Totals
- Total revenue
- $40,183,451
- Total expenses
- $31,002,755
- Contributions and grants received
- $699,740
- Grants paid
- $66,272
- Program services expenses (Part IX)
- $27,112,200
- Management and general expenses
- $3,829,761
- Fundraising expenses
- $60,794
- Program service expenses (Part III)
- $27,112,200
Program services were 87.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
SHERRI BRODERIUS
DIRECTOR & CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
JEREMY FRANK
DIRECTOR, SEC. & TREASURER
- Total calculated
- $0
- Hours/week
- 0.5
-
BRENDA HOLM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
JAMES LYONS
DIRECTOR
- Total calculated
- $462,214
- From this org
- $0
- From related orgs
- $381,275
- Other
- $80,939
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $286,419 related
- Bonus
- $0 + $87,181 related
- Other
- $0 + $7,675 related
- Deferred
- $0 + $30,280 related
- Nontaxable benefits
- $0 + $50,659 related
- Filer's total
- $0 + $462,214 related
-
CARIN MARTINSON MD
DIRECTOR & VPMA
- Total calculated
- $400,223
- From this org
- $346,288
- From related orgs
- $0
- Other
- $53,935
- Hours/week
- 44.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $328,373
- Bonus
- $15,639
- Other
- $2,276
- Deferred
- $16,500
- Nontaxable benefits
- $37,435
- Filer's total
- $400,223
-
JENNIFER 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
-
GREG SNOW
DIRECTOR & VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
NATHAN S PULSCHER
DIRECTOR & PRESIDENT
- Total calculated
- $379,987
- From this org
- $0
- From related orgs
- $313,799
- Other
- $66,188
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $261,957 related
- Bonus
- $0 + $45,121 related
- Other
- $0 + $6,721 related
- Deferred
- $0 + $28,036 related
- Nontaxable benefits
- $0 + $38,152 related
- Filer's total
- $0 + $379,987 related
-
LISA HERGES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
MATT WESTERLUND
DIRECTOR
- Total calculated
- $391,362
- From this org
- $0
- From related orgs
- $332,526
- Other
- $58,836
- Hours/week
- 0.5 + 49.5 related
Schedule J breakdown matched by us
- Base
- $0 + $256,502 related
- Bonus
- $0 + $71,252 related
- Other
- $0 + $4,772 related
- Deferred
- $0 + $30,182 related
- Nontaxable benefits
- $0 + $28,654 related
- Filer's total
- $0 + $391,362 related
-
AMY L DEWAYNE
DIRECTOR (JAN-APRIL)
- Total calculated
- $525,628
- From this org
- $0
- From related orgs
- $458,049
- Other
- $67,579
- Hours/week
- 0.5
Schedule J breakdown matched by us
- Base
- $0 + $333,972 related
- Bonus
- $0 + $104,314 related
- Other
- $0 + $19,763 related
- Deferred
- $0 + $24,750 related
- Nontaxable benefits
- $0 + $42,829 related
- Filer's total
- $0 + $525,628 related
-
NANCY ANDERSON
CFO, VP FINANCE
- Total calculated
- $254,620
- From this org
- $209,639
- From related orgs
- $0
- Other
- $44,981
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $172,345
- Bonus
- $37,294
- Other
- $0
- Deferred
- $9,528
- Nontaxable benefits
- $35,453
- Filer's total
- $254,620
-
JENNIFER MACIK
CNO, VP PATIENT CARE SVCS
- Total calculated
- $236,524
- From this org
- $192,512
- From related orgs
- $0
- Other
- $44,012
- Hours/week
- 57
Schedule J breakdown matched by us
- Base
- $159,365
- Bonus
- $33,147
- Other
- $0
- Deferred
- $8,807
- Nontaxable benefits
- $35,205
- Filer's total
- $236,524
-
KELSEY J FISCHER
NURSE PRACTICIONER
- Total calculated
- $254,432
- From this org
- $207,708
- From related orgs
- $0
- Other
- $46,724
- Hours/week
- 42
Schedule J breakdown matched by us
- Base
- $176,774
- Bonus
- $0
- Other
- $30,934
- Deferred
- $11,299
- Nontaxable benefits
- $35,425
- Filer's total
- $254,432
-
JON R KEMP
PHYSICIAN
- Total calculated
- $388,497
- From this org
- $334,730
- From related orgs
- $0
- Other
- $53,767
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $330,544
- Bonus
- $0
- Other
- $4,186
- Deferred
- $16,500
- Nontaxable benefits
- $37,267
- Filer's total
- $388,497
-
JASON C MABEE
NURSE ANESTHETIST
- Total calculated
- $387,887
- From this org
- $334,129
- From related orgs
- $0
- Other
- $53,758
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $292,795
- Bonus
- $0
- Other
- $41,334
- Deferred
- $16,500
- Nontaxable benefits
- $37,258
- Filer's total
- $387,887
-
MELISSA A MARVIN
PHYSICIAN
- Total calculated
- $235,295
- From this org
- $207,112
- From related orgs
- $0
- Other
- $28,183
