2019-11-13T12:45:41-06:00 2018-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2018-01-01 465444821 University of Minnesota Health Clinics and Surgery Center Inc % OWEN GOHLKE UNIV 6128840600 909 Fulton Street SE Suite 200 Minneapolis MN 55414 MARY JOHNSON COO 6128840894 2019-11-14 true Monroe J Gierl P01413237 6123055000 167.68.102.5 41438720193175000000 2019-11-13 P 78E8547FA765C8D9E89905B57511D075833AD426 AC54748FFC50D967AA2BBEAEB8F4489B300F6EE8 2018 2020-01-14 16:20:31Z MARY JOHNSON 909 Fulton Street SE200 Minneapolis MN 55414 115054399 false 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. 9 9 0 0 0 0 0 0 100242769 115054399 0 0 0 0 100242769 115054399 0 0 0 0 0 0 0 0 0 131589046 147694288 131589046 147694288 -31346277 -32639889 155609296 166780460 147993248 191804301 7616048 -25023841 X UNIVERSITY OF MINNESOTA HEALTH CLINICS & SURGERY CENTER, INC. (CSC) (THE CORPORATION) IS A MINNESOTA CORPORATION COMPRISED OF MULTIPLE PHYSICIAN SPECIALTIES (CLINICAL SERVICE UNITS). THE CORPORATION IS THE RESULT OF A JOINT-VENTURE AGREEMENT 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. 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 DEFINES THE CORPORATION'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. false false 144970651 115054399 The corporation supports the education and research mission of the University's academic health center and advances education and research efforts of the University's medical school and other schools in the academic health center. 144970651 true false false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 13 0 true 0 true false false false false false false false false false false false false X 9 9 false false false false true true false true true false false true true true true true true false false false MN X OWEN GOHLKE 6128840894 720 WASHINGTON AVENUE SE SUITE 200 Minneapolis MN 55414 X Jakub Tolar MD Chair 0.4 0.0 X X 0 0 0 Macaran Baird MD Director 1.0 0.0 X 0 0 0 Denis Clohisy MD Director 0.4 0.0 X 0 0 0 Diane Cross Director 0.4 0.0 X 0 0 0 Bobbie Dressen Director 0.4 0.0 X 0 0 0 John Doherty Director 1.0 0.0 X 0 0 0 Kevin Gustafson MD Director 0.4 0.0 X 0 0 0 James Hereford Secretary/Treasurer 1.0 0.0 X X 0 0 0 Diane Thibodeau Director 0.4 0.0 X 0 0 0 Mary Johnson Chief Operating Officer 15.0 0.0 X 201356 0 0 201356 0 0 0 false false true HHS LLC 216 E 4th Street AUSTIN TX 78701 Facilities MGMT 2147956 Regents of the University of Minnes NW 5960 PO Box 1450 MINNEAPOLIS MN 554855960 Utilities and Maint 2237294 Olympus America Inc PO Box 200183 PITTSBURGH PA 152510183 Equip Rental/Maint 388754 Siemens Medical Solutions USA Inc 40 Liberty BLVD MALVERN PA 19355 Equip Rental/Maint 796249 HEALTH SYSTEMS COOP LAUNDRY 725 MINNEHAHA AVE E SAINT PAUL MN 551064441 LAUNDRY SERVICE 334611 11 0 PATIENT PRACTICE REVENUES 621400 110410406 110410406 FAIRVIEW CONTRACT REVENUES 621400 4240770 4240770 OTHER REVENUES 621400 403223 403223 115054399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115054399 115054399 0 0 0 0 0 0 0 0 0 0 0 42411 42411 96664 96664 0 0 0 7020049 7020049 90987 90987 2562792 2562792 72450 72450 0 3437711 3437711 31913 31913 0 22658 22658 4251553 4251553 0 9690110 9690110 140266 140266 LEASED EMPLOYESS 81830960 81830960 0 MEDICAL DRUGS AND SUPPLIES 17559032 17559032 GENERAL AND ADMIN EXPENSES 15134170 15134170 BAD DEBT EXPENSE 3126000 3126000 2584562 2584562 147694288 144970651 2723637 0 1300485 18500864 0 0 0 0 22529221 25564447 0 0 0 0 0 0 1499299 1705211 11578337 11287889 136099869 26377820 118701954 109722049 0 0 0 0 0 0 0 0 0 0 155609296 166780460 52657656 98628485 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95335592 93175816 147993248 191804301 X 7616048 -25023841 0 0 0 0 7616048 -25023841 155609296 166780460 -32639889 X false true X true false X Sch A Part I 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. 100840222 10084022 90756200 582691 96592 486099 34676956 16197206 18479750 0 0 0 109722049 0 LEASE LIABILITY 93175816 93175816 X 111928399 111928399 3126000 3126000 115054399 141442288 141442288 3126000 3126000 144568288 Sch D Part X Line 2 The Company is a not-for-profit corporation 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 recorded no assets or liabilities related to uncertain tax positions or unrecognized tax benefits as a result of the adoption of the standard. Sch D, Part XI, Line 4b Bad Debt Expense $3,126,000 Sch D, Part XII, Line 4b Bad Debt Expense $3,126,000 false false false false false false false false false Mary Johnson Chief Operating Officer 134237 67119 0 0 0 0 0 201356 0 0 0 COMPENSATION FROM AN UNRELATED ORGANIZATION: THE CHIEF OPERATING OFFICER OF THE ORGANIZATION, MARY JOHNSON, WAS PAID BY UNIVERSITY OF MINNESOTA PHYSICIANS (EIN: 41-1843943). Form 990 Part IV Line 34 As provided in the corporation's articles of Incorporation, Fairview and UMPhysicians are the sole members of the corporation. 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 corporation. 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. Form 990 Part VI Line 6 The corporation 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 Line 7a AS PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION, FAIRVIEW AND UMPHYSICIANS ARE THE SOLE MEMBERS OF THE CORPORATION. IF INTEGRATED STRUCTURE, LLC (IS) EXISTS, THE INDIVIDUALS SERVING AS THE BOARD OF GOVERNORS OF IS SHALL SERVE AS THE MEMBERS OF THE BOARD OF THE CORPORATION. ONE HALF OF THE BOARD OF IS APPOINTED BY UMP AND ONE HALF IS APPOINTED BY FAIRVIEW. IF FOR ANY REASON IS CEASES TO EXIST, THE DEAN OF THE MEDICAL SCHOOL WILL SERVE AS AN EX OFFICIO DIRECTOR AND SHALL APPOINT ONE ADDITIONAL DIRECTOR. UMP SHALL APPOINT THE REMAINING DIRECTORS. Form 990 Part VI Line 11a 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 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 CORPORATION IS CONSIDERED TO HAVE CONFLICT OF INTEREST, THEY SHOULD GIVE THE BOARD OF THE CORPORATION NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER REFRAIN FROM VOTING OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE CORPORATION 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 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. Integrated Structure LLC 720 Washington Ave SE STE 200 Minneapolis MN 554142924 Holding Company MN NONE NONE 0 0 false 0 false false false false false false false false false false false false false false false false false false false