Park Nicollet Methodist Hospital

What it reported doing in 2010

Park Nicollet Methodist Hospital is a 426-bed facility with more than 2,700 employees and more than 960 physicians on its medical staff. Located in St. Louis Park, Minnesota, it is recognized as an area leader in cancer care, cardiovascular services, maternity care and neuro-rehabilitation medicine. Park Nicollet Methodist Hospital is part of Park Nicollet Health Services, an integrated care system, staffed by nationally recognized hospital and clinic doctors, clinical professionals, nurses and other team members. Park Nicollet Methodist Hospital helps patients stay healthy and takes care of them when they are sick. Park Nicollet Methodist Hospital's mission is to care for and support the health, healing and learning of those served.Park Nicollet Methodist Hospital uses five core values to accomplish its mission - care, service, stewardship, joy and learning. Highlights of 2010 that support Park Nicollet Methodist Hospital's values include the following: Park Nicollet Methodist Hospital actively involves its patients, employees, board members and community partners in identifying patient and community needs. In 2010, Park Nicollet Methodist Hospital provided more than $4.8 million in patient services charity care, more than $15.7 million in unreimbursed medical care and provided more than $2.2 million to the community through other channels.Patient councils have been established to foster collaboration between patients, families, and care teams. These councils focus on topics such as patient safety, facility design, clinician-patient communication, quality improvement, patient/family education, ethics, and research. Park Nicollet Methodist Hospital received several 2010 HealthGrades recognitions including: Pulmonary Care Excellence Award, Cardiac Care Excellence Award, Cardiac Surgery Excellence Award and the Critical Care Excellence Award. These honors placed Park Nicollet Methodist Hospital in the top 5 percent of hospitals nationwide. Park Nicollet Methodist Hospital is certified as an Advanced Primary Stroke Center and received an eighth consecutive HealthGrades Stroke Care Excellence Award.Park Nicollet Methodist Hospital participates in the National Database for Nursing Quality Improvement (NDNQI) which is a composite of 17 measures related to patient safety and hospital-acquired infections. As part of these measures, the nursing staff improvement teams have reduced patient falls more than one third in 2010. The hospital went from 2.99 falls per 1,000 patient days in 2009 to 1.95 per 1,000 patient days in 2010. The average number of falls dropped from 18 per month in 2008-09 to 13 per month in 2010. There was a significant decline in reportable pressure ulcers, ventilator-associated pneumonias, and central line infections.Park Nicollet Methodist Hospital nursing staff and volunteers have joined forces to prevent delirium and functional decline in patients age 70 and older. In 2010 we became the first Minnesota site for a program called HELP (Hospital Elder Life Program). Trained volunteers visit patients each day to provide intentional interventions around cognitive and physical functioning as a method to prevent delirium. This program has maintained a Confusion Assessment Method (CAM) positive conversion to only 2%, which is far below the 15% for patients who aren't visited by the program.Advanced Care Planning for end of life care is a significant system-wide initiative in 2010. The hospital and the Park Nicollet Foundation have partnered to develop focus areas within the community and at Park Nicollet Clinics to discuss advanced care planning and ensure advanced directives are available for care teams in the hospital.Park Nicollet Methodist Hospital is affiliated with Park Nicollet Health Services, Park Nicollet Clinic, Park Nicollet Foundation, Park Nicollet Institute and Park Nicollet Health Care Products. Together with the affiliated organizations, Park Nicollet Methodist Hospital has accomplished the following in

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 75th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 50%; rating input score 50; 10th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.7%; rating input score 35; 35th percentile among comparable filings
• Total-asset coverage ratio: 1.4; rating input score 58; 58th percentile among comparable filings
• Liabilities to assets ratio: 0.56; rating input score 38; 38th percentile among comparable filings
• Officer compensation ratio: 0.6%; rating input score 85; 85th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: Limited
• Asset growth: Limited