2014-10-15T15:45:18-05:00 2013-12-31 420714325 MCGLADREY LLP 400 LOCUST ST STE 640 DES MOINES IA 503092354 990 2013-01-01 410855367 OLMSTED MEDICAL CENTER OLMS 5072883443 210 NINTH STREET SE ROCHESTER MN 55904 TIM WEIR CHIEF EXECUTIVE OFFICER 5072883443 2014-09-29 1 KATHY FAIRCHILD P00222608 5155586600 2013 2015-11-30 17:44:51Z KATHRYN LOMBARDO 210 NINTH STREET SE ROCHESTER MN 55904 191412524 0 X HTTP://WWW.OLMMED.ORG X 1949 MN THE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY AND SERVICE. 15 10 1310 92 121302 -31789 3762761 2546060 167158167 181842362 1078270 1571512 1311050 3315664 173310248 189275598 365190 465778 0 0 100089456 109446281 0 0 395833 57183363 64957815 157638009 174869874 15672239 14405724 182634017 218598004 61997354 83532410 120636663 135065594 X THE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY AND SERVICE. 0 0 156564589 465778 182193280 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 160 CLINICIANS AND 1,000+ HEALTHCARE PROFESSIONALS SERVE AT 18 LOCATIONS, INCLUDING TWO MULTI-SPECIALTY CLINICS, PHYSICAL/OCCUPATIONAL THERAPY, SPORTS MEDICINE FACILITIES, A LEVEL IV 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 TO OPEN IN 2014, TWO NEW BRANCH CLINIC FACILITIES, A 15,000 SQUARE-FOOT SPORTS MEDICINE AND ATHLETIC PERFORMANCE FACILITY IN NORTHWEST ROCHESTER, AND A RETAIL PHARMACY AT ROCHESTER NORTHWEST CLINIC.OMC IS ADDING/EXPANDING PROGRAMS IN TELEHEALTH, WOUND CARE, ORTHOPEDICS, BARIATRIC SURGERY, WOMEN'S HEALTH, NON-SURGICAL CARDIOLOGY, NUCLEAR RADIOLOGY, PAIN MANAGEMENT, AND SPORTS MEDICINE/ATHLETIC PERFORMANCE. 94227 COMMUNITY OUTREACH AND SUPPORT ACTIVIITES: 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 2013, OUR COMMUNITY CONTRIBUTIONS MADE UP 27.03% OF OUR ANNUAL OPERATING EXPENSES-MORE THAN $45 MILLION 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 THEY UNDERTAKE THE NEW FEDERALLY MANDATED REQUIREMENT TO PRODUCE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND RELATED ACTION PLAN BY THE END OF TAX YEAR 2013. CLOSE COLLABORATION IS NOTHING NEW FOR US AND OUR LEAD PARTNERS, AND OUR WORK TOGETHER PRODUCED RESULTS THAT EACH OF US CAN ACT ON TO BETTER OUR COMMUNITY'S HEALTH.IN 2013, OMC HOSTED HUNDREDS OF SCHOOL-AGED CHILDREN AND COLLEGE STUDENTS FOR EDUCATION EXPERIENCES DESIGNED TO CULTIVATE THE NEXT GENERATION OF CAREGIVERS. IN ADDITION, OMC'S COMMUNITY INVESTMENT ACTIVITIES SUPPORTED 104 LOCAL AND REGIONAL ORGANIZATIONS DELIVERING FITNESS AND SAFETY, YOUTH, ARTS AND CULTURE, EDUCATION, CIVIC, AND HUMAN SERVICE PROGRAMS THROUGHOUT SOUTHEASTERN MINNESOTA. OUR SUPPORT FOR THOSE COMMUNITY ORGANIZATIONS REMAINS CONSISTENT WITH THE WAY OUR EMPLOYEES CONTINUED TO REACH OUT TO THEIR OWN COMMUNITIES BY VOLUNTEERING.MANY OMC EMPLOYEES SHARE PERSONAL TIME AND TALENT IN VARIOUS COMMUNITY-BASED PROGRAMS, SPENDING APPROXIMATELY 10.3 PERSONAL HOURS AND 5 WORK HOURS PER MONTH ENGAGED IN VOLUNTEER SERVICE. USING THE INDEPENDENT SECTOR'S 2012 ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME ($22.14), THIS MEANS THAT THE AVERAGE OMC VOLUNTEER CONTRIBUTES BETWEEN $112 AND $229 IN TIME AND EFFORT EACH MONTH, OR BETWEEN $1,342 AND $2,745 PER YEAR. THE TOTAL ANNUAL VALUE OF VOLUNTEER TIME SPENT BY THE 302 EMPLOYEES WHO INDICATED ON THIS SURVEY THAT THEY'RE INVOLVED IN NON-PROFIT OR COMMUNITY WORK, THEN, IS $805,454. 