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $105,775
- Bonus
- $80,000
- Other
- $21,337
- Deferred
- $10,395
- Nontaxable benefits
- $17,788
- Filer's total
- $235,295
-
JASON D RASMUSSEN
NURSE PRACTICIONER
- Total calculated
- $279,312
- From this org
- $231,349
- From related orgs
- $0
- Other
- $47,963
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $172,091
- Bonus
- $0
- Other
- $59,258
- Deferred
- $12,195
- Nontaxable benefits
- $35,768
- Filer's total
- $279,312
-
NATHAN BLAD
FORMER PRESIDENT
- Total calculated
- $353,202
- From this org
- $0
- From related orgs
- $302,156
- Other
- $51,046
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $217,354 related
- Bonus
- $0 + $83,562 related
- Other
- $0 + $1,240 related
- Deferred
- $0 + $27,462 related
- Nontaxable benefits
- $0 + $23,584 related
- Filer's total
- $0 + $353,202 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
- 6b · Pay contingent on a related organization's net earnings
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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
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 45,684
- PART I, LINE 6
- OHC OFFICERS, DIRECTORS AND HIGHEST COMPENSATION EMPLOYEES ARE EMPLOYED BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS, OR BY OHC. THE PRESIDENT OF OHC IS EMPLOYED BY PARK NICOLLET HEALTH SERVICES (PNHS), A RELATED ORGANIZATION. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM OHC, GHI OR PNHS' MANAGEMENT LEADERSHIP INCENTIVE PROGRAMS, 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 LEADERSHIP 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 PLAN 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 $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
-
PROGRAM SUPPORT
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.
-
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · MN
Directly controlled by LAKEVIEW HEALTH
-
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
501(C)(3) · HOSPITAL · MN
Directly controlled by LAKEVIEW HEALTH
-
501(C)(3) · CLINIC STAFF AND FACILITIES · MN
Directly controlled by LAKEVIEW HEALTH
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HOSPITAL · WI
Directly controlled by RH-WISCONSIN INC
-
WESTFIELDS HOSPITAL FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI
Directly controlled by WESTFIELDS HOSPITAL INC
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
PARK NICOLLET METHODIST HOSPITAL
501(C)(3) · HOSPITAL · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
PARK NICOLLET HEALTH CARE PRODUCTS
501(C)(3) · DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH CARE RETAIL SALES · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
501(C)(3) · CLINIC SERVICES · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
501(C)(3) · HEALTHCARE REAL ESTATE · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
AMERY REGIONAL MEDICAL CENTER INC
501(C)(3) · HOSPITAL · WI
Directly controlled by RH-WISCONSIN INC
-
AMERY REGIONAL MEDICAL CENTER FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI
Directly controlled by AMERY REGIONAL MEDICAL CENTER INC
-
501(C)(3) · HOSPITAL · MN
Directly controlled by PARK NICOLLET HEALTH SERVICES
-
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL · MN
Directly controlled by HUTCHINSON HEALTH
-
OLIVIA HOSPITAL & CLINIC FOUNDATION
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL · MN · controlled entity
Directly controlled by HEALTHPARTNERS RC
-
501(C)(4) · HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION · MN
-
501(C)(3) · STAFF MODEL HEALTH MAINTENANCE ORGANIZATION · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · CORPORATE PLANNING AND OVERSIGHT · WI
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HEALTHCARE EDUCATION AND RESEARCH · MN
Directly controlled by HEALTHPARTNERS INC
-
CAPITOL VIEW TRANSITIONAL CARE CENTER
501(C)(3) · TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HOSPITAL · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · MN
Directly controlled by HPI - RAMSEY
-
501(C)(3) · HEALTHCARE STAFFING AND INTENSE REHAB SERVICES · MN
Directly controlled by HEALTHPARTNERS INC
-
501(C)(3) · HOSPITAL · WI
Directly controlled by RH-WISCONSIN INC
-
HUDSON HOSPITAL FOUNDATION INC
501(C)(3) · PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH · WI
Directly controlled by HUDSON HOSPITAL INC
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433189349305413
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