SANFORD: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SANFORD (EIN 45-0226700)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201113199349307866
Schema version: 2010v3.4
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T15:00:50-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1914	AddressLine1
City	BISMARCK	City
State	ND	State
ZIP Code	58502	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	450226700	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Medcenter One Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MEDC	NameControl
Phone	7013236000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 North 7th Street	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Dr Craig Lambrecht	Name
Title	President/CEO	Title
Phone	7013236000	Phone
Date Signed	2011-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Lisa Chaffee CPA	Name
Phone	7012551091	Phone
Date Prepared	2011-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Dr Craig Lambrecht	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	300 North 7th Street	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	280754026	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.medcenterone.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1907	YearFormation
State Legal Domicile	ND	StateLegalDomicile
Activity Or Mission Description	Committed to caring-one life at a time.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	29	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	2933	TotalNbrEmployees
Total Nbr Volunteers	200	TotalNbrVolunteers
Total Gross UBI	1175586	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	610506	ContributionsGrantsPriorYear
Contributions Grants Current Year	1945656	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	265080664	ProgramServiceRevenuePriorYear
Program Service Revenue CY	278162119	ProgramServiceRevenueCY
Investment Income Prior Year	472360	InvestmentIncomePriorYear
Investment Income Current Year	481269	InvestmentIncomeCurrentYear
Other Revenue Prior Year	126083	OtherRevenuePriorYear
Other Revenue Current Year	152184	OtherRevenueCurrentYear
Total Revenue Prior Year	266289613	TotalRevenuePriorYear
Total Revenue Current Year	280741228	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	34065	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	21400	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	157141473	SalariesEtcPriorYear
Salaries Etc Current Year	165107106	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	93018916	OtherExpensePriorYear
Other Expenses Current Year	100349209	OtherExpensesCurrentYear
Total Expenses Prior Year	250194454	TotalExpensesPriorYear
Total Expenses Current Year	265477715	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16095159	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15263513	RevenuesLessExpensesCY
Total Assets BOY	145484027	TotalAssetsBOY
Total Assets EOY	165804928	TotalAssetsEOY
Total Liabilities BOY	79956617	TotalLiabilitiesBOY
Total Liabilities EOY	85681184	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	65527410	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	80123744	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	"Committed to caring-one life at a time." Medcenter One is an acclaimed leader in developing and providing scientific and innovative healthcare. We are recognized for easy access and coordination of care. A primary measure of our success is high patient satisfaction. We drive quality through system integration and efficient utilization of resources. Through these efforts performed by knowledgeable, skilled and caring medical and associate staff, Medcenter One is the regional health system of choice.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	212046296	Expense
Grants	21400	Grants
Revenue	284267788	Revenue
Description	INTEGRATED HEALTHCARE SYSTEMMedcenter One is a fully integrated healthcare system that consists of six primary care clinics covering western and central North Dakota; a home health/hospice agency, in- and out-patient rehabilitation services, sub-acute hospital, in- and out-patient psychiatric services, two urgent care clinics, three kidney dialysis centers, a MRI center, a women's heath/fitness center, a multi-specialty clinic, a college of nursing and a hospital.The Medcenter One main campus is located in Bismarck, N.D. with additional clinics in Bismarck, Dickinson, Jamestown and Mandan, N.D. Medcenter One is committed to providing professional and personal healthcare. We focus on the relationship between the physician and the patient: the one-to-one relationship that is central to our philosophy of healthcare delivery and mission: Committed to caring--one life at a time. Medcenter One includes a 210-bed hospital, 22-skilled nursing beds, and primary and physician multi-specialty clinic. Medcenter One has 380 credentialed providers including 244 physicians. In 2010, Medcenter One had 10,143 hospital admissions, 717 births, 24,843 emergency department visits, and 391,983 total outpatient visits.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6535460	Expense
Revenue	-9320079	Revenue
Description	CHARITY CARE AND CARE UNDER PUBLIC INSURANCE PROGRAMSCHARITY CARE:Medcenter One's Community Care brochures are available at each registration desk including the emergency room registration area. Patients who may not have the ability to pay can also meet directly with a financial counselor to determine whether they will qualify for the charity care program. Medcenter One's charity care policy allows patients at 200% FPL to receive free care and patients up to 275% FPL are eligible for discounted care. Financial counselors also meet directly with patients during their in-patient stay to inform them of the charity care program. The program is highlighted on the Medcenter One website.In 2010, Medcenter One provided $9,320,079 in charity care (charges foregone). Medcenter One also provided care to patients who did not pay their bill. In 2010, Medcenter One provided $6,535,460 of care in bad debt. It is estimated that 15% of the care provided was to patients who would have been eligible under the organization's charity care policy .	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	3232334	Expense
Revenue	2038824	Revenue
Description	EDUCATION:Medcenter One provides learning environments and financial support for many programs that train healthcare professionals and ensure adequate workforce for our community in the future.PHYSICIAN/MEDICAL STUDENTS:Medcenter One contracted a total of $508,261 to the University of North Dakota School of Medicine at Bismarck.Stipend agreements with physician residents: Physician stipends are offered to individuals who have completed medical school, declared a specialty and have committed to working for Medcenter One following their residency or fellowship experiences. In 2010, $422,700 was paid to physician residents to further their education as part of this program.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	221814090	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	1	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	152	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2933	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	29	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Paul Morth Vice PresidentCFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7013236000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	300 N 7th Street	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Patrick Durick
Chair	1.00	X	X	0	0	0
Dr Alan VanNorman
Vice Chair/Physician	40.00	X	X	636410	0	24176
Gerald Willer
Secretary/Treasurer	1.00	X	X	0	0	0
Dr Craig Lambrecht
President/CEO	40.00	X	X	656851	0	62682
Dr Biron Baker
Director/Physician	40.00	X		423431	0	25638
Dr Kimber Boyko
Director/Physician	40.00	X		623237	0	53576
Wes Engbrecht
Director	1.00	X		0	0	0
Dr David Field
Director/Physician	40.00	X		364684	0	53576
Richard Hedahl
Director	1.00	X		0	0	0
Claire Ann Holmberg
Director	1.00	X		0	0	0
Ellen Huber
Director	1.00	X		0	0	0
Niles Hushka
Director	1.00	X		0	0	0
Lowell Jensen
Director	1.00	X		0	0	0
George Keiser
Director	1.00	X		0	0	0
James Laducer
Director	1.00	X		0	0	0
Sister Paula Larson
Director	1.00	X		0	0	0
Susan Lundberg
Director	1.00	X		0	0	0
Dr Kent Martin
Director/Physician	40.00	X		287734	0	58240
Dr David O'Regan
Director/Physician	40.00	X		509103	0	25376
Dr Mark Rodacker
Director/Physician	40.00	X		456326	0	22789
Dr Sean Russell
