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Nonprofiteer
← PARK NICOLLET FOUNDATION

Form 990 for tax year 2022

Filed by PARK NICOLLET FOUNDATION.

Totals

Total revenue
$4,305,922
Total expenses
$3,141,618
Contributions and grants received
$3,317,668
Grants paid
$2,270,339
Program service revenue
$0
Investment income
$983,520
Other revenue
$4,734
Total assets, end of year
$66,832,705
Total liabilities, end of year
$3,250,430
Net assets or fund balances, end of year
$63,582,275
Program services expenses (Part IX)
$3,090,136
Management and general expenses
$51,482
Fundraising expenses
$0
Program service expenses (Part III)
$3,090,136

Program services were 98.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $99,725

  • 1d · Related organizations

    $163,771

  • 1f · All other contributions, gifts and grants

    $3,054,172

  • 1g · Noncash contributions included above

    $67,324

  • 3 · Investment income

    total $903,376 · excluded $903,376

  • 7a · Gross sales of assets other than inventory

    securities $3,554,792

  • 7b · Less cost or other basis and sales expenses

    securities $3,474,648

  • 7c · Gain or loss

    securities $80,144

  • 7d · Net gain or loss

    total $80,144 · excluded $80,144

  • 8a · Fundraising events: gross income

    $96,321

  • 8a · Fundraising events: contributions included on line 1c

    $99,725

  • 8b · Fundraising events: direct expenses

    $91,587

  • 8c · Net income from fundraising events

    total $4,734 · excluded $4,734

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,267,339 · program services $2,267,339

  • 2 · Grants to domestic individuals

    total $3,000 · program services $3,000

  • 11a · Fees: management

    total $51,482 · management and general $51,482

  • 24a · Other expenses: COLLABORATIVE EXPENSE

    total $536,078 · program services $536,078

  • 24b · Other expenses: UNFULFILLED PLEDGES

    total $283,719 · program services $283,719

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,596,335 · end of year $9,056,501

  • 2 · Savings and temporary cash investments

    beginning of year $10,986,567 · end of year $3,463,071

  • 3 · Pledges and grants receivable

    beginning of year $14,040,974 · end of year $10,554,737

  • 11 · Investments: publicly traded securities

    beginning of year $40,971,888 · end of year $43,231,898

  • 15 · Other assets

    beginning of year $490,030 · end of year $526,498

  • 17 · Accounts payable and accrued expenses

    beginning of year $790,310 · end of year $502,995

  • 18 · Grants payable

    beginning of year $3,630,273 · end of year $2,747,435

  • 27 · Net assets without donor restrictions

    beginning of year $12,747,888 · end of year $9,096,364

  • 28 · Net assets with donor restrictions

    beginning of year $55,917,323 · end of year $54,485,911

Mission and programs · 2022

Mission

PARK NICOLLET FOUNDATION'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR PATIENTS, FAMILIES AND COMMUNITY THROUGH PARTNERSHIPS AND PHILANTHROPY.

Activities or mission (Part I)

TO IMPROVE THE HEALTH AND WELL-BEING OF OUR PATIENTS, FAMILIES AND COMMUNITY.

  • SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS

    Expenses $3,090,136 · Grants $2,270,339

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Elizabeth A Warner Jan-Sept

    DIRECTOR & EXEC DIRECTOR

    Total calculated
    $208,260
    From this org
    $0
    From related orgs
    $183,651
    Other
    $24,609
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $144,960 related
    Bonus
    $0 + $37,396 related
    Other
    $0 + $1,295 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $24,609 related
    Filer's total
    $0 + $208,260 related

  • Dean Buresh

    DIRECTOR (JAN-SEPT)

    Total calculated
    $0
    Hours/week
    0.5

  • Kim Cassens

    DIRECTOR & CHAIR

    Total calculated
    $0
    Hours/week
    1.6

  • Mark Cheeley Jan-Nov

    DIRECTOR & VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • Anab Gulaid

    DIRECTOR & SECRETARY

    Total calculated
    $0
    Hours/week
    0.8

  • Alena Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.3

  • Nancy Gelle

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.7

  • Deborah A Thorp MD

    DIRECTOR

    Total calculated
    $363,758
    From this org
    $0
    From related orgs
    $309,438
    Other
    $54,320
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $237,411 related
    Bonus
    $0
    Other
    $0 + $72,027 related
    Deferred
    $0 + $28,041 related
    Nontaxable benefits
    $0 + $26,279 related
    Filer's total
    $0 + $363,758 related

  • Donna J Zimmerman Jan-Feb

    DIRECTOR

    Total calculated
    $271,354
    From this org
    $0
    From related orgs
    $209,819
    Other
    $61,535
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $88,076 related
    Bonus
    $0 + $112,131 related
    Other
    $0 + $9,612 related
    Deferred
    $0 + $44,161 related
    Nontaxable benefits
    $0 + $17,374 related
    Filer's total
    $0 + $271,354 related

  • Sandra Johnson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.1

  • Mike Spurling

    DIRECTOR & VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.9

  • Hilal Ibrahim

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Jennifer L Myster

    DIRECTOR

    Total calculated
    $771,010
    From this org
    $0
    From related orgs
    $640,479
    Other
    $130,531
    Hours/week
    0.5 + 52.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $452,929 related
    Bonus
    $0 + $125,611 related
    Other
    $0 + $61,939 related
    Deferred
    $0 + $88,461 related
    Nontaxable benefits
    $0 + $42,070 related
    Filer's total
    $0 + $771,010 related

