OLMSTED MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: OLMSTED MEDICAL CENTER (EIN 41-0855367)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-04
IRS object ID: 201643099349300549
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-04T11:36:37-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 SOUTH SIXTH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410855367	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OLMSTED MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OLMS	BusinessNameControlTxt
Phone	5072883443	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 NINTH STREET SE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55904	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIM WEIR	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	5072883443	PhoneNum
Signature	2016-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KACIE MCEWEN	PreparerPersonNm
PTIN	P01599614	PTIN
Phone	6123764500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KATHRYN LOMBARDO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 NINTH STREET SE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55904	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$197,096,882	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.OLMMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	THE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY, AND SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1406	TotalEmployeeCnt
Total Volunteers	90	TotalVolunteersCnt
Total Gross UBI	$380,155	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,739,501	PYContributionsGrantsAmt
CY Contributions Grants	$1,106,158	CYContributionsGrantsAmt
PY Program Service Revenue	$182,483,969	PYProgramServiceRevenueAmt
CY Program Service Revenue	$190,282,864	CYProgramServiceRevenueAmt
PY Investment Income	$1,157,747	PYInvestmentIncomeAmt
CY Investment Income	$1,544,128	CYInvestmentIncomeAmt
PY Other Revenue	$1,568,327	PYOtherRevenueAmt
CY Other Revenue	$1,418,181	CYOtherRevenueAmt
PY Total Revenue	$187,949,544	PYTotalRevenueAmt
CY Total Revenue	$194,351,331	CYTotalRevenueAmt
PY Grants And Similar Paid	$527,999	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$453,803	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$108,702,045	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$110,094,763	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$420,979	CYTotalFundraisingExpenseAmt
PY Other Expenses	$66,508,964	PYOtherExpensesAmt
CY Other Expenses	$68,730,178	CYOtherExpensesAmt
PY Total Expenses	$175,739,008	PYTotalExpensesAmt
CY Total Expenses	$179,278,744	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,210,536	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,072,587	CYRevenuesLessExpensesAmt
Total Assets BOY	$226,978,369	TotalAssetsBOYAmt
Total Assets EOY	$237,418,845	TotalAssetsEOYAmt
Total Liabilities BOY	$79,202,650	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,546,735	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$147,775,719	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$161,872,110	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY, AND SERVICE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$156,443,614	ExpenseAmt
Grant	$453,803	GrantAmt
Revenue	$190,634,172	RevenueAmt
Desc	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 160 CLINICIANS AND 1,000 HEALTHCARE PROFESSIONALS SERVE AT 18 LOCATIONS, INCLUDING TWO MULTI-SPECIALTY CLINICS, PHYSICAL/OCCUPATIONAL THERAPY, SPORTS MEDICINE FACILITIES, A LEVEL VI TRAUMA HOSPITAL WITH 24-HOUR EMERGENCY ROOM AND BIRTHCENTER, TWO WALK-IN FASTCARE RETAIL CLINICS, A WALK-IN SKYWAY CLINIC IN DOWNTOWN ROCHESTER, AND 10 COMMUNITY BRANCH CLINICS. RECENT EXPANSION INCLUDES CURRENT CONSTRUCTION OF A 80,000 SQUARE-FOOT WOMEN'S HEALTH PAVILION ADDITION TO OMC'S HOSPITAL IN SOUTHEAST ROCHESTER OPENED IN 2014, TWO NEW BRANCH CLINIC FACILITIES, A 15,000 SQUARE-FOOT SPORTS MEDICINE AND ATHLETIC PERFORMANCE FACILITY IN NORTHWEST ROCHESTER, AND TWO RETAIL PHARMACIES. OMC IS ADDING/EXPANDING PROGRAMS IN TELEHEALTH, WOUND CARE, ORTHOPEDICS, BARIATRIC SURGERY, WOMEN'S HEALTH, NON-SURGICAL CARDIOLOGY, NUCLEAR RADIOLOGY, PAIN MANAGEMENT, AND SPORTS MEDICINE/ALTHLETIC PERFORMANCE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$172,584	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	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 2015, OUR COMMUNITY CONTRIBUTIONS MADE UP 14.94% OF OUR ANNUAL OPERATING EXPENSE - MORE THAN $24,724,766 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 THE YEAR-TWO ACTION PLAN BASED ON OUR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN 2015, OMC CONTINUED ITS TRADITION OF WELCOMING HUNDREDS OF SCHOOL-AGED CHILDREN AND COLLEGE STUDENTS FOR ON-SITE SCIENCE, TECHNOLOGY, ENGINEERING, AND MATH (STEM) EDUCATION EXPERIENCES DESIGNED TO CULTIVATE THE NEXT GENERATION OF CAREGIVERS. OUR CAREGIVERS ALSO EXTENDED THEIR COMMUNITY OUTREACH DURING THE YEAR, REPRESENTING OMC AT MORE THAN 50 COMMUNITY HEALTH FAIRS EVENTS IN SOUTHEASTERN MINNESOTA. 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$878,947	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$125,800	RevenueAmt