Director/Physician	40.00	X		612690	0	56802
Robert Schulte
Director	1.00	X		0	0	0
Dr Larry Skogen
Director	1.00	X		0	0	0
DuWayne Ternes
Director	1.00	X		0	0	0
Jim Volk
Director	1.00	X		0	0	0
Irene Wentz
Director	1.00	X		0	0	0
Jim Wheeler
Director	1.00	X		0	0	0
Dr William Canham
Director/Physician	40.00	X		510302	0	27605
Dr David Pengilly
Director/Physician	40.00	X		347521	0	20440
Paul Morth
Chief Financial Officer	40.00		X	243910	0	57539
Karen Paul
Vice President	40.00			167884	0	33487	X
John Miller
Vice President	40.00			250587	0	0	X
Jan Kamphuis
Vice President	40.00			244923	0	17868	X
Scott Boehm
Vice President	40.00			201157	0	38777	X
Dr Anthony Tello
Chief Medical Officer	40.00			448210	0	24176	X
Dr Douglas Berglund
Physician	40.00			1039198	0	51980		X
Dr William Cain
Physician	40.00			1008975	0	45152		X
Dr Matthew Iwamota
Physician	40.00			1017263	0	42389		X
Dr Michael McIntee
Physician	40.00			1047285	0	24176		X
Dr Tarek Dufan
Physician	40.00			1441599	0	53544		X
Claudia Eisenmann
Former Vice President	40.00			240932	0	13549			X
Evy Olson
Former Vice President	40.00			141046	0	14135			X
Pam Hopkins
Former Vice President	40.00			130867	0	19327			X
James Cooper
Former Officer	40.00			100368	0	0			X
Dr Guy Connell
Former Director	40.00			0	0	0			X
Dr Lawrence daSilva
Former Director	40.00			0	0	0			X
Dr Brenda Miller
Former Director	40.00			0	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13152493	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	866999	TotalOtherCompensation
Number Individuals GT100 K	185	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
United Blood Services
PO Box 53022	Phoenix	AZ	85072	Blood Products	1236941
Capital City Construction
PO Box 7337	Bismarck	ND	58507	Construction Services	1025366
McKesson
PO Box 98347	Chicago	IL	606938347	Technology Services	994737
Mayo Medical Labs Inc
PO Box 9146	Minneapolis	MN	554809146	Lab Services	923052
Weatherby Locums
PO Box 972633	Dallas	TX	753972633	Physician Services	642333

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	40	NumberOfContractorsGT100K
Related Organizations	648663	RelatedOrganizations
Government Grants	60020	GovernmentGrants
All Other Contributions	1236973	AllOtherContributions
Total Contributions	1945656	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service Re	621400	264878459	264878459
Pharmacy Sales	446110	9631358	9433666	197692
Reference Lab	621500	824741		824741
Purchase Discounts	621400	733859	733859
Cafeteria Revenue	722320	709177	606556	102621

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1384525	TotalRevenueColumn
Related Or Exempt Function Income	1333993	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	50532	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	278162119	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	456214	TotalRevenueColumn
Exclusion	$456,214	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	160237	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	8053	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	152184	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	152184	TotalRevenueColumn
Exclusion	$152,184	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	29800	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	4745	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	25055	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	25055	TotalRevenueColumn
Exclusion	$25,055	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	280741228	TotalRevenueColumn
Related Or Exempt Function Income	276986533	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1175586	UnrelatedBusinessRevenue
Exclusion	$633,453	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	21400	Total
Program Services	21400	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7424610	Total
Program Services	5126967	ProgramServices
Management And General	2297643	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	134374347	Total
Program Services	118082056	ProgramServices
Management And General	16292291	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4867379	Total
Program Services	3369123	ProgramServices
Management And General	1498256	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10131444	Total
Program Services	8169101	ProgramServices
Management And General	1962343	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8309326	Total
Program Services	7040189	ProgramServices
Management And General	1269137	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	219993	Total
Management And General	219993	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	79377	Total
Management And General	79377	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14282649	Total
Program Services	10023535	ProgramServices
Management And General	4259114	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	916665	Total
Program Services	37359	ProgramServices
Management And General	879306	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	51344892	Total
Program Services	48287310	ProgramServices
Management And General	3057582	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1834224	Total
Program Services	418505	ProgramServices
Management And General	1415719	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5255412	Total
Program Services	4417758	ProgramServices
Management And General	837654	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	144087	Total
Program Services	137495	ProgramServices
Management And General	6592	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1076708	Total
Program Services	823034	ProgramServices
Management And General	253674	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1226042	Total
Management And General	1226042	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6563340	Total
Program Services	3815954	ProgramServices
Management And General	2747386	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2126496	Total
Management And General	2126496	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Provision for Bad Debts	6535460	6535460
Equipment Rental & Main	3441725	3184589	257136
Repairs and Maintenance	2536394	1817557	718837

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2765745	Total
Program Services	506698	ProgramServices
Management And General	2259047	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	265477715	Total
Program Services	221814090	ProgramServices
Management And General	43663625	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	40239311	BOY
EOY	48330920	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	35786460	BOY
EOY	36934689	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4358208	BOY
EOY	4582145	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1576004	BOY
EOY	1697942	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	165507309	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	108618292	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	46655489	BOY
EOY	56889017	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	11853165	BOY
EOY	11719996	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2850143	BOY
EOY	3007761	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2165247	BOY
EOY	2642458	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	145484027	BOY
EOY	165804928	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28877540	BOY
EOY	31385217	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	704746	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	21149826	BOY
EOY	16748072	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	545546	BOY
EOY	446666	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	992000	BOY
EOY	6702565	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28391705	BOY
EOY	29693918	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	79956617	BOY
EOY	85681184	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	64039801	BOY
EOY	78703635	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1487609	BOY
EOY	1420109	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	65527410	BOY
EOY	80123744	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	145484027	BOY
EOY	165804928	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15263513	ReconcilationRevenueExpenses
Reconcilation Other Changes	-667179	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$42,378	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$75,330	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	117708	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1297510	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	7038321	OtherCostOrOtherBasis
