2024-09-30T15:35:45-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 410855367 OLMSTED MEDICAL CENTER OLMS 5072883443 210 NINTH STREET SE ROCHESTER MN 55904 TIM WEIR CHIEF EXECUTIVE OFFICER 5072883443 2024-09-26 1 1 KURT BENNION CPA P01469618 4252506100 2024-09-26 2023 2024-10-15 13:58:12Z JAMES HOFFMANN 210 NINTH STREET SE ROCHESTER MN 55904 284835998 0 X WWW.OLMMED.ORG X 1949 MN PARTNERING FOR BETTER HEALTH AND BETTER LIVES. 11 7 1618 26 2406735 0 79854 456867 255962007 273983346 2323986 4002188 357509 511975 258723356 278954376 183694 258481 0 0 150056988 163830549 0 0 97703 104559476 109386581 254800158 273475611 3923198 5478765 277318598 295849044 44947503 55026006 232371095 240823038 X PARTNERING FOR BETTER HEALTH AND BETTER LIVES. 0 0 233358386 258481 271576611 PERSONAL APPROACH TO CARE THROUGH MORE THAN 25 SPECIALTIES. ALL OF OUR SPECIALTY SERVICES COMPLIMENT PRIMARY CARE AND OFFER PATIENTS GREATER CONVENIENCE AND PEACE OF MIND. WE CONTINUE TO WORK TO POSITION OMC AS A PREFERRED HEALTHCARE PROVIDER FOR PRIMARY AND SECONDARY CARE AMONG SOUTHEASTERN MINNESOTA RESIDENTS. OMC'S 218 CLINICIANS AND 1,100+ HEALTHCARE PROFESSIONALS SERVE AT 27 LOCATIONS, INCLUDING PHYSICAL/OCCUPATIONAL THERAPY, TWO MULTI-SPECIALTY CLINICS, SPORTS MEDICINE FACILITIES, A LEVEL IV TRAUMA HOSPITAL WITH 24-HOUR EMERGENCY ROOM AND BIRTHCENTER, TWO WALK-IN FASTCARE RETAIL CLINICS, A SKYWAY CLINIC IN DOWNTOWN ROCHESTER, AND 11 COMMUNITY BRANCH CLINICS. IN 2023, OMC HAD 354,344 PATIENT VISITS SERVING 82,081 UNIQUE PATIENTS. (CONTINUED ON SCHEDULE O)THE HOSPITAL PROVIDED CARE FOR 2,657 PATIENT ADMISSIONS RESULTING IN 6,413 PATIENT DAYS INCLUDING 887 BIRTHS. 176549 0 0 OMC WELCOMES ITS MANY OPPORTUNITIES TO BE AN ACTIVE, CONTRIBUTING PARTNER TO SOUTHEASTERN MINNESOTA'S HEALTH AND WELLNESS EFFORTS. AS A 501(C)(3) NON-PROFIT ORGANIZATION, OMC ACTIVELY SUPPORTS SOUTHEASTERN MINNESOTA'S HEALTH AND WELLNESS EFFORTS THROUGH THE CONTRIBUTION OF STAFF TIME/TALENT, IN-KIND RESOURCES, AND FINANCIAL ASSISTANCE. IN 2023, OUR COMMUNITY CONTRIBUTIONS MADE UP 29.93% OF OUR ANNUAL OPERATING EXPENSE - MORE THAN $79,786,000 IN SUPPORT OF OUR COMMITMENT TO BE AN ACTIVE, CONTRIBUTING PARTNER IN THE COMMUNITIES WE SERVE. ANOTHER WAY OMC ACTIVELY SUPPORTS COMMUNITY HEALTH IS THROUGH ITS PARTNERSHIP WITH MAYO CLINIC, OLMSTED COUNTY PUBLIC HEALTH, AND SEVERAL OTHER COMMUNITY-SERVICE ORGANIZATIONS AS TOGETHER WE IMPLEMENTED (CONTINUED ON SCHEDULE O)THE YEAR-THREE ACTION PLAN BASED ON OUR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). OVER THE PAST YEAR, WE CONTINUED TO MAKE IT EASIER FOR COMMUNITY MEMBERS TO DONATE THEIR TIME AND TALENT TO OMC. IN ADDITION TO ADDING AN ONLINE VOLUNTEER APPLICATION FORM TO OUR WEBSITE, WE EXPANDED OUR VOLUNTEERS IN PATIENT CARE OPPORTUNITIES LIKE CANINE COMPANIONS AND ESCORT/GREETER ROLES TO HELP PATIENTS NAVIGATE OUR EXPANDING HOSPITAL CAMPUS. 233534935 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 142 0 1 1618 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X KEVIN HIGGINS 5072883443 210 NINTH STREET SE ROCHESTER MN 55904 MATTHEW KIRSCH MD PHYSICIAN 36.00 0.00 X 1140560 0 42234 VIDHAN CHANDRA MD PHYSICIAN 36.00 0.00 X 1065088 0 14969 SAMER ABDEL-AZIZ MD PHYSICIAN 40.00 0.00 X 1030524 0 42473 MARK HERR MD PHYSICIAN 40.00 0.00 X 1051783 0 15395 TIM WEIR FACHE CHIEF EXECUTIVE OFFICER 40.00 1.00 X 945667 0 31142 SRDAN BABOVIC MD PHYSICIAN 40.00 0.00 X 951501 0 14588 JAMES HOFFMANN DO PRESIDENT 32.00 1.00 X X 645762 0 31985 KEVIN HIGGINS CHIEF FINANCIAL OFFICER 40.00 1.00 X 578825 0 50782 TAMARA ALEXANDROV MD CLINIC TRUSTEE 37.20 0.00 X 493641 0 12402 KEITH KLEIS MD CLINIC TRUSTEE 40.00 0.00 X 403115 0 42234 MARAL KENDARIAN