Desc	OMC'S RESEARCH DEPARTMENT, LED BY DR. BARBARA YAWN, MD, HELPS RESEARCHERS FROM AROUND THE WORLD STUDY DISEASES AND CONDITIONS, INCLUDING THE EFFECT OF DISEASES ON PEOPLE'S LIVES AND THE VALUE OF TREATMENT IN PREVENTING, CURING AND IMPROVING TREATMENT OUTCOMES. OMC RESEARCH IS A KEY PARTNER IN STUDIES OF THE HEALTH OF POPULATIONS IN OLMSTED COUNTY AND THROUGHOUT THE UNITED STATES. THE DEPARTMENT HAS INITIATED SEVERAL NATIONAL STUDIES TO IMPROVE THE HEALTH AND MEDICAL CARE OF ALL AMERICANS. BEACON COMMUNITY PROJECT - OMC ASSUMED A LEADERSHIP ROLE IN THE FEDERALLY FUNDED $12.2 MILLION SOUTHEAST MINNESOTA REGION BEACON COMMUNITY PROJECT AND ITS GOAL OF CREATING A NATIONAL MODEL FOR THE SECURE EXCHANGE OF PATIENTS' HEALTH INFORMATION AT ANY POINT OF CLINICAL SERVICE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$157,495,145	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	180	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1406	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KEVIN HIGGINS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5072883443	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	717 3RD AVE SE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55904	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KATHRYN LOMBARDO MD
PRESIDENT	40.00	1.00	Yes (X)	Yes (X)	$558,877	$0	$24,700
KEN BROWN
BOARD CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
SRDAN BABOVIC MD
TREASURER/SECRETARY	40.00		Yes (X)	Yes (X)	$647,755	$0	$26,076
JOSEPH TRICARICO MD
TREASURER/SECRETARY	40.00		Yes (X)	Yes (X)	$592,549	$0	$44,825
JULIE ANDERSON
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARY BENIKE KISILEWSKI
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
MELISSA BRINKMAN
PUBLIC TRUSTEE (THRU JAN 2015)	1.00		Yes (X)		$0	$0	$0
VIDHAN CHANDRA MD
CLINIC TRUSTEE	40.00		Yes (X)		$877,014	$0	$25,700
DAN CHRISTIANSON
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
ROXANNE FLATEN
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
ELAINE GARRY
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
HAL HENDERSON
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
JAY HESLEY
PUBLIC TRUSTEE (THRU JAN 2015)	1.00		Yes (X)		$0	$0	$0
GREG HOUSE
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
SUSAN KNUTSON
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
KIMBERLY MCKEON MD
CLINIC TRUSTEE	40.00		Yes (X)		$385,424	$0	$46,673
JUSTIN MCNEILUS
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARK WILBUR MD
CLINIC TRUSTEE	40.00		Yes (X)		$355,686	$0	$25,558
STEVE YAGGY
PUBLIC TRUSTEE (THRU JAN 2015)	1.00		Yes (X)		$0	$0	$0
TIM WEIR
CEO	40.00	1.00		Yes (X)	$608,217	$0	$44,272
KEVIN HIGGINS
CFO	40.00	1.00		Yes (X)	$363,847	$0	$44,764
RANDY HEMANN MD
MEDICAL VICE PRESIDENT MED SERVICES	40.00				$382,526	$0	$45,894	Yes (X)
JAMES HOFFMAN MD
MEDICAL VICE PRESIDENT SURG SERVICES	40.00				$440,917	$0	$43,764	Yes (X)
MATTHEW KIRSCH MD
PHYSICIAN	40.00				$939,130	$0	$24,700		Yes (X)
DAVID LOWE MD
PHYSICIAN	40.00				$638,773	$0	$45,425		Yes (X)
JAY MYERS MD
PHYSICIAN	40.00				$561,152	$0	$44,165		Yes (X)
SUSANNE PFEFFER-KLEEMAN MD
PHYSICIAN	40.00				$585,324	$0	$44,764		Yes (X)
MARCO SANTAMARIA MD
PHYSICIAN	40.00				$647,840	$0	$37,693		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,585,031	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$568,973	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	160	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSAL HOSPITAL SERVICES INC
SDS 12-0940 PO BOX 86	MINNEAPOLIS	MN	55486	EQUIPMENT MAINTENANCE	$1,437,178
MAYO COLLABORATIVE SERVICES
200 1ST STREET SW	ROCHESTER	MN	55905	MEDICAL SERVICES	$1,135,245
CERNER COPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64141	COMPUTER SUPPORT	$940,632
THE AFFILIATED GROUP
PO BOX 7799	ROCHESTER	MN	55903	DEBT COLLECTIONS	$840,985
CONSTRUCTION COLLABORATIVE
320 SOUTH BROADWAY	ROCHESTER	MN	55904	BUILDING REPAIRS AND MAINT	$643,218

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Related Organizations	$671,350	RelatedOrganizationsAmt
Government Grants	$253,383	GovernmentGrantsAmt
All Other Contributions	$181,425	AllOtherContributionsAmt
Total Contributions	$1,106,158	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	621110	$188,859,301	$188,859,301
PHARMACY	446110	$1,423,563	$1,043,408	$380,155

Field	Value	IRS element (for citing)
Total Program Service Revenue	$190,282,864	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,466,038	TotalRevenueColumnAmt
Exclusion	$1,466,038	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$66,487	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$66,487	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,487	TotalRevenueColumnAmt
Exclusion	$66,487	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,799,037	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,571,770	SecuritiesAmt
Other	$149,177	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$227,267	SecuritiesAmt
Other	-$149,177	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,090	TotalRevenueColumnAmt
Exclusion	$78,090	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$31,031	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$24,604	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,427	TotalRevenueColumnAmt
Exclusion	$6,427	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
ELECTRONIC HEALTH RECORDS INCENTI	621990	$477,108	$477,108
MNCARE TAX REFUND	621990	$228,229		$228,229
CAFETERIA	621990	$220,526		$220,526

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$419,404	TotalRevenueColumnAmt
Exclusion	$419,404	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,345,267	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,351,331	TotalRevenueColumnAmt
Related Or Exempt Func Income	$190,379,817	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$380,155	UnrelatedBusinessRevenueAmt
Exclusion	$2,485,201	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$453,803	TotalAmt
Program Services	$453,803	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,668,689	TotalAmt
Program Services	$4,300,616	ProgramServicesAmt
Management And General	$1,368,073	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$81,791,808	TotalAmt
Program Services	$73,412,878	ProgramServicesAmt
Management And General	$8,097,483	ManagementAndGeneralAmt
Fundraising	$281,447	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,236,474	TotalAmt