Book Value	8335831	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	82730030	OtherCostOrOtherBasis
Depreciation	60489569	Depreciation
Book Value	22240461	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	62278510	OtherCostOrOtherBasis
Depreciation	46547535	Depreciation
Book Value	15730975	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12162938	OtherCostOrOtherBasis
Depreciation	1581188	Depreciation
Book Value	10581750	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	56889017	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Pension Plans	$11,762,952
Advances for Student Loans	$228,587
Estimated Third Party Settlements	$12,825,299
Due to Related Parties	$53,919
Capitalized Lease Obligation	$4,823,161

Field	Value	IRS element (for citing)
Total Of Amounts	29693918	TotalOfAmounts
Total Revenue	280741228	TotalRevenue
Total Expenses	265477715	TotalExpenses
Excess Or Deficit For Year	15263513	ExcessOrDeficitForYear
Net Unrealized GL On Investments	12114	NetUnrealizedGLOnInvestments
Other	-$679,293	OtherAmount
Total Adjustments	-667179	TotalAdjustments
Excess Or Deficit Per FS	14596334	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	280690127	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	12114	NetUnrealizedGainsInvestments
Other Revenues	-63215	OtherRevenues
Revenue Not Rptd F990	-51101	RevenueNotRptdF990
Revenue Subtotal	280741228	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	280741228	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	265414500	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	265414500	ExpensesSubtotal
Other Expenses Not Included	63215	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	63215	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	265477715	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:	Part X:	MCO is organized as a North Dakota nonprofit corporation and has been recognized by the Internal Revenue Service as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). MCO undergoes an annual analysis of its various tax positions, assessing the likelihood of these positions being upheld upon examination with relevant tax authorities, as defined by generally accepted accounting principles. MCO believes they are compliant with all IRS tax regulations and as of December 31, 2010 and 2009 has not recorded liabilities for income taxes. MCO will recognize future accrued interest and penalties related to unrecognized tax liabilities in income tax expense if incurred. MCO is no longer subject to federal or state tax examinations by tax authorities for years before 2008.
Part XI, Line 8 - Other Adjustments:		Pension-related changes other than net periodic pension cost -611,793. Change in interest in net assets of Medcenter One Foundation -67,500.
Part XII, Line 2d - Other Adjustments:		Related party rental expenses recorded in revenues for financial statements -63,215.
Part XIII, Line 4b - Other Adjustments:		Related party rental expenses recorded in revenues for financial statements 63,215.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	275.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	0	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5301966	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5301966	NetCommunityBenefitExpense
Percent Of Total Expense	0.02050	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20644120	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20482118	DirectOffsettingRevenue
Net Community Benefit Expense	162002	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25946086	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20482118	DirectOffsettingRevenue
Net Community Benefit Expense	5463968	NetCommunityBenefitExpense
Percent Of Total Expense	0.02110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4417390	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2159481	DirectOffsettingRevenue
Net Community Benefit Expense	2257909	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19062815	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16673547	DirectOffsettingRevenue
Net Community Benefit Expense	2389268	NetCommunityBenefitExpense
Percent Of Total Expense	0.00920	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	180661	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	180661	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23660866	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18833028	DirectOffsettingRevenue
Net Community Benefit Expense	4827838	NetCommunityBenefitExpense
Percent Of Total Expense	0.01860	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49606952	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39315146	DirectOffsettingRevenue
Net Community Benefit Expense	10291806	NetCommunityBenefitExpense
Percent Of Total Expense	0.03970	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	5280	TotalCommunityBuildingExpense
Net Community Building Expense	5280	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	14460	TotalCommunityBuildingExpense
Net Community Building Expense	14460	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	42500	TotalCommunityBuildingExpense
Net Community Building Expense	42500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	62240	TotalCommunityBuildingExpense
Net Community Building Expense	62240	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$3,717,152	BadDebtExpenseAmount
Amount Attributable To	557573	AmountAttributableTo
Amount Reimbursed By Medicare	66222358	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	68113097	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1890739	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Medcenter One Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	300 N 7th St	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Not Required	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	20	NumberOfOtherFacilities

Other Facilities OtherFacilities (20 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MCO - Q&R Clinic
222 N 7th St	Bismarck	ND	58501	Provider-based clinic
MCO - Bone Spine Sports Clinic
225 N 7th ST	Bismarck	ND	58501	Hospital outpatient physical therapy and provider-based clinics
MCO - OP Surgery Center
414 N 7th St	Bismarck	ND	58501	Provider-based clinics, pre-op and post-op surgical care
MCO - College of Nursing
512 N 7th St	Bismarck	ND	58501	College of Nursing and Support
MCO - Bismarck Family Clinic North
2830 N Washington St	Bismarck	ND	58501	Provider-based clinic
MCO - Tom & Frances Leach Dialysis Cente
201 N 7th St	Bismarck	ND	58501	Outpatient Dialysis services & support services
MCO - Dickinson Clinic
938 2nd Ave W	Dickinson	ND	58601	Ambulatory physician office based clinic
MCO - MRI Center
500 E Broadway Ave	Bismarck	ND	58501	MRI services for inpatients and outpatients
MCO - Walk-In Clinic North
3318 N 14th St	Bismarck	ND	58501	Provider-based clinic
MCO - Jamestown Clinic
300 2nd Ave NE	Jamestown	ND	58401	Ambulatory physician office based clinic
MCO - Northbrook Hearing Center
1929 N Washington St	Bismarck	ND	58501	Audiology services
MCO - Bismarck Family Clinic South
1040 Tacoma Ave	Bismarck	ND	58504	Provider-based clinic
MCO - Women's Health Center
1100 College Drive	Bismarck	ND	58501	Physical Therapy & fitness facility
MCO - Mandan Family Clinic East
102 Mandan Ave	Mandan	ND	58554	Provider-based clinic
MCO - Mandan Family Clinic North
910 N 18th St NW	Mandan	ND	58554	Provider-based clinic & administrative support for home health and hospice s
MCO - Occupational Health Clinic
1833 East Bismarck Expressway	Bismarck	ND	58504	Employer based occupational health services & chiropractic services
MCO - Occupational Health Clinic
1531 W Villard St	Dickinson	ND	58601	Employer based occupational health services
MCO - Walk-In Clinic Downtown
715 E Broadway Ave	Bismarck	ND	58501	Provider-based clinic
MCO - Dialysis - Ft Yates
10 N River Rd	Ft Yates	ND	58538	Outpatient Dialysis services
Dialysis - Jamestown
419 5th St NE	Jamestown	ND	58401	Outpatient Dialysis services

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 3c: Medcenter One does use the FPG to help determine financial assistance eligibility if the information is available. However, if an application is not completed and the guarantor/patient has a recovery credit score of 500 or less with no available credit they may be eligible for a discount up to 100%. The recovery score is the measurement of the ability of the guarantor/patient's ability to repay current and past due balances.