MD CLINIC TRUSTEE 34.00 0.00 X 391807 0 14623 MARK WILBUR MD CHIEF MEDICAL OFFICER (STARTING JULY 2023) 40.00 0.00 X 385476 0 15635 RANDY HEMANN MD CHIEF MEDICAL OFFICER (THROUGH JUNE 2023) 40.00 0.00 X 376634 0 22917 MIKE MALUGANI PUBLIC TRUSTEE-CHAIR 1.00 0.00 X X 0 0 0 MICHAEL TUOHY PUBLIC TRUSTEE-CHAIR ELECT 1.00 0.00 X X 0 0 0 CASSIE HARRINGTON PUBLIC TRUSTEE 1.00 1.00 X 0 0 0 CAROLE NISTLER MD PUBLIC TRUSTEE 1.00 0.00 X 0 0 0 WENDY SHANNON PUBLIC TRUSTEE 1.00 0.00 X 0 0 0 DON SUPALLA PUBLIC TRUSTEE 1.00 1.00 X 0 0 0 CORENIA WALZ PUBLIC TRUSTEE 1.00 1.00 X 0 0 0 9460383 0 351379 272 0 1 0 CONSTRUCTION COLLABORATIVE 1708 SECOND STREET SW ROCHESTER MN 55902 BUILDING CONSTRUCTION SERVICES 5000925 EPIC HOSTING LLC 1979 MILKY WAY VERONA WI 53593 COMPUTER SOFTWARE SERVICES 1783119 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 COMPUTER SOFTWARE SERVICES 1676134 MAYO COLLABORATIVE SERVICES LLC PO BOX 9146 MINNEAPOLIS MN 55480 LAB SERVICES 1499924 HAYES LOCUM LLC PO BOX 88122 CHICAGO IL 606801122 PHYSICIAN STAFFING COMPANY 1474027 143 54757 402110 456867 NET PATIENT SERVICES 621110 267599841 267599841 PHARMACY 456110 6383505 3976770 2406735 273983346 4144280 4144280 73410 0 73410 73410 73410 5703660 5829832 15920 -126172 -15920 -142092 -142092 52235 35870 16365 16365 MISCELLANEOUS 621990 218324 218324 CAFETERIA 722514 203876 203876 422200 278954376 271576611 2406735 4514163 258481 258481 2424144 2424144 127417772 111835608 15582164 6819210 5409117 1376338 33755 19123474 14668436 4445156 9882 8045949 6854557 1162027 29365 731685 103940 627745 349466 349466 132727 132727 21298274 16795004 4503270 819085 9772 809313 417927 116140 301787 644934 371885 273049 7921985 6124044 1797941 486068 196003 290065 1064333 629027 435306 385116 11461 373655 10954649 10954649 2462603 531319 1931284 MEDICAL/GEN. SUPPLIES 38633744 38416379 217365 EQUIP/SOFT. MAINTENANCE 10873874 8057183 2791990 24701 BAD DEBT 7891210 7891210 MN CARE TAX 4300720 4300720 18181 18181 273475611 233534935 39842973 97703 88774622 94865292 32144937 42878900 3595936 3717462 3626108 3595657 202103907 105186445 94558692 96917462 46626913 46094945 7991390 7779326 277318598 295849044 31917798 41881668 69063 69063 4789108 4140756 8171534 8934519 44947503 55026006 X 232371095 240823038 232371095 240823038 277318598 295849044 X 5478765 3926453 -953276 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6676710 6676710 109815631 51541173 58274458 84172039 53645272 30526767 1439527 1439527 96917462 THIRD PARTY PAYOR SETTLEMENTS 1001571 RIGHT-OF-USE LEASE LIABILITIES 7932948 8934519 X PART X, LINE 2: THE MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES AS A TAX EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR INCOME ON CERTAIN UNRELATED BUSINESS INCOME. THERE IS NO MATERIAL UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. THE MEDICAL CENTER IS ALSO EXEMPT FROM STATE INCOME TAXES UNDER APPLICABLE MINNESOTA STATUTES. THE MEDICAL CENTER FILES FEDERAL AND STATE INCOME TAX RETURNS. GENERALLY, THE MEDICAL CENTER IS NO LONGER SUBJECT TO STATE AND FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEAR ENDED DECEMBER 31, 2019, AND PRIOR. OMC RETAIL SERVICES, LLC IS A DISREGARDED LLC UNDER IRS REGULATIONS, AND IT ACHIEVES TAX-EXEMPT TREATMENT BASED ON THE EXEMPT STATUS OF ITS PARENT, OLMSTED MEDICAL CENTER. AT DECEMBER 31, 2023, THERE WERE NO UNCERTAIN TAX POSITIONS. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 1003307 1003307 0.00380 64233295 34656356 29576939 0.11140 1285232 1285232 0.00480 66521834 34656356 31865478 0.12000 25181158 16341495 8839663 0.03330 151098 151098 0.00060 167108 167108 0.00060 25499364 16341495 9157869 0.03450 92021198 50997851 41023347 0.15450 9441 9441 0.00000 9441 9441 0.00000 1 7891210 0 15773812 27356124 -11582312 X 1 1 1 1 OLMSTED MEDICAL CENTER - HOSPITAL 1650 4TH STREET SE ROCHESTER MN 55904 HTTP://WWW.OLMMED.ORG 376238 X X X OLMSTED MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE LINE 7D X SEE LINE 7D X X 1 22 1 HTTP://WWW.OLMMED.ORG/ABOUT/COMMUNITY-INVOLVEMENT/ 0 1 X 300.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.OLMMED.ORG/PATIENTS-VISITORS/ACCOUNTS/PAYMENT-ASSISTANCE/ X HTTPS://WWW.OLMMED.ORG/PATIENTS-VISITORS/ACCOUNTS/PAYMENT-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 5: OLMSTED MEDICAL CENTER LAUNCHED A COLLABORATIVE EFFORT WITH OLMSTED COUNTY, MAYO CLINIC, MANY OF THE COMMUNITY BENEFIT NON-PROFIT ORGANIZATIONS, AND THE PUBLIC TO IDENTIFY THE COMMUNITY NEEDS. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 6A: OLMSTED MEDICAL CENTER COLLABORATED WITH MAYO CLINIC. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 6B: OLMSTED MEDICAL CENTER COLLABORATED WITH OLMSTED COUNTY HEALTH SERVICES TO PRODUCE THE COMMUNITY HEALTH NEEDS ASSESSMENT. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT:HTTPS://WWW.OLMMED.ORG/ABOUT/COMMUNITY-INVOLVEMENT/AND ON THE COUNTY'S WEBSITE AT:HTTPS://WWW.OLMSTEDCOUNTY.GOV/GOVERNMENT/COUNTY-DEPARTMENTS/PUBLIC-HEALTH-SERVICES/HEALTH-ASSESSMENT-AND-PLANNING-PARTNERSHIP OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 11: A PRIORITIZATION PROCESS CONDUCTED BY OLMSTED COUNTY PUBLIC HEALTH ALLOWED MAYO CLINIC, OLMSTED MEDICAL CENTER, THE CHNA CORE GROUP, THE CHIP MEMBERS, AND OTHER COMMUNITY AGENCY GROUPS RESULTED IN THE LIST OF TOP FIVE COMMUNITY HEALTH NEEDS: OBESITY, MENTAL HEALTH, IMMUNIZATIONS, INJURY PREVENTION, AND HOMELESSNESS/FINANCIAL STRESS.OMC REMAINS COMMITTED TO WORKING WITH THE CHNA CORE GROUP AND ITS COLLABORATING PARTNERS TO DEVELOP AND IMPLEMENT A COMMUNITY HEALTH IMPROVEMENT PLAN. THE CHNA CORE GROUP WILL CONTINUE TO COORDINATE THE EFFORTS OF ALL OF THE INVOLVED HEALTH PROVIDERS AND AGENCIES IN THEIR WORK ON THE FIVE MAJOR COMMUNITY HEALTH PRIORITIES AS DETERMINED BY THE HEALTH NEEDS ASSESSMENT. A KEY GOAL WILL BE TO INTEGRATE MENTAL HEALTH, MEDICAL CARE, AND SOCIAL SERVICES FOR THOSE PARTICULARLY NEEDY INDIVIDUALS WHO HAVE MULTIPLE CHRONIC MEDICAL AND MENTAL HEALTH PROBLEMS AND WHO ARE FREQUENT AND HIGH-COST VISITORS TO EMERGENCY DEPARTMENTS, HOSPITALS, AND CLINICS.OMC'S COMMUNITY HEALTH NEEDS ASSESSMENT STEERING GROUP COMPRISED OF CLINICIANS, NURSES, DIETITIANS, AND ADMINISTRATORS HAS COMMITTED TO CONTINUING TO ENGAGE OUR STAFF IN THE VARIOUS COMMUNITY-LED EFFORTS THROUGH CHNA AND CHIP. IN ADDITION, THIS STEERING GROUP HAS DEVELOPED AN ACTION PLAN SPECIFIC TO OUR PATIENT BASE TO ADDRESS THESE SAME PRIORITIES. WHILE HOMELESSNESS AND FINANCIAL STRESS IS AN ISSUE BEYOND THE SCOPE OF OMC'S MISSION AND RESOURCES, OMC HAS ESTABLISHED SOME GOALS FOR THIS ISSUE AND INTENDS TO PARTICIPATE IN ANY COMMUNITY-WIDE EFFORTS TO ADDRESS THIS MOST DIFFICULT ISSUE. FOR ALL OF THE GOALS THAT FOLLOW, THE SPECIFIC NEEDS OF OMC PATIENTS, FEASIBILITY AND POTENTIAL IMPACT OF THE PLANS, FINANCIAL IMPLICATIONS, AND OPPORTUNITIES TO WORK WITH COMMUNITY ORGANIZATIONS WILL CONTINUE TO BE EVALUATED. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 13H: OMC UTILIZES A THIRD PARTY TO CONDUCT AN ELECTRONIC REVIEW FOR PRESUMPTIVE ELIGIBILITY OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED THROUGH TRANSUNION / EBUREAU. ACCOUNTS THAT HAVE BEEN APPROVED UNDER THIS PROCESS WILL BE APPLIED TO THE FINANCIAL ASSISTANCE PROGRAM AND FURTHER COLLECTION ACTION WILL NOT TAKE PLACE. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 20E: MEETING WITH PATIENTS UPON THEIR REQUEST. 