Program Services	$5,347,394	ProgramServicesAmt
Management And General	$860,456	ManagementAndGeneralAmt
Fundraising	$28,624	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,856,043	TotalAmt
Program Services	$7,647,366	ProgramServicesAmt
Management And General	$3,130,210	ManagementAndGeneralAmt
Fundraising	$78,467	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,541,749	TotalAmt
Program Services	$4,725,479	ProgramServicesAmt
Management And General	$796,429	ManagementAndGeneralAmt
Fundraising	$19,841	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,382	TotalAmt
Management And General	$10,382	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$165,493	TotalAmt
Program Services	$898	ProgramServicesAmt
Management And General	$164,595	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$230,585	TotalAmt
Management And General	$230,585	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$83,394	TotalAmt
Management And General	$83,394	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,424,343	TotalAmt
Program Services	$6,712,067	ProgramServicesAmt
Management And General	$1,712,276	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$314,423	TotalAmt
Program Services	$4,745	ProgramServicesAmt
Management And General	$309,678	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,649,901	TotalAmt
Program Services	$2,054,264	ProgramServicesAmt
Management And General	$595,637	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$659,695	TotalAmt
Program Services	$161,943	ProgramServicesAmt
Management And General	$497,752	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,066,697	TotalAmt
Program Services	$5,026,735	ProgramServicesAmt
Management And General	$1,039,962	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,464	TotalAmt
Program Services	$52,924	ProgramServicesAmt
Management And General	$10,540	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$927,165	TotalAmt
Program Services	$721,247	ProgramServicesAmt
Management And General	$205,918	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,135,410	TotalAmt
Program Services	$2,074,261	ProgramServicesAmt
Management And General	$61,149	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,644,283	TotalAmt
Program Services	$8,644,283	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,155,579	TotalAmt
Program Services	$1,155,579	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$19,294,985	$19,293,635	$1,350
BAD DEBT	$7,199,235	$7,199,235
EQUIP/SOFTWARE MAINT	$5,160,156	$4,001,421	$1,158,735
MN CARE TAX	$3,925,505	$3,925,505

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,619,483	TotalAmt
Program Services	$578,867	ProgramServicesAmt
Management And General	$1,028,016	ManagementAndGeneralAmt
Fundraising	$12,600	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$179,278,744	TotalAmt
Program Services	$157,495,145	ProgramServicesAmt
Management And General	$21,362,620	ManagementAndGeneralAmt
Fundraising	$420,979	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$73,077,385	BOYAmt
EOY	$79,210,549	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,049,784	BOYAmt
EOY	$34,709,127	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,851,150	BOYAmt
EOY	$1,679,514	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,989,435	BOYAmt
EOY	$1,520,925	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$147,916,435	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$55,291,185	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$93,592,060	BOYAmt
EOY	$92,625,250	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$22,512,535	BOYAmt
EOY	$26,801,322	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$906,020	BOYAmt
EOY	$872,158	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$226,978,369	BOYAmt
EOY	$237,418,845	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,098,378	BOYAmt
EOY	$30,233,675	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$185,555	BOYAmt
EOY	$57,581	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,900,000	BOYAmt
EOY	$33,670,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,290,917	BOYAmt
EOY	$6,314,190	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,531,524	BOYAmt
EOY	$4,640,691	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,196,276	BOYAmt
EOY	$630,598	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$79,202,650	BOYAmt
EOY	$75,546,735	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$147,775,719	BOYAmt
EOY	$161,872,110	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$147,775,719	BOYAmt
EOY	$161,872,110	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$226,978,369	BOYAmt
EOY	$237,418,845	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$15,072,587	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$976,195	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,285,184	OtherCostOrOtherBasisAmt
Book Value	$5,285,184	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,856,839	OtherCostOrOtherBasisAmt
Depreciation	$23,045,455	DepreciationAmt
Book Value	$67,811,384	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,774,412	OtherCostOrOtherBasisAmt
Depreciation	$32,245,730	DepreciationAmt
Book Value	$19,528,682	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$92,625,250	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	THIRD PARTY PAYOR SETTLEMENTS	Desc
Amt	$630,598	Amt

Field	Value	IRS element (for citing)