Part I, Line 7: Community health improvement services and community benefit operations as well as cash and in-kind contributions were determined using actual costs in the general ledger or specific detail in subledgers. Health professions education was determined using the medicare cost report total cost of these programs and offsetting reimbursement from the medicare cost report.The cost to charge ratio used for bad debt, charity care, and public programs was based on the ratio of operating costs for the clinic and hospital operations based on the 2010 audited financial statements divided by the gross patient charges posted during the year to our four patient account receivable systems for the hospital, clinic, home health, and occupational health. Operating costs were reduced by non-operating revenue and the community health improvement, community benefit operations, and health professional education costs reported above.The costs and net patient care revenues associated with subsidized health services were calculated based on a study of inpatient and outpatient (including clinic services) costs and reimbursements attributed to the performing or attending physician at the patient account level. Physicians and non-physician providers were categorized into service categories, i.e. infectious disease, based on their primary specialty area.Direct patient care costs for hospital inpatient and outpatient care were allocated to the physician based on separate cost to charge ratios for supply and non-supply charges on the patient account. Overhead costs were stepped down to the revenue producing departments based on the statistics used for the Medicare Cost Report.Direct patient care costs for physician clinic services are maintained in the physicians cost center in the general ledger. Departmental expenses were allocated to the individual physicians based on various statistics depending on the type of expense. Statistics used included clinic visits, work RVU's, malpractice RVU's, lines transcribed, FTE status, and salary expense. Overhead expenses were also allocated to the individual physicians based on these statistics.Offsetting inpatient and outpatient patient care revenue were those reimbursements for the account attributed to the attending physician. Offsetting professional reimbursements were those reimbursements for which the physician or non-physician provider was the billing provider.
Part I, Line 7g: The organization included $5,854,558 of costs attributable to physician clinics as part of subsidized health services.
Part I, L7 Col(f): Bad debt expense reported on Form 990, Part IX, Line 25, Column (A) of $6,535,460 was removed from the denominator prior to the calculation.
Part II: COMMUNITY SUPPORT:Medcenter One operates the Dakota Children's Advocacy Center, which is a program that is committed to improving the response to child abuse. The Advocacy Center is a community partnership that utilizes a comprehensive multidisciplinary team approach to investigating child abuse. Professionals from social services, law enforcement, prosecution, victim advocacy and the medical and mental health communities come together under one roof, so that a child only has to tell of his or her abuse one time.Medcenter One staff members also participate on local violence prevention councils, promote and train community members in self-defense and work closely with local law enforcement to ensure victim rights. COALITION BUILDING:Medcenter One is active in the local Chamber of Commerce, North Dakota Chamber of Commerce, Bismarck-Mandan Development Association, YMCA, North Dakota Department of Health programs, University of North Dakota Medical School, local and statewide disaster and flu response planning, Bis-Man Transit and other health advisory councils.Medcenter One is the local Meals on Wheels provider and is active on its board of directors.Disaster readiness: Medcenter One takes disaster readiness very seriously and has responded to this call beyond what is required for licensure. Our staff actively participates in local, regional and statewide readiness planning and activities. In 2009, we made the following changes related to prospective disasters: * Provided man hours for emergency planning * Improved lockdown capabilities, enhanced security measures * Added disaster-related communication equipment * Purchased additional personal protective equipment (PPE) for stockpiles * Participated in community preparedness drills and exercises * Purchased medical, surgical and pharmaceutical supplies * Conducted specialized emergency training for staff * Volunteered storage space for statewide stockpiled suppliesCOMMUNITY HEALTH IMPROVEMENT ADVOCACY:Medcenter One works with the North Dakota Department of Health, North Dakota Rural Healthcare Association, North Dakota Nurses Association, North Dakota Medical Association and other North Dakota health advocacy groups to impact public policy to improve the health of the community. Medcenter One will also provide vouchers and financial assistance to low-income families for transportation and lodging expense to facilitate medical treatment and safe travel conditions home when necessary.Due to small operating margins, Medcenter One has limited reinvestment even in its own plant and equipment. The average age of plant for Medcenter One is 17.1 years as compared to 11.93 for North Dakota hospitals. This reduced margin has also limited financial support of community building activities over the last 10 years.OTHERMedcenter One is leasing land with a Fair Market Value of $768,000 to UND Family Practice Center (UND FPC). UND FPC is constructing, and will own, a building on the land. The lease is for 50 years with a total lease payment of $1.00. The land size is Lots 1-24 of Block 98, which equals 34,000 square feet. Using a comparative lease value for similar land in the the local Bismarck market the comparative lease value equaled $42,500 for the annual lease that Medcenter One is providing to UND FPC.
Part III, Line 4: Medcenter One posts payments and discounts to individual patient accounts. For every patient account, a guarantor or finacially responsible party is determined. Accounts with the same guarantor are aggregated when determining bad debt expense.Worksheet 2 was used to determine line 2.To determine if the amount of bad debt expense that we reasonably believe would qualify as charity care if we had received the proper documentation, we performed the following calculation. For accounts sent to collection agency and therefore initially determined to be bad debt, we calculated the ratio of the collection agency's average collection recovery percentage and the number of accounts with payment arrangements and/or in legal compared to the total. Accounts without recovery or without payment arrangements we felt would have qualified for Community Care. For 2010 the percentage is 15%. This 15% was applied to line 2 to calculate line 3. The notes to the organization's audited financial statements state: "Management reviews patient receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision."
Part III, Line 8: Medicare cost report step-down methodology resulting in cost to charge ratio applied to appropriate revenue codes.
Part III, Line 9b: Statements for patient balances due are sent to patients on a monthly basis. If the individual contacts Medcenter One and provides information that they are eligible for charity care, the account balance is written off immediately and no further collection action is taken. If the account was already turned over to a third party collection agency, the agency is notified, the account is written off and no further collection action is taken. Patient contact and communication is recorded in the patient accounting system for customer account representatives and collection representatives to view and keep current.