26 1 - OMC - MAIN CLINIC 210 9TH ST SE ROCHESTER MN 55904 OUTPATIENT PHYSICIAN CLINIC 2 - OMC - BYRON CLINIC 846 HIGH POINT DR NE BYRON MN 55920 OUTPATIENT PHYSICIAN CLINIC 3 - OMC - CHATFIELD CLINIC 207 TWIFORD ST SW CHATFIELD MN 55923 OUTPATIENT PHYSICIAN CLINIC 4 - OMC - CANNON FALLS CLINIC 1705 HIGHWAY 200 CANNON FALLS MN 55009 OUTPATIENT PHYSICIAN CLINIC 5 - OMC - PINE ISLAND CLINIC 111 COUNTY RD 11 NW PINE ISLAND MN 55963 OUTPATIENT PHYSICIAN CLINIC 6 - OMC - PLAINVIEW CLINIC 20 2ND AVE NE PLAINVIEW MN 55964 OUTPATIENT PHYSICIAN CLINIC 7 - OMC - PRESTON CLINIC 405 KANSAS ST NW PRESTON MN 55965 OUTPATIENT PHYSICIAN CLINIC 8 - OMC - ST CHARLES CLINIC 403 W FOURTH ST ST CHARLES MN 55972 OUTPATIENT PHYSICIAN CLINIC 9 - OMC - SPRING VALLEY CLINIC 802 MEMORIAL DR SPRING VALLEY MN 55975 OUTPATIENT PHYSICIAN CLINIC 10 - OMC - WANAMINGO CLINIC 217 MAIN ST SUITE B WANAMINGO MN 55983 OUTPATIENT PHYSICIAN CLINIC 11 - OMC - FASTCARE SOUTH CLINIC 90 14TH STREET SW SUITE 200 ROCHESTER MN 55902 OUTPATIENT PHYSICIAN CLINIC 12 - OMC - NW CLINIC 5067 55TH ST NW ROCHESTER MN 55901 OUTPATIENT PHYSICIAN CLINIC 13 - OMC - SKYWAY CLINIC 318 1ST AVE SW SUITE 203 ROCHESTER MN 55902 OUTPATIENT PHYSICIAN CLINIC 14 - OMC - PHYSICAL THERAPY 102 ELTON HILLS DR ROCHESTER MN 55901 PHYSICAL THERAPY 15 - OMC - SPORTS MED & ATHLETIC PERFORMANCE 5155 55TH ST NW ROCHESTER MN 55901 PHYSICAL THERAPY/ATHLETIC PERFORMANCE 16 - OMC - STEWARTVILLE CLINIC 208 CENTERTOWN PLAZA STEWARTVILLE MN 55976 OUTPATIENT PHYSICIAN CLINIC 17 - OMC - NW RETAIL PHARMACY 5067 55TH ST NW ROCHESTER MN 55901 RETAIL PHARMACY 18 - OMC - SE RETAIL PHARMACY 210 9TH ST SE ROCHESTER MN 55904 RETAIL PHARMACY 19 - OMC - LAKE CITY CLINIC 507 W DOUGHTY ST LAKE CITY MN 55041 OUTPATIENT PHYSICIAN CLINIC 20 - OMC - GREENVIEW 1544 GREENVIEW DR SW ROCHESTER MN 55902 OUTPATIENT OPTICAL 21 - OMC- SLEEP MEDICINE 1650 FOURTH STREET SE ROCHESTER MN 55904 SLEEP MEDICINE CLINIC 22 - OMC - MIRACLE MILE CLINIC 132 17TH AVENUE NW ROCHESTER MN 55901 OUTPATIENT PHYSICIAN CLINIC 23 - OMC - CHATFIELD RETAIL PHARMACY 237 MAIN STREET N CHATFIELD MN 55923 RETAIL PHARMACY 24 - OMC - FASTCARE NORTH CLINIC 102 ELTON HILLS DRIVE SUITE 200 ROCHESTER MN 55901 OUTPATIENT PHYSICIAN CLINIC 25 - OMC - PINE ISLAND RETAIL PHARMACY 111 COUNTY ROAD 11 PINE ISLAND MN 55963 RETAIL PHARMACY 26 - OMC - SLEEP MEDICINE-HWY 52 4303 HWY 52 NORTH ROCHESTER MN 55901 SLEEP MEDICINE CLINIC PART I, LINE 3C: ELIGIBILITY IS DETERMINED BY MEASURING INCOME, HOME EQUITY ASSETS BASED ON THE FEDERAL POVERTY GUIDELINES, AND PRESUMPTIVE DETERMINATION. BOTH INCOME AND ASSETS (SEPARATELY) HAVE TO FALL BELOW THE ANNUAL GROSS INCOME/ASSET MAXIMUM VALUES IN OMC'S FINANCIAL ASSISTANCE POLICY TO QUALIFY. PART I, LINE 6A: THE OLMSTED MEDICAL CENTER ANNUAL REPORT IS MADE WIDELY AVAILABLE AND IS AVAILABLE ON THE WEBSITE. PART I, LINE 7: THE AMOUNTS REPORTED ON PART I, LINES 7A-C ARE DERIVED USING THE COST-TO-CHARGE RATIO CALCULATION BASED ON WORKSHEET 2 OF THE IRS INSTRUCTIONS. THE AMOUNTS REPORTED ON PART I, LINES 7E-7I ARE DERIVED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDED IN PART I, LINE 7G INCLUDE ACTIVITIES FROM THREE OF OMC'S CLINIC LOCATIONS. PART I, LN 7 COL(F): $7,891,210 OF BAD DEBT EXPENSE WAS EXCLUDED IN CALCULATING THE PERCENTAGES REPORTED IN PART I, LINE 7, COLUMN F. PART II, COMMUNITY BUILDING ACTIVITIES: OMC, OLMSTED COUNTY, THE CITY OF ROCHESTER AND MAYO CLINIC ARE ALL ACTIVELY INVOLVED IN DISASTER PREPAREDNESS PLANNING AND TRAINING ON A REGULAR BASIS. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF PATIENT ACCOUNTS RECEIVABLE PREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED. PART III, LINE 3: THE ORGANIZATION HAS NOT IDENTIFIED A METHODOLOGY UNDER WHICH IT CAN REASONABLY ESTIMATE THE PORTION OF BAD DEBT EXPENSE ATTRIBUTABLE TO INDIVIDUALS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT FAILED TO COMPLETE AN APPLICATION. PART III, LINE 1: THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HFMA STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP. PART III, LINE 4: SEE THE "PATIENT ACCOUNTS RECEIVABLE AND ALLOWANCE FOR CREDIT LOSSES NOTE ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE ORGANIZATION DERIVED ITS COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT BY USING COST REPORT WORKSHEETS. MEDICARE COSTS ARE DETERMINED THROUGH THE MEDICARE COST FINDING PROCESS WHICH ALLOCATES GENERAL SERVICE CENTER COSTS TO REVENUE DEPARTMENTS. THE METHODOLOGY DESCRIBED IN THEINSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA.THE REASONS MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT ARE: ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND THE AMOUNT SPENT TO COVER MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS, THE COMMUNITY BENEFIT OF COSTS IN EXCESS OF MEDICARE PAYMENTS WAS $38,450,522. PART III, LINE 9B: PATIENT FINANCIAL HARDSHIP POLICY: TO SUPPORT THE ORGANIZATION'S MISSION AND PHILOSOPHY IN THAT THE PATIENT COMES FIRST AND PROVIDE A GUIDELINE IN IDENTIFYING PATIENTS WHO HAVE AN EXCEPTIONAL PERSONAL FINANCIAL HARDSHIP AND REQUIRED NEEDED AND NECESSARY MEDICAL CARE AND THERE IS REMOTE OR NEGLIBLE CHANCE THAT THE INDIVIDUAL WILL BE ABLE TO REPAY.PROCEDURE: FACTORS THAT MAY CONTRIBUTE TO EXCEPTIONAL FINANCIAL HARDSHIP INCLUDE:1) UNEMPLOYMENT OR UNDEREMPLOYMENT THROUGH NO FAULT OF THE PATIENT AND/OR FAMILY; 2) THREATENED LOSS OF SHELTER THROUGH FORECLOSURE, ETC; 3) LOSS OF INCOME FROM FEDERAL, STATE OR OTHER GOVERNMENT BENEFITS INCLUDING, BUT NOT LIMITED TO SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLIC ASSISTANCE, ETC; 4) LOSS OF INCOME DUE TO DEATH OR DISABILITY; 5) EXCEPTIONAL EXPENSES INCURRED BECAUSE OF UNINSURED PROPERTY DAMAGE OR COSTLY REPAIRS TO PRINCIPAL RESIDENCE; 6) EXCEPTIONAL EXPENSES DUE TO TEMPORARY OR CHRONIC ILLNESS; 7) EXCEPTIONAL EXPENSES DUE TO INCREASE IN LIVING EXPENSES BECAUSE OF A DIVORCE, ABANDONMENT OR SEPARATION FROMSPOUSE OR INCOME EARNER; 8) LOSS OF INCOME DUE TO DECLARATION OF INCOMPETENCE OR IN PROCESS OF BEING DECLARED INCOMPETENT; 9) PATIENT OR FAMILY MEMBER IS CONFINED TO A CONVALESCENT HOME OR OTHER RESIDENCE OTHER THAN THEIR PRINCIPAL RESIDENCE; 10) NATURAL DISASTERS SUCH AS FLOODS,FIRES, HURRICANES AND EARTHQUAKES; 11) EVICTION, HOMELESSNESS, LOSS OF OWNED RESIDENCE, ARSON, THEFT, ETC; 12) DISCONTINUANCE OF UTILITIES OR HEAT, OR UNSAFE OR UNHEALTHY LIVING CONDITIONS; 13) ANY OTHER CONDITION CONSIDERED LIFE THREATENING DUE TO EXCEPTIONAL FINANCIAL HARDSHIP.APPLICATION PROCESS: THE FINANCIAL HARDSHIP APPLICATION, UTILIZING OMC'S FINANCIAL ASSISTANCE APPLICATION, CONTAINS THE NECESSARY INFORMATION TO DETERMINE ELIGIBILITY FOR THE OMC FINANCIAL HARDSHIP PROGRAM. NO SEPARATE APPLICATION IS NECESSARY. SUPPORTING DOCUMENTATION REQUIRED TO MAKE AN ELIGIBILITY DETERMINATION ARE: 1) MOST RECENT TAX RETURNS; 2) CURRENT FAMILY PAYROLL STUB SHOWING YEAR-TO-DATE INCOME; 3) CURRENT TRANSUNION CREDIT REPORT AND OTHER FINANCIAL HARDSHIP DOCUMENTATION TO SUPPORT HARDSHIP; AND 4) EXPLANATION OF HARDSHIP SITUATION/NECESSITY AND RARE COMPLICATIONS.ELIGIBILITY DETERMINATION: BASED UPON PATIENT'S/FAMILY'S INCOME AND ASSETS AND COMPLETED FINANCIAL ASSISTANCE APPLICATION. BASED UPON TAKING INTO CONSIDERATION ALL PERSONAL FACTORS IN DETERMINING EXCEPTIONAL FINANCIAL HARDSHIP. THE BUSINESS SERVICES DEPARTMENT EVALUATES THEAPPLICATIONS MEETING THE CRITERIA AND PRESENTS TO