Total Liability	$630,598	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES AS TAX EXEMPT ORGANIZATIONS 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, 2015 AND 2014. THE MEDICAL CENTER AND THE FOUNDATION ARE ALSO EXEMPT FROM STATE INCOME TAXES UNDER APPLICABLE MINNESOTA STATUTES. THE MEDICAL CENTER AND THE FOUNDATION FILE FEDERAL AND STATE INCOME TAX RETURNS. GENERALLY, THE MEDICAL CENTER AND THE FOUNDATION ARE NO LONGER SUBJECT TO STATE AND FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEAR ENDED DECEMBER 31, 2010, 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, 2015, THERE WERE NO UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	240.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,517,567	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,517,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,412,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,548,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,863,386	NetCommunityBenefitExpnsAmt
Total Expense	0.13290	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,082,291	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,046,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,645	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,011,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,595,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,416,598	NetCommunityBenefitExpnsAmt
Total Expense	0.14190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$172,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,540,089	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,721,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,818,704	NetCommunityBenefitExpnsAmt
Total Expense	0.01060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$708,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$379,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$329,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,553	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,553	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,511,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,100,568	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,410,459	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,522,955	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,695,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,827,057	NetCommunityBenefitExpnsAmt
Total Expense	0.15590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,199,235	BadDebtExpenseAmt
Reimbursed By Medicare	$16,236,657	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,009,312	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,772,655	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OLMSTED MEDICAL CENTER - HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1650 4TH ST SE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55904	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.OLMMED.ORG	WebsiteAddressTxt
State License	376238	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OLMSTED MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.OLMMED.ORG/ABOUT/COMMUNITY-INVOLVEMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.OLMMED.ORG/ABOUT/COMMUNITY-INVOLVEMENT/	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	240.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	0	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.OLMMED.ORG/PATIENTS-VISITORS/ACCOUNTS/PAYMENT-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.OLMMED.ORG/PATIENTS-VISITORS/ACCOUNTS/PAYMENT-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 NEEDS ASSESSMENT.
OLMSTED MEDICAL CENTER	PART V, SECTION B, LINE 11: OLMSTED MEDICAL CENTER REVIEWED INFANT MORTALITY, MORBIDITY, HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, ADOLESCENT CHEMICAL HEALTH, DENTAL ISSUES, DIABETES, MATERNAL MORTALITY, MENTAL ILLNESS-ADULTS, MENTAL ILLNESS-CHILDREN AND OBESITY. KNOWING WE HAD LIMITED RESOURCES (TIME, MONEY, KNOWLEDGE) THE COMMITTEE OPTED TO ADDRESS WHAT IT CONSIDERED THE FIVE MOST IMPORTANT ISSUES.HOMELESSNESS AND FINANCIAL STRESS HAVE BEEN IDENTIFIED AS A SIGNIFICANT NEED IN OUR CHNA. DUE TO LIMITED RESOURCES WE ARE UNABLE TO ADDRESS THIS NEED IN OUR PLAN EXCEPT TO THE DEGREE THAT WE COMMIT RESOURCES TO COMMUNITY INVESTMENT FOR AGENCIES AND COMMUNITY ORGANIZATIONS THAT ADDRESS THESE PROBLEMS AND WE COMMIT RESOURCES TO CHARITY CARE AND FINANCIAL ASSISTANCE FOR THOSE NEEDING HELP WITH THEIR MEDICAL BILLS.
OLMSTED MEDICAL CENTER	PART V, SECTION B, LINE 20E: MEETING WITH PATIENTS UPON THEIR REQUEST.
OLMSTED MEDICAL CENTER	PART V, SECTION B, LINE 22D: FOR UNINSURED PATIENTS OMC HAS AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE FOR WHICH OMC PROVIDES A DISCOUNT TO UNINSURED PATIENTS EQUAL TO THEIR LOWEST NON-GOVERNMENTAL PAYER. FOR INSURED PATIENTS COVERED BY FAP, THEY CHARGE A SET RATE LESS THE NEGOTIATED DISCOUNT FOR THE SPECIFIC INSURANCE COMPANY.

Field	Value	IRS element (for citing)
Facility	18	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 ROAD 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 STREET 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 DRIVE	SPRING VALLEY	MN	55975	OUTPATIENT PHYSICIAN CLINIC
10 - OMC - WANAMINGO CLINIC
217 MAIN STREET SUITE B	WANAMINGO	MN	55983	OUTPATIENT PHYSICIAN CLINIC
11 - OMC - FASTCARE NORTH CLINIC
3708 HIGHWAY 63 N	ROCHESTER	MN	55906	OUTPATIENT PHYSICIAN CLINIC
12 - OMC - FASTCARE SOUTH CLINIC
2820 S BROADWAY	ROCHESTER	MN	55904	OUTPATIENT PHYSICIAN CLINIC
13 - OMC - NW CLINIC
5067 55TH STREET NW	ROCHESTER	MN	55901	OUTPATIENT PHYSICIAN CLINIC
14 - OMC - SKYWAY CLINIC
318 1ST AVE SW SUITE 203	ROCHESTER	MN	55902	OUTPATIENT PHYSICIAN CLINIC
15 - OMC - PHYSICAL THERAPY
102 ELTON HILLS DRIVE	ROCHESTER	MN	55901	PHYSICAL THERAPY
16 - OMC - RESEARCH DEPT
829 3RD AVE SE KINGS ROW	ROCHESTER	MN	55904	RESEARCH DEPARTMENT
17 - OMC - SPORTS MED & ATHLETIC PERFORMANCE
5155 55TH STREET NW	ROCHESTER	MN	55901	PHYSICAL THERAPY/ATHLETIC PERFORMANCE
18 - OMC - STEWARTVILLE CLINIC
208 CENTERTOWN PLAZA	STEWARTVILLE	MN	55976	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FEDERAL POVERTY GUIDELINES ARE USED FOR DETERMINING FINANCIAL ASSISTANCE.