Part VI, Line 2: Medcenter One employs a variety of tools and vehicles to assess the healthcare needs of the communities it serves. Medcenter One's Board of Directors and Strategic Planning Committee continually review the organization's subsidized programs and the needs of the community. Information is gathered from Medcenter One data as well as external data sources including North Dakota Department of Health, North Dakota Department of Human Services, North Dakota Courts and Law Enforcement, North Dakota State Data Center, North Dakota Vital Statistics, North Dakota Center for Rural Health, United Way, United States Census Bureau and the Centers for Disease Control and Prevention. Data from each agency is used to determine the healthcare-related needs and changes in the community. Information from these various sources is compiled and shared with the Senior Management Team and the Strategic Planning Committee. The Senior Management Team reviews volume of services provided to determine if there are changes in volume that impact access. To ensure access to healthcare services that experience increased demand, Medcenter One strives to add new access points and increased staffing.
Part VI, Line 3: The Medcenter One Community Care brochures are distributed at each Medcenter One registration desk including the emergency room registration area. Patients who may not have the ability to pay may also meet directly with a financial counselor to determine whether they will qualify for the charity care program. Additionally, financial counselors meet directly with patients during their in-patient stay to inform them of the charity care program. A recently added online credit scoring process to determine eligibility has allowed Medcenter One to better capture eligible charges that patients are unable to pay. Intake and financial staff also discuss the availability of various government benefits such as Medicaid, SCHIP and state high-risk insurance programs. Medcenter One contracts with an external agency to provide assistance for patients when completing eligibility form; this service helps low-income patients qualify for government medical aid programs which can otherwise be intimidating to patients.
Part VI, Line 4: POPULATION SERVED: Medcenter One serves residents of central and western North Dakota. The service area is approximately 2/3 of the 68,976 square miles of the state's land mass. The service area includes 35 counties of which 28 have a frontier designation (less than 6 people per square mile). The population is 93 percent white and 7 percent Native American. The leading causes of death are heart disease and cancer. Native Americans experience health disparities especially related to diabetes, obesity and substance abuse. According to county-specific data available through the North Dakota Data Center, the population of Medcenter One's primary service area is expected to remain fairly stable through 2020. Recent oil industry growth, however, has altered predictions towards a trend of growth. The counties with the strongest oil development may see population jumps as great as 20 percent. Overall, the Medcenter One's service area may jump from the current 240,000 to as many as 300,000 by 2012. MIGRATION TO URBAN AREAS, LOSS OF POPULATION IN RURAL AREAS: Even though the total population of the Medcenter One service area is stable with pockets of growth, studies conducted by the US Census Bureau and the North Dakota Data Center show the population will continue to migrate from smaller communities toward the urban centers. This movement into Bismarck will further limit access to primary care and hospital services in rural/frontier areas in the future.AGE: Besides migration of the population, the North Dakota Data Center population estimates show an aging of the population of the service area. From 2005 to 2020, it is anticipated that the Medcenter One service area will see a decrease of 12 percent in the number of residents age zero to 64 and a 32 percent increase in those people 65 years of age and older. This shifting will have an impact on the healthcare needs of the population. It is anticipated that the types of services and the volume of services required by the population will change with the aging of the population in the Medcenter One service area.Elderly patients experience more healthcare issues and have statistically higher healthcare spending than other age categories. When age categories are compared in a relative spending grid, people ages 0-24 have a relative spending of 0.5, whereas, elderly aged 75 years and older have a relative spending of 5.5. So as a population ages, there is a statistically significant increase in the amount of healthcare services demanded, including intensive care services. RACE: Native Americans comprise 7 percent of the population of North Dakota, but Medcenter One has a higher percent of hospitalized patients from the Native American race than is seen in the general population. Because Native Americans experience health disparities, this race makes up 14.9 percent of Medcenter One's inpatient stays and 17.3 percent of all ICU admissions. SOCIO-ECONOMIC STATUS: The socioeconomic status of the service area residents is fairly stable but lower than the national median. According to information from National Council on State Legislatures (NCSL), it is estimated that 50.1 percent of North Dakota residents are at or below 300 percent FPL. According to the NCSL data specific to adults with incomes up to 133 percent FPL, 23 percent have employer coverage, 17 percent have individual coverage, 23 percent are on Medicaid, and 38 percent are uninsured. Single adults in North Dakota do not qualify for Medicaid unless they are elderly or disabled. The 2009 US Census indicates that the median income for a North Dakota household was $47,898 as compared to $50,221 median household income in the United States. The 2009 annual per capita income was $24,978; the national per capita income was $27,041. Statewide, it is estimated that 11.7 percent of persons are below the poverty level. Native Americans in the service area have higher unemployment and lower median incomes than those of their white counterparts. The socio-economic status of Native Americans further complicates their ability to access health services.PAYER MIX: The largest segment of Medcenter One's payer mix is Medicare with 40.9 percent, Blue Cross Blue Shield is at 34.1 percent and commercial and other governmental payers (Workforce Safety and Insurance, CHAMPUS-North Dakota high risk insurance program, and Public Health System) at 12.6 percent. Medicaid makes up 8.8 percent, and self-pay accounts for only 3.6 percent.PRESENCE OF FEDERALLY-DESIGNATATED UNDERSERVED AREAS:Most of the counties in Medcenter One's service area are designated as health professional shortage areas (HPSA) except parts of Morton and Burleigh counties, where the Medcenter One hub resides, and portions of Stutsman and Barnes counties. Primary care physicians are in short supply throughout the state; specialty care physicians including psychiatrists, urologists and neurologists are in short supply across the state including the communities with the state's largest healthcare systems. OTHER HOSPITALS:There is only one other level II trauma center that serves the same service area. Medcenter One and the other facility serve as tertiary care centers for 13 critical access hospitals in the service area.
