUR WORD. TRIA IS A DISREGARDED ENTITY OF PNHS. TRIA'S MISSION IS TO PROVIDE OUR PATIENTS AND COMMUNITY WITH EXCEPTIONAL AND INNOVATIVE ORTHOPEDIC AND SPORTS MEDICINE CARE ADVANCED BY RESEARCH AND EDUCATION. OUR VISION IS TO BE RECOGNIZED NATIONALLY FOR DRIVING INNOVATION AND DISCOVERIES WITH A FOCUS ON PROVIDING AN UNPARALLELED PATIENT EXPERIENCE, ACHIEVING LEADING CLINICAL OUTCOMES VIA EXPERT TEAMS, AND DELIVERING THE HIGHEST VALUE FOR OUR SERVICES. TRIA'S CORE BELIEFS INCLUDE: PATIENTS: OUR PATIENTS COME FIRST. PEOPLE: OUR PEOPLE ARE OUR GREATEST STRENGTH. INNOVATION: WE THRIVE ON CHALLENGES, NEW ENDEAVORS, CREATIVE SOLUTIONS AND WE EMBRACE CHANGE. RESEARCH: RESEARCH IS FUNDAMENTAL TO IMPROVING PATIENT CARE. EDUCATION: EDUCATION ENHANCES OUR PROFESSION AND PATIENT CARE. COMMUNITY: WE WILL BE A GOOD NEIGHBOR AND BUILD STRONG RELATIONSHIPS TO SUPPORT GROWTH AND ENHANCE VALUE. GROWTH: PROFITABLE GROWTH SUPPORTS OUR MISSION AND HELPS ATTAIN OUR VISION. COMMUNITY AND SUBSIDIZED HEALTH SERVICES ONE OF TRIA'S CORE VALUES IS: COMMUNITY: WE WILL BE A GOOD NEIGHBOR AND BUILD STRONG RELATIONSHIPS TO SUPPORT GROWTH AND ENHANCE VALUE. RESEARCH & EDUCATION TRIA CONTINUES TO LEAD THE WAY IN OUTCOMES MEASUREMENT. PATIENTS COMPLETE PRE- AND POST- INTERVENTION SURVEYS TO ASSESS FUNCTIONAL AND PAIN OUTCOMES. A DAY IN THE LIFE OF AN ORTHOPEDIC SPECIALIST IS A DAY VISIT PROGRAM WHERE GUESTS CAN EXPERIENCE A TYPICAL ROUTINE OF AN ORTHOPEDIC SPECIALIST. THE PROGRAM OBJECTIVE IS TO GAIN A GENERAL INTRODUCTION TO TRIA ORTHOPEDIC CENTER AND THE ORTHOPEDIC PROFESSION, BECOME ACQUAINTED WITH THE SPECIFIC ROLES OF DIFFERENT ORTHOPEDIC SPECIALISTS, ALLOWING FOR FUTURE OPPORTUNITIES TO DIRECTLY OBSERVE A SPECIALIST IN A CLINICAL OR AMBULATORY ENVIRONMENT, AND TO OBTAIN A CLEAR UNDERSTANDING OF THE REQUIREMENTS AND EDUCATION NEEDED TO PURSUE A CAREER IN VARIOUS ORTHOPEDIC CAREERS, INTRODUCTION TO AVAILABLE RESOURCES AND HOW TO UTILIZE THEM. PRIMARY AREAS OF FOCUS INCLUDE PHYSICAL THERAPY, PHYSICIAN ASSISTANT, ORTHOPEDIC SURGEON, MEDICAL SCHOOL, RESIDENCY, AND FELLOWSHIP. DURING THE TRIA EXPERIENCE, PARTICIPANTS HEAR ABOUT TRIA'S PHILOSOPHY ON PATIENT CENTERED CARE, LEARN ABOUT A FEW OF OUR UNIQUE PROGRAMS, AND VIEW A PREVIOUSLY RECORDED ACL RECONSTRUCTION. OUR EDUCATION COORDINATOR WORKS WITH PARTICIPANTS TO SCHEDULE A FOUR-HOUR OBSERVATION WITHIN THREE MONTHS OF THE PROGRAM. IN 2023 WE CONTINUED OUR VIRTUAL OFFERING OF THIS PROGRAM. AT TRIA, WE BALANCE MEASURING PATIENT OUTCOMES, WHICH CAN BE CONSIDERED SMALL CONTINUOUS IMPROVEMENTS, WITH INNOVATIVE RESEARCH STUDIES, WHICH ARE THOSE GRAND ADVANCEMENTS IN ORTHOPEDIC CARE. THESE RESEARCH STUDIES EXPLORE THE LATEST IN MEDICAL DEVICES, INSTRUMENTS, IMPLANTS, METHODS AND PROCEDURES. WE ALSO RAN TWO CLINICAL TRIALS. WE SUBMITTED TWO NIH RESEARCH GRANT APPLICATIONS, RECEIVED AS A SUB-AWARD ON A DEPARTMENT OF LABOR PROJECT IN COLLABORATION WITH ANOTHER INSTITUTION, MADE PRESENTATIONS AT LOCAL, REGIONAL, AND NATIONAL MEETINGS, PUBLISHED BOOK CHAPTERS, AND SUBMITTED OUR RESEARCH WORK TO BE SHARED IN SCHOLARLY JOURNALS. FORM 990, PART VI, SECTION A, LINE 6 HEALTHPARTNERS, INC IS THE SOLE MEMBER OF PNHS. FORM 990, PART VI, SECTION A, LINE 7A THE PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF HEALTHPARTNERS, INC. ALSO SERVE AS THE BOARD OF DIRECTORS OF PNHS. HEALTHPARTNERS, INC. IS A MINNESOTA LICENSED HEALTH MAINTENANCE ORGANIZATION. THE BOARD OF HEALTHPARTNERS, INC. IS COMPRISED OF A MAJORITY OF DIRECTORS WHO ARE ELECTED BY HMO MEMBERS (PERSONS HOLDING HMO CONTRACTS), AND A MINORITY OF DIRECTORS WHO ARE EITHER HEALTH CARE PROFESSIONALS APPOINTED BY THE BOARD OR WHO ARE SERVING EX OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B PNHS' BYLAWS ESTABLISH THAT THE PERSONS SERVING AS THE BOARD OF DIRECTORS OF THE SOLE MEMBER, ALSO SERVE AS THE BOARD OF DIRECTORS OF PNHS. IN THE EVENT THAT THE PNHS BOARD OF DIRECTORS WERE EVER COMPOSED OF PERSONS WHO ARE NOT ALSO CONTEMPORANEOUSLY SERVING AS THE DIRECTORS OF THE SOLE MEMBER, THEN THE SOLE MEMBER WOULD EXERCISE CUSTOMARY RESERVE POWERS WITH RESPECT TO THE PNHS BOARD OF DIRECTORS (E.G. APPROVAL OF BUDGETS, APPROVAL OF MERGER, APPROVAL OF APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER, APPROVAL OF DISSOLUTION, ETC.). FORM 990, PART VI, SECTION B, LINE 11B PNHS PREPARES THE FORM 990 WITHIN THE FINANCE DEPARTMENT WITH ASSISTANCE FROM INDIVIDUALS IN HUMAN RESOURCES, MARKETING, AND OPERATIONS. UPON COMPLETION OF GATHERING THE NECESSARY INFORMATION FOR THE RETURN, THE FORM WAS COMPILED AND DRAFTS WERE REVIEWED BY THE DIRECTOR OF FINANCIAL REPORTING, VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER, THE LAW DEPARTMENT, THE AUDIT AND COMPLIANCE COMMITTEE AND PARK NICOLLET'S ACCOUNTING FIRM. 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 THE PNHS BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE GENERAL COUNSEL OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. IF A DISCLOSED CONFLICT OF INTEREST IMPACTS AN AGENDA ITEM OR DECISION, THE COVERED PERSON WOULD BE EXCLUDED FROM VOTING AND MAY BE EXCLUDED FROM RECEIVING INFORMATION AND/OR PARTICIPATING IN DELIBERATIONS, DEPENDING ON THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15 PNHS PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY EITHER GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION, OR BY PNHS. GHI AND PNHS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE PNHS'S PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAS DELEGATED TO THE PNHS PRESIDENT (WITH AUTHORITY TO FURTHER DELEGATE TO EXECUTIVES WITH LEADERSHIP ROLES OF PARK NICOLLET OFFICERS) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL PNHS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS IN EXCESS OF THE APPROVED RANGES NEED TO BE APPROVED BY THE EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2 FORM 990, PART VI, SECTION C, LINE 19 PNHS FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSONS WHO REQUESTS THE INFORMATION FROM PNHS. PNHS'S ARTICLES OF INCORPORATION ARE AVAILABLE BY ANYONE WHO REQUEST THEM OR THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. THE FORMS 990 ARE AVAILABLE UPON REQUEST OR FROM THE STATE OF MINNESOTA OR AT GUIDESTAR.ORG. FORM 990, PART VII PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), PNHS HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION, AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF PARK NICOLLET GROUP RETURN (EIN 45-5023260). FORM 990, PART XI, LINE 9: POST RETIREMENT OBLIGATION 87,232. CONTRIBUTED CAPITAL 29,247. DEFERRED COMPENSATION TRUST 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411809020 INVESTMENTS MN 9754 964979 PARK NICOLLET HEALTH SERVICES TRIA ORTHOPEDIC CENTER LLC 8100 NORTHLAND DRIVE BLOOMINGTON MN 55431 200034003 HEALTH CARE MN 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) N/A 0 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 HEALTHPARTNERS INC 0 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) HEALTHPARTNERS INC 0 RH WISCONSIN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE I HPI - RAMSEY 0 HEALTHPARTNERS INSTITUTE 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION AND RESEARCH MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 412011453 TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - 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