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 ACTIVITES FROM FIVE OF OMC'S CLINIC LOCATIONS.
PART I, LN 7 COL(F):	$7,199,235 OF BAD DEBT EXPENSE WAS EXCLUDED IN CALCULATING THE PERCENTAGES REPORTED IN PART I, LINE 7, COLUMN F.
PART III, LINE 2:	PATIENT ACCOUNTS RECEIVABLE DUE DIRECTLY FROM THE PATIENTS ARE CARRIEDAT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AMOUNTS COVEREDBY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFULRECEIVABLES. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTSBY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIEDTO AN AGING OF ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF PATIENT ACCOUNTS RECEIVABLEPREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED.
PART III, LINE 4:	SEE THE "PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ORGANIZATION DERIVED ITS COSTING METHODOLOGY USED TO DETERMINE THEMEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COSTREPORT BY USING COST REPORT WORKSHEETS. MEDICARE COSTS ARE DETERMINEDTHROUGH THE MEDICARE COST FINDING PROCESS WHICH ALLOCATES GENERAL SERVICECENTER COSTS TO REVENUE DEPARTMENTS. THE METHODOLOGY DESCRIBED IN THEINSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTOACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THETOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA.THE REASONS MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFITARE: ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALSWOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENTPROGRAMS; BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THEBURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS;THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION INREIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESEINDIVIDUALS; AND THE AMOUNT SPENT TO COVER MEDICARE SHORTFALL IS MONEY NOTAVAILABLE 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 $16,358,281.
PART III, LINE 9B:	PATIENT FINANCIAL HARDSHIP POLICY: TO SUPPORT THE ORGANIZATION'S MISSIONAND PHILOSOPHY IN THAT THE PATIENT COMES FIRST AND PROVIDE A GUIDELINE INIDENTIFYING PATIENT'S WHO HAVE AN EXCEPTIONAL PERSONAL FINANCIAL HARDSHIPAND REQUIRED NEEDED AND NECESSARY MEDICAL CARE AND THERE IS REMOTE ORNEGLIBLE CHANCE THAT THE INDIVIDUAL WILL BE ABLE TO REPAY.PROCEDURE: FACTORS THAT MAY CONTRIBUTE TO EXCEPTIONAL FINANCIAL HARDSHIPINCLUDE:1) UNEMPLOYMENT OR UNDEREMPLOYMENT THROUGH NO FAULT OF THE PATIENT AND/ORFAMILY; 2) THREATENED LOSS OF SHELTER THROUGH FORECLOSURE, ETC; 3) LOSS OFINCOME FROM FEDERAL, STATE OR OTHER GOVERNMENT BENEFITS INCLUDING, BUT NOTLIMITED TO SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLICASSISTANCE, ETC; 4) LOSS OF INCOME DUE TO DEATH OR DISABILITY; 5)EXCEPTIONAL EXPENSES INCURRED BECAUSE OF UNINSURED PROPERTY DAMAGE ORCOSTLY REPAIRS TO PRINCIPAL RESIDENCE; 6) EXCEPTIONAL EXPENSES DUE TOTEMPORARY OR CHRONIC ILLNESS; 7) EXCEPTIONAL EXPENSES DUE TO INCREASE INLIVING EXPENSES BECAUSE OF A DIVORCE, ABANDONMENT OR SEPARATION FROMSPOUSE OR INCOME EARNER; 8) LOSS OF INCOME DUE TO DECLARATION OFINCOMPETENCE OR IN PROCESS OF BEING DECLARED INCOMPETENT; 9) PATIENT ORFAMILY MEMBER IS CONFINED TO A CONVALESCENT HOME OR OTHER RESIDENCE OTHERTHAN THEIR PRINCIPAL RESIDENCE; 10) NATURAL DISASTERS SUCH AS FLOODS,FIRES, HURRICANES AND EARTHQUAKES; 11) EVICTION, HOMELESSNESS, LOSS OFOWNED RESIDENCE, ARSON, THEFT, ETC; 12) DISCONTINUANCE OF UTILITIES ORHEAT, OR UNSAFE OR UNHEALTHY LIVING CONDITIONS; 13) ANY OTHER CONDITIONCONSIDERED LIFE THREATENING DUE TO EXCEPTIONAL FINANCIAL HARDSHIP.APPLICATION PROCESS: THE FINANCIAL HARDSHIP APPLICATION, UTILIZING OMC'S FINANCIAL ASSISTANCE APPLICATION, CONTAINS THE NECESSARY INFORMATION TODETERMINE ELIGIBILITY FOR THE OMC FINANCIAL HARDSHIP PROGRAM. NO SEPARATEAPPLICATION IS NECESSARY. SUPPORTING DOCUMENTATION REQUIRED TO MAKE ANELIGIBILITY DETERMINATION ARE: 1) MOST RECENT TAX RETURNS, 2) CURRENTFAMILY PAYROLL STUB SHOWING YEAR-TO-DATE INCOME; 3) CURRENT TRANSUNIONCREDIT REPORT AND OTHER FINANCIAL HARDSHIP DOCUMENTATION TO SUPPORTHARDSHIP; 4) EXPLANATION OF HARDSHIP SITUATION/NECESSITY AND RARECOMPLICATIONS.ELIGIBILITY DETERMINATION: BASED UPON PATIENT'S/FAMILY'S INCOME ANDASSETS AND COMPLETED FINANCIAL ASSISTANCE APPLICATION. BASED UPON TAKINGINTO CONSIDERATION ALL PERSONAL FACTORS IN DETERMINING EXCEPTIONALFINANCIAL HARDSHIP. THE BUSINESS SERVICES DEPARTMENT EVALUATES THEAPPLICATIONS MEETING THE CRITERIA AND PRESENTS TO ADMINISTRATION FORAPPROVAL. OMC RESERVES THE RIGHT TO MAKE ADJUSTMENT DETERMINATIONS ON ACASE-BY-CASE BASIS.