Part VI, Line 6: Medcenter One furthers its exempt status purpose by working to promote the health and well-being of the patients it serves. Medcenter One's broad-based, volunteer Board of Directors consists of 29 members. Membership includes 11 employees (the Medcenter One CEO and 10 physicians) and 18 community members who are not employed by Medcenter One. All 29 Board members reside in the Medcenter One service area. The board's size, diversity and geographic representation enable Medcenter One to say in touch with the needs of the vast service area. The volunteer board is also effective in monitoring the changing needs of the population and working to ensure that health needs are met. Medcenter One reinvests any profit back into the corporation, so Medcenter One can continue to provide the highest quality and broadest array of services available in western and central North Dakota.Safety net services provided by Medcenter One include: -Level II trauma services and emergency care-Neonatal intensive care unit-Only pediatric intensive care unit and oncology services in western North Dakota-Children's advocacy center-Home care/hospice-Kidney dialysis (3 sites)-Only kidney transplant program in western North Dakota-Mental Health - outpatient and inpatient-College of Nursing-Outpatient services in audiology and diabetes care-Rehabilitation services-Wound care servicesMany of the safety net services listed above need to be subsidized to continue their existence. Subsidized health services that are a substantial cost to Medcenter One include: nephrology/diabetes care center, mental health, trauma and critical care services, acute rehabilitation, infectious disease, and wound care.NURSING/NURSING STUDENTS:Medcenter One College of Nursing: Medcenter One was one of the first healthcare organizations in the country to operate a single purpose school. It has owned, operated and financially supported its own college of nursing since 1908. Medcenter One's College of Nursing is a fully accredited, upper-division institution awarding its graduates a four-year bachelor of science degree in nursing. Forty-three students graduated from the Medcenter One College of Nursing in spring 2010. The net cost of this program in 2010 was $1.5 million. OTHER HEALTH PROFESSION EDUCATION:Radiologic Technology Program subsidy: Medcenter One operates a School of Radiography. This program graduated four students in 2010. The net loss of this program is estimated at $74,634 in 2010. Professional healthcare training: Medcenter One supports medical education programs for pharmacists, radiologists and laboratory technicians. Medcenter One works in coordination with other state institutions to offer laboratory training for North Dakota students. In 2010, there was two phlebotomy student (technical) and seven students in the medical laboratory technologist program (2-year) from Bismarck State College and three medical technology students (4-year) from the University of North Dakota in Grand Forks. Medcenter One has 29 clinical affiliation agreements with ND colleges/universities and 27 agreements with out-of-state programs. During the 2009-2010 school term (August 2009 to July 2010), 289 students acquired increase knowledge and healthcare skills from staff on the Medcenter One campuses.Emergency medical services (EMS) education: Medcenter One EMS education is responsible for training emergency personnel from western and central North Dakota. Classes in CPR (certification and recertification), use of automatic external defibrillators (AED), first aid, pediatric first aid, advanced cardiac life support, pediatric advanced life support, American Heart Association instructor, first responder, emergency medical technician-basic/intermediate, paramedic, international trauma life support, nebulizer and EPI-pen training are offered. In 2010, 1,399 community participants were trained by Medcenter One EMS staff. Net cost of the program for 2010 community outreach was $68,288.COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, DONATIONS/SPONSORSHIPS AND IN-KIND SUPPORTHealth information and screening programs are promoted through a monthly publication sent to 150,000 households within Medcenter One's community area. The publication includes a calendar that highlights health information and screening programs available for the coming month and feature stories that focus on new treatments available in our service area. Medcenter One also produces and distributes Trauma Times to service area emergency personnel and critical access hospital staff yearly. Health promotional events such as presentations, health fairs and educational events are offered on a regular basis. One program called Doc Talk features a free educational session for the general public led by a Medcenter One physician. Participants are encouraged to ask health questions following the presentation. In 2010, Medcenter One hosted 12 Doc Talks with a total of 439 community members in attendance. Other health educational events and classes highlight topics such as prepared childbirth, sibling adjustment, breastfeeding, infant massage and nurturing. Some of the classes charge a nominal fee for participation.Support groups: Medcenter One sponsors support groups with a donation of space and/or leadership. Medcenter One offers several support groups for patients and families dealing with Alzheimer's disease, cancer, diabetes, gastric bypass surgery, hepatitis, infant death, multiple sclerosis, sleep disturbances, prostate cancer and stroke and brain injury. Safety and prevention services: Staff within the trauma services department at Medcenter One work closely with the North Dakota Safety Council to provide two week-long educational camps for 5 and 6-year-old children in the Bismarck-Mandan area. Activities include games and songs that emphasize safety risks and appropriate responses, so that children understand how to maintain their safety in various environments. Children take turns driving pedal cars to learn traffic rules for drivers and walking across intersections to adopt safe practices for pedestrians. Playground and bike safety are also highlighted. Medcenter One provides instruction and materials on safety to each student. Other Trauma Services community outreach programs include:* Trauma services staff promote bike helmet use and conduct car seat safety checks in coordination with other local agencies. * Participate in a special program entitled Teen Maze that promotes safety with middle school children.* In 2010, Trauma Services began work on adult fall prevention programs. Western North Dakota has an above-average elderly population and so addressing critical health risks like falling down have become increasingly important. Women's Health Center: A medically sound fitness and exercise program where physical therapists provide free injury screenings and make recommendations for personal workout routines. Physical fitness and healthy lifestyles are promoted to women at every stage of their lives. Educational and promotional events are scheduled on a regular basis and the Center hosts the regional Breast Cancer Walk/Run event annually, which includes a multipurpose health fair. Parish Nurse Program: Parish nurses minister to the physical, spiritual and emotional needs of the congregation through health education, health screenings, making referrals, serving as a personal health counselor, offering flu shot clinics and visiting people who are homebound, hospitalized or in a nursing home. The parish nurses program partners with eight congregations that represent three denominations. Medcenter One provided $17,323 of support in 2010.Screenings include Well Baby Clinic, prostate cancer, hearing and athletic screenings throughout the year. The Well Baby Clinics are held weekly, and parents can bring their baby to be weighed and measured by a registered nurse who also answers any questions parents may have. Speech therapy partners with the Scottish Rite to provide free speech screening and therapy services to children with speech issues. Sponsorships and donations: In 2010, Medcenter One provided $10,825 of donations and sponsorships for community non-profit agencies.Additional in-kind support and services: In 2010, Medcenter One College of Nursing faculty and students spent 6,114 hours providing school and community nursing, presentations and health career information to elementary and junior high students providing in-kind services valued at $127,721.Statement continued on Sch H, Other Information...
Part VI, Line 7: Medcenter One is a division of Medcenter One Health Systems. A complete continuum of care is provided under the Medcenter One Health Systems umbrella agency. Long-term care services, laboratory (including histocompatibility services for organ transplant surgery) and radiology services, a joint owned air ambulance service and laundry service, and a durable medical equipment service are a few of the supporting services provided by Medcenter One Health Systems. The living centers division provides care to long-term care residents who occupy 339 nursing home beds. The nursing homes operate at a 98% occupancy rate. The division also operates 77 assisted living apartments.Joint ownership of air ambulance and laundry services are cost-effective ways to support other Medcenter One operations. The laboratory and radiology services provide technical support to the physicians and patients served by Medcenter One and allow Medcenter One to be the only facility in western North Dakota that provides transplant services. Profits from the laboratory and radiology division support subsidized programs of Medcenter One.
