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OLMSTED MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OLMSTED MEDICAL CENTER (EIN 41-0855367)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-06
IRS object ID
201112799349300701
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-06T10:12:16-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RSM MCGLADREY INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 LOCUST ST STE 640AddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503092354ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410855367EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OLMSTED MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOLMSNameControl
Phone5072883443Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1210 NINTH STREET SEAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55904ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIM WEIRName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone5072883443Phone
Date Signed2011-10-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameVIRGINIA M STRIEGELName
Phone5155586600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIM WEIRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1210 NINTH STREET SEAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55904ZIPCode
FieldValueIRS element (for citing)
Gross Receipts149656678GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.OLMMED.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTHE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY AND SERVICE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1136TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year565772ContributionsGrantsPriorYear
Contributions Grants Current Year1086174ContributionsGrantsCurrentYear
Program Service Revenue Prior Year142684997ProgramServiceRevenuePriorYear
Program Service Revenue CY146157471ProgramServiceRevenueCY
Investment Income Prior Year812869InvestmentIncomePriorYear
Investment Income Current Year1100758InvestmentIncomeCurrentYear
Other Revenue Prior Year100585OtherRevenuePriorYear
Other Revenue Current Year436012OtherRevenueCurrentYear
Total Revenue Prior Year144164223TotalRevenuePriorYear
Total Revenue Current Year148780415TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year229230GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY571070GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year85073908SalariesEtcPriorYear
Salaries Etc Current Year88288949SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year204927TotalFundrsngExpCurrentYear
Other Expense Prior Year46517794OtherExpensePriorYear
Other Expenses Current Year47475721OtherExpensesCurrentYear
Total Expenses Prior Year131820932TotalExpensesPriorYear
Total Expenses Current Year136335740TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12343291RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12444675RevenuesLessExpensesCY
Total Assets BOY110190688TotalAssetsBOY
Total Assets EOY145694422TotalAssetsEOY
Total Liabilities BOY37326025TotalLiabilitiesBOY
Total Liabilities EOY59838471TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY72864663NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY85855951NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY AND SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense123933982Expense
Grants497766Grants
Revenue146288719Revenue
DescriptionPATIENT CARE: OLMSTED MEDICAL CENTER (OMC) COMBINES A MULTI-SPECIALTY CLINIC PRACTICE WITH A COMMUNITY HOSPITAL. THE CLINIC PRACTICES ARE LOCATED THROUGHOUT SOUTHEASTERN MINNESOTA WITH A MAIN CLINIC LOCATED IN SE ROCHESTER PROVIDING PRIMARY CARE AND SPECIALTY CARE AND 10 BRANCH CLINICS PROVIDING PRIMARY CARE SERVICES TO THE FOLLOWING COMMUNITIES: BYRON, CHATFIELD, NW ROCHESTER, PINE ISLAND, PLAINVIEW, PRESTON, ST. CHARLES, SPRING VALLEY, STEWARTVILLE, AND WANAMINGO. IN 2010 OMC PROVIDED CARE TO 3,356 INPATIENTS FOR A TOTAL OF 7,901 PATIENT DAYS AND PROVIDED TREATMENT FOR 31,012 EMERGENCY/URGENT CARE CASES AND PROVIDED A TOTAL OF 283,896 CLINICAL ENCOUNTERS.OMC IS WELL KNOWN FOR EXCEPTIONAL PRIMARY HEALTHCARE. WE ALSO OFFER OUR 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.OUR TARGETED GROWTH HAS BEEN BASED ON A STRATEGIC PLANNING PROCESS THAT INVOLVES MORE STAFF THAN EVER BEFORE. AND, WE SAW POSITIVE RESULTS IN OUR PATIENT SATISFACTION AND CARE QUALITY REPORTS AS A RESULT OF OUR EFFORTS. IN 2010 WE TOOK STEPS TOWARD