PART III, SECTION A, 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 VI, LINE 2:	OMC ACTIVELY WORKS WITH LOCAL GOVERNMENT IN ASSESSING AND ADDRESSINGCOMMUNITY NEEDS THROUGH MEETINGS, WORKSHOPS, AND COMMUNITY INPUT. INADDITION, OMC IS ACTIVELY INVOLVED WITH LOCAL GOVERNMENTS IN EMERGENCYPREPAREDNESS 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 APPLICATIONPROCESS. ALL APPLICATIONS ARE PROCESSED IN A TIMELY MANNER. PATIENTAPPLICATIONS ARE CONSIDERED FOR CURRENT PATIENT RESPONSIBLE BALANCES, ASWELL AS NEAR FUTURE SCHEDULED MEDICAL SERVICES. PATIENTS MAY QUALIFY FORFULL OR PARTIAL FINANCIAL ASSISTANCE. PATIENT FINANCIAL COUNSELORS NOTEPATIENT'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 FINANCIALCOUNSELORS INFORM THE PATIENT VIA A LETTER REGARDING THE DETERMINATION(APPROVED, DENIED, OR PARTIAL COVERAGE APPROVED) OF THE RECEIVED ANDCOMPLETED APPLICATION. PRIOR TO TURNING ACCOUNTS OVER THE THIRD PARTYCOLLECTION, THE ACCOUNT WILL BE REVIEWED FOR POSSIBLE FINANCIAL ASSISTANCEPROGRAM 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
210 9TH STREET SE	ROCHESTER	MN	55904	260022777	501(C)(3)	$368,580	PROVIDE FUNDING TO OMC REGIONAL FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES.
ROCHESTER CIVIC THEATRE INC
20 CIVIC CENTER DRIVE SE	ROCHESTER	MN	55904	410829271	501(C)(3)	$7,000	TO SUPPORT GENERAL OPERATIONS OF THEIR MISSION
ROCHESTER AREA CHAMBER OF COMMERCE
220 S BDWY STE 100	ROCHESTER	MN	55904	410506950	501(C)(6)	$6,825	TO SUPPORT GENERAL OPERATIONS OF THEIR MISSION
CHANNEL ONE INC
131 35TH STREET SE	ROCHESTER	MN	559045544	411379713	501(C)(3)	$5,000	TO SUPPORT GENERAL OPERATIONS OF THEIR MISSION
CENTER CITY HOUSING CORP
105 1/2 WEST FIRST STREET	ROCHESTER	MN	55902	363485584	501(C)(3)	$5,000	TO SUPPORT GENERAL OPERATIONS OF THEIR MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MOST OF GRANT EXPENDITURES ARE PROVIDED TO OLMSTED MEDICAL CENTER 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 ORGANZATION 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHRYN LOMBARDO MD
PRESIDENT	$475,803	$0	$72,603	$0	$10,471	$0	$24,700	$0	$0	$0	$583,577	$0	$0	$0
SRDAN BABOVIC MD
TREASURER/SECRETARY	$635,595	$0	$0	$0	$12,160	$0	$24,700	$0	$1,376	$0	$673,831	$0	$0	$0
JOSEPH TRICARICO MD
TREASURER/SECRETARY	$581,749	$0	$1,464	$0	$9,336	$0	$24,700	$0	$20,125	$0	$637,374	$0	$0	$0
VIDHAN CHANDRA MD
CLINIC TRUSTEE	$862,961	$0	$1,952	$0	$12,101	$0	$24,700	$0	$1,000	$0	$902,714	$0	$0	$0
KIMBERLY MCKEON MD
CLINIC TRUSTEE	$375,205	$0	$3,376	$0	$6,843	$0	$24,700	$0	$21,973	$0	$432,097	$0	$0	$0
MARK WILBUR MD
CLINIC TRUSTEE	$335,537	$0	$14,706	$0	$5,443	$0	$24,700	$0	$858	$0	$381,244	$0	$0	$0
TIM WEIR
CEO	$471,873	$0	$130,685	$0	$5,659	$0	$24,700	$0	$19,572	$0	$652,489	$0	$0	$0
KEVIN HIGGINS
CFO	$280,270	$0	$63,732	$0	$19,845	$0	$24,700	$0	$20,064	$0	$408,611	$0	$0	$0
RANDY HEMANN MD
MEDICAL VICE PRESIDENT MED SERVICES	$336,664	$0	$37,403	$0	$8,459	$0	$24,700	$0	$21,194	$0	$428,420	$0	$0	$0
JAMES HOFFMAN MD
MEDICAL VICE PRESIDENT SURG SERVICES	$394,167	$0	$37,403	$0	$9,347	$0	$24,700	$0	$19,064	$0	$484,681	$0	$0	$0
MATTHEW KIRSCH MD
PHYSICIAN	$928,410	$0	$0	$0	$10,720	$0	$24,700	$0	$0	$0	$963,830	$0	$0	$0
DAVID LOWE MD
PHYSICIAN	$619,247	$0	$9,733	$0	$9,793	$0	$24,700	$0	$20,725	$0	$684,198	$0	$0	$0
JAY MYERS MD
PHYSICIAN	$544,099	$0	$8,116	$0	$8,937	$0	$24,700	$0	$19,465	$0	$605,317	$0	$0	$0
SUSANNE PFEFFER-KLEEMAN MD
PHYSICIAN	$574,385	$0	$0	$0	$10,939	$0	$24,700	$0	$20,064	$0	$630,088	$0	$0	$0
MARCO SANTAMARIA MD
