2013-11-04T12:42:09-06:00 2012-12-31 420714325 MCGLADREY LLP 400 LOCUST ST STE 640 DES MOINES IA 503092354 990 2012-01-01 410855367 OLMSTED MEDICAL CENTER OLMS 5072883443 210 NINTH STREET SE ROCHESTER MN 55904 TIM WEIR 5072883443 2013-10-23 1 KATHY FAIRCHILD P00222608 5155586600 2012 2016-02-25 16:41:14Z ROY YAWN 210 NINTH STREET SE ROCHESTER MN 55904 174806538 0 X HTTP://WWW.OLMMED.ORG X 1949 MN THE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY AND SERVICE. 16 10 1262 95 0 0 2330720 3762761 157809553 167158167 1885878 1078270 733162 1311050 162759313 173310248 471938 365190 0 0 92827255 100089456 0 0 343391 50516373 57183363 143815566 157638009 18943747 15672239 163081129 182634017 58805266 61997354 104275863 120636663 X THE DELIVERY OF EXCEPTIONAL PATIENT CARE FOCUSING ON CARING, QUALITY, SAFETY AND SERVICE. 0 0 140212365 365190 167158166 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. OUR TARGETED GROWTH HAS BEEN BASED ON A STRATEGIC PLANNING PROCESS THAT INVOLVES MORE STAFF THAN EVER BEFORE. AND, WE SAW POSITIVE RESULTS IN OUR PATIENT SATISFACTION AND CARE QUALITY REPORTS AS A RESULT OF OUR EFFORTS.IN 2012 WE CONTINUED WORKING TO POSITION OMC AS A PREFERRED HEALTHCARE PROVIDER FOR PRIMARY AND SECONDARY CARE AMONG SOUTHEASTERN MINNESOTA RESIDENTS. SOME IMPORTANT NEXT STEPS INCLUDE INCREASING THE AMOUNT OF DIRECT PATIENT INPUT IN IMPROVING EXPERIENCES AT OMC THROUGH PATIENT ADVISORY GROUPS. THIS INPUT SUPPORTS OMC'S ON-GOING CUSTOMER SERVICE EXCELLENCE INIATIVE, WHICH INCREASINGLY GUIDES THE WAY OUR EMPLOYEES ARE EVALUATED FOR THEIR WORK. WE CONTINUE TO MAKE CLINICAL SERVICE, FACILITIES, AND INFRASTRUCTURE UPGRADES IN OUR PATIENTS' BEST INTERESTS, AND WE PROUDLY CARRY ON OUR SUPPORT OF THE COMMUNITIES WE SERVE. OUR PATIENT SURVEY RANKED HIGHER THAN 14 OF 15 HOSPITALS IN THE REGION. WE WERE RECOGNIZED BY THE MINNESOTA HOSPITAL ASSOCIATION FOR OUR CONTINUED SUCCESSFUL PARTICIPATION IN THE PATIENT SAFETY CAMPAIGNS. WE ARE PARTICIPATING IN THE BEACON GRANT AIMED AT IMPROVING THE CARE OF DIABETIC AND ASTHMATIC PATIENTS. OMC RECEIVED IT SIXTH ANNUAL "BUSINESS GIVES" AWARD FROM THE MINNESOTA GOVERNER'S OFFICE AND THE ROCHESTER AREA CHAMBER OF COMMERCE IN RECOGNITION OF OUR COMMITMENT TO BE AN ACTIVE, CONTRIBUTING PARTNER IN THE COMMUNITIES WE SERVE. 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, THE MINNESOTA ATTORNEY GENERAL REVIEWED AND APPROVED THE HOSPITAL'S BILLING AND COLLECTION POLICIES AND PRACTICES. 