ADMINISTRATION FOR APPROVAL. OMC RESERVES THE RIGHT TO MAKE ADJUSTMENT DETERMINATIONS ON A CASE-BY-CASE BASIS. PART VI, LINE 2: OMC ACTIVELY WORKS WITH LOCAL GOVERNMENT IN ASSESSING AND ADDRESSING COMMUNITY NEEDS THROUGH MEETINGS, WORKSHOPS, AND COMMUNITY INPUT. IN ADDITION, OMC IS ACTIVELY INVOLVED WITH LOCAL GOVERNMENTS IN EMERGENCY PREPAREDNESS AND DISEASE MANAGEMENT. PART VI, LINE 3: OMC INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE ANDASSISTS PATIENTS WHO INDICATE AN INABILITY TO PAY. OMC INFORMS PATIENTSOF THE FINANCIAL ASSISTANCE PROGRAMS BY PROVIDING THE FINANCIAL ASSISTANCEPOLICY ON BROCHURES IN THE NEW PATIENT PACKET AND AT THE FRONT DESK FORALL PATIENTS. THE POLICY IS ALSO PROVIDED ON THE BACK OF THE HOSPITALBILL STATEMENTS, ON THE HOSPITAL WEBSITE AND ON THE HOSPITAL'S ONLINEBILL-PAY SYSTEM.OMC PATIENT FINANCIAL COUNSELORS PROVIDE INFORMATION TO PATIENTS REGARDINGAVAILABLE HEALTHCARE FINANCIAL COVERAGE OPTIONS, SUCH AS: 1) MEDICALASSISTANCE, 2) MINNESOTA CARE, 3) OTHER FINANCIAL SERVICES AVAILABLE FORLOW INCOME FAMILIES IN THE COMMUNITY, 4) OMC'S FINANCIAL ASSISTANCEPROGRAM.THE PATIENT FINANCIAL COUNSELORS ASSIST OMC PATIENTS IN THE APPLICATION PROCESS. ALL APPLICATIONS ARE PROCESSED IN A TIMELY MANNER. PATIENT APPLICATIONS ARE CONSIDERED FOR CURRENT PATIENT RESPONSIBLE BALANCES, AS WELL AS NEAR FUTURE SCHEDULED MEDICAL SERVICES. PATIENTS MAY QUALIFY FOR FULL OR PARTIAL FINANCIAL ASSISTANCE. PATIENT FINANCIAL COUNSELORS NOTE PATIENT'S ACCOUNT VIA ON-LINE NOTES REGARDING APPLICATIONS SENT, APPLICATIONS IN PROCESS, AND WHETHER APPLICATIONS HAVE BEEN APPROVED, DENIED, OR ADDITIONAL INFORMATION IS REQUIRED. THE PATIENT FINANCIAL COUNSELORS INFORM THE PATIENT VIA A LETTER REGARDING THE DETERMINATION (APPROVED, DENIED, OR PARTIAL COVERAGE APPROVED) OF THE RECEIVED AND COMPLETED APPLICATION. PRIOR TO TURNING ACCOUNTS OVER THE THIRD PARTY COLLECTION, THE ACCOUNT WILL BE REVIEWED FOR POSSIBLE FINANCIAL ASSISTANCE PROGRAM QUALIFICATION THROUGH THE E-BUREAU PROCESS. PART VI, LINE 4: OMC IS A REGIONAL HEALTH CARE FACILITY SERVING PATIENTS WITHIN A SIXTYMILE RADIUS OF ROCHESTER, MN. PART VI, LINE 5: THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE ORGANIZATION UTILIZES ITS SURPLUS FUNDS TO INCREASE THE SERVICES OFFERED TO ITS PATIENTS. PART VI, LINE 6: N/A 1 OMC REGIONAL FOUNDATION 210 9TH STREET SE ROCHESTER MN 55904 260022777 501(C)(3) 258481 0 N/A N/A PROVIDE FUNDING TO OMC REGIONAL FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES. 1 0 PART I, LINE 2: MOST OF THE GRANT EXPENDITURES ARE PROVIDED TO OMC REGIONAL FOUNDATION, A RELATED ORGANIZATION. OMC PROVIDES FUNDS TO THE FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES AS NEEDED. THERE ARE NUMEROUS WAYS TO MONITOR THE USE OF THE GRANT FUNDS. MANY OF THE EVENTS ARE OPEN TO THE PUBLIC AND EASILY VERIFIABLE. STAFF OFTEN ASSIST AS VOLUNTEERS. THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE ITS MISSION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS COMMUNITY NEEDS IN THE HEALTH CARE AREA. NO ADDITIONAL MONITORING IS PERFORMED. 1 X X X X X 0 1 0 0 0 0 0 0 0 MATTHEW KIRSCH MD PHYSICIAN 1140560 0 0 0 0 0 12200 0 30034 0 1182794 0 0 0 VIDHAN CHANDRA MD PHYSICIAN 1064538 0 0 0 550 0 12200 0 2769 0 1080057 0 0 0 SAMER ABDEL-AZIZ MD PHYSICIAN 1030524 0 0 0 0 0 12200 0 30273 0 1072997 0 0 0 MARK HERR MD PHYSICIAN 1051783 0 0 0 0 0 12200 0 3195 0 1067178 0 0 0 TIM WEIR FACHE CHIEF EXECUTIVE OFFICER 726809 0 218858 0 0 0 12200 0 18942 0 976809 0 0 0 SRDAN BABOVIC MD PHYSICIAN 951001 0 0 0 500 0 12200 0 2388 0 966089 0 0 0 JAMES HOFFMANN DO PRESIDENT 535333 0 109429 0 1000 0 12200 0 19785 0 677747 0 0 0 KEVIN HIGGINS CHIEF FINANCIAL OFFICER 