PHYSICIAN	$632,383	$0	$0	$0	$15,457	$0	$24,700	$0	$12,993	$0	$685,533	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	DR. LOMBARDO, $1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. HEMANN, $2, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. HOFFMANN, $8, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. SANTAMARIA, $2, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. BRANCH, $455, GROSS UP TAX ON RETIREMENT GIFT CARD	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF ROCHESTER MN
A	416005494	771902FY4	2010-07-07	$20,360,000	NW CLINIC CONSTRUCTION	0	0	0
CITY OF ROCHESTER MN
B	416005494	771902GU1	2013-04-01	$17,260,000	WOMEN'S HEALTH PAVILLION CONSTRUCTION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,450,000	$20,202,546	$1,736,608	$1,341,608	$407,200	$17,968,405	$275,180	2011	0	0	Yes (1)	Yes (1)
B	$500,000	$19,290,018		$490,226	$286,285	$18,513,507		2014	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	0
B	0	Yes (1)	0	0	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF ROCHESTER, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2015
SCHEDULE K, PART II, LINE 3	THE TOTAL PROCEEDS FOR EACH ISSUANCE DOESN'T MATCH THE ISSUE PRICES LISTED IN PART I, COLUMN E FOR THE FOLLOWING REASONS. 1. THE 2010 BONDS WERE ISSUED AT A DISCOUNT OF $157,424. 2. THE 2013 BONDS WERE ISSUED AT A PREMIUM OF $2,030,000.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JUSTIN MCNEILUS STERLING STATE BANK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER, SON OF MAJORITY OWNER OF STERLING STATE BANK	RelationshipDescriptionTxt
Transaction	$122,277	TransactionAmt
Transaction	BANKING RELATIONSHIP, OMC LOAN/INTEREST PAYMENTS	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE CORPORATION SHALL HAVE, AND THE BOARD OF TRUSTEES HEREBY ESTABLISHES A BOARD OF GOVERNORS, WHICH SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF TRUSTEES IN THE DAY-TO-DAY MANAGEMENT OF THE MEDICAL BUSINESS AND AFFAIRS OF THE CORPORATION, EXCEPT FOR THOSE MATTERS FOR WHICH THE TRUSTEES RESERVES THE POWERS TO APPROVE UNDER THE BYLAWS. THE BOARD OF GOVERNORS SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF TRUSTEES. THE BOARD OF GOVERNORS SHALL ESTABLISH A PLAN TO MONITOR, EVALUATE, AND MAINTAIN THE QUALITY OF PATIENT CARE AND SHALL REPORT AT LEAST ANNUALLY TO THE BOARD OF TRUSTEES. THE BOARD OF GOVERNORS SHALL ALSO REPORT AT LEAST ANNUALLY TO THE BOARD OF TRUSTEES CONCERNING CHARITY CARE, EDUCATION, AND RESEARCH ACTIVITIES. THE BOARD OF GOVERNORS SHALL CONSIST OF AT LEAST SEVEN (7) MEMBERS. FIVE (5) OF THE MEMBERS SHALL AT ALL TIMES BE THE SAME INDIVIDUALS WHO SERVE AS CLINIC TRUSTEES, AND SHALL HAVE TERMS EXPIRING AS OF THE SAME TIME AS THE EXPIRATION OF THEIR TERMS AS CLINIC TRUSTEES. THREE (3) OF THE MEMBERS SHALL BE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND TWO MEDICAL VICE PRESIDENTS, WHO SHALL SERVE AS EX-OFFICIO VOTING MEMBERS. IF THE PRESIDENT OF THE CORPORATION IS NOT A CLINIC TRUSTEE, HE OR SHE SHALL SERVE AS AN EX-OFFICIO VOTING MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF TRUSTEES SHALL CONSIST OF FIFTEEN (15) MEMBERS. FIVE (5) MEMBERS OF THE BOARD OF TRUSTEES SHALL BE CLINIC TRUSTEES, AND THE REMAINING TEN (10) MEMBERS SHALL BE PUBLIC TRUSTEES. IF THE PRESIDENT OF THE CORPORATION IS NOT AN ELECTED CLINIC TRUSTEE, HE OR SHE SHALL SERVE AS AN EX-OFFICIO VOTING MEMBER. CLINIC TRUSTEES SHALL BE ELECTED AND REMOVED AS FOLLOWS: A NOMINATING COMMITTEE WILL BE ESTABLISHED BY THE BOARD OF GOVERNORS IN ITS SOLE DISCRETION TO SOLICIT CANDIDATES FOR THE POSITION OF CLINIC TRUSTEE. A MEETING OF THE VOTING STAFF SHALL BE HELD ON AN ANNUAL BASIS FOR THE PURPOSE OF ELECTING QUALIFIED SUCCESSORS FOR THOSE CLINIC TRUSTEES WHOSE TERMS HAVE EXPIRED OR ARE DUE TO EXPIRE WITHIN SIX (6) MONTHS AFTER THE DATE OF THE MEETING. AT SUCH MEETING, THE VOTING STAFF SHALL VOTE FOR THAT NUMBER OF CLINIC TRUSTEES WHOSE TERMS ARE EXPIRING FROM THE SLATE OF CANDIDATES