A MUCH LARGER PLAN TO POSITION OMC AS A PREFERRED HEALTHCARE PROVIDER FOR PRIMARY AND SECONDARY CARE AMONG SOUTHEASTERN MINNESOTA RESIDENTS. SOME IMPORTANT NEXT STEPS INCLUDE INCREASING THE AMOUNT OF DIRECT PATIENT INPUT IN IMPROVING EXPERIENCES AT OMC THROUGH PATIENT ADVISORY GROUPS. THIS INPUT SUPPORTS OMC'S ON-GOING CUSTOMER SERVICE EXCELLENCE INIATIVE, WHICH INCREASINGLY GUIDES THE WAY OUR EMPLOYEES ARE EVALUATED FOR THEIR WORK. WE CONTINUE TO MAKE CLINICAL SERVICES, FACILITIES, AND INFRASTRUCTURE UPGRADES IN OUR PATIENTS' BEST INTERESTS, AND WE PROUDLY CARRY ON OUR SUPPORT OF THE COMMUNITIES WE SERVE.IN 2010 WE RECEIVED THE NATIONAL HEALTHGRADES AWARD FROM THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS. OUR PATIENT SURVEY RANKED HIGHER THAN 14 OF 15 HOSPITALS IN THE REGION.WE ARE RECOGNIZED BY THE MINNESOTA HOSPITAL ASSOCIATION FOR OUR CONTINUED SUCCESSFUL PARTICIPATION IN THE PATIENT SAFETY CAMPAIGNS.WE ARE PARTICIPATING IN THE BEACON GRANT AIMED AT IMPROVING THE CARE OF DIABETIC AND ASTHMATIC PATIENTS.OMC RECEIVED ITS FOURTH ANNUAL "BUSINESS GIVES" AWARD FROM THE MINNESOTA GOVERNOR'S OFFICE AND THE ROCHESTER AREA CHAMBER OF COMMERCE IN RECOGNITION OF OUR COMMITMENT TO BE AN ACTIVE, CONTRIBUTING PARTNER IN THE COMMUNITIES WE SERVE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense129557Expense
Grants73304Grants
DescriptionCOMMUNITY OUTREACH AND SUPPORT ACTIVITIES: OMC WELCOMES ITS MANY OPPORTUNITIES TO BE AN ACTIVE, CONTRIBUTING PARTNER TO SOUTHEASTERN MINNESOTA'S HEALTH AND WELLNESS EFFORTS.OUR COMMUNITY INVESTMENT ACTIVITIES SUPPORTED 112 LOCAL AND REGIONAL ORGANIZATIONS. OUR SUPPORT FOR THOSE ORGANIZATIONS IS CONSISTENT WITH THE PEOPLE, PLACES AND INITIATIVES OUR EMPLOYEES SERVE IN THEIR OWN VOLUNTEER WORK. IN 2010 EMPLOYEES VOLUNTEERED AN AVERAGE OF 11 HOURS OF PERSONAL TIME AND UP TO SEVEN HOURS A MONTH ENGAGED IN VOLUNTEER SERVICE. USING THE INDEPENDENT SECTOR'S ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME ($21.36 PER HOUR FOR 2010, ACCORDING TO WWW.INDEPENDENT-SECTOR.ORG), THIS MEANS OMC EMPLOYEES WHO VOLUNTEER CONTRIBUTED $385 PER EMPLOYEE PER MONTH OR $4,620 PER EMPLOYEE PER YEAR. THE 250+ EMPLOYEES SURVEYED CONTRIBUTED OVER $1.1 MILLION DOLLARS IN VOLUNTEER TIME AND EFFORTS.OMC WAS ACTIVELY INVOLVED WITH MAYO CLINIC, OLMSTED COUNTY AND ROCHESTER PUBLIC SCHOOLS IN A FREE VACCINATION PROGRAM. WE HELD MULTIPLE WALK-IN VACCINATION CLINICS WORKING CLOSELY WITH LOCAL PARTNERS TO EDUCATE OUR COMMUNITIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1059460Expense
DescriptionAT OLMSTED MEDICAL CENTER, WE HAVE STUDIED SCREENING FOR ASTHMA, SCOLIOSIS, NEAR-SIGHTEDNESS, AND COPD. WE HAVE LEARNED HOW TO IMPROVE CHILDHOOD IMMUNIZATION RATES, DEVELOPED WAYS TO FIND AND TREAT POSTPARTUM DEPRESSION, CREATED NEW TOOLS TO IMPROVE ASTHMA CARE, LOOKED AT TWO TYPES OF SURGERY FOR CARPAL TUNNEL PROBLEMS, AND STUDIED SHINGLES. RESEARCH USING MEDICAL RECORDS IS VERY IMPORTANT TO MEDICAL SCIENCE AND MEDICAL CARE. USE OF ANONYMOUS INFORMATION IN MEDICAL RECORDS HAS HELPED RESEARCHERS FIND BETTER WAYS TO TREAT HEART ATTACKS, LEARN ABOUT SIDE EFFECTS OF SEVERAL DRUGS, AND FIND RISK FACTORS FOR COMMON PROBLEMS SUCH AS STROKES, HEART ATTACKS, AND CANCER. THE ROCHESTER EPIDEMIOLOGY PROJECT (REP) - THE ROCHESTER EPIDEMIOLOGY PROJECT IS AN INITIATIVE TO COLLECT, ARCHIVE, AND LINK MEDICAL INFORMATION FOR THE APPROXIMATELY 120,000 PEOPLE LIVING IN THE OLMSTED COUNTY, MN. THIS PROJECT ALLOWS MEDICAL RESEARCHERS TO STUDY HEALTH AND ILLNESSES IN THE PEOPLE LIVING IN THIS COMMUNITY. WE USE THE ACRONYM REP FOR BREVITY. OLMSTED MEDICAL CENTER, THE MAYO CLINIC, THE ROCHESTER FAMILY MEDICINE CLINIC, AND OTHER MEDICAL CARE PROVIDERS IN OLMSTED COUNTY, MN, HAVE AGREED TO WORK TOGETHER AND SHARE THEIR MEDICAL RECORDS WITH RESEARCHERS TO BETTER UNDERSTAND THE CAUSES AND OUTCOMES OF DIFFERENT ILLNESSES AND TO IMPROVE THE HEALTH AND HEALTH CARE OF THE ENTIRE COUNTY. THIS COLLARBORATION AND SHARING OF MEDICAL INFORMATION MAKES OLMSTED COUNTY ONE OF THE FEW PLACES IN THE UNITED STATES, AND ONE OF THE FEW PLACES IN THE WORLD, WHERE "POPULATION-BASED" RESEARCH CAN BE ACCOMPLISHED. THIS IS VERY IMPORTANT BECAUSE HEALTH RESEARCH BASED ON PEOPLE WHO ARE SEEN BY A SINGLE DOCTOR OR AT A SINGLE CLINIC HAS LIMITATIONS AND CANNOT BE GENERALIZED. USING THE ROCHESTER EPIDEMIOLOGY PROJECT, WE CAN FIGURE OUT THE TRUE FREQUENCY OF CERTAIN CONDITIONS (E.G. HOW MANY NEW PATIENTS DEVELOP HEART DISEASE EACH YEAR AMONG 100 PERSONS AGED 70 TO 79 YEARS) AND THE TRUE SUCCESS OF TREATMENTS (E.G. HOW MANY PERSONS WILL RESPOND POSITIVELY TO A NEW ANTI-DEPRESSANT MEDICATION). THIS PROJECT HAS BEEN SUPPORTED BY FUNDS FROM THE NATIONAL INSTITUTES OF HEALTH FOR OVER 40 YEARS.Description
