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Nonprofiteer
← PARK NICOLLET FOUNDATION

Form 990 for tax year 2023

Filed by PARK NICOLLET FOUNDATION.

Totals

Total revenue
$10,554,377
Total expenses
$2,625,493
Contributions and grants received
$7,306,982
Grants paid
$2,398,137
Program services expenses (Part IX)
$2,575,015
Management and general expenses
$50,478
Fundraising expenses
$0
Program service expenses (Part III)
$2,575,015

Program services were 98.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • HAYLEY MUELLER

    DIRECTOR & EXEC DIRECTOR

    Total calculated
    $158,219
    From this org
    $0
    From related orgs
    $142,445
    Other
    $15,774
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $0 + $142,223 related
    Bonus
    $0
    Other
    $0 + $222 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $15,774 related
    Filer's total
    $0 + $158,219 related

  • TRACI RUTZICK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • KIM CASSENS

    DIRECTOR & CHAIR

    Total calculated
    $0
    Hours/week
    1.6

  • SARAH SANDHU

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • ROB SHINER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • SCOTT THOMAS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • NANCY GELLE

    DIRECTOR & SECRETARY

    Total calculated
    $0
    Hours/week
    0.7

  • DEBORAH A THORP MD

    DIRECTOR

    Total calculated
    $325,784
    From this org
    $0
    From related orgs
    $279,159
    Other
    $46,625
    Hours/week
    0.5 + 44.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $245,278 related
    Bonus
    $0
    Other
    $0 + $33,881 related
    Deferred
    $0 + $24,078 related
    Nontaxable benefits
    $0 + $22,547 related
    Filer's total
    $0 + $325,784 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
    $798,093
    From this org
    $0
    From related orgs
    $657,914
    Other
    $140,179
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $473,822 related
    Bonus
    $0 + $146,111 related
    Other
    $0 + $37,981 related
    Deferred
    $0 + $94,631 related
    Nontaxable benefits
    $0 + $45,548 related
    Filer's total
    $0 + $798,093 related

  • SHERIFF AHMED

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.9

  • MARTHA A NANCE MD

    DIRECTOR

    Total calculated
    $317,520
    From this org
    $0
    From related orgs
    $276,902
    Other
    $40,618
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $266,472 related
    Bonus
    $0
    Other
    $0 + $10,430 related
    Deferred
    $0 + $18,214 related
    Nontaxable benefits
    $0 + $22,404 related
    Filer's total
    $0 + $317,520 related

  • ANDREA D SINGH MD

    DIRECTOR

    Total calculated
    $415,516
    From this org
    $0
    From related orgs
    $360,317
    Other
    $55,199
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $314,914 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $35,403 related
    Deferred
    $0 + $30,280 related
    Nontaxable benefits
    $0 + $24,919 related
    Filer's total
    $0 + $415,516 related

  • PAHOUA Y HOFFMAN

    DIRECTOR

    Total calculated
    $533,054
    From this org
    $0
    From related orgs
    $427,857
    Other
    $105,197
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,112 related
    Bonus
    $0 + $123,833 related
    Other
    $0 + $5,912 related
    Deferred
    $0 + $62,902 related
    Nontaxable benefits
    $0 + $42,295 related
    Filer's total
    $0 + $533,054 related

  • JERRY TIMIAN

    DIRECTOR & TREASURER

    Total calculated
    $0
    Hours/week
    0.8

  • ERIK MEYER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • BILL SECORD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • ANAB GULAID

    DIRECTOR (JAN-MAR)

    Total calculated
    $0
    Hours/week
    0.5

  • ALENA JOHNSON

    DIRECTOR (JAN-JUN)

    Total calculated
    $0
    Hours/week
    0.5

  • ALITA RISINGER

    CFO

    Total calculated
    $686,286
    From this org
    $0
    From related orgs
    $574,234
    Other
    $112,052
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $452,971 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $81,263 related
    Deferred
    $0 + $72,026 related
    Nontaxable benefits
    $0 + $40,026 related
    Filer's total
    $0 + $686,286 related

  • HEIDI CONRAD

    FORMER CFO

    Total calculated
    $226,148
    From this org
    $0
    From related orgs
    $179,908
    Other
    $46,240
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $179,908 related
    Other
    $0
    Deferred
    $0 + $33,699 related
    Nontaxable benefits
    $0 + $12,541 related
    Filer's total
    $0 + $226,148 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 — 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
  • 5b · Pay contingent on a related organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this 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
THE PARK NICOLLET FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICER AND KEY EMPLOYEES ARE PAID BY PARK NICOLLET HEALTH SERVICE (PNHS), PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC OR BY GROUP HEALTH, INC (GHI) RELATED ORGANIZATIONS. ANY COMPENSATION IS 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 $ 45,684 PAHOUA Y. HOFFMAN $ 30,366 ALITA R. RISINGER $34,771
PART I, LINE 5
THE PARK NICOLLET FOUNDATION OFFICERS AND DIRECTORS ARE EMPLOYED BY PARK NICOLLET HEALTH SERVICE (PNHS), PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC OR BY GROUP HEALTH, INC (GHI) ALL OF WHICH ARE RELATED ORGANIZATIONS. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM PNHS OR GHI LEADERSHIP INCENTIVE PROGRAMS WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE LEADERSHIP INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G., SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR MANAGER, OR 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, 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.
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 $ 16,047 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

    $1,124,080

    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.

  • PARK NICOLLET CLINIC

    $607,466

    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.

  • CITY OF ST LOUIS PARK

    $270,000

    COMMUNITY HEALTH CORDINATOR

  • HEALTHPARTNERS INSTITUTE

    $141,888

    PROGRAM SUPPORT

  • 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.

  • ST LOUIS PARK SCHOOL DISTRICT

    $14,000

    ADMINSTRATIVE SUPPORT FOR THE ST. LOUIS PARK HEALTH RESOURCE CENTER

  • 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.

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202433189349311713

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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