PROVIDED BY THE NOMINATING COMMITTEE AND THOSE OTHERWISE QUALIFIED VOTING STAFF MEMBERS WHO MAY HAVE ANNOUNCED THEIR CANDIDACY. PUBLIC TRUSTEES SHALL BE ELECTED AND REMOVED AS FOLLOWS: THE TEN (10) PUBLIC TRUSTEES SHALL BE ELECTED AS FOLLOWS: (I) A NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES CONSISTING OF ONE (1) CLINIC TRUSTEE, AND TWO (2) PUBLIC TRUSTEES SHALL SELECT A CANDIDATE OR SLATE OF CANDIDATES; AND (II) THOSE CURRENTLY SERVING PUBLIC TRUSTEES SHALL ELECT, BY A PLURALITY VOTE, THE PUBLIC TRUSTEES FROM THE CANDIDATE OR SLATE OF CANDIDATES NOMINATED BY THE NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTANT. A DRAFT OF THE FORM 990 IS REVIEWED IN DETAIL BY THE FINANCIAL SERVICES MANAGER, CONTROLLER AND CFO. ANY NECESSARY CORRECTIONS AND ADJUSTMENTS ARE MADE. THE FORM 990 IS REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE COMPENSATION COMMITTEE. THE FINAL FORM 990 IS 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 OF ("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). 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 THIRD 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 15	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 MEDICAL VICE PRESIDENT HOSPITAL/SURGICAL SERVICES, VICE PRESIDENT MEDICAL SERVICES AND CEO 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, INCENTIVE AND BENEFITS, 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 PEER REVIEW STUDY WAS COMPLETED FOR THE CEO, PRESIDENT, MEDICAL VICE PRESIDENTS, CHIEF MEDICAL INFORMATION OFFICER, AND VICE PRESIDENTS (EXECUTIVE TEAM) AND PRESENTED TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE. THE BOARD OF GOVERNORS RECEIVES AN EXECUTIVE SUMMARY. THE EXECUTIVE COMPENSATION COMMITTEE RECEIVES A SUMMARY OF THE EXECUTIVE TEAM'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 MEDICAL VICE PRESIDENTS, CHIEF MEDICAL INFORMATION OFFICER AND VICE PRESIDENTS OF OMC. THE EXECUTIVE COMPENSATION COMMITTEE WILL SET THE COMPENSATION OF THE PRESIDENT, CEO, MEDICAL VICE PRESIDENT HOSPITAL/SURGICAL SERVICES AND VICE PRESIDENT MEDICAL SERVICES 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. THE BOARD OF TRUSTEES COMPENSATION COMMITTEE REPORTS TO THE FULL BOARD OF TRUSTEES ON AN ANNUAL BASIS THE COMPLETION OF SUCH DUTIES AND ARE ALSO NOTED IN THE MINUTES.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OMC RETAIL SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 9TH STREET SE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55904	ZIPCd

Field	Value	IRS element (for citing)
EIN	460960716	EIN
Primary Activities	PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd
Total Income	$1,438,326	TotalIncomeAmt
End Of Year Assets	$1,470,534	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OLMSTED MEDICAL CENTER	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
210 9TH STREET SE	ROCHESTER	MN	55904	260022777	HEALTHCARE EDUCATION AND COMMUNITY PURPOSES	MN	501(C)(3)	LINE 11A, I	OLMSTED MEDICAL CENTER	Yes (1)
OLMSTED MEDICAL CENTER AUXILIARY
1650 4TH STREET SE	ROCHESTER	MN	55904	363382873	SUPPORT OLMSTED MEDICAL CENTER	MN	501(C)(3)	LINE 11C, III-FI	OLMSTED MEDICAL CENTER	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OMC REGIONAL FOUNDATION
B	$368,580	GAAP
OMC REGIONAL FOUNDATION
C	$656,614	GAAP
OMC REGIONAL FOUNDATION
O	$354,985	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART I, COLUMN D	FormAndLineReferenceDesc
Explanation	THE $1,438,326 REPRESENTS OMC RETAIL SERVICES, LLC'S TOTAL INCOME INCLUDED IN PART VIII, LINE 12 FOR THE YEAR ENDED DECEMBER 31, 2015. WHEN TOTAL INCOME IS NETTED AGAINST TOTAL EXPENSES, OMC RETAIL SERVICES, LLC RESULTED IN A NET LOSS OF $395,969 FOR THE YEAR ENDED DECEMBER 31, 2015.	ExplanationTxt