454823 0 107271 0 16731 0 12200 0 38582 0 629607 0 0 0 TAMARA ALEXANDROV MD CLINIC TRUSTEE 493441 0 0 0 200 0 12200 0 202 0 506043 0 0 0 KEITH KLEIS MD CLINIC TRUSTEE 403115 0 0 0 0 0 12200 0 30034 0 445349 0 0 0 MARAL KENDARIAN MD CLINIC TRUSTEE 391807 0 0 0 0 0 12200 0 2423 0 406430 0 0 0 MARK WILBUR MD CHIEF MEDICAL OFFICER (STARTING JULY 2023) 368354 0 16572 0 550 0 12200 0 3435 0 401111 0 0 0 RANDY HEMANN MD CHIEF MEDICAL OFFICER (THROUGH JUNE 2023) 281186 0 94448 0 1000 0 12200 0 10717 0 399551 0 0 0 PART I, LINE 4B OLMSTED MEDICAL CENTER HAS A 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FOR CERTAIN INDIVIDUALS IN LEADERSHIP POSITIONS. DURING 2023, THE EMPLOYEES EARNED A N0N-VESTED CONTRIBUTION. SAID CONTRIBUTION WILL VEST WHEN THE PARTICIPANTS HAVE MET THE VESTING QUALIFICATIONS, AT WHICH TIME THE AMOUNT WILL BECOME TAXABLE TO THE EMPLOYEE. THE AMOUNT, NET OF TAXES, WILL RESIDE IN THE EMPLOYEE'S VESTED ACCOUNT UNTIL THE EMPLOYEE'S RETIREMENT OR DEPARTURE FROM THE ORGANIZATION. THE FOLLOWING AMOUNTS WERE EARNED IN 2023. THE VESTING YEAR IS SHOWN BELOW. TIM WEIR - $92,300 (2027) KEVIN HIGGINS - $41,499 (2027) DR. JAMES HOFFMANN - $46,150 (2024) DR. MARK WILBUR - $7,327 (2027) FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF FOUR (4) VOTING MEMBERS CONSISTING OF THE BOARD CHAIR, CHAIR OF THE FINANCE COMMITTEE, PRESIDENT AND CHIEF EXECUTIVE OFFICER, WHO WILL BE EX OFFICIO MEMBERS. EXCEPT AS PROVIDED BY THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE WILL HAVE THE AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION TO ACT IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN EXTERNAL ACCOUNTANT. A DRAFT OF THE FORM 990 WAS REVIEWED IN DETAIL BY THE FINANCIAL SERVICES MANAGER, CONTROLLER AND CFO. ANY NECESSARY CORRECTIONS AND ADJUSTMENTS WERE MADE. THE FORM 990 WAS REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE COMPENSATION COMMITTEE. THE FINAL FORM 990 WAS MADE AVAILABLE TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH CLINIC AND PUBLIC TRUSTEE AND PRINCIPAL OFFICER ("COVERED MEMBERS") OF THE CORPORATION ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT EACH PERSON HAS RECEIVED AND UNDERSTANDS THE CONFLICTS OF INTEREST POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. UNLESS A PREVIOUSLY DISCLOSED AND DOCUMENTED CONFLICT OF INTEREST IS KNOWN TO THE BOARD, ALL CONFLICTS OF INTEREST ARE DISCLOSED TO THE BOARD BY THE COVERED MEMBER WITH THE CONFLICT(S) AND DOCUMENTED IN THE BOARD MEETING MINUTES. A COVERED MEMBER HAS DISCLOSED A CONFLICT IF HE OR SHE PROMPTLY PROVIDES A DESCRIPTION OF THE MATERIAL FACTS COMPRISING THE CONFLICT OF INTEREST TO THE BOARD. IF A COVERED MEMBER HAS A CONFLICT OF INTEREST ON ANY MATTER CONSIDERED BY THE BOARD, SUCH MATTER IS APPROVED BY THE BOARD IN A MANNER THAT COMPLIES WITH THE REQUIREMENTS OF THE SEVENTH RESTATED BYLAWS OF OLMSTED MEDICAL CENTER AND MINNESOTA STATUE SECTION 317A.255. SUCH LAW CURRENTLY STATES THAT A MATTER INVOLVING A CONFLICT OF INTEREST WILL NOT BE VOID OR VOIDABLE IF APPROVED BY ONE OF THE FOLLOWING PROCEDURES: THE CONTRACT OR TRANSACTION WAS, AND THE PERSON ASSERTING THE VALIDITY OF THE CONTRACT OR TRANSACTION HAS THE BURDEN OF ESTABLISHING THAT THE CONTRACT OR TRANSACTION WAS, FAIR AND REASONABLE AS TO THE CORPORATION WHEN IT WAS AUTHORIZED, APPROVED, OR RATIFIED. THE MATERIAL FACTS AS TO THE CONTRACT OR TRANSACTION AND AS TO THE TRUSTEE'S INTEREST ARE FULLY DISCLOSED OR KNOWN TO THE MEMBERS AND THE CONTRACT OR TRANSACTION IS APPROVED IN GOOD FAITH BY TWO-THIRDS OF THE MEMBERS ENTITLED TO VOTE, NOT COUNTING ANY VOTE THAT THE INTERESTED TRUSTEE MIGHT OTHERWISE HAVE, OR THE UNANIMOUS AFFIRMATIVE VOTE OF ALL MEMBERS, WHETHER