FieldValueIRS element (for citing)
Total Program Service Expense125122999TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096190NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1136NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KEVIN HIGGINSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075296600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1210 9TH STREET SEAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55904ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CHARLES BRANCH MD
PHYSICIAN TRUSTEE40.00X646278046976
RANDY HEMANN MD
PHYSICIAN TRUSTEE40.00X270445043135
JAMES HOFFMANN MD
PHYSICIAN TRUSTEE40.00X376065045738
LINDA WILLIAMS MD
PHYSICIAN TRUSTEE30.00X188391027013
NORM DOTY
PUBLIC TRUSTEE1.00X000
JOHN DOYLE
2010 BOARD TRUSTEE CHAIR1.00X000X
DENNIS MCDONOUGH
PUBLIC TRUSTEE1.00X000
SUSAN MADDEN
PUBLIC TRUSTEE1.00X000
DON SUDOR
PUBLIC TRUSTEE1.00X000
TOM WINKELS
2009 BOARD OF TRUSTEE CHAIR1.00X000
ROY A YAWN MD
PRESIDENT/PHYS TRUSTEE40.00X396639035463X
WENDY SHANNON
PUBLIC TRUSTEE1.00X000
JIM GANDER
PUBLIC TRUSTEE1.00X000
JAY HESLEY
PUBLIC TRUSTEE1.00X000
KATIE RYAN
PUBLIC TRUSTEE1.00X000
JUSTIN MCNEILUS
PUBLIC TRUSTEE1.00X000
JAMES MCPEAK JR
PUBLIC TRUSTEE1.00X000
JULIE ANDERSON
PUBLIC TRUSTEE1.00X000
MARY BENIKE KISILEWSKI
PUBLIC TRUSTEE1.00X000
JAY MYERS
PHYSICIAN TRUSTEE/SEC/TREASURER40.00X403937045799X
TIM WEIR
CEO40.00408337044223X
KEVIN HIGGINS
CFO40.00255021043410X
DAVID WESTGARD MD
CHIEF MEDICAL OFFICER40.00386214041078X
DR SRDAN BABOVIC
PHYSICIAN40.00644919035630X
DR DAVID LOWE
PHYSICIAN40.00602088051170X
DR VIDHAN CHANDRA
PHYSICIAN40.00574212034609X
DR MARCO SANTAMARIA
PHYSICIAN40.00538168049553X
DR JEFFERY BECKENBAUGH
PHYSICIAN40.00585005053052X
DR KATHRYN LOMBARDO
FMR TRUSTEE, PSYCHOLOGY DPMT CHAIR40.00406611033583X
DR THOMAS ERBACH
FMR TRUSTEE, SURGERY DPMT CHAIR40.00420216043909X
FieldValueIRS element (for citing)
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Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation674341TotalOtherCompensation
Number Individuals GT100 K129NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WEIS BUILDERS INC
2227 7TH STREET NWROCHESTERMN55901CONSTRUCTION5230355
CONSTRUCTION COLLABORATIVE
320 SOUTH BROADWAYROCHESTERMN55904CONSTRUCTION2060311
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN55480LAB SERVICES1158534
THE AFFILIATED GROUP
PO BOX 7739ROCHESTERMN55903DEBT COLLECTION592649
MCKESSON INFORMATION SYSTEMS
PO BOX 98347CHICAGOIL60693SOFTWARE SUPPORT550269
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Related Organizations116877RelatedOrganizations
Government Grants413398GovernmentGrants
All Other Contributions555899AllOtherContributions
Total Contributions1086174TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column146157471TotalRevenueColumn
Related Or Exempt Function Income146157471RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue146157471TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1153682TotalRevenueColumn
Exclusion$1,153,682ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real93781Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real93781Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column93781TotalRevenueColumn
Exclusion$93,781ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities823339Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities826415Securities
Other49848Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-3076Securities
Other-49848Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-52924TotalRevenueColumn
Related Or Exempt Function Income-49848RelatedOrExemptFunctionIncome
Exclusion-$3,076ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA REVENUEDescription
Business Code722210BusinessCode
Total Revenue Column161135TotalRevenueColumn
Exclusion$161,135ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column181096TotalRevenueColumn
Related Or Exempt Function Income181096RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue342231TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column148780415TotalRevenueColumn
Related Or Exempt Function Income146288719RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,405,522ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total571070Total
Program Services571070ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4166229Total
Program Services2771896ProgramServices
Management And General1394333ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total65048030Total
Program Services60748885ProgramServices
Management And General4138138ManagementAndGeneral
Fundraising161007Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5838125Total
Program Services5342950ProgramServices
Management And General478397ManagementAndGeneral
Fundraising16778Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8341199Total
Program Services7568986ProgramServices
Management And General756715ManagementAndGeneral
Fundraising15498Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4895366Total
Program Services4589925ProgramServices
Management And General293797ManagementAndGeneral
Fundraising11644Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total112047Total
Management And General112047ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total103853Total
Management And General103853ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total115693Total
Management And General115693ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total114754Total
Program Services56630ProgramServices
Management And General58124ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4254608Total
Program Services3545932ProgramServices
Management And General708676ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total262554Total
Program Services8603ProgramServices
Management And General253951ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15986222Total
Program Services15552057ProgramServices
Management And General434165ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total407182Total
Program Services175285ProgramServices
Management And General231897ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4144966Total
Program Services3728166ProgramServices
Management And General416800ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total54701Total
Program Services47421ProgramServices
Management And General7280ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total727741Total
Program Services555940ProgramServices
Management And General171801ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total980103Total
Program Services980103ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4048511Total
Program Services4048511ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total655353Total
Program Services655353ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS81850108185010
EQUIPMENT & SOFTWARE MA26211311809349811782
MINNESOTACARE TAX24328832432883
MISCELLANEOUS22684091748044520365

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total136335740Total
Program Services125122999ProgramServices
Management And General11007814ManagementAndGeneral
Fundraising204927Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25585222BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4449379BOY
EOY61172009EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19826053BOY
EOY20221700EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1306012BOY
EOY1205462EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1043953BOY
EOY1503567EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis83500897LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32378266LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41530661BOY
EOY51122631EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY9558116EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16449408BOY
EOY910937EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY110190688BOY
EOY145694422EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2041254BOY
EOY4346489EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34476BOY
EOY310228EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13978068BOY
EOY28077043EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY480000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5673457BOY
EOY7448623EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15598770BOY
EOY19176088EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37326025BOY
EOY59838471EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY72864663BOY
EOY85855951EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72864663BOY
EOY85855951EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY110190688BOY
EOY145694422EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12444675ReconcilationRevenueExpenses
Reconcilation Other Changes546613ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4390500OtherCostOrOtherBasis
Book Value4390500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49451309OtherCostOrOtherBasis
Depreciation12566402Depreciation
Book Value36884907BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis29496273OtherCostOrOtherBasis
Depreciation19682056Depreciation
Book Value9814217BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis162815OtherCostOrOtherBasis
Depreciation129808Depreciation
Book Value33007BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings51122631TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PAYROLL LIABILITY$11,882,552
OTHER ACCRUED LIABILITY$4,566,700
ACCRUED INTEREST$736,596
ACCRUED REAL ESTATE TAXES$543,376
THIRD PARTY PAYOR SETTLEMENTS$1,446,864
FieldValueIRS element (for citing)
Total Of Amounts19176088TotalOfAmounts
Total Revenue148780415TotalRevenue
Total Expenses136335740TotalExpenses
Excess Or Deficit For Year12444675ExcessOrDeficitForYear
Net Unrealized GL On Investments546613NetUnrealizedGLOnInvestments
Total Adjustments546613TotalAdjustments
Excess Or Deficit Per FS12991288ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ORGANIZATION 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, 2010 AND 2009. THE ORGANIZATION AND THE FOUNDATION ARE ALSO EXEMPT FROM STATE INCOME TAXES UNDER APPLICABLE MINNESOTA STATUTES. THE ORGANIZATION AND THE FOUNDATION FILE FEDERAL AND STATE INCOME TAX RETURNS. GENERALLY, THE ORGANIZATION AND THE FOUNDATION ARE NO LONGER SUBJECT TO STATE AND FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEAR ENDED DECEMBER 31, 2005, AND PRIOR.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage260.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense880360TotalCommunityBenefitExpense
Net Community Benefit Expense880360NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24403763TotalCommunityBenefitExpense
Direct Offsetting Revenue15041384DirectOffsettingRevenue
Net Community Benefit Expense9362379NetCommunityBenefitExpense
Percent Of Total Expense0.07310PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2913698TotalCommunityBenefitExpense
Direct Offsetting Revenue388377DirectOffsettingRevenue
Net Community Benefit Expense2525321NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28197821TotalCommunityBenefitExpense
Direct Offsetting Revenue15429761DirectOffsettingRevenue
Net Community Benefit Expense12768060NetCommunityBenefitExpense
Percent Of Total Expense0.09970PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense40329TotalCommunityBenefitExpense
Net Community Benefit Expense40329NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense789391TotalCommunityBenefitExpense
Net Community Benefit Expense789391NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1059460TotalCommunityBenefitExpense
Direct Offsetting Revenue875333DirectOffsettingRevenue
Net Community Benefit Expense184127NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense571070TotalCommunityBenefitExpense
Net Community Benefit Expense571070NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2460250TotalCommunityBenefitExpense
Direct Offsetting Revenue875333DirectOffsettingRevenue
Net Community Benefit Expense1584917NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense30658071TotalCommunityBenefitExpense
Direct Offsetting Revenue16305094DirectOffsettingRevenue
Net Community Benefit Expense14352977NetCommunityBenefitExpense
Percent Of Total Expense0.11210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,396,882BadDebtExpenseAmount
Amount Attributable To257201AmountAttributableTo
Amount Reimbursed By Medicare9710977AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12244437CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2533460MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1OLMSTED MEDICAL CENTER-HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11650 4TH STREET SEAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55904ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
Er OtherXErOther
OtherURGENT CAREOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OLMSTED MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities16NumberOfOtherFacilities

Other Facilities OtherFacilities (16 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OLMSTED MEDICAL CENTER - MAIN CLINIC
210 NINTH STREET SEROCHESTERMN55904MAIN CLINIC - OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - BYRON CLINIC
846 HIGH POINT DR NEBYRONMN55920OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - CHATFIELD CLINI
207 TWIFORD STREET SWCHATFIELDMN55923OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - NORTHWEST CLINIC
4303 HIGHWAY 52NROCHESTERMN55901OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - PINE ISLAND CLINIC
111 COUNTY ROAD 11 NWPINE ISLANDMN55963OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - PLAINVIEW CLINIC
20 2ND AVENUE NEPLAINVIEWMN55964OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - PRESTON CLINIC
405 KANSAS STREET NWPRESTONMN55965OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - ST CHARLES CLINIC
403 W FOURTH STREETST CHARLESMN55972OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - SPRING VALLEY CLINIC
302 WEST TRACY ROADSPRING VALLEYMN55975OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - STEWARTVILLE CLINIC
208 CENTERTOWN PLAZASTEWARTVILLEMN55976OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - WANAMINGO CLINIC
217 MAIN STREET STE BWANAMINGOMN55983OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - FASTCARE NORTH CLINIC
3708 HIGHWAY 63NROCHESTERMN55906OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - FASTCARE SOUTH CLINIC
2820 S BROADWAYROCHESTERMN55904OUTPATIENT PHYSICIAN CLINIC
OLMSTED MEDICAL - CENTER FOR WELLNESS
821 THIRD AVENUE SEROCHESTERMN55904WELLNESS CENTER
OLMSTED MEDICAL - PHYSICAL THERAPY
102 ELTON HILLS DRIVEROCHESTERMN55901PHYSICAL THERAPY CENTER
OLMSTED MEDICAL - RESEARCH DEPT
829 3RD AVE SE KINGS ROWROCHESTERMN55904RESEARCH FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
PART I, LINE 7: THE ORGANIZATION CALCULATED THE COST AMOUNTS NOTED IN PART I, LINE 7 BY UTILIZING ITS CURRENT COST ACCOUNTING SYSTEM. IRS WORKSHEETS ARE UTILIZED TO REPORT AMOUNTS SHOWN.
PART I, LINE 7G: AMOUNTS INCLUDED IN THIS LINE WERE ATTRIBUTABLE TO PHYSICIAN CLINICS.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8185010.
PART III, LINE 4: THE FOOTNOTE FROM THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: 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. THE ORGANIZATION USED A COST TO CHARGE RATIO TO DETERMINE THE COST AMOUNT OF THE BAD DEBT EXPENSE. WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, AS PROVIDED IN THE IRS INSTRUCTIONS WAS USED TO DETERMINE THE APPROPRIATE RATIO.
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 THE INSTRUCTIONS 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 $10,483,348.
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 PATIENT'S 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 FROM SPOUSE 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; 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 THE APPLICATIONS MEETING THE CRITERIA AND PRESENTS TO ADMINISTRATION FOR APPROVAL. OMC RESERVES THE RIGHT TO MAKE ADJUSTMENT DETERMINATIONS ON A CASE-BY-CASE BASIS.
PART I, LINE 6A: THE MARKETING AND COMMUNICATION DEPARTMENTS PREPARE AN ANNUAL REPORT WHICH INCLUDES A SECTION ON COMMUNITY BENEFIT. THIS REPORT IS SENT TO SPECIFIC INDIVIDUALS WITHIN THE COMMUNITY AND IS AVAILABLE ON THE ORGANIZATIONS' WEBSITE.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 7: NOT PROVIDED TO STATE.
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 AND ASSISTS PATIENTS WHO INDICATE AN INABILITY TO PAY. OMC INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAMS BY PROVIDING THE FINANCIAL ASSISTANCE POLICY ON BROCHURES IN THE NEW PATIENT PACKET AND AT THE FRONT DESK FOR ALL PATIENTS. THE POLICY IS ALSO PROVIDED ON THE BACK OF THE HOSPITAL BILL STATEMENTS, ON THE HOSPITAL WEBSITE AND ON THE HOSPITAL'S ONLINE BILL-PAY SYSTEM. OMC PATIENT FINANCIAL COUNSELORS PROVIDE INFORMATION TO PATIENTS REGARDING AVAILABLE HEALTHCARE FINANCIAL COVERAGE OPTIONS, SUCH AS: 1) MEDICAL ASSISTANCE, 2) MINNESOTA CARE, 3) OTHER FINANCIAL SERVICES AVAILABLE FOR LOW INCOME FAMILIES IN THE COMMUNITY, 4) OMC'S FINANCIAL ASSISTANCE PROGRAM.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 FORTY FIVE MILE RADIUS OF ROCHESTER, MN.
PART VI, LINE 6: 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. THE ORGANIZATION HAS EXPANDED THE OPERATIONS AT FASTCARE FACILITIES AND ADDED CARDIOLOGY AND ENDOCRINOLOGY SERVICES FOR ITS PATIENTS.
PART VI, LINE 7: N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
210 9TH STREET SEROCHESTERMN55904260022777501(C)(3)497766PROVIDE FUNDING TO OMC REGIONAL FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES.
ROCHESTER AREA CHAMBER OF COMMERCE
220 SOUTH BROADWAY 100ROCHESTERMN55904400506950501(C)(6)6450MUSEUM, GOLD/SILVER SPONSORSHIP, MLK BREAKFAST, GOLF OUTINGS
AMERICAN NATIONAL RED CROSS
2025 E STREET NWWASHINGTONDC20006530196605501(C)(3)6000PROVIDE RELIEF TO VICTIMS OF DISASTER, HEROES CAMPAIGN AND STORE OF HOPE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: 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. FOR OTHER DONATIONS, LETTERS ARE RECEIVED FROM THE BENEFACTORS INDICATING USE OF FUNDS AND THANKING US FOR OUR GENEROUS DONATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES BRANCH MD
64527800010000269500200260693254000
RANDY HEMANN MD
25979809647010000269500161850313580000
JAMES HOFFMANN MD
3703100525505000269500187880421803000
LINDA WILLIAMS MD
181839057520800020528064850215404000
ROY A YAWN MD
3429510527880900026950085130432102000
JAY MYERS
39799105946000269500188490449736000
TIM WEIR
325937082400000269500172730452560000
KEVIN HIGGINS
211288037079066540269500164600298431000
DAVID WESTGARD MD
310766075448000269500141280427292000
DR SRDAN BABOVIC
64484407500026950086800680549000
DR DAVID LOWE
602013075000269500242200653258000
DR VIDHAN CHANDRA
57413707500026950076590608821000
DR MARCO SANTAMARIA
537093075010000269500226030587721000
DR JEFFERY BECKENBAUGH
584930075000269500261020638057000
DR KATHRYN LOMBARDO
4060360750500026950066330440194000
DR THOMAS ERBACH
419141075010000269500169590464125000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BTHE ORGANIZATION FORMERLY HAD A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR THE BENEFIT OF CERTAIN EMPLOYEES WHO MET QUALIFICATION REQUIREMENTS AS DEFINED IN THE PLAN. THE BENEFIT AVAILABLE TO A PARTICIPANT UPON MEETING THE VESTING REQUIREMENTS WAS THE AMOUNT THAT WAS ALLOCATED TO THE PARTICIPANT'S ACCOUNT. ANY AMOUNTS ACCUMULATED IN THE PLAN THAT WERE FORFEITED BY A PARTICIPANT REVERTED TO THE ORGANIZATION. IN OCTOBER 2008, THE BOARD OF TRUSTEES VOTED TO TERMINATE THE PLAN. ONE-HALF OF THE AMOUNT DUE TO PLAN PARTICIPANTS WAS PAID OUT, IN ACCORDANCE WITH THE PROVISIONS OF THE TERMINATION, DURING 2009. THE REMAINING AMOUNT WAS PAID OUT IN 2010.
PART I, LINE 6THE RETIREMENT SAVINGS PLAN CONTRIBUTION, WHICH IS A DEFERRED COMPENSATION PLAN, IS BASED ON THE PROFITABILITY OF THE ORGANIZATION SUBJECT TO IRS LIMITATIONS AND SUBJECT TO BOARD OF GOVERNORS DISCRETION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF CHATFIELD MINNESOTA
416005045161817CE92004-11-158000000HOSPITAL CONSTRUCTION000
CITY OF CHATFIELD MINNESOTA
4160050452006-04-132651915HOSPITAL CONSTRUCTION000
CITY OF ROCHESTER MINESOTA
416005494771902FY42010-07-0720202546CLINIC CONSTRUCTION000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
8000000753700160000708630020050011
265191551915260000020060011
2020254617092154031286727649000111351225

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000
000000

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STERLING STATE BANK - SEE BELOWBusinessNameLine1
FieldValueIRS element (for citing)
Loan To OrganizationXLoanToOrganization
Original Principal$800,000OriginalPrincipalAmount
Balance Due480000BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due480000TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JULIE WINKELS
FAMILY MEMBER OF THOMAS WINKELS, TRUSTEE40412EMPLOYEE OF ORGANIZATION0
DR LOUIS WAGNER
FAMILY MEMBER OF DR. LINDA WILLIAMS, TRUSTEE514072EMPLOYEE OF ORGANIZATION0
DR BARBARA YAWN
FAMILY MEMBER OF DR. ROY YAWN, PRESIDENT156529EMPLOYEE OF ORGANIZATION0
MERCHANTS BANK
JOHN DOYLE, BOARD CHAIR, SERVES AS PRESIDENT OF MERCHANTS BANK531412OPERATING LEASE PAYMENTS ON RIS/PACS SYSTEM0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IIIdentifier
Return ReferenceINTERESTED PERSON DESCRIPTIONReturnReference
ExplanationSTERLING STATE BANK - JUSTIN MCNEILUS, TRUSTEE, IS FAMILY MEMBER OF MAJORITY OWNER OF BANK; ROY YAWN, PRESIDENT, IS BOARD MEMBER OF BANK; TOM WINKELS, TRUSTEE, IS PRESIDENT OF BANK.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART IV, LINE 20B:THE AUDITED FINANCIAL STATEMENTS HAVE NOT BEEN ATTACHED TO THIS RETURN IN COMPLIANCE WITH IRS INSTRUCTIONS FOR TAX YEARS BEGINNING BEFORE MARCH 23, 2010.
