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Nonprofiteer
← PARK NICOLLET HEALTH SERVICES

Form 990 for tax year 2023

Filed by PARK NICOLLET HEALTH SERVICES.

Totals

Total revenue
$211,321,616
Total expenses
$182,570,897
Contributions and grants received
$436,015
Grants paid
$643
Program service revenue
$200,973,142
Investment income
$9,912,459
Other revenue
$0
Total assets, end of year
$617,045,885
Total liabilities, end of year
$608,356,937
Net assets or fund balances, end of year
$8,688,948
Program services expenses (Part IX)
$156,473,993
Management and general expenses
$26,096,904
Fundraising expenses
$0
Program service expenses (Part III)
$156,473,993

Program services were 85.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PARK NICOLLET GROUP RETURN -SEE SCH

    DIRECTORS

    Total calculated
    $5,900,654
    From this org
    $1,096,741
    From related orgs
    $3,592,205
    Other
    $1,211,708
    Hours/week
    55

  • PARK NICOLLET GROUP RETURN -SEE SCH

    OFFICERS

    Total calculated
    $15,768,803
    From this org
    $8,645,540
    From related orgs
    $4,512,357
    Other
    $2,610,906
    Hours/week
    55 + 5 related

  • PARK NICOLLET GROUP RETURN -SEE SCH

    HIGHEST COMPENSATED

    Total calculated
    $7,208,158
    From this org
    $0
    From related orgs
    $6,807,983
    Other
    $400,175
    Hours/week
    0 + 55 related

  • PARK NICOLLET GROUP RETURN -SEE SCH

    FORMER

    Total calculated
    $579,350
    From this org
    $0
    From related orgs
    $482,064
    Other
    $97,286
    Hours/week
    0

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.

Schedule J

Itemized on Schedule J with no Part VII listing of the same name on this return:

  • PARK NICOLLET GROUP RETURN -SEE SCH

    OFFICERS

    Schedule J breakdown

    Base
    $6,326,191 + $2,776,270 related
    Bonus
    $1,725,424 + $1,378,420 related
    Other
    $593,925 + $357,667 related
    Deferred
    $840,224 + $894,021 related
    Nontaxable benefits
    $646,659 + $230,002 related
    Filer's total
    $10,132,423 + $5,636,380 related

  • PARK NICOLLET GROUP RETURN -SEE SCH

    HIGHEST COMPENSATED

    Schedule J breakdown

    Base
    $0 + $4,711,941 related
    Bonus
    $0
    Other
    $0 + $2,096,042 related
    Deferred
    $0 + $151,400 related
    Nontaxable benefits
    $0 + $248,775 related
    Filer's total
    $0 + $7,208,158 related

  • PARK NICOLLET GROUP RETURN -SEE SCH

    DIRECTORS

    Schedule J breakdown

    Base
    $678,948 + $2,260,300 related
    Bonus
    $331,281 + $1,124,313 related
    Other
    $86,512 + $207,592 related
    Deferred
    $113,475 + $917,514 related
    Nontaxable benefits
    $62,443 + $118,276 related
    Filer's total
    $1,272,659 + $4,627,995 related

  • PARK NICOLLET GROUP RETURN -SEE SCH

    FORMER

    Schedule J breakdown

    Base
    $0 + $217,354 related
    Bonus
    $0 + $263,470 related
    Other
    $0 + $1,240 related
    Deferred
    $0 + $61,161 related
    Nontaxable benefits
    $0 + $36,125 related
    Filer's total
    $0 + $579,350 related

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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

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

No itemized grants to organizations on this return.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202433189349311628

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