OR NOT ENTITLED TO VOTE; OR THE MATERIAL FACTS AS TO THE CONTRACT OR TRANSACTION AND AS TO THE TRUSTEE'S INTEREST ARE FULLY DISCLOSED OR KNOWN TO THE BOARD OR A COMMITTEE, AND THE BOARD OR COMMITTEE AUTHORIZES, APPROVES, OR RATIFIES THE CONTRACT OR TRANSACTION IN GOOD FAITH BY A MAJORITY OF THE BOARD OR COMMITTEE, NOT COUNTING ANY VOTE THAT THE INTERESTED TRUSTEE MIGHT OTHERWISE HAVE, AND NOT COUNTING THE TRUSTEE IN DETERMINING THE PRESENCE OF A QUORUM. FORM 990, PART VI, SECTION B, LINE 15A IN ORDER TO ENSURE THAT ALL OLMSTED MEDICAL CENTER (OMC) EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, EQUITABLE, UNIFORMLY ADMINISTERED, AND CONSISTENT WITH MARKET PRACTICES, OMC FOLLOWS RECOMMENDED BEST PRACTICES. THE GOALS OF EXECUTIVE COMPENSATION ARE TO ATTRACT AND RETAIN HIGHLY QUALIFIED PERSONNEL, TO MAINTAIN COMPENSATION LEVELS COMMENSURATE WITH THE SCOPE OF RESPONSIBILITIES FOR EACH POSITION, AND TO REWARD OUTSTANDING PERFORMANCE. OMC WILL SEEK MANAGEMENT TALENT BY CONDUCTING NATIONAL SEARCHES FOR QUALIFIED APPLICANTS FOR ANY VACANCIES AT THE CHIEF MEDICAL OFFICER, AND CHIEF EXECUTIVE OFFICER POSITIONS IN ADDITION TO VICE PRESIDENT POSITIONS AS NECESSARY. THE SAME PHILOSOPHY IS APPLICABLE TO THE POSITION OF OMC PRESIDENT. OMC ENGAGES AN EXTERNAL CONSULTANT WHO ANNUALLY COMPILES A PEER GROUP COMPENSATION ANALYSIS AND ON A TWO YEAR BASIS COMPILES A PEER GROUP COMPENSATION AND BENEFITS ANALYSIS. PEER GROUPS FOR EXECUTIVE COMPENSATION, WHICH INCLUDES BASE SALARIES, WILL BE PROVIDED FOR HEALTH DELIVERY SYSTEMS WITH A MINIMUM OF A HOSPITAL AND AN EMPLOYED PHYSICIAN NETWORK AND NET REVENUES ROUGHLY SIMILAR TO THE REVENUES OF OLMSTED MEDICAL CENTER. MOST RECENTLY A COMPENSATION AND BENEFITS PEER REVIEW STUDY WAS COMPLETED FOR THE CHIEF EXECUTIVE OFFICER, PRESIDENT, CHIEF MEDICAL OFFICER, AND VICE PRESIDENTS AND PRESENTED TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RECEIVES A SUMMARY OF EVERYONE'S COMPENSATION TO ENSURE IT IS IN ALIGNMENT WITH THE SAME COMPENSATION METHODOLOGY AND AGREED UPON METHODOLOGY OF THE EXECUTIVE COMPENSATION SYSTEM OF OMC. THESE POSITIONS INCLUDE THE CHIEF MEDICAL OFFICER,AND VICE PRESIDENTS OF OMC. THE EXECUTIVE COMPENSATION COMMITTEE WILL SET THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND MINUTES ARE KEPT OF THESE DISCUSSIONS. THE BOARD OF TRUSTEES, ACTING THROUGH THE BOARD OF TRUSTEES COMPENSATION COMMITTEE, MUST APPROVE THE EXECUTIVE COMPENSATION POLICY AND PROCESS OF DETERMINING EXECUTIVE COMPENSATION AND BENEFITS. IN ADDITION, THE PHYSICIAN SALARIES ARE CALCULATED ANNUALLY, USING REGIONAL PHYSICIAN SALARY COMPARISON GUIDES FACTORING IN PRODUCTIVITY AND QUALITY MEASURES, AND REVIEWED ON AN ANNUAL BASIS FOR MARKET REASONABLENESS BY AN INDEPENDANT CONSULTING FIRM. THE PHYSICIANS RECEIVE NO COMPENSATION AS ATTENDING BOARD MEMBERS. THESE DISCUSSIONS ARE NOTED IN THE MINUTES OF THE BOARD OF TRUSTEES COMPENSATION COMMITTEE ANNUAL MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. THE ANNUAL FORM 990 & ATTACHED AUDITED FINANCIAL STATEMENT REPORT IS AVAILABLE IN ACCORDANCE WITH THE PUBLIC INSPECTION OF THE RETURN REQUIREMENTS. FORM 990, PART XI, LINE 9: FOUNDATION EXPENSES -953,276. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. OMC RETAIL SERVICES LLC 210 9TH STREET SE ROCHESTER MN 55904 460960716 PHARMACY MN 10977590 1110085 OLMSTED MEDICAL CENTER OMC REGIONAL FOUNDATION 210 9TH STREET SE ROCHESTER MN 55904 260022777 HEALTHCARE EDUCATION AND COMMUNITY PURPOSES MN 501(C)(3) LINE 12A, I OLMSTED MEDICAL CENTER 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 OMC REGIONAL FOUNDATION B 258481 FMV OMC REGIONAL FOUNDATION C 56757 FMV OMC REGIONAL FOUNDATION O 538379 FMV