OLMSTED MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: OLMSTED MEDICAL CENTER (EIN 41-0855367)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-10-26
IRS object ID: 201712999349300826
Schema version: 2016v3.0
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	2017-10-26T11:16:42-05:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	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	2017-10-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	6123764500	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-10-05	IPDt
IP Tm	09:50:46	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	977139128611A4E36F514149905081B6C9A4065F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	46F349674EE889A40ED7A1CF827C4699A2F49015	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$218,256,950	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	1419	TotalEmployeeCnt
Total Volunteers	92	TotalVolunteersCnt
Total Gross UBI	$454,520	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$28,260	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,106,158	PYContributionsGrantsAmt
CY Contributions Grants	$397,060	CYContributionsGrantsAmt
PY Program Service Revenue	$190,282,864	PYProgramServiceRevenueAmt
CY Program Service Revenue	$201,908,489	CYProgramServiceRevenueAmt
PY Investment Income	$1,544,128	PYInvestmentIncomeAmt
CY Investment Income	$2,019,980	CYInvestmentIncomeAmt
PY Other Revenue	$1,418,181	PYOtherRevenueAmt
CY Other Revenue	$943,366	CYOtherRevenueAmt
PY Total Revenue	$194,351,331	PYTotalRevenueAmt
CY Total Revenue	$205,268,895	CYTotalRevenueAmt
PY Grants And Similar Paid	$453,803	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$497,803	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$110,094,763	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$114,972,841	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$687,251	CYTotalFundraisingExpenseAmt
PY Other Expenses	$68,730,178	PYOtherExpensesAmt
CY Other Expenses	$68,308,885	CYOtherExpensesAmt
PY Total Expenses	$179,278,744	PYTotalExpensesAmt
CY Total Expenses	$183,779,529	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,072,587	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,489,366	CYRevenuesLessExpensesAmt
Total Assets BOY	$236,546,687	TotalAssetsBOYAmt
Total Assets EOY	$259,275,114	TotalAssetsEOYAmt
Total Liabilities BOY	$74,674,577	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,252,489	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$161,872,110	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$184,022,625	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	Yes (1)	SignificantChangeInd
Expense	$160,685,867	ExpenseAmt
Grant	$497,803	GrantAmt
Revenue	$202,203,450	RevenueAmt
Desc	PATIENT CARE: 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 159 CLINICIANS AND 1,090 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. IN 2016 OLMSTED MEDICAL CENTER HAD 323,982 PATIENT VISITS SERVING 82,396 UNIQUE PATIENTS. THE HOSPITAL PROVIDED CARE FOR 3,144 PATIENT ADMISSIONS RESULTING IN 7,027 PATIENT DAYS INCLUDING 968 BIRTHS. WE STARTED A JOINT VENTURE OFFERING OUR PATIENTS ACCESS TO COMPREHENSIVE ADVANCED VISION DIAGNOSTIC SERVICES AND TREATMENTS, SPECIALIZING IN LASER EYE SURGERY (LASIK) AND OTHER VISION CORRECTION/ENHANCEMENT PROCEDURES AND WE EXPANDED OUR AFTER-HOURS ACUTE CARE UNTIL 7 PM AT OUR ROCHESTER SOUTHEAST CLINIC. THROUGH A NEW COLLABORATION WITH OLMSTED MEDICAL CENTER AND LAKE CITY FAMILY PHYSICIANS, BEGAN PROVIDING ORTHOPEDIC CARE FOR PATIENTS IN THE LAKE CITY AREA, IN ADDITION TO ROCHESTER.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$138,190	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY OUTREACH AND SUPPORT ACTIVITIES: 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 2016, OUR COMMUNITY CONTRIBUTIONS MADE UP 25.18% OF OUR ANNUAL OPERATING EXPENSE - MORE THAN $44,978,000 IN SUPPORT OF OUR COMMITMENT TO BE AN ACTIVE, CONTRIBUTING PARTNER IN THE COMMUNITIES WE SERVE. ANOTHER WAY OMC ACTIVELY SUPPORTS COMMUNITY HEALTH IS THROUGH ITS PARTNERSHIP WITH MAYO CLINIC, OLMSTED COUNTY PUBLIC HEALTH, AND SEVERAL OTHER COMMUNITY-SERVICE ORGANIZATIONS AS TOGETHER WE IMPLEMENTED THE YEAR-TWO ACTION PLAN BASED ON OUR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN 2016, 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$160,824,057	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	142	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1419	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	0	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 (25 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)	$569,051	$0	$35,265
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)	$663,509	$0	$33,488
JOSEPH TRICARICO MD
TREASURER/SECRETARY	40.00		Yes (X)	Yes (X)	$559,285	$0	$52,573