OTHER INFORMATIONcontinued from Sch H, Part VI, Line 5:Besides providing space for many support groups and community events, Medcenter One allows the local police and sheriff departments to use the Medcenter One security training facility and equipment for their training needs. In 2010, 610 hours of facility meeting and training space was provided to these groups. Medcenter One provides free food and beverages for many of the support groups and community meetings hosted at our facility as well as door prizes and other giveaways to promote non-profit and other fundraising activities.In-kind support includes the value of medical supplies that are donated to other non-profits, area ambulance and firefighting organizations and healthcare providers.	Sch H, Part VI, Line 5:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
God's Child
721 Memorial Highway	Bismarck	ND	58504	450459314	501(c)(3)	15000	FMV	Medical supplies & scrubs	Overstock and nearing outdate, the supplies were donated to a charitable mission.
Univeristy of North Dakota School of Medicine
515 East Broadway	Bismarck	ND	58501	456002491	Government	6400	FMV	Medical supplies & scrubs	Overstock and nearing outdate, the supplies were donated to the residency program.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The organization only makes charitable distributions to other 501(c)(3) organizations. Once funds are distributed no further monitoring is done.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr Alan VanNorman
617588	0	0	0	18822	0	9800	0	16393	0	662603	0	0	0
Dr Craig Lambrecht
517023	0	77454	0	62374	0	45900	0	25711	0	728462	0	0	0
Dr Biron Baker
178546	0	238075	0	6810	0	9800	0	17475	0	450706	0	0	0
Dr Kimber Boyko
517082	0	104913	0	1242	0	39200	0	17216	0	679653	0	0	0
Dr David Field
245405	0	101537	0	17742	0	39200	0	16177	0	420061	0	0	0
Dr Kent Martin
239074	0	38766	0	9894	0	39200	0	20730	0	347664	0	0	0
Dr David O'Regan
507861	0	0	0	1242	0	9800	0	17593	0	536496	0	0	0
Dr Mark Rodacker
385110	0	70406	0	810	0	9800	0	15006	0	481132	0	0	0
Dr Sean Russell
595380	0	0	0	17310	0	39200	0	19619	0	671509	0	0	0
Dr William Canham
490238	0	0	0	20064	0	9800	0	19822	0	539924	0	0	0
Dr David Pengilly
230056	0	116925	0	540	0	9800	0	12876	0	370197	0	0	0
Paul Morth
182075	0	37741	0	24094	0	44435	0	21552	0	309897	0	0	0
Karen Paul
122886	0	33227	0	11771	0	19490	0	21282	0	208656	0	0	0
John Miller
250587	0	0	0	0	0	0	0	0	0	250587	0	0	0
Jan Kamphuis
182313	0	37282	0	25328	0	8442	0	17894	0	271259	0	0	0
Scott Boehm
153120	0	29581	0	18456	0	31261	0	15428	0	247846	0	0	0
Dr Anthony Tello
372252	0	74716	0	1242	0	9800	0	17856	0	475866	0	0	0
Dr Douglas Berglund
849178	0	172278	0	17742	0	39200	0	15623	0	1094021	0	0	0
Dr William Cain
713457	0	276696	0	18822	0	39200	0	10161	0	1058336	0	0	0
Dr Matthew Iwamota
734262	0	280500	0	2501	0	29400	0	15006	0	1061669	0	0	0
Dr Michael McIntee
743208	0	286767	0	17310	0	9800	0	16393	0	1073478	0	0	0
Dr Tarek Dufan
417592	0	1013521	0	10486	0	29400	0	14144	0	1485143	0	0	0
Claudia Eisenmann
194799	0	40281	0	5852	0	8056	0	9039	0	258027	0	0	0
Evy Olson
107220	0	23900	0	9926	0	4861	0	15536	0	161443	0	0	0
Pam Hopkins
93842	0	21561	0	15464	0	14791	0	10236	0	155894	0	0	0
James Cooper
100368	0	0	0	0	0	0	0	0	0	100368	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Companion travel was provided for Craig Lambrecht's (CEO) wife. These amounts were reported as taxable income on his W-2.
Part I, Line 4a	Claudia Eisenmann, key employee/Vice President, received severance compensation from April through the end of the year and into FY 2011. The amount of severance from April through December included $139,435 in compensation and $15,061 in benefits (including Social Security, Medicare, Health Insurance, and 401 (a) money purchase pension contributions).
Part I, Line 7	Medcenter One, Inc. has a senior management incentive compensation plan. There are various payout levels, depending on where the bottom line is at, using the consolidated total margin percentage as the measurement. Actual payment is subject to recommendation by the CEO to the chairman of the board and may not be made even if minimum thresholds are met.
Part III	Part II: John Miller provides project management services to Medcenter One, Inc., but is compensated by an independent management company for those services.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII (3 entries)

Name Of Interested PersonNameOfInterestedPerson	Relationship With OrganizationRelationshipWithOrganization	Amount Of GrantAmountOfGrant	Type Of AssistanceTypeOfAssistance
John Miller II	Son of John Miller, Key Employee	18000	Educational stipend
Jessica Miller	Daughter-in-law of John Miller, Key Employee	18000	Educational stipend
Stephanie Miller	Daughter of John Miller, Key Employee	18000	Educational stipend

Form990 Schedule L Part IV Form990ScheduleLPartIV (12 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Associated Land Development
Partnership of which a board member has more than a 5% ownership	290740	MCO, Inc. leases property for Bismarck South Clinic from Associated Land Development of which Mr. Ternes is a 33 1/3% owner.	0
Information Technologies Inc
Entity owned more than 35% by a key employee	617565	Mr. Miller is owner of Information Technologies Inc. which is contracted by Medcenter One to provide the CIO and other information services employees and expertise.	0
Kimberly A VanNorman
Family of board member - Alan VanNorman	23335	Employment Compensation	0
Megan J Suchy
Family of officer - Paul Morth	50252	Employment Compensation	0
Brenda Miller
Wife of officer - John Miller	385999	Employment Compensation	0
Susan K Boehm
Wife of key employee - Scott Boehm	37862	Employment Compensation	0
John Durick
Brother of key employee - Patrick Durick	97893	Employee Compensation	0
Cheryl Page
Family of board member - Robert Schulty	58944	Employee Compensation	0
Lisa Clairmont
Daughter of board member - Irene Wentz	71674	Employee Compensation	0
Allison Sadowski
Family of key employee - Anthony Telo	39997	Employee Compensation	0
John Miller II
Son of key employee - John Miller	36821	Contracted physician services	0
Laura Boehm
Family of key employee - Scott Boehm	12454	Employee Compensation	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Changes in Program Services	Form 990, Part III, line 3	Medcenter One's charity program enrollment was altered to capture a greater percentage of eligible charges. In addition to the written application process, Medcenter One added an online credit checking program which streamlines the Charity Care process for qualified patients' unpaid charges. The net result was a 55% increase in charity care ($9.3 million in 2010 versus $6 million in 2009) based on charges foregone.