239105 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 2012, OUR COMMUNITY CONTRIBUTIONS MADE UP 24.63% OF OUR ANNUAL OPERATING EXPENSES-MORE THAN $37 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 WILL PRODUCE RESULTS THAT MORE EFFICIENTLY AND EFFECTIVELY ADDRESS OUR COMMUNITY'S HEALTH NEEDS.IN 2012, 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 95 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 12 PERSONAL HOURS AND 6 WORK HOURS PER MONTH ENGAGED IN VOLUNTEER SERVICE. USING THE INDEPENDENT SECTOR'S 2011 ESTIMATED DOLLAR VALUE OF VOLUNTEER TIME ($21.79), THIS MEANS THAT THE AVERAGE OMC VOLUNTEER CONTRIBUTES BETWEEN $130 AND $250 IN TIME AND EFFORT EACH MONTH, OR BETWEEN $1,564 AND $3,002 PER YEAR. THE TOTAL ANNUAL VALUE OF VOLUNTEER TIME SPENT BY THE 345 EMPLOYEES WHO INDICATED ON THIS SURVEY THAT THEY'RE INVOLVED IN NON-PROFIT OR COMMUNITY WORK, THEN, IS $899,533. 3418349 3699572 RESEARCH: AT OLMSTED MEDICAL CENTER, WE HAVE STUDIED SCREENING FOR ASTHMA, SCOLIOSIS, NEAR-SIGHTEDNESS, AND COPD. WE HAVE LEARNED HOW TO IMPROVE CHILDHOOD IMMUNIZATION RATES, DEVELOPED WAYS TO FIND AND TREAT POSTPARTUM DEPRESSION, CREATED NEW TOOLS TO IMPROVE ASTHMA CARE, LOOKED AT TWO TYPES OF SURGERY FOR CARPAL TUNNEL PROBLEMS, AND STUDIED SHINGLES. RESEARCH USING MEDICAL RECORDS IS VERY IMPORTANT TO MEDICAL SCIENCE AND MEDICAL CARE. USE OF ANONYMOUS INFORMATION IN MEDICAL RECORDS HAS HELPED RESEARCHERS FIND BETTER WAYS TO TREAT HEART ATTACKS, LEARN ABOUT SIDE EFFECTS OF SEVERAL DRUGS, AND FIND RISK FACTORS FOR COMMON PROBLEMS SUCH AS STROKES, HEART ATTACKS, AND CANCER. THE ROCHESTER EPIDEMIOLOGY PROJECT (REP) - THE ROCHESTER EPIDEMIOLOGY PROJECT IS AN INITIATIVE TO COLLECT, ARCHIVE, AND LINK MEDICAL INFORMATION FOR THE APPROXIMATELY 120,000 PEOPLE LIVING IN OLMSTED COUNTY, MN. THIS PROJECT ALLOWS MEDICAL RESEARCHERS TO STUDY HEALTH AND ILLNESSES IN THE PEOPLE LIVING IN THIS COMMUNITY. WE USE THE ACRONYM REP FOR BREVITY. OLMSTED MEDICAL CENTER, THE MAYO CLINIC, THE ROCHESTER FAMILY MEDICINE CLINIC, AND OTHER MEDICAL CARE PROVIDERS IN OLMSTED COUNTY, MN, HAVE AGREED TO WORK TOGETHER AND SHARE THEIR MEDICAL RECORDS WITH RESEARCHERS TO BETTER UNDERSTAND THE CAUSES AND OUTCOMES OF DIFFERENT ILLNESSES AND TO IMPROVE THE HEALTH AND HEALTH CARE OF THE ENTIRE COUNTY. THIS COLLARBORATION AND SHARING OF MEDICAL INFORMATION MAKES OLMSTED COUNTY ONE OF THE FEW PLACES IN THE UNITED STATES, AND ONE OF THE FEW PLACES IN THE WORLD, WHERE "POPULATION-BASED" RESEARCH CAN BE ACCOMPLISHED. THIS IS VERY IMPORTANT BECAUSE HEALTH RESEARCH BASED ON PEOPLE WHO ARE SEEN BY A SINGLE DOCTOR OR AT A SINGLE CLINIC HAS LIMITATIONS AND CANNOT BE GENERALIZED. USING REP, WE CAN FIGURE OUT THE TRUE FREQUENCY OF CERTAIN CONDITIONS (E.G. HOW MANY NEW PATIENTS DEVELOP HEART DISEASE EACH YEAR AMONG 100 PERSONS AGED 70 TO 79 YEARS) AND THE TRUE SUCCESS OF TREATMENTS (E.G. HOW MANY PERSONS WILL RESPOND POSITIVELY TO A NEW ANTI-DEPRESSANT MEDICATION). THIS PROJECT HAS BEEN SUPPORTED BY FUNDS FROM THE NATIONAL INSTITUTES OF HEALTH FOR OVER 40 YEARS.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. 143869819 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 1 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 238 0 1 1262 1 0 0 0 0 0 0 0 0 0 0 X 16 10 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X KEVIN HIGGINS 5075296600 210 9TH STREET SE ROCHESTER MN 55904 X RANDY HEMANN MD 40.00 X 299666 0 48467 JOHN DOYLE 1.00 1.00 X X 0 0 0 ROY A YAWN MD 40.00 1.00 X X 435200 0 35682 WENDY SHANNON 1.00 X 0 0 0 JAY HESLEY 1.00 X 0 0 0 JUSTIN MCNEILUS 1.00 X 0 0 0 JAMES MCPEAK JR 1.00 X 0 0 0 JULIE ANDERSON 1.00 X 0 0 0 MARY BENIKE KISILEWSKI 1.00 X 0 0 0 JAY MYERS MD 40.00 X X 536128 0 48940 KATHRYN LOMBARDO MD 40.00 X 397852 0 31025 MELISSA BRINKMAN 1.00 X 0 0 0 TOM SLIGHTAM 1.00 X 0 0 0 SRDAN BABOVIC MD 40.00 X 711153 0 31855 STEVE YAGGY 1.00 X 0 0 0 KIMBERLY MCKEON MD 40.00 X 299095 0 48408 TIM WEIR 40.00 1.00 X 448778 0 48160 KEVIN HIGGINS 40.00 1.00 X 309303 0 48300 DAVID WESTGARD MD 40.00 1.00 X 410455 0 42283 VIDHAN CHANDRA MD 40.00 X 746196 0 35636 JEFFREY BECKENBAUGH DO 40.00 X 703214 0 50137 ROBERT KURLAND MD 40.00 X 560296 0 44234 JOSEPH TRICARICO MD 40.00 X 541206 0 50550 MARCO SANTAMARIA MD 40.00 X 543880 0 49067 JAMES HOFFMANN DO 40.00 X 387199 0 48521 LINDA WILLIAMS MD 30.00 X 196004 0 36021 CHARLES BRANCH MD 40.00 X 505282 0 50314 THOMAS ERBACH MD 40.00 X 301068 0 41876 8331975 0 789476 133 1 1 0 CERNER CORPORATION 2800 ROCKCREEK PARKWAY PO BOX 4127 KANSAS CITY MO 64141 SOFTWARE SYSTEM 2939694 MAYO COLLABORATIVE SERVICES 200 1ST STREET SW ROCHESTER MN 55905 MEDICAL SERVICES 1250740 CONSTRUCTION COLLABORATIVE 320 SOUTH BROADWAY ROCHESTER MN 55904 CONSTRUCTION 973140 THE AFFILIATE GROUP INC PO BOX 7739 ROCHESTER MN 55903 BILLING & COLLECTION SERVICES 683941 HAMMEL GREEN & ABRAHAMSON SDS 12-1861 PO BOX 86 MINNEAPOLIS MN 554861861 ENGINEERING SERVICES 591677 57 63189 3101745 597827 3762761 NET PATIENT SERVICES 621110 167158167 167158167 167158167 1301773 1301773 96572 0 96572 96572 96572 1222752 50035 1154816 341474 67936 -291439 -223503 -291439 67936 ELECTRONIC HEALTH RECORDS INCENTI 900099 727684 727684 CAFETERIA REVENUE 722210 164060 164060 322734 322734 1214478 173310248 167917146 0 1630341 365190 365190 4285924 2724341 1561583 2246657 2246657 71981954 66715203 5021499 245252 6144010 5536330 588214 19466 9758175 8808021 889639 60515 5672736 5275442 379136 18158 206981 130391 76590 106304 106304 163858 163858 53005 5250 47755 7748126 7099713 648413 310446 3797 306649 3269090 2828894 440196 672055 265514 406541 4739308 4126738 612570 69993 63887 6106 903612 694631 208981 1769480 1769480 6525281 6525281 734306 734306 MEDICAL SUPPLIES 14639161 14637987 1174 PROVISION FOR BAD DEBTS 6518886 6518886 EQUIPMENT & SOFTWARE MA 3184972 2154503 1030469 MISCELLANEOUS 2821695 1892573 929122 2746804 2746804 157638009 143869819 13424799 343391 64577957 68189740 24394812 25888778 1263932 1251128 1616650 2777873 105359751 40524482 61138011 64835269 9231207 18890020 858560 801209 163081129 182634017 3105695 3750818 673586 232256 26503775 25152905 320000 160000 7000933 9925508 21201277 22775867 58805266 61997354 X 104275863 120636663 104275863 120636663 163081129 182634017 15672239 688561 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5285183 5285183 63810351 17539578 46270773 36065513 22832655 13232858 198704 152249 46455 64835269 PAYROLL LIABILITY 13949736 OTHER ACCRUED LIABILITY 6184288 ACCRUED INTEREST 689113 ACCRUED REAL ESTATE TAXES 901096 THIRD PARTY PAYOR SETTLEMENTS 1051634 22775867 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2012 AND 2011. 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 ORGANIZATION AND THE FOUNDATION ARE NO LONGER SUBJECT TO STATE AND FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEAR ENDED DECEMBER 31, 2008, AND PRIOR. 1 1 X 1 X 260.000000000000 1 X 260.000000000000 1 1 1 0 1 1 1473524 1473524 0.00980 26154315 18198559 7955756 0.05260 3226695 231848 2994847 0.01980 30854534 18430407 12424127 0.08220 239105 239105 0.00160 701257 701257 0.00460 3764261 3699572 64689 0.00040 440055 440055 0.00290 5144678 3699572 1445106 0.00950 35999212 22129979 13869233 0.09170 0 6518886 900298 11249494 17482395 -6232901 X 1 1 1 1 OLMSTED MEDICAL CENTER-HOSPITAL

1650 4TH STREET SE ROCHESTER MN 55904

X X X X URGENT CARE OLMSTED MEDICAL CENTER 1 0 1 1 260.000000000000 1 260.000000000000 1 X X X X 1 1 X X X X X X 1 0 X X X 1 X 0 0 17 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 CLINI

207 TWIFORD STREET SW CHATFIELD MN 55923

OUTPATIENT PHYSICIAN CLINIC OLMSTED MEDICAL - CENTER FOR WELLNESS

4303 HIGHWAY 52N ROCHESTER MN 55901

WELLNESS CENTER 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 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-CHRAGE 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 $ 6518886. 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 $13,835,040. 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. OLMSTED MEDICAL CENTER PART V, SECTION B, LINE 12H: 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. PART VI, LINE 2: OMC ACTIVELY WORKS WITH LOCAL GOVERNMENT IN ASSESSING AND ADDRESSING COMMUNITY NEEDS THROUGH MEETINGS, WORKSHOPS, AND COMMUNITY INPUT. IN ADDITION, OMC IS ACTIVELY INVOLVED WITH LOCAL GOVERNMENTS IN EMERGENCY PREPAREDNESS AND DISEASE MANAGEMENT. PART VI, LINE 3: OMC INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE AND ASSISTS PATIENTS WHO INDICATE AN INABILITY TO PAY. OMC INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE PROGRAMS BY PROVIDING THE FINANCIAL ASSISTANCE POLICY ON BROCHURES IN THE NEW PATIENT PACKET AND AT THE FRONT DESK FOR ALL PATIENTS. THE POLICY IS ALSO PROVIDED ON THE BACK OF THE HOSPITAL BILL STATEMENTS, ON THE HOSPITAL WEBSITE AND ON THE HOSPITAL'S ONLINE BILL-PAY SYSTEM. OMC PATIENT FINANCIAL COUNSELORS PROVIDE INFORMATION TO PATIENTS REGARDING AVAILABLE HEALTHCARE FINANCIAL COVERAGE OPTIONS, SUCH AS: 1) MEDICAL ASSISTANCE, 2) MINNESOTA CARE, 3) OTHER FINANCIAL SERVICES AVAILABLE FOR LOW INCOME FAMILIES IN THE COMMUNITY, 4) OMC'S FINANCIAL ASSISTANCE PROGRAM.THE PATIENT FINANCIAL COUNSELORS ASSIST OMC PATIENTS IN THE APPLICATION PROCESS. ALL APPLICATIONS ARE PROCESSED IN A TIMELY MANNER. PATIENT APPLICATIONS ARE CONSIDERED FOR CURRENT PATIENT RESPONSIBLE BALANCES, AS WELL AS NEAR FUTURE SCHEDULED MEDICAL SERVICES. PATIENTS MAY QUALIFY FOR FULL OR PARTIAL FINANCIAL ASSISTANCE. PATIENT FINANCIAL COUNSELORS NOTE PATIENT'S ACCOUNT VIA ON-LINE NOTES REGARDING APPLICATIONS SENT, APPLICATIONS IN PROCESS, AND WHETHER APPLICATIONS HAVE BEEN APPROVED, DENIED, OR ADDITIONAL INFORMATION IS REQUIRED. THE PATIENT FINANCIAL COUNSELORS INFORM THE PATIENT VIA A LETTER REGARDING THE DETERMINATION (APPROVED, DENIED, OR PARTIAL COVERAGE APPROVED) OF THE RECEIVED AND COMPLETED APPLICATION. PRIOR TO TURNING ACCOUNTS OVER THE THIRD PARTY COLLECTION, THE ACCOUNT WILL BE REVIEWED FOR POSSIBLE FINANCIAL ASSISTANCE PROGRAM QUALIFICATION THROUGH THE E-BUREAU PROCESS. PART VI, LINE 4: OMC IS A REGIONAL HEALTH CARE FACILITY SERVING PATIENTS WITHIN A FORTY FIVE MILE RADIUS OF ROCHESTER, MN. PART VI, LINE 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) 223975 PROVIDE FUNDING TO OMC REGIONAL FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES. PROVIDE FUNDING TO UNDERWRITE CHILDREN'S PROGRAM PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MOST OF GRANT EXPENDITURES ARE PROVIDED TO OLMSTED MEDICAL CENTER REGIONAL FOUNDATION, A RELATED ORGANIZATION. OMC PROVIDES FUNDS TO THE FOUNDATION FOR HEALTHCARE EDUCATION AND COMMUNITY PURPOSES AS NEEDED. THERE ARE NUMEROUS WAYS TO MONITOR THE USE OF THE GRANT FUNDS. MANY OF THE EVENTS ARE OPEN TO THE PUBLIC AND EASILY VERIFIABLE. STAFF OFTEN ASSIST AS VOLUNTEERS. 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 X 0 0 0 0 0 0 0 0 0 RANDY HEMANN MD 287467 0 10410 0 1789 0 26950 0 21517 0 348133 0 0 0 ROY A YAWN MD 360134 0 66700 0 8366 0 26950 0 8732 0 470882 0 0 0 JAY MYERS MD 528005 0 6405 0 1718 0 26950 0 21990 0 585068 0 0 0 KATHRYN LOMBARDO MD 382353 0 13661 0 1838 0 26950 0 4075 0 428877 0 0 0 SRDAN BABOVIC MD 709635 0 0 0 1518 0 26950 0 4905 0 743008 0 0 0 KIMBERLY MCKEON MD 297540 0 0 0 1555 0 26950 0 21458 0 347503 0 0 0 TIM WEIR 351325 0 96600 0 853 0 26950 0 21210 0 496938 0 0 0 KEVIN HIGGINS 262849 0 45859 0 595 0 26950 0 21350 0 357603 0 0 0 DAVID WESTGARD MD 313033 0 90850 0 6572 0 26950 0 15333 0 452738 0 0 0 VIDHAN CHANDRA MD 743000 0 2206 0 990 0 26950 0 8686 0 781832 0 0 0 JEFFREY BECKENBAUGH DO 702224 0 0 0 990 0 26950 0 23187 0 753351 0 0 0 ROBERT KURLAND MD 551728 0 3212 0 5356 0 26950 0 17284 0 604530 0 0 0 JOSEPH TRICARICO MD 538063 0 1625 0 1518 0 26950 0 23600 0 591756 0 0 0 MARCO SANTAMARIA MD 540042 0 0 0 3838 0 26950 0 22117 0 592947 0 0 0 JAMES HOFFMANN DO 379119 0 6076 0 2004 0 26950 0 21571 0 435720 0 0 0 LINDA WILLIAMS MD 173005 0 20700 0 2299 0 22885 0 13136 0 232025 0 0 0 CHARLES BRANCH MD 499926 0 0 0 5356 0 26950 0 23364 0 555596 0 0 0 THOMAS ERBACH MD 296975 0 0 0 4093 0 26950 0 14926 0 342944 0 0 0 SUPPLEMENTAL INFORMATION PART III COMPENSATION PAID TO PHYSICIAN TRUSTEES IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS EMPLOYED PHYSICIANS OF THE ORGANIZATION. SUPPLEMENTAL INFORMATION PART III SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED FOR DETERMINING COMPENSATION. A CITY OF CHATFIELD MINNESOTA 416005045 161817CE9 2004-11-15 8000000 HOSPITAL CONSTRUCTION 0 0 0 B CITY OF CHATFIELD MINNESOTA 416005045 2006-04-13 2651915 HOSPITAL CONSTRUCTION 0 0 0 C CITY OF ROCHESTER MINESOTA 416005494 771902FY4 2010-07-07 20360000 CLINIC CONSTRUCTION 0 0 0 A 8000000 768795 240400 160000 6831495 2005 0 0 1 1 B 2651915 48898 51915 2551102 2006 0 0 1 1 C 20202546 1736608 1341608 407200 17968405 275180 2011 0 0 1 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 C 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 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 STERLING STATE BANK - SEE BELOW X 800000 160000 0 1 1 160000 JULIE WINKELS FAMILY MEMBER OF THOMAS WINKELS, FORMER TRUSTEE 41068 EMPLOYEE OF ORGANIZATION 0 DR LOUIS WAGNER FAMILY MEMBER OF DR. LINDA WILLIAMS, TRUSTEE 446369 EMPLOYEE OF ORGANIZATION 0 DR BARBARA YAWN FAMILY MEMBER OF DR. ROY YAWN, PRESIDENT 192935 EMPLOYEE OF ORGANIZATION 0 MERCHANTS BANK JOHN DOYLE, BOARD CHAIR, SERVES AS PRESIDENT OF MERCHANTS BANK 551566 OPERATING LEASE PAYMENTS ON RIS/PACS SYSTEM 0 EXPRESS SERVICES INCTAZ INC NORM DOTY, FORMER TRUSTEE 67946 TEMP STAFFING SERVICES 0 PART II INTERESTED PERSON DESCRIPTION STERLING STATE BANK - JUSTIN MCNEILUS, TRUSTEE, IS FAMILY MEMBER OF MAJORITY OWNER OF BANK; ROY YAWN, PRESIDENT, IS BOARD MEMBER OF BANK; TOM WINKELS, FORMER TRUSTEE, IS PRESIDENT OF BANK. 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 DECEMBER 2012, A COMPENSATION PEER REVIEW STUDY WAS COMPLETED FOR THE CEO, PRESIDENT AND CMO AND PRESENTED TO THE BOARD OF GOVERNORS. THE EXECUTIVE COMPENSATION COMMITTEE OF THE OLMSTED MEDICAL CENTER CONSISTS OF FIVE ELECTED MEMBER OF THE BOARD OF 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. 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 666098 GAAP OLMSTED MEDICAL CENTER REGIONAL FOUNDATION C 44119 GAAP OLMSTED MEDICAL CENTER AUXILIARY C 19070 GAAP OLMSTED MEDICAL CENTER REGIONAL FOUNDATION O 300908 GAAP