Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $31,448

• 1e · Government grants (contributions)

  $223,356

• 2a · Program service revenue: PATIENT SERVICES

  total $32,397,102 · related or exempt $32,397,102

• 2b · Program service revenue: MEDICAL RETAIL

  total $2,508,788 · related or exempt $2,508,788

• 2c · Program service revenue: CMDI REVENUE

  total $114,088 · related or exempt $114,088

• 6a · Gross rents

  real property $101,502

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $101,502

• 6d · Net rental income or loss

  total $101,502 · excluded $101,502

• 11a · Other revenue: CAFETERIA SALES

  total $65,889 · related or exempt $65,889

• 11b · Other revenue: MEDICAL RECORDS

  total $15,036 · related or exempt $15,036

• 11e · Other revenue, total

  $80,925

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $42,037 · program services $42,037

• 5 · Compensation of officers, directors and key employees

  total $1,099,047 · management and general $1,099,047

• 7 · Other salaries and wages

  total $14,003,408 · program services $11,537,826 · management and general $2,465,582

• 8 · Pension plan contributions

  total $518,388 · program services $406,597 · management and general $111,791

• 9 · Other employee benefits

  total $2,153,263 · program services $1,463,526 · management and general $689,737

• 10 · Payroll taxes

  total $771,354 · program services $588,458 · management and general $182,896

• 11b · Fees: legal

  total $2,610 · management and general $2,610

• 11g · Fees: other

  total $2,846,011 · program services $2,574,945 · management and general $271,066

• 12 · Advertising and promotion

  total $135,597 · program services $5,051 · management and general $130,546

• 13 · Office expenses

  total $285,860 · program services $109,167 · management and general $176,693

• 14 · Information technology

  total $188,767 · program services $66,913 · management and general $121,854

• 16 · Occupancy

  total $608,994 · program services $438,846 · management and general $170,148

• 17 · Travel

  total $44,755 · program services $42,849 · management and general $1,906

• 19 · Conferences, conventions and meetings

  total $249 · management and general $249

• 20 · Interest

  total $528,285 · program services $528,285

• 22 · Depreciation, depletion and amortization

  total $1,234,879 · program services $435,090 · management and general $799,789

• 23 · Insurance

  total $47,202 · program services $47,202

• 24a · Other expenses: SUPPLIES

  total $3,655,132 · program services $3,537,974 · management and general $117,158

• 24b · Other expenses: EQUIPMENT LEASING AND O

  total $753,230 · program services $670,983 · management and general $82,247

• 24c · Other expenses: EQUIPMENT MAINTENANCE

  total $735,659 · program services $300,410 · management and general $435,249

• 24d · Other expenses: TAXES AND ASSESSMENTS

  total $626,422 · program services $626,422

• 24e · All other expenses

  total $84,832 · program services $84,832

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $17,185,140 · end of year $18,388,545

• 4 · Accounts receivable

  beginning of year $7,623,803 · end of year $5,277,051

• 8 · Inventories for sale or use

  beginning of year $449,147 · end of year $296,105

• 9 · Prepaid expenses and deferred charges

  beginning of year $180,101 · end of year $102,450

• 10a · Land, buildings and equipment: cost or other basis

  $31,594,939

• 10b · Land, buildings and equipment: accumulated depreciation

  $11,253,839

• 10c · Land, buildings and equipment, net

  beginning of year $20,100,906 · end of year $20,341,100

• 12 · Investments: other securities

  beginning of year $37,725,429 · end of year $37,735,325

• 13 · Investments: program-related

  beginning of year $451,379 · end of year $428,418

• 15 · Other assets

  end of year $75,360

• 17 · Accounts payable and accrued expenses

  beginning of year $14,002,916 · end of year $11,219,157

• 25 · Other liabilities

  beginning of year $18,537,884 · end of year $18,137,374

• 27 · Net assets without donor restrictions

  beginning of year $51,175,105 · end of year $53,287,823

The filer's explanations (Part III)

PART I, LINE 4B

DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: JENNIFER L. MYSTER 22,205 NANCY L. EVERT 47,347

PART I, LINE 6

THE PRESIDENT OF OLIVIA HOSPITAL AND CLINIC (OLIVIA) IS EMPLOYED BY PARK NICOLLET HEALTH SERVICES (PNHS), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM PNHS' MANAGEMENT INCENTIVE PROGRAM, WHICH INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G., SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) 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, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH CARE AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, 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.

FORM 990, SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION

COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS DIRECTOR: JENNIFER L. MYSTER $19,970 NANCY L. EVERT $37,844 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• HEALTHPARTNERS ADMINISTRATORS INC

  C · THIRD PARTY ADMINISTRATOR · MN

  Directly controlled by HEALTHPARTNERS INC

• HEALTHPARTNERS ASSOCIATES INC

  C · MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT · MN

  Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC

• HEALTHPARTNERS SERVICES INC

  C · MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT · MN

  Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC

• HEALTHPARTNERS INSURANCE COMPANY

  C · MEDICAL AND DENTAL INSURANCE · MN

  Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC

• DENTAL SPECIALTIES INC

  C · DENTAL CLINIC STAFFING · MN

  Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC