2024-11-12T09:58:20-06:00 2023-12-31 135565207 KPMG LLP 350 NORTH 5TH ST STE 600 MINNEAPOLIS MN 55401 990 2023-01-01 465444821 UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC UNIV 6128840600 909 FULTON STREET SE MINNEAPOLIS MN 55414 WILLIAM SIBERT CFO 6128840600 2024-11-12 1 0 HOLLY K MOEN P01800653 6123055000 2023 2024-10-15 13:58:12Z WILLIAM SIBERT 909 FULTON STREET SE SUITE 200 MINNEAPOLIS MN 55414 167301882 0 X WWW.MHEALTH.ORG X 2015 MN JOINT VENTURE TO PROVIDE BREAKTHROUGH MEDICINE AND TRANSFORM THE HEALTH OF THE COMMUNITY USING THE POWER OF AN INTEGRATED ACADEMIC HEALTH SYSTEM. 8 8 0 0 0 0 0 0 151004254 167301112 0 770 0 0 151004254 167301882 0 0 0 0 0 0 0 0 0 194199203 223174831 194199203 223174831 -43194949 -55872949 134296737 124195222 172221794 217993228 -37925057 -93798006 X UNIVERSITY OF MINNESOTA HEALTH CLINICS & SURGERY CENTER, INC. (CSC) (THE ORGANIZATION) IS THE RESULT OF A JOINT-VENTURE AGREEMENT BETWEEN ITS MEMBERS, USING THE POWER OF AN INTEGRATED ACADEMIC HEALTH SYSTEM. THE ORGANIZATION IS COMPRISED OF MULTIPLE PHYSICIAN SPECIALTIES (CLINIC SERVICE UNITS). CSC THRU ITS MEMBER(S) IS AFFILIATED WITH VARIOUS MEDICAL DEPARTMENTS OF THE UNIVERSITY OF MINNESOTA'S SCHOOL OF MEDICINE (MEDICAL SCHOOL). THE RELATIONSHIP AFFILIATION DEFINS THE ORGANIZATION'S MAIN PURPOSE WHICH IS TO DEVELOP AND OPERATE AN AMBULATORY CARE CENTER DEDICATED TO ADVANCING MEDICAL RESEARCH AND EDUCATION AND PROVIDING HEALTH CARE SERVICES. 0 0 161164765 0 167301112 THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO PATIENTS THROUGH ITS FACILITIES WHILE SUPPORTING THE EDUCATION AND RESEARCH MISSION OF THE UNIVERSITY'S ACADEMIC HEALTH CENTER. THROUGH THE DELIVERY OF PATIENT CARE, THE ORGANIZATION ADVANCES CLINICAL TRAINING, MEDICAL EDUCATION, AND RESEARCH INITIATIVES OF THE UNIVERSITY'S MEDICAL SCHOOL AND OTHER SCHOOLS IN THE ACADEMIC HEALTH CENTER. 161164765 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 23 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X SEAN FREDRICKSON 6128840600 720 WASHINGTON AVENUE SE SUITE 200 MINNEAPOLIS MN 55414 X JAKUB TOLAR MD PHD BOARD CHAIR 1.00 0.00 X X 0 0 0 JAMES HEREFORD TREASURER AND SECRETARY 1.00 0.00 X X 0 0 0 MYRON FRANS DIRECTOR 1.00 0.00 X 0 0 0 MARK WELTON MD DIRECTOR 1.00 0.00 X 0 0 0 LAURA REED DIRECTOR THRU DEC 2023 1.00 0.00 X 0 0 0 BEVAN YUEH MD DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM SIBERT DIRECTOR, CFO 1.00 0.00 X 0 0 0 JOE GAYLORD DIRECTOR 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 FAIRVIEW HEALTH SERVICES PO BOX 1496 MINNEAPOLIS MN 55440 CLINICAL SERVICES 129135962 UNIVERSITY OF MN PHYSICIANS 720 WASHINGTON AVENUE SE MINNEAPOLIS MN 55440 LEASED EMPLOYEES 71451548 HHS LLC 12495 SILVER CREEK ROAD DRIPPING SPRINGS TX 78620 FACILITIES MGMT 2354928 SIEMENS MEDICAL SOLUTIONS INC 40 LIBERTY BLVD MALVERN PA 19355 EQUIP RENTAL/MAINT 947965 OLYMPUS AMERICA INC PO BOX 200183 PITTSBURGH PA 152510183 EQUIP RENTAL/MAINT 461877 13 PATIENT SERVICE REVENU 621400 163691910 163691910 OTHER REVENUE 621400 3609202 3609202 167301112 770 0 770 770 770 167301882 167301112 0 770 1558 1558 87282 87282 16642792 6508101 10134691 2088 1635 453 761201 574589 186612 39832 38215 1617 10820589 96276 10724313 151140 45784 105356 41412 12884 28528 2340833 1560353 780480 41254 41254 LEASED EMPLOYEES 135539469 120528804 15010665 MEDICAL SUPPLIES/DRUGS 26475389 26475389 GENERAL AND ADMIN 24583204 24583204 BAD DEBT EXPENSE 2808851 2808851 2837937 2513884 324053 223174831 161164765 62010066 0 13746836 10798424 0 0 0 0 17978643 16953198 0 0 0 0 0 0 2405747 2558237 8076790 7695013 41944446 36214060 6664141 5730386 0 0 0 0 0 0 0 0 85424580 80459964 134296737 124195222 78715659 128500591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93506135 89492637 172221794 217993228 X -37925057 -93798006 0 0 -37925057 -93798006 134296737 124195222 -55872949 0 X 0 1 X 1 0 X PART 1: UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER, INC. (CSC) IS RECOGNIZED AS A HOSPITAL BY THE INTERNAL REVENUE SERVICE UNDER IRC SECTION 170(B)(1)(A)(III). HOWEVER, CSC DOES NOT CURRENTLY OPERATE ANY LICENSED HOSPITAL FACILITIES; THEREFORE, NO SCHEDULE H IS REQUIRED. 1649741 500694 1149047 38184897 33721640 4463257 2109808 1991726 118082 5730386 FINANCE LEASE ROU ASSET 78179065 OPERATING LEASE ROU ASSET 2280899 80459964 LT LEASE LIABILITY 85546911 ST LEASE LIABILITY 3945726 89492637 X 164493031 0 164493031 2808851 2808851 167301882 220365980 0 220365980 2808851 2808851 223174831 PART X, LINE 2: THE COMPANY IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE COMPANY IS ALSO EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS IN THE MINNESOTA STATUTES. THE COMPANY HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE STANDARD REQUIRES AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE COMPANY EVALUATES ITS UNCERTAIN TAX POSITIONS. THERE ARE NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2023 AND 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,808,851. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 2,808,851. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS THE RESULT OF A JOINT-VENTURE AGREEMENT ENTERED INTO ON DECEMBER 20, 2013 BETWEEN ITS MEMBERS, THE UNIVERSITY OF MINNESOTA PHYSICIANS, (UMPHYSICIANS) A MINNESOTA NOT-FOR-PROFIT CORPORATION AND FAIRVIEW HEALTH SERVICES (FAIRVIEW) A NOT-FOR-PROFIT ENTITY, COLLECTIVELY, THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A AS PROVIDED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION, FAIRVIEW AND UMPHYSICIANS ARE THE SOLE MEMBERS OF THE ORGANIZATION. EACH MEMBER APPOINTS 50% OF THE GOVERNING BOARD, WITH UMP'S 50% OF APPOINTMENTS INCLUDING TWO REPRESENTATIVES OF THE MEDICAL SCHOOL, THE DEAN AND AN APPOINTEE OF THE DEAN. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS PROVIDE THE MEMBERS POWER IN AREAS SUCH AS BUDGET, EXPENDITURES, DEBT, CHANGES IN THE ORGANIZATION'S STRATEGIC PLAN, COMPLIANCE PLAN, AUDITORS, CALL FOR CONTRIBUTIONS AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B CSC WILL DELIVER A DRAFT OF THE FORM 990 TO MEMBERS OF ITS GOVERNING BODY, ELECTRONICALLY OR IN HARD COPY, BEFORE FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM WHICH IS ANNUALLY REVIEWED BY MANAGEMENT AND OUTSIDE LEGAL COUNSEL IF NECESSARY. IF ANY OFFICER, DIRECTOR OR COMMITTEE MEMBER OF THE ORGANIZATION IS CONSIDERED TO HAVE A CONFLICT OF INTEREST, THEY SHOULD GIVE THE BOARD OF THE ORGANIZATION NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER REFRAIN FROM VOTING OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE ORGANIZATION TO AFFECT ITS DECISION TO PARTICIPATE OR NOT PARTICIPATE IN SUCH TRANSACTION. THE INTERESTED OFFICER, DIRECTOR OR COMMITTEE MEMBER SHALL LEAVE ANY MEETING DURING ANY DISCUSSION OF A MATTER IN WHICH SUCH INDIVIDUAL IS CONSIDERED TO HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC FOR VIEWING AT THE MAIN OFFICE DURING NORMAL BUSINESS HOURS. PART IV, LINE 34: AS PROVIDED IN THE ORGANIZATION'S ARTICLES OF INCORPORATION, FAIRVIEW AND UMPHYSICIANS ARE THE SOLE MEMBERS OF THE ORGANIZATION. BOTH FAIRVIEW AND UMPHYSICIANS ARE MINNESOTA NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EACH MEMBER HAS A 50% MEMBERSHIP INTEREST IN THE ORGANIZATION. THE MEMBERS ARE NOT RELATED PER THE SCHEDULE R INSTRUCTIONS, BECAUSE NEITHER HAS A MAJORITY OWNERSHIP IN THE ORGANIZATION, AND THEREFORE ARE NOT LISTED ON SCHEDULE R, PART II. INTEGRATED STRUCTURE LLC 720 WASHINGTON AVE SE STE 200 MINNEAPOLIS MN 554142924 HOLDING COMPANY MN NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0