  • Sheriff Ahmed

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.9

  • Martha A Nance MD

    DIRECTOR

    Total calculated
    $316,286
    From this org
    $0
    From related orgs
    $275,654
    Other
    $40,632
    Hours/week
    1 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $226,519 related
    Bonus
    $0
    Other
    $0 + $49,135 related
    Deferred
    $0 + $18,765 related
    Nontaxable benefits
    $0 + $21,867 related
    Filer's total
    $0 + $316,286 related

  • Andrea D Singh MD

    DIRECTOR

    Total calculated
    $375,840
    From this org
    $0
    From related orgs
    $323,531
    Other
    $52,309
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,497 related
    Bonus
    $0 + $8,979 related
    Other
    $0 + $8,055 related
    Deferred
    $0 + $28,041 related
    Nontaxable benefits
    $0 + $24,268 related
    Filer's total
    $0 + $375,840 related

  • Janet M Schaffer MD Jan-Apr

    DIRECTOR

    Total calculated
    $448,179
    From this org
    $0
    From related orgs
    $377,721
    Other
    $70,458
    Hours/week
    1 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,276 related
    Bonus
    $0
    Other
    $0 + $120,445 related
    Deferred
    $0 + $28,041 related
    Nontaxable benefits
    $0 + $42,417 related
    Filer's total
    $0 + $448,179 related

  • Pahoua Y Hoffman

    DIRECTOR

    Total calculated
    $324,383
    From this org
    $0
    From related orgs
    $252,864
    Other
    $71,519
    Hours/week
    0.5 + 44.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,523 related
    Bonus
    $0
    Other
    $0 + $1,341 related
    Deferred
    $0 + $37,515 related
    Nontaxable benefits
    $0 + $34,004 related
    Filer's total
    $0 + $324,383 related

  • Jerry Timian

    DIRECTOR & TREASURER

    Total calculated
    $0
    Hours/week
    0.8

  • Erik Meyer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • David Stascavage

    DIRECTOR (JAN- OCT)

    Total calculated
    $0
    Hours/week
    0.5

  • Bill Secord

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Heidi G Conrad Jan - Oct

    CFO

    Total calculated
    $666,660
    From this org
    $0
    From related orgs
    $549,913
    Other
    $116,747
    Hours/week
    0.5 + 54.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $363,640 related
    Bonus
    $0 + $166,627 related
    Other
    $0 + $19,646 related
    Deferred
    $0 + $80,282 related
    Nontaxable benefits
    $0 + $36,465 related
    Filer's total
    $0 + $666,660 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
PARK NICOLLET FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL PAID OFFICERS AND KEY EMPLOYEES ARE PAID BY PARK NICOLLET HEALTH SERVICES, PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, OR GROUP HEALTH PLAN INC., RELATED ORGANIZATIONS. ANY COMPENSATION DISCLOSED IS PAID AND DETERMINED SOLELY BY THE RELATED ORGANIZATIONS.
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 PAHOUA Y. HOFFMAN $ 18,003
SCHEDULE J, PART III
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, OFFICERS AND FORMER OFFICER: JENNIFER L. MYSTER $ 19,970 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • PARK NICOLLET METHODIST HOSPITAL

    $1,632,136

    TO SUPPORT PROGRAMS AND SERVICES FOR PATIENTS, FAMILIES AND COMMUNITY MEMBERS THROUGH: HOSPICE, GROWING THROUGH GRIEF, NURSE PROGRAM, STRUTHERS PARKINSON'S CENTER, MELROSE CENTER, FRAUENSHUH CANCER CENTER, HOMECARE, HOSPICE, PATIENT AND STAFF EDUCATION AND RESEARCH PROJECTS, HOSPITAL CAFETERIA, FAMILY BIRTH CENTER, INTEGRATIVE THERAPY, PEDIATRIC PROGRAMS AND SPIRITUAL CARE, STROKE INSPIRE.

  • ST LOUIS PARK FIRE DEPARTMENT

    $270,000

    PROGRAM SUPPORT FOR HOSPICE COMMUNITY TRANSITION GUIDE

  • PARK NICOLLET CLINIC

    $232,185

    TO SUPPORT PROGRAMS AND SERVICES FOR PATIENTS, FAMILIES AND COMMUNITY MEMBERS THOUGH: CANCER SUPPORT, MENTAL HEALTH, SCHOOL BASED HEALTH RESOURCE CENTERS, JANE BRATTAIN BREAST CENTER, FAMILY AND PEDIATRIC MEDICINE, WOMENS SERVICES AND CENTER, PATIENT AND STAFF EDUCATION RESEARCH PROJECTS AND PATIENT CARE ELEMENTS IN CLINICS.

  • CHILDREN'S DENTAL SERVICES

    $55,000

    FREE DENTAL CARE FOR DISADVANTAGED YOUTH AND PREGNANT WOMEN.

  • PORTICO HEALTHNET

    $16,000

    PROVIDING INSURANCE NAVIGATION AND RESOURCES TO ASSIST UNINSURED FAMILIES WITH ACCESS TO HEALTH CARE COVERAGE AND CARE.

  • BROOKLYN CENTER COMMUNITY SCHOOLS

    $11,000

    ADMINISTRATIVE SUPPORT FOR THE BROOKLYN CENTER HEALTH RESOURCE CENTER.

  • RICHFIELD PUBLIC SCHOOLS

    $11,000

    ADMINSTRATIVE SUPPORT FOR THE RICHFIELD HEALTH RESOURCE CENTER

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

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 · PROFESSIONAL DENTAL SERVICES · MN

    Directly controlled by HEALTHPARTNERS ADMINISTRATORS INC

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303189349312130

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