STEVE BORCHARDT
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
VIDHAN CHANDRA MD
CLINIC TRUSTEE	40.00		Yes (X)		$848,720	$0	$36,545
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	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)		$387,355	$0	$50,472
JACK PRIGGEN
PUBLIC TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARK WILBUR MD
CLINIC TRUSTEE	40.00		Yes (X)		$346,900	$0	$30,125
TIM WEIR
CEO	40.00	1.00		Yes (X)	$670,088	$0	$50,992
KEVIN HIGGINS
CFO	40.00	1.00		Yes (X)	$388,359	$0	$48,128
RANDY HEMANN MD
MEDICAL VICE PRESIDENT MED SERVICES	40.00				$421,098	$0	$50,172	Yes (X)
JAMES HOFFMANN MD
MEDICAL VICE PRESIDENT SURG SERVICES	40.00				$495,969	$0	$44,449	Yes (X)
JEFFREY BECKENBAUGH MD
PHYSICIAN	40.00				$700,233	$0	$48,082		Yes (X)
MATTHEW KIRSCH MD
PHYSICIAN	40.00				$919,531	$0	$37,457		Yes (X)
DAVID LOWE MD
PHYSICIAN	40.00				$618,361	$0	$53,318		Yes (X)
JAY MYERS MD
PHYSICIAN	40.00				$608,065	$0	$44,971		Yes (X)
MARCO SANTAMARIA MD
PHYSICIAN	40.00				$594,560	$0	$45,436		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,791,084	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$661,473	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	182	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
PO BOX 851313	MINNEAPOLIS	MN	55485	MEDICAL EQUIPMENT MAINTENANCE	$2,096,613
AMERICAN EXPRESS
2975 W CORPORATE LAKES BLVD	WESTON	FL	33331	ELECTRONIC VENDOR PAYMENT SYSTEM	$1,578,169
CERNER COPORATION
PO BOX 959156	ST LOUIS	MO	63195	COMPUTER SUPPORT	$1,359,250
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	MEDICAL SERVICES	$994,481
THE AFFILIATED GROUP
PO BOX 7799	ROCHESTER	MN	55903	DEBT COLLECTIONS	$852,168

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	108	CntrctRcvdGreaterThan100KCnt
Related Organizations	$382,503	RelatedOrganizationsAmt
All Other Contributions	$14,557	AllOtherContributionsAmt
Total Contributions	$397,060	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	621110	$199,884,461	$199,884,461
PHARMACY	446110	$2,024,028	$1,569,508	$454,520

Field	Value	IRS element (for citing)
Total Program Service Revenue	$201,908,489	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,501,948	TotalRevenueColumnAmt
Exclusion	$1,501,948	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$69,446	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	$69,446	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,446	TotalRevenueColumnAmt
Exclusion	$69,446	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,469,079	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,859,433	SecuritiesAmt
Other	$91,614	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$609,646	SecuritiesAmt
Other	-$91,614	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$518,032	TotalRevenueColumnAmt
Exclusion	$518,032	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$57,046	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$37,008	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,038	TotalRevenueColumnAmt
Exclusion	$20,038	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISC	621990	$309,148	$309,148
ELECTRONIC HEALTH RECORDS INCENTI	621990	$294,961		$294,961
CAFETERIA	621990	$237,861	$237,861

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,912	TotalRevenueColumnAmt
Exclusion	$11,912	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$853,882	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$205,268,895	TotalRevenueColumnAmt
Related Or Exempt Func Income	$201,748,930	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$454,520	UnrelatedBusinessRevenueAmt
Exclusion	$2,668,385	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$497,803	TotalAmt
Program Services	$497,803	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,782,543	TotalAmt
Program Services	$4,322,818	ProgramServicesAmt
Management And General	$1,459,725	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$83,499,952	TotalAmt
Program Services	$74,770,873	ProgramServicesAmt
Management And General	$8,431,370	ManagementAndGeneralAmt
Fundraising	$297,709	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,750,286	TotalAmt
Program Services	$6,109,507	ProgramServicesAmt
Management And General	$609,003	ManagementAndGeneralAmt
Fundraising	$31,776	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,038,698	TotalAmt
Program Services	$9,595,503	ProgramServicesAmt
Management And General	$3,354,276	ManagementAndGeneralAmt
Fundraising	$88,919	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,901,362	TotalAmt
Program Services	$4,845,248	ProgramServicesAmt
Management And General	$1,035,580	ManagementAndGeneralAmt
Fundraising	$20,534	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$404,459	TotalAmt
Program Services	$264,209	ProgramServicesAmt
Management And General	$140,250	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$180,787	TotalAmt
Management And General	$180,787	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$89,552	TotalAmt
Management And General	$89,552	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$85,364	TotalAmt
Management And General	$85,364	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,384,362	TotalAmt
Program Services	$6,875,484	ProgramServicesAmt
Management And General	$1,508,878	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$401,415	TotalAmt
Management And General	$401,415	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,696,101	TotalAmt
Program Services	$2,019,974	ProgramServicesAmt
Management And General	$591,363	ManagementAndGeneralAmt
Fundraising	$84,764	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$389,921	TotalAmt
Program Services	$86,382	ProgramServicesAmt
Management And General	$303,539	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,040,236	TotalAmt
Program Services	$5,001,434	ProgramServicesAmt
Management And General	$1,027,664	ManagementAndGeneralAmt
Fundraising	$11,138	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$74,712	TotalAmt
Program Services	$62,019	ProgramServicesAmt
Management And General	$12,693	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$889,799	TotalAmt
Program Services	$662,948	ProgramServicesAmt
Management And General	$219,130	ManagementAndGeneralAmt
Fundraising	$7,721	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,084,090	TotalAmt
Program Services	$2,022,468	ProgramServicesAmt
Management And General	$61,622	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,996,830	TotalAmt
Program Services	$8,996,830	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$849,951	TotalAmt
Program Services	$849,951	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$19,057,806	$19,056,733	$1,073
EQUIP/SOFTWARE MAINT	$6,098,266	$4,372,553	$1,619,837	$105,876
BAD DEBT	$5,837,674	$5,837,674
MN CARE TAX	$4,108,675	$4,108,675

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,638,885	TotalAmt
Program Services	$464,971	ProgramServicesAmt
Management And General	$1,135,100	ManagementAndGeneralAmt
Fundraising	$38,814	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$183,779,529	TotalAmt
Program Services	$160,824,057	ProgramServicesAmt
Management And General	$22,268,221	ManagementAndGeneralAmt
Fundraising	$687,251	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$79,210,549	BOYAmt
EOY	$89,797,688	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,709,127	BOYAmt
EOY	$40,911,435	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,679,514	BOYAmt
EOY	$1,805,796	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,520,925	BOYAmt
EOY	$1,728,908	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$152,480,335	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$64,110,315	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$92,625,250	BOYAmt
EOY	$88,370,020	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$26,801,322	BOYAmt
EOY	$36,475,225	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$186,042	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$236,546,687	BOYAmt
EOY	$259,275,114	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$30,233,675	BOYAmt
EOY	$34,882,686	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$57,581	BOYAmt
EOY	$71,260	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,797,842	BOYAmt
EOY	$31,509,357	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,314,190	BOYAmt
EOY	$4,361,065	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$4,640,691	BOYAmt
EOY	$3,721,822	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$630,598	BOYAmt
EOY	$706,299	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,674,577	BOYAmt
EOY	$75,252,489	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$161,872,110	BOYAmt
EOY	$184,022,625	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$161,872,110	BOYAmt
EOY	$184,022,625	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$236,546,687	BOYAmt
EOY	$259,275,114	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$21,489,366	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$661,149	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	$91,321,435	OtherCostOrOtherBasisAmt
Depreciation	$26,446,746	DepreciationAmt
Book Value	$64,874,689	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,836,143	OtherCostOrOtherBasisAmt
Depreciation	$37,663,569	DepreciationAmt
Book Value	$18,172,574	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,573	OtherCostOrOtherBasisAmt
Book Value	$37,573	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$88,370,020	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	THIRD PARTY PAYOR SETTLEMENTS	Desc
Amt	$706,299	Amt

Field	Value	IRS element (for citing)