2737564 2500274 OMC'S RESEARCH DEPARTMENT, LED BY DR. BARBARA YAWN, MD, HELPS RESEARCHERS FROM AROUND THE WORLD STUDY DISEASES AND CONDITIONS, INCLUDING THE EFFECT OF DISEASES OF PEOPLE'S LIVES AND THE VALUE OF TREATMENT IN PREVENTING, CURING AND IMPROVING TREATMENT OUTCOMES. OMC RESEARCH IS A KEY PARTNER IN STUDIES OF THE HEALTH OF POPULATIONS IN OLMSTED COUNTY AND THROUGHOUT THE UNITED STATES. THE DEPARTMENT HAS INITIATED SEVERAL NATIONAL STUDIES TO IMPROVE THE HEALTH AND MEDICAL CARE OF ALL AMERICANS.BEACON COMMUNITY PROJECT - OMC ASSUMED A LEADERSHIP ROLE IN THE FEDERALLY FUNDED $12.2 MILLION SOUTHEAST MINNESOTA REGION BEACON COMMUNITY PROJECT AND ITS GOAL OF CREATING A NATIONAL MODEL FOR THE SECURE EXCHANGE OF PATIENTS' HEALTH INFORMATION AT ANY POINT OF CLINICAL SERVICE. 159396380 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 192 0 1 1310 1 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X KEVIN HIGGINS 5072883443 102 ELTON HILLS DRIVE NW ROCHESTER MN 55901 X RANDY HEMANN MD PHYSICIAN TRUSTEE 40.00 X 317046 0 47335 KATHRYN LOMBARDO MD CURRENT PRESIDENT 40.00 1.00 X X 410498 0 29381 ROY A YAWN MD PAST PRESIDENT/PHYS TRUSTEE 40.00 1.00 X X 287725 0 30655 WENDY SHANNON PUBLIC TRUSTEE 1.00 X 0 0 0 JAY HESLEY CURRENT BRD CHAIR/PUBLIC TRUSTEE 1.00 X X 0 0 0 JUSTIN MCNEILUS PUBLIC TRUSTEE 1.00 X 0 0 0 JAMES MCPEAK JR PUBLIC TRUSTEE 1.00 X 0 0 0 JULIE ANDERSON PUBLIC TRUSTEE 1.00 X 0 0 0 MARY BENIKE KISILEWSKI PUBLIC TRUSTEE 1.00 X 0 0 0 JAY MYERS MD PHYSICIAN TRUSTEE/SEC/TREA 40.00 X X 569738 0 47573 KIMBERLY MCKEON MD PHYSICIAN TRUSTEE 40.00 X 302422 0 48483 MELISSA BRINKMAN PUBLIC TRUSTEE 1.00 X 0 0 0 TOM SLIGHTAM PUBLIC TRUSTEE 1.00 X 0 0 0 SRDAN BABOVIC MD PHYSICIAN TRUSTEE 40.00 X 731401 0 32753 STEVE YAGGY PUBLIC TRUSTEE 1.00 X 0 0 0 KEN BROWN PUBLIC TRUSTEE 1.00 X 0 0 0 TIM WEIR CEO 40.00 1.00 X 470599 0 46489 KEVIN HIGGINS CFO 40.00 1.00 X 335218 0 46670 DAVID WESTGARD CHIEF MEDICAL OFFICER 40.00 1.00 X 433173 0 39599 VIDHAN CHANDRA MD PHYSICIAN 40.00 X 808413 0 31410 JOEL SOLANO MD PHYSICIAN 40.00 X 582425 0 30332 ROBERT KURLAND MD PHYSICIAN 40.00 X 577787 0 42793 MARCO SANTAMARIA MD PHYSICIAN 40.00 X 553179 0 50944 GRAHAM RITTS MD PHYSICIAN 40.00 X 541274 0 36422 LINDA WILLIAMS MD FORMER PHYSICIAN TRUSTEE 40.00 X 203012 0 31912 CHARLES BRANCH MD FORMER PHYSICIAN TRUSTEE 40.00 X 539688 0 49736 JAMES HOFFMAN DO FORMER PHYSICIAN TRUSTEE 40.00 X 391248 0 46259 THOMAS ERBACH MD FORMER PHYSICIAN TRUSTEE 40.00 X 320791 0 30347 8375637 0 719093 163 1 1 0 MAYO COLLABORATIVE SERVICES 200 1ST STREET SW ROCHESTER MN 55905 MEDICAL SERVICES 1192825 THE AFFILIATED GROUP INC PO BOX 7739 ROCHESTER MN 55903 BILLING & COLLECTION SERVICES 714153 NUANCE COMMUNICATIONS INC PO BOX 2561 CAROL STREAM IL 601322561 TRANSCRIPTION SERVICES 547564 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64141 COMPUTER SUPPORT 510638 UNIVERSAL HOSPITAL SERVICE INC SDS 12-0940 PO BOX 86 MINNEAPOLIS MN 554860940 EQUIPMENT MAINTENANCE 472265 70 45786 2361799 138475 2546060 NET PATIENT SERVICES 621110 181336457 181336457 PHARMACY 446110 505905 384603 121302 181842362 1233091 1233091 98224 0 98224 98224 98224 2475347 2073893 63033 401454 -63033 338421 -63033 401454 ELECTRONIC HEALTH RECORDS INCENTI 900099 2294242 2294242 CAFETERIA REVENUE 722210 181913 181913 741285 741285 3217440 189275598 184693554 121302 1914682 465778 465778 3826439 2275977 1550462 1830245 1830245 80245647 74033425 5941171 271051 6076664 5623109 432239 21316 11990929 11043151 863454 84324 5476357 5041944 415271 19142 284913 213146 71767 188431 98124 90307 220066 220066 62188 79 62109 9537491 8529265 1008226 401264 5670 395594 3157304 2626080 531224 874307 341209 533098 4965651 4279821 685830 69162 58660 10502 832711 660297 172414 1764939 1712623 52316 7166135 7166135 689767 689767 MEDICAL SUPPLIES 16538529 16532183 6346 PROVISION FOR BAD DEBTS 7913386 7913386 EQUIPMENT & SOFTWARE MA 4098494 2938940 1159554 MISCELLANEOUS 3303456 2427745 875711 2889621 2889621 174869874 159396380 15077661 395833 68189740 85343961 25888778 29558546 1251128 1612877 2777873 5167197 123338695 47410089 64835269 75928606 18890020 20005981 801209 980836 182634017 218598004 3750818 3873160 232256 677797 25152905 35605000 160000 0 9925508 18987656 22775867 24388797 61997354 83532410 X 120636663 135065594 120636663 135065594 182634017 218598004 14405724 23207 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5285183 5285183 72242056 20566528 51675528 45636675 26703854 18932821 174781 139707 35074 75928606 PAYROLL LIABILITY 14694070 OTHER ACCRUED LIABILITY 6671783 ACCRUED INTEREST 930022 ACCRUED REAL ESTATE TAXES 873172 THIRD PARTY PAYOR SETTLEMENTS 1219750 24388797 X PART X, LINE 2: OLMSTED MEDICAL CENTER AND THE OMC REGIONAL 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, 2013 AND 2012. THE MEDICAL CENTER AND FOUNDATION ARE ALSO EXEMPT FROM STATE INCOME TAXES UNDER APPLICABLE MINNESOTA STATUTES. THE MEDICAL CENTER AND 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, 2009, 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, 2013, THERE WERE NO UNCERTAIN TAX POSITIONS. 1 1 X 1 X 260.000000000000 1 X 1 1 1 0 1 1 1356286 0 1356286 0.00810 27856590 16094569 11762021 0.07040 3650554 568504 3082050 0.01850 32863430 16663073 16200357 0.09700 94228 0 94228 0.00060 0 0 862727 0 862727 0.00520 3100433 2500274 600159 0.00360 349149 0 349149 0.00210 4406537 2500274 1906263 0.01150 37269967 19163347 18106620 0.10850 0 7913386 0 12329655 19485312 -7155657 X 1 1 1 1 OLMSTED MEDICAL CENTER-HOSPITAL 1650 4TH STREET SE ROCHESTER MN 55904 X X X X X URGENT CARE OLMSTED MEDICAL CENTER 1 1 X X X X X X X X X 13 1 1 1 X OLMMED.ORG X X X X X X X X 0 0 1 1 260.000000000000 1 300.000000000000 1 X X X X 1 1 X X X X X X 1 0 X X X 1 X 0 0 OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 3: 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 4: OLMSTED MEDICAL CENTER COLLABORATED WITH MAYO CLINIC AND OLMSTED COUNTY TO PRODUCE THE COMMUNITY NEEDS ASSESSMENT. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 7: OLMSTED MEDICAL CENTER REVIEWED INFANT MORTALITY, MORBIDITY, HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, ADOLESCENT CHEMICAL HEALTH, DENTAL ISSUES, DIABETES, MATERNAL MORTALITY, MENTAL ILLNESS-ADULTS, MENTAL ILLNESS-CHILDREN AND OBESITY. KNOWING WE HAD LIMITED RESOURCES (TIME, MONEY, KNOWLEDGE) THE COMMITTEE OPTED TO ADDRESS WHAT IT CONSIDERED THE THREE MOST IMPORTANT ISSUES. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 12I: OMC VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET THE HOSPITAL'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO PATIENTS REGARDING THE CHARITY CARE PROGRAM. ADDITIONALY, OMC HAS SIGNED AN AGREEMENT WITH THE MINNESOTA STATE ATTORNEY GENERAL TO FOLLOW THE ATTORNEY GENERAL'S BILLING AND COLLECTION PRACTICES PER THE ATTORNEY GENERAL'S LETTER. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 20D: THERE WAS NO CAP ON THE AMOUNT OF PATIENT FAP. PART V, SECTION B, LINE 14: OMC VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET THE HOSPITAL'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO PATIENTS REGARDING THE CHARITY CARE PROGRAM. ADDITIONALY, OMC HAS SIGNED AN AGREEMENT WITH THE MINNESOTA STATE ATTORNEY GENERAL TO FOLLOW THE ATTORNEY GENERAL'S BILLING AND COLLECTION PRACTICES PER THE ATTORNEY GENERAL'S LETTER. 18 OLMSTED MEDICAL CENTER - MAIN CLINIC 210 NINTH STREET SE ROCHESTER MN 55904 MAIN CLINIC - OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - BYRON CLINIC 846 HIGH POINT DR NE BYRON MN 55920 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - CHATFIELD CLINIC 207 TWIFORD STREET SW CHATFIELD MN 55923 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - CANNON FALLS CLINIC 1705 HIGHWAY 20 CANNON FALLS MN 55009 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - PINE ISLAND CLINIC 111 COUNTY ROAD 11 NW PINE ISLAND MN 55963 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - PLAINVIEW CLINIC 20 2ND AVENUE NE PLAINVIEW MN 55964 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - PRESTON CLINIC 405 KANSAS STREET NW PRESTON MN 55965 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - ST CHARLES CLINIC 403 W FOURTH STREET ST CHARLES MN 55972 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - SPRING VALLEY CLINIC 302 WEST TRACY ROAD SPRING VALLEY MN 55975 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - STEWARTVILLE CLINIC 208 CENTERTOWN PLAZA STEWARTVILLE MN 55976 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - WANAMINGO CLINIC 217 MAIN STREET STE B WANAMINGO MN 55983 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - FASTCARE NORTH CLINIC 3708 HIGHWAY 63N ROCHESTER MN 55906 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - FASTCARE SOUTH CLINIC 2820 S BROADWAY ROCHESTER MN 55904 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - NW CLINIC 5067 55TH STREET NW ROCHESTER MN 55901 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - SKYWAY CLINIC 318 1ST AVENUE SW SUITE 203 ROCHESTER MN 55902 OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - PHYSICAL THERAPY 102 ELTON HILLS DRIVE ROCHESTER MN 55901 PHYSICAL THERAPY CENTER OLMSTED MEDICAL - RESEARCH DEPT 829 3RD AVE SE KINGS ROW ROCHESTER MN 55904 RESEARCH FACILITY OLMSTED MEDICAL CENTER - SPORTS MED 5155 55TH STREET NW ROCHESTER MN 55901 PHYSICAL THERAPY/ATHLETIC PERFORMANCE PART I, LINE 3C: FEDERAL POVERTY GUIDELINES ARE USED FOR DETERMINING FINANCIAL ASSISTANCE. PART I, LINE 7: LINE 7A-7C: AMOUNTS SHOWN ARE BASED UPON A COST-TO-CHARGE RATIO FROM IRS WORKSHEET 2.LINE 7E-7I: AMOUNTS SHOWN ARE BASED UPON THE ORGANIZATIONS COST ACCOUNTING SYSTEM. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,913,386. PART I, LINE 6A: THE OLMSTED MEDICAL CENTER ANNUAL REPORT IS MADE WIDELY AVAILABLE AND IS AVAILABLE ON THE WEBSITE. PART III, LINE 4: THE FOOTNOTE FROM THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF PATIENT ACCOUNTS RECEIVABLE PREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED. PART III, LINE 8: THE ORGANIZATION DERIVED ITS COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT BY USING COST REPORT WORKSHEETS. MEDICARE COSTS ARE DETERMINED THROUGH THE MEDICARE COST FINDING PROCESS WHICH ALLOCATES GENERAL SERVICE CENTER COSTS TO REVENUE DEPARTMENTS. THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA.THE REASONS MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT ARE: ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND THE AMOUNT SPENT TO COVER MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS, THE COMMUNITY BENEFIT OF COSTS IN EXCESS OF MEDICARE PAYMENTS WAS $17,599,632. PART III, LINE 9B: PATIENT FINANCIAL HARDSHIP POLICY: TO SUPPORT THE ORGANIZATION'S MISSION AND PHILOSOPHY IN THAT THE PATIENT COMES FIRST AND PROVIDE A GUIDELINE IN IDENTIFYING PATIENT'S WHO HAVE AN EXCEPTIONAL PERSONAL FINANCIAL HARDSHIP AND REQUIRED NEEDED AND NECESSARY MEDICAL CARE AND THERE IS REMOTE OR NEGLIBLE CHANCE THAT THE INDIVIDUAL WILL BE ABLE TO REPAY. PROCEDURE: FACTORS THAT MAY CONTRIBUTE TO EXCEPTIONAL FINANCIAL HARDSHIP INCLUDE:1) UNEMPLOYMENT OR UNDEREMPLOYMENT THROUGH NO FAULT OF THE PATIENT AND/OR FAMILY; 2) THREATENED LOSS OF SHELTER THROUGH FORECLOSURE, ETC; 3) LOSS OF INCOME FROM FEDERAL, STATE OR OTHER GOVERNMENT BENEFITS INCLUDING, BUT NOT LIMITED TO SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLIC ASSISTANCE, ETC; 4) LOSS OF INCOME DUE TO DEATH OR DISABILITY; 5) EXCEPTIONAL EXPENSES INCURRED BECAUSE OF UNINSURED PROPERTY DAMAGE OR COSTLY REPAIRS TO PRINCIPAL RESIDENCE; 6) EXCEPTIONAL EXPENSES DUE TO TEMPORARY OR CHRONIC ILLNESS; 7) EXCEPTIONAL EXPENSES DUE TO INCREASE IN LIVING EXPENSES BECAUSE OF A DIVORCE, ABANDONMENT OR SEPARATION FROM SPOUSE OR INCOME EARNER; 8) LOSS OF INCOME DUE TO DECLARATION OF INCOMPETENCE OR IN PROCESS OF BEING DECLARED INCOMPETENT; 9) PATIENT OR FAMILY MEMBER IS CONFINED TO A CONVALESCENT HOME OR OTHER RESIDENCE OTHER THAN THEIR PRINCIPAL RESIDENCE; 10) NATURAL DISASTERS SUCH AS FLOODS, FIRES, HURRICANES AND EARTHQUAKES; 11) EVICTION, HOMELESSNESS, LOSS OF OWNED RESIDENCE, ARSON, THEFT, ETC; 12) DISCONTINUANCE OF UTILITIES OR HEAT, OR UNSAFE OR UNHEALTHY LIVING CONDITIONS; 13) ANY OTHER CONDITION CONSIDERED LIFE THREATENING DUE TO EXCEPTIONAL FINANCIAL HARDSHIP.APPLICATION PROCESS: THE FINANCIAL HARDSHIP APPLICATION, UTILIZING OMC'S FINANCIAL ASSISTANCE APPLICATION, CONTAINS THE NECESSARY INFORMATION TO DETERMINE ELIGIBILITY FOR THE OMC FINANCIAL HARDSHIP PROGRAM. NO SEPARATE APPLICATION IS NECESSARY. SUPPORTING DOCUMENTATION REQUIRED TO MAKE AN ELIGIBILITY DETERMINATION ARE: 1) MOST RECENT TAX RETURNS, 2) CURRENT FAMILY PAYROLL STUB SHOWING YEAR-TO-DATE INCOME; 3) CURRENT TRANSUNION CREDIT REPORT AND OTHER FINANCIAL HARDSHIP DOCUMENTATION TO SUPPORT HARDSHIP; 4) EXPLANATION OF HARDSHIP SITUATION/NECESSITY AND RARE COMPLICATIONS.ELIGIBILITY DETERMINATION: BASED UPON PATIENT'S/FAMILY'S INCOME AND ASSETS AND COMPLETED FINANCIAL ASSISTANCE APPLICATION. BASED UPON TAKING INTO CONSIDERATION ALL PERSONAL FACTORS IN DETERMINING EXCEPTIONAL FINANCIAL HARDSHIP. THE BUSINESS SERVICES DEPARTMENT EVALUATES THE APPLICATIONS MEETING THE CRITERIA AND PRESENTS TO ADMINISTRATION FOR APPROVAL. OMC RESERVES THE RIGHT TO MAKE ADJUSTMENT DETERMINATIONS ON A CASE-BY-CASE BASIS. PART 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 III, LINE 2: PATIENT ACCOUNTS RECEIVABLE DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED, LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF PATIENT ACCOUNTS RECEIVABLE PREVIOUSLY WRITTEN OFF ARE RECORDED WHEN RECEIVED. PART III, LINE 3: WHEN OMC IDENTIFIES A PATIENT AS ELIGIBLE FOR FINANCIAL ASSISTANCE, OMC PERFORMS A LOOK-BACK TO SEE IF THE PATIENT HAS PREVIOUS BAD DEBT. IF SO, OMC RECLASSIFIES THAT AMOUNT OUT OF BAD DEBT AND INTO A FINANCIAL ASSISTANCE CODE. PART VI, LINE 2: OMC ACTIVELY WORKS WITH LOCAL GOVERNMENT IN ASSESSING AND ADDRESSING COMMUNITY NEEDS THROUGH MEETINGS, WORKSHOPS, AND COMMUNITY INPUT. IN ADDITION, OMC IS ACTIVELY INVOLVED WITH LOCAL GOVERNMENTS IN EMERGENCY PREPAREDNESS AND DISEASE MANAGEMENT. PART VI, LINE 3: OMC INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AND ASSISTS PATIENTS WHO INDICATE AN INABILITY TO PAY. OMC INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAMS BY PROVIDING THE FINANCIAL ASSISTANCE POLICY ON BROCHURES IN THE NEW PATIENT PACKET AND AT THE FRONT DESK FOR ALL PATIENTS. THE POLICY IS ALSO PROVIDED ON THE BACK OF THE HOSPITAL BILL STATEMENTS, ON THE HOSPITAL WEBSITE AND ON THE HOSPITAL'S ONLINE BILL-PAY SYSTEM. OMC PATIENT FINANCIAL COUNSELORS PROVIDE INFORMATION TO PATIENTS REGARDING AVAILABLE HEALTHCARE FINANCIAL COVERAGE OPTIONS, SUCH AS: 1) MEDICAL ASSISTANCE, 2) MINNESOTA CARE, 3) OTHER FINANCIAL SERVICES AVAILABLE FOR LOW INCOME FAMILIES IN THE COMMUNITY, 4) OMC'S FINANCIAL ASSISTANCE PROGRAM.THE PATIENT FINANCIAL COUNSELORS ASSIST OMC PATIENTS IN THE APPLICATION PROCESS. ALL APPLICATIONS ARE PROCESSED IN A TIMELY MANNER. PATIENT APPLICATIONS ARE CONSIDERED FOR CURRENT PATIENT RESPONSIBLE BALANCES, AS WELL AS NEAR FUTURE SCHEDULED MEDICAL SERVICES. PATIENTS MAY QUALIFY FOR FULL OR PARTIAL FINANCIAL ASSISTANCE. PATIENT FINANCIAL COUNSELORS NOTE PATIENT'S ACCOUNT VIA ON-LINE NOTES REGARDING APPLICATIONS SENT, APPLICATIONS IN PROCESS, AND WHETHER APPLICATIONS HAVE BEEN APPROVED, DENIED, OR ADDITIONAL INFORMATION IS REQUIRED. THE PATIENT FINANCIAL COUNSELORS INFORM THE PATIENT VIA A LETTER REGARDING THE DETERMINATION (APPROVED, DENIED, OR PARTIAL COVERAGE APPROVED) OF THE RECEIVED AND COMPLETED APPLICATION. PRIOR TO TURNING ACCOUNTS OVER THE THIRD PARTY COLLECTION, THE ACCOUNT WILL BE REVIEWED FOR POSSIBLE FINANCIAL ASSISTANCE PROGRAM QUALIFICATION THROUGH THE E-BUREAU PROCESS. PART VI, LINE 4: OMC IS A REGIONAL HEALTH CARE FACILITY SERVING PATIENTS WITHIN A SIXTY MILE 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. THE ORGANIZATION HAS EXPANDED THE OPERATIONS AT FASTCARE FACILITIES AND ADDED CARDIOLOGY AND ENDOCRINOLOGY SERVICES FOR ITS PATIENTS. PART VI, LINE 6: N/A PART VI, LINE 7: THE ORGANIZATION DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA. HOWEVER, COMMUNITY BENEFIT INFORMATION IS PROVIDED TO THE MINNESOTA HOSPITAL ASSOCIATION WHICH IS THEN USED IN A STATEWIDE SUMMARY REPORT OF COMMUNITY BENEFITS PROVIDED BY MINNESOTA HOSPITALS. 1 OLMSTED MEDICAL CENTER REGIONAL FOUNDATION 210 9TH STREET SE ROCHESTER MN 55904 260022777 501(C)(3) 465778 PROVIDE FUNDING TO OMC REGIONAL FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES. PROVIDE FUNDING TO UNDERWRITE CHILDREN'S PROGRAM PART I, LINE 2: MOST OF GRANT EXPENDITURES ARE PROVIDED TO OLMSTED MEDICAL CENTER REGIONAL FOUNDATION, A RELATED ORGANIZATION. OMC PROVIDES FUNDS TO THE FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES AS NEEDED. THERE ARE NUMEROUS WAYS TO MONITOR THE USE OF THE GRANT FUNDS. MANY OF THE EVENTS ARE OPEN TO THE PUBLIC AND EASILY VERIFIABLE. STAFF OFTEN ASSIST AS VOLUNTEERS. THE FILING ORGANIZATION 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. X X X X 0 0 0 0 0 0 0 0 0 RANDY HEMANN MD PHYSICIAN TRUSTEE 303360 0 11134 0 2552 0 25500 0 21835 0 364381 0 0 0 KATHRYN LOMBARDO MD CURRENT PRESIDENT 394173 0 14199 0 2126 0 25500 0 3881 0 439879 0 0 0 ROY A YAWN MD PAST PRESIDENT/PHYS TRUSTEE 205814 0 76518 0 5393 0 25500 0 5155 0 318380 0 0 0 JAY MYERS MD PHYSICIAN TRUSTEE/SEC/TREA 560722 0 7232 0 1784 0 25500 0 22073 0 617311 0 0 0 KIMBERLY MCKEON MD PHYSICIAN TRUSTEE 300617 0 0 0 1805 0 25500 0 22983 0 350905 0 0 0 SRDAN BABOVIC MD PHYSICIAN TRUSTEE 728084 0 0 0 3317 0 25500 0 7253 0 764154 0 0 0 TIM WEIR CEO 358592 0 111125 0 882 0 25500 0 20989 0 517088 0 0 0 KEVIN HIGGINS CFO 275606 0 58979 0 633 0 25500 0 21170 0 381888 0 0 0 DAVID WESTGARD CHIEF MEDICAL OFFICER 328481 0 97905 0 6787 0 25500 0 14099 0 472772 0 0 0 VIDHAN CHANDRA MD PHYSICIAN 805057 0 2206 0 1150 0 25500 0 5910 0 839823 0 0 0 JOEL SOLANO MD PHYSICIAN 581793 0 0 0 632 0 25500 0 4832 0 612757 0 0 0 ROBERT KURLAND MD PHYSICIAN 567410 0 4760 0 5617 0 25500 0 17293 0 620580 0 0 0 MARCO SANTAMARIA MD PHYSICIAN 550096 0 0 0 3083 0 25500 0 25444 0 604123 0 0 0 GRAHAM RITTS MD PHYSICIAN 538270 0 0 0 3004 0 12750 0 23672 0 577696 0 0 0 LINDA WILLIAMS MD FORMER PHYSICIAN TRUSTEE 188424 0 11858 0 2730 0 20050 0 11862 0 234924 0 0 0 CHARLES BRANCH MD FORMER PHYSICIAN TRUSTEE 534090 0 0 0 5598 0 25500 0 24236 0 589424 0 0 0 JAMES HOFFMAN DO FORMER PHYSICIAN TRUSTEE 382545 0 6599 0 2104 0 25500 0 20759 0 437507 0 0 0 THOMAS ERBACH MD FORMER PHYSICIAN TRUSTEE 313325 0 0 0 7466 0 25500 0 4847 0 351138 0 0 0 SCHEDULE J PART II COMPENSATION PAID TO PHYSICIAN TRUSTEES IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS EMPLOYED PHYSICIANS OF THE ORGANIZATION. A CITY OF ROCHESTER MINNESOTA 416005494 771902FY4 2010-07-07 20360000 CLINIC CONSTRUCTION 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771902GU1 2013-04-01 17260000 WOMEN'S HEALTH PAVILLION CONSTRUCTION 0 0 0 A 20202546 1736608 1341608 407200 17968405 275180 2011 0 0 1 1 B 19290018 490226 286285 16403355 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 1 B 1 JULIE WINKELS FAMILY MEMBER OF THOMAS WINKELS, FORMER TRUSTEE 41881 EMPLOYEE OF ORGANIZATION 0 DR LOUIS WAGNER FAMILY MEMBER OF DR. LINDA WILLIAMS, FORMER TRUSTEE 335471 EMPLOYEE OF ORGANIZATION 0 DR BARBARA YAWN FAMILY MEMBER OF DR. ROY YAWN, PAST PRESIDENT 204947 EMPLOYEE OF ORGANIZATION 0 MERCHANTS BANK JOHN DOYLE, FORMER BOARD CHAIR, SERVES AS PRESIDENT OF MERCHANTS BANK 523941 OPERATING LEASE PAYMENTS ON RIS/PACS SYSTEM AND THE EHR LEASE 0 EXPRESS SERVICES INCTAZ INC NORM DOTY, FORMER TRUSTEE 16902 TEMP STAFFING SERVICES 0 FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF GOVERNORS IS ELECTED BY PHYSICIAN VOTE. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTANT. A DRAFT OF THE FORM 990 IS REVIEWED IN DETAIL BY THE FINANCIAL SERVICES MANAGER, CONTROLLER AND CFO. ANY NECESSARY CORRECTIONS AND ADJUSTMENTS ARE MADE. THE FORM 990 IS REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE COMPENSATION COMMITTEE. THE FINAL FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PER OMC POLICY THE BOARD OF TRUSTEES AND PRINCIPAL OFFICERS ANNUALLY SIGN CONFLICT OF INTEREST STATEMENTS. SIGNED CONFLICT OF INTEREST STATEMENTS ARE OBTAINED AND REVIEWED BY SENIOR MANAGEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 IN ORDER TO ENSURE THAT ALL OLMSTED MEDICAL CENTER (OMC) EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, EQUITABLE, UNIFORMLY ADMINISTERED, AND CONSISTENT WITH MARKET PRACTICES, OMC FOLLOWS RECOMMENDED BEST PRACTICES. THE GOALS OF EXECUTIVE COMPENSATION ARE TO ATTRACT AND RETAIN HIGHLY QUALIFIED PERSONNEL, TO MAINTAIN COMPENSATION LEVELS COMMENSURATE WITH THE SCOPE OF RESPONSIBILITIES FOR EACH POSITION, AND TO REWARD OUTSTANDING PERFORMANCE. OMC WILL SEEK MANAGEMENT TALENT BY CONDUCTING NATIONAL SEARCHES FOR QUALIFIED APPLICANTS FOR ANY VACANCIES AT THE CMO AND CEO POSITIONS IN ADDITION TO VICE PRESIDENT POSITIONS AS NECESSARY. THE SAME PHILOSOPHY IS APPLICABLE TO THE POSITION OF OMC PRESIDENT. PEER GROUPS FOR EXECUTIVE COMPENSATION, WHICH INCLUDES BASE SALARIES, INCENTIVE AND BENEFITS, WILL BE INTEGRATED HEALTH DELIVERY SYSTEMS WITH A MINIMUM OF A HOSPITAL AND AN EMPLOYED PHYSICIAN NETWORK AND NET REVENUES ROUGHLY SIMILAR TO THE REVENUES OF OLMSTED MEDICAL CENTER. OMC ENGAGES AN EXTERNAL CONSULTANT WHO COMPILES A PEER GROUP COMPENSATION AND BENEFIT ANALYSIS ON A TWO YEAR BASIS. MOST RECENTLY IN 2013, A COMPENSATION PEER REVIEW STUDY WAS COMPLETED FOR THE CEO, PRESIDENT,CMO AND ALL VICE PRESIDENTS AND PRESENTED TO THE BOARD OF GOVERNORS. THE EXECUTIVE COMPENSATION COMMITTEE OF THE OLMSTED MEDICAL CENTER CONSISTS OF FIVE ELECTED MEMBER OF THE BOARD OF GOVERNORS. THE EXECUTIVE COMPENSATION COMMITTEE WILL SET THE COMPENSATION OF THE PRESIDENT, CEO AND CMO AND MINUTES ARE KEPT OF THESE DISCUSSIONS. THE BOARD OF TRUSTEES, ACTING THROUGH THE BOARD OF TRUSTEES COMPENSATION COMMITTEE, MUST APPROVE THE EXECUTIVE COMPENSATION POLICY AND PROCESS OF DETERMINING EXECUTIVE COMPENSATION AND BENEFITS. 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 MCGLADREY. 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. FORM 990, PART VII, SECTION A BOARD MEMBERS ARE NOT COMPENSATED FOR THEIR SERVICES TO THE ORGANIZATION. COMPENSATION SHOWN FOR PHYSICIAN TRUSTEES IS RELATED TO THEIR POSITION AS AN EMPLOYED PHYSICIAN OF THE ORGANIZATION. OMC RETAIL SERVICES LLC 210 NINTH STREET SE ROCHESTER MN 55904 460960716 PHARMACY MN 505905 707363 OLMSTED MEDICAL CENTER OLMSTED MEDICAL CENTER REGIONAL FOUNDATION 210 9TH STREET SE ROCHESTER MN 55904 260022777 HEALTHCARE EDUCATION AND COMMUNITY PURPOSES MN 501(C)(3) LINE 11A, I OLMSTED MEDICAL CENTER 1 OLMSTED MEDICAL CENTER AUXILIARY 1650 4TH STREET SE ROCHESTER MN 55904 363382873 SUPPORT OLMSTED MEDICAL CENTER MN 501(C)(3) LINE 11C, III-FI OLMSTED MEDICAL CENTER 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 OLMSTED MEDICAL CENTER REGIONAL FOUNDATION B 806006 GAAP OLMSTED MEDICAL CENTER REGIONAL FOUNDATION C 39413 GAAP OLMSTED MEDICAL CENTER AUXILIARY C 6373 GAAP OLMSTED MEDICAL CENTER REGIONAL FOUNDATION O 340228 GAAP