THE BOARD OF GOVERNORS IS ELECTED BY PHYSICIAN VOTE.FORM 990, PART VI, SECTION A, LINE 7A
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 11
FORM 990, PART VI, SECTION B, LINE 12CPER OMC POLICY THE BOARD OF TRUSTEES AND PRINCIPAL OFFICERS ANNUALLY SIGN CONFLICT OF INTEREST STATEMENTS. SIGNED CONFLICT OF INTEREST STATEMENTS ARE OBTAINED AND REVIEWED BY SENIOR MANAGEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15IN 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 CMO AND CEO POSITIONS IN ADDITION TO VICE PRESIDENT POSITIONS AS NECESSARY. THE SAME PHILOSOPHY IS APPLICABLE TO THE POSITION OF OMC PRESIDENT. PEER GROUPS FOR EXECUTIVE COMPENSATION, WHICH INCLUDES BASE SALARIES, INCENTIVE AND BENEFITS, WILL BE INTEGRATED 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. OMC ENGAGES AN EXTERNAL CONSULTANT WHO COMPILES A PEER GROUP COMPENSATION AND BENEFIT ANALYSIS ON A TWO YEAR BASIS. MOST RECENTLY IN 2010, A COMPENSATION PEER REVIEW STUDY WAS COMPLETED FOR THE CEO, PRESIDENT AND CMO AND PRESENTED TO THE BOARD OF GOVERNORS. THE EXECUTIVE COMPENSATION COMMITTEE OF THE OLMSTED MEDICAL CENTER CONSISTS OF FIVE ELECTED MEMBER OF THE BOARD OF GOVENORS. THE EXECUTIVE COMPENSATION COMMITTEE WILL SET THE COMPENSATION OF THE PRESIDENT, CEO AND CMO 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. THESE DISCUSSIONS ARE NOTED IN MINUTES OF THIS 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 19THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. THE ANNUAL FORM 990 REPORT IS AVAILABLE FOR PUBLIC VIEWING BY APPOINTMENT.
FORM 990, PART VII, SECTION ABOARD MEMBERS ARE NOT COMPENSATED FOR THEIR SERVICES TO THE ORGANIZATION. COMPENSATION SHOWN FOR PHYSICIAN TRUSTEES IS RELATED TO THEIR POSITION AS EMPLOYED PHYSICIANS OF THE ORGANIZATION.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 546,613.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE FINANCE COMMITTEE MEETS WITH MANAGEMENT BI-MONTHLY TO REVIEW FINANCIAL PERFORMANCE AS WELL AS KEY FINANCIAL ISSUES. IN ADDITION, THEY REVIEW THE RFP SUMMARIES WHEN A NEW INDEPENDENT AUDIT TEAM IS BEING SELECTED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
210 9TH STREET SEROCHESTERMN55904260022777HEALTHCARE EDUCATION AND COMMUNITY PURPOSESMN501(C)(3)LINE 11A, IOLMSTED MEDICAL CENTER1
OLMSTED MEDICAL CENTER AUXILIARY
1650 4TH STREET SEROCHESTERMN55904363382873SUPPORT OLMSTED MEDICAL CENTERMN501(C)(3)LINE 11A, IOLMSTED MEDICAL CENTER1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
B497766GAAP
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
C110342GAAP
OLMSTED MEDICAL CENTER REGIONAL FOUNDATION
N196271GAAP
OLMSTED MEDICAL CENTER AUXILIARY
C6535GAAP