Total Liability	$706,299	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, 2016 AND 2015. 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, 2011, 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, 2016, 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	300.000000000000	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	0	ExpensesExceedBudgetInd
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	$1,637,092	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,637,092	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,743,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,075,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,667,150	NetCommunityBenefitExpnsAmt
Total Expense	0.10490	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$816,557	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$828,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,196,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,904,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,304,242	NetCommunityBenefitExpnsAmt
Total Expense	0.11410	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$138,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,795,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,755,738	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,039,652	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$159,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,432	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,288	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,794	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$92,794	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,186,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,805,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,380,924	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,382,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,710,042	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,685,166	NetCommunityBenefitExpnsAmt
Total Expense	0.12750	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,837,674	BadDebtExpenseAmt
Reimbursed By Medicare	$18,212,995	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,522,747	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,309,752	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	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
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://WWW.CO.OLMSTED.MN.US/OCPHS/REPORTS/NEEDS%20ASSESSMENT/DOCUMENTS/201	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.OLMMED.ORG/APP/FILES/PUBLIC/1344/OMC-CHNA-AND-ACTION-PLAN-2017-	StrategyWebsiteURLTxt
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	300.000000000000	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
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	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/APP/FILES/PUBLIC/1222/INFORMATION-SHEET---FINANCIAL-	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.OLMMED.ORG/APP/FILES/PUBLIC/1223/INFORMATION-SHEET---PLAIN-LANG	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
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 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: OMC WORKED IN COLLABORATION WITH MAYO CLINIC, OLMSTED COUNTY PUBLIC HEALTH SERVICES, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT THAT IDENTIFIED MORE THAN 30 HEALTH ISSUES IN OLMSTED COUNTY IN 2013. THE MOST PRESSING HEALTH ISSUES IDENTIFIED FOR THE SHARED COMPREHENSIVE COMMUNITY HEALTH IMPROVEMENT PLAN WERE OBESITY, DIABETES, MENTAL HEALTH, VACCINE PREVENTABLE DISEASES, AND HOMELESSNESS/FINANCIAL STRESS. BEYOND THE COMMUNITY'S HEALTH IMPROVEMENT PLAN, OMC DEVELOPED ITS OWN PLAN FOR ITS OWN PATIENTS IN THE AREAS OF OBESITY, DIABETES, MENTAL HEALTH, AND VACCINE PREVENTABLE DISEASES. SOME EFFORT WAS MADE FOR HOMELESSNESS AND FINANCIAL STRESS, HOWEVER, THIS ISSUE WAS LARGELY OUT OF THE SCOPE OF OMC'S MISSION.HOMELESSNESS AND FINANCIAL STRESS HAVE BEEN IDENTIFIED AS A SIGNIFICANT NEED IN OUR COMMUNITY-WIDE CHNA. DUE TO LIMITED RESOURCES, PLUS CLARITY FOR OUR OWN MISSION OF HEALTHCARE DELIVERY, 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.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 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
21 - ADVANCED VISION DIAGNOSTIC & LASIK
1544 GREENVIEW DR SW	ROCHESTER	MN	55902	EYE CARE CENTER
22 - OMC - NW RETAIL PHARMACY
5067 55TH STREET NW	ROCHESTER	MN	55901	RETAIL PHARMACY
23 - OMC - SE RETAIL PHARMACY
210 9TH ST SE	ROCHESTER	MN	55904	RETAIL PHARMACY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ELIGIBILITY IS DETERMINED BY MEASURING INCOME AND HOME EQUITY ASSETS BASED ON THE FEDERAL POVERTY GUIDELINES. BOTH INCOME AND ASSETS (SEPARATELY) HAVE TO FALL BELOW THE ANNUAL GROSS INCOME/ASSET MAXIMUM VALUES IN OMC'S FINANCIAL ASSISTANCE POLICY TO QUALIFY.
PART I, LINE 6A:	THE OLMSTED MEDICAL CENTER ANNUAL REPORT IS MADE WIDELY AVAILABLE AND IS AVAILABLE ON THE WEBSITE.
PART I, LINE 7:	THE AMOUNTS REPORTED ON PART I, LINES 7A-C ARE DERIVED USING THE COST TO CHARGE RATIO CALCULATION BASED ON WORKSHEET 2 OF THE IRS INSTRUCTIONS. THE AMOUNTS REPORTED ON PART I, LINES 7E-7I ARE DERIVED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDED IN PART I, LINE 7G INCLUDE ACTIVITES FROM FIVE OF OMC'S CLINIC LOCATIONS.
PART I, LN 7 COL(F):	$5,837,674 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 10 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 $16,449,742.
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 (2 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)	$420,759	PROVIDE FUNDING TO OMC REGIONAL FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES.
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	2	Total501c3OrgCnt
Total Other Org	0	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	$489,953	$0	$78,098	$0	$1,000	$0	$25,175	$0	$10,090	$0	$604,316	$0	$0	$0
SRDAN BABOVIC MD
TREASURER/SECRETARY	$663,109	$0	$0	$0	$400	$0	$25,175	$0	$8,313	$0	$696,997	$0	$0	$0
JOSEPH TRICARICO MD
TREASURER/SECRETARY	$557,862	$0	$1,123	$0	$300	$0	$25,175	$0	$27,398	$0	$611,858	$0	$0	$0
VIDHAN CHANDRA MD
CLINIC TRUSTEE	$846,193	$0	$2,527	$0	$0	$0	$25,175	$0	$11,370	$0	$885,265	$0	$0	$0
KIMBERLY MCKEON MD
CLINIC TRUSTEE	$378,267	$0	$8,588	$0	$500	$0	$25,175	$0	$25,297	$0	$437,827	$0	$0	$0
MARK WILBUR MD
CLINIC TRUSTEE	$325,138	$0	$21,762	$0	$0	$0	$25,175	$0	$4,950	$0	$377,025	$0	$0	$0
TIM WEIR
CEO	$529,395	$0	$140,693	$0	$0	$0	$25,175	$0	$25,817	$0	$721,080	$0	$0	$0
KEVIN HIGGINS
CFO	$308,255	$0	$68,796	$0	$11,308	$0	$25,175	$0	$22,953	$0	$436,487	$0	$0	$0
RANDY HEMANN MD
MEDICAL VICE PRESIDENT MED SERVICES	$381,371	$0	$38,727	$0	$1,000	$0	$25,175	$0	$24,997	$0	$471,270	$0	$0	$0
JAMES HOFFMANN MD
MEDICAL VICE PRESIDENT SURG SERVICES	$456,242	$0	$38,727	$0	$1,000	$0	$25,175	$0	$19,274	$0	$540,418	$0	$0	$0
JEFFREY BECKENBAUGH MD
PHYSICIAN	$700,233	$0	$0	$0	$0	$0	$25,175	$0	$22,907	$0	$748,315	$0	$0	$0
MATTHEW KIRSCH MD
PHYSICIAN	$919,531	$0	$0	$0	$0	$0	$25,175	$0	$12,282	$0	$956,988	$0	$0	$0
DAVID LOWE MD
PHYSICIAN	$613,587	$0	$4,774	$0	$0	$0	$25,175	$0	$28,143	$0	$671,679	$0	$0	$0
JAY MYERS MD
PHYSICIAN	$607,715	$0	$0	$0	$350	$0	$25,175	$0	$19,796	$0	$653,036	$0	$0	$0
MARCO SANTAMARIA MD
PHYSICIAN	$593,560	$0	$0	$0	$1,000	$0	$25,175	$0	$20,261	$0	$639,996	$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. BABOVIC,$1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. TRICARICO,$1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. CHANDRA,$1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. MCKEON,$1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. HEMANN, $1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. HOFFMANN, $1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. KIRSCH,$1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. MYERS,$1, GROSS UP TAXES ON YEARS OF SERVICE GIFT CARD DR. SANTAMARIA, $1, GROSS UP TAXES ON YEARS OF SERVICE 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	$4,205,000	$20,202,546	$1,736,608	$1,341,608	$407,200	$17,968,405	$275,180	2011	0	0	Yes (1)	Yes (1)
B	$1,130,000	$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	$109,667	TransactionAmt
Transaction	BANKING RELATIONSHIP, OMC LOAN/INTEREST PAYMENTS	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	WITH THE RETIREMENT OF DR. BARBARA YAWN IN DECEMBER 2015, OUR RESEARCH ACTIVITIES HAVE BEEN WINDING DOWN.
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 11B	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 15A	IN ORDER TO ENSURE THAT ALL OLMSTED MEDICAL CENTER (OMC) EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, EQUITABLE, UNIFORMLY ADMINISTERED, AND CONSISTENT WITH MARKET PRACTICES, OMC FOLLOWS RECOMMENDED BEST PRACTICES. THE GOALS OF EXECUTIVE COMPENSATION ARE TO ATTRACT AND RETAIN HIGHLY QUALIFIED PERSONNEL, TO MAINTAIN COMPENSATION LEVELS COMMENSURATE WITH THE SCOPE OF RESPONSIBILITIES FOR EACH POSITION, AND TO REWARD OUTSTANDING PERFORMANCE. OMC WILL SEEK MANAGEMENT TALENT BY CONDUCTING NATIONAL SEARCHES FOR QUALIFIED APPLICANTS FOR ANY VACANCIES AT THE CEO POSITION 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 AND PRESIDENT AND PRESENTED TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE. THE BOARD OF GOVERNORS RECEIVES AN EXECUTIVE SUMMARY. THE EXECUTIVE COMPENSATION COMMITTEE RECEIVES A SUMMARY OF EVERYONE'S COMPENSATION TO ENSURE IT IS IN ALIGNMENT WITH THE SAME COMPENSATION METHODOLOGY AND AGREED UPON METHODOLOGY OF THE EXECUTIVE COMPENSATION SYSTEM OF OMC. THE EXECUTIVE COMPENSATION COMMITTEE WILL SET THE COMPENSATION OF THE PRESIDENT AND CEO 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. THE SAME PHILOSOPHY DESCRIBED ABOVE IS APPLICABLE FOR ALL OTHER OFFICER AND KEY EMPLOYEE POSITIONS, HOWEVER, THE COMPENSATION AMOUNT IS REVIEWED AND APPROVED BY THE PRESIDENT AND CEO. 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	$2,034,557	TotalIncomeAmt
End Of Year Assets	$1,095,158	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

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OLMSTED MEDICAL CENTER REGIONAL FOUNDATION	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	260022777	EIN
Primary Activities	HEALTHCARE EDUCATION AND COMMUNITY PURPOSES	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5715 W OLD SHAKOPEE ROAD STE 150	AddressLine1Txt
City	BLOOMINGTON	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55437	ZIPCd

Field	Value	IRS element (for citing)
EIN	822006285	EIN
Primary Activities	EYE CARE	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$203,552	ShareOfTotalIncomeAmt
Share Of EOY Assets	$216,334	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

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	$420,758	GAAP
OMC REGIONAL FOUNDATION
C	$382,503	GAAP
OMC REGIONAL FOUNDATION
O	$377,035	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART I, COLUMN D	FormAndLineReferenceDesc
Explanation	THE $2,034,557 REPRESENTS OMC RETAIL SERVICES, LLC'S TOTAL INCOME INCLUDED IN PART VIII, LINE 12 FOR THE YEAR ENDED DECEMBER 31, 2016. WHEN TOTAL INCOME IS NETTED AGAINST TOTAL EXPENSES, OMC RETAIL SERVICES, LLC RESULTED IN A NET GAIN OF $188,188 FOR THE YEAR ENDED DECEMBER 31, 2016.	ExplanationTxt