Form 990, Part VI, Section A, line 1		The Hospital has an Executive Committee that can make a decision on the Board of Directors behalf in an emergency. The Executive Committee consists of the Chair, Vice Chair, Secretary/Treasurer, CEO, and eight board members.
Form 990, Part VI, Section A, line 3		Project management services are provided by John Miller, who is compensated by an independent management company for those services.
Form 990, Part VI, Section A, line 6		The sole member of the organization is Medcenter One Health Systems.
Form 990, Part VI, Section A, line 7a		The sole member, Medcenter One Health Systems, has the powers and rights to fix the number of, elect, appoint, fill vacancies in and remove, with or without cause, the directors of the corporation; and elect, appoint, and remove the chair of the Board of Directors of the corporation.
Form 990, Part VI, Section A, line 7b		The member, Medcenter One Health Systems, approves all governing decisions of the board.
Form 990, Part VI, Section B, line 11		The draft Form 990 is reviewed by the CFO and Controller. A high-level overview of the return activity was presented to the Executive Committee. Comments and questions are addressed and the final draft is available for the Board in the administration office for review prior to the filing date. However, occasionally the timing of the filing deadline and finalizing the draft does not allow appropriate time for presentation to the governing body before the filing. The finance committee and board members will be notified of a filed copy to review in administration. If requests are made for changes an amended return will be sent. The Board was given a presentation regarding the current Form 990 by an Eide Bailly representative and our CFO.
	Form 990, Part VI, Section B, line 12c	Annually a letter is distributed explaining our conflict of interest policy with examples of what may be considered a conflict of interest. Officers, directors or trustees, and key employees are asked to complete a survey which would disclose any conflicts. These surveys are to be signed and returned to the finance department. Any individuals who do not return the survey in a reasonable time are contacted again to return the survey. Officers and directors with a conflict of interest are asked to remove themselves from applicable discussions and voting.
	Form 990, Part VI, Section B, line 15	The CEO's compensation is determined by the board's Executive Committee. They receive input on salary survey information which is documented in the minutes of the Executive Committee. Any adjustment that the Board determines is then documented on an internal compensation change form in which the Chairman of the Board signs off. Compensation consultants are used once a year for the CEO, VP's and Medical Director. This process is done on an annual basis. Compensation for other officers and key employees (non-physicians) is based on salary survey information. The CEO makes a recommendation to the Chairman of the Board and the Chairman approves and signs off. A Bonus system is in place and is approved by the Executive Committee. This process is done on an annual basis. Compensation of top highly compensated employees, who are physicians, is determined by a compensation committee that considers compensation plans and uses guidelines from the Executive Committee. The Board votes on the compensation plans (minus the physicians on the board). Legal counsel also reviews compliance with board guidelines and reasonable market rates. The last full review was completed four years ago. In 2010 a consultant was hired to do a fair market value comparison. Medcenter One is currently waiting to receive the final report on that assessment.
	Form 990, Part VI, Section C, line 19	Documents are not available for public disclosure; however the financial statements will become part of the documents available at GuideStar.org.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized gains on investments: 12,114. Pension-related changes other than net periodic pension cost -611,793. Change in interest in net assets of Medcenter One Foundation -67,500. Total to Form 990, Part XI, Line 5: -667,179.
	Form 990, Page 7, Part VIII, Column B:	Hours reported on Part VII are for services performed for the organization. The following individuals also devoted time to Mecenter One Living Centers (MCOLC), Medcenter One Foundation (FDTN), and Medcenter One Health System (SYSTEM). Approximate number of hours per week devoted to each entity are as follows: MCOLC FDTN SYSTEM Total Patrick Durick 1.0 0.0 1.0 2.0 Dr. Alan VanNorman 0.0 0.0 1.0 1.0 Gerald Willer 0.0 0.0 1.0 1.0 Dr. Craig Lambrecht 0.0 1.0 1.0 2.0 Dr. Biron Baker 0.0 0.0 1.0 1.0 Wes Engbrecht 0.0 0.0 1.0 1.0 Claire Anne Holmberg 0.0 0.0 1.0 1.0 Ellen Huber 0.0 0.0 1.0 1.0 Lowell Jensen 0.0 0.0 1.0 1.0 George Keiser 1.0 0.0 1.0 2.0 James Laducer 0.0 0.0 1.0 1.0 Sister Paula Larson 0.0 0.0 1.0 1.0 Susan Lundberg 1.0 0.0 1.0 2.0 Dr. Kimber Boyko 0.0 0.0 1.0 1.0 Dr. David Field 0.0 0.0 1.0 1.0 Dr. Sean Russell 0.0 0.0 1.0 1.0 Dr. Mark Rodacker 0.0 0.0 1.0 1.0 Robert Schulte 0.0 0.0 1.0 1.0 Dr. Larry Skogen 0.0 0.0 1.0 1.0 Richard Hedahl 0.0 0.0 1.0 1.0 Niles Hushka 0.0 0.0 1.0 1.0 Duwayne Ternes 0.0 0.0 1.0 1.0 Jim Volk 0.0 0.0 1.0 1.0 Jim Wheeler 0.0 0.0 1.0 1.0 Dr. Kent Martin 0.0 0.0 1.0 1.0 Dr. David O'Regan 0.0 0.0 1.0 1.0 Dr. David Pengilly 0.0 0.0 1.0 1.0 Irene Wentz 0.0 0.0 1.0 1.0 Dr. William Canham 0.0 0.0 1.0 1.0 Paul Morth 0.0 1.0 1.0 2.0

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Medequip One LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	300 North 7th Street	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Field	Value	IRS element (for citing)
EIN	450452639	EIN
Primary Activities	Provide durable medical equipment to patients	PrimaryActivities
Legal Domicile State	ND	LegalDomicileState
Total Income	4062424	TotalIncome
EOY Assets	3184822	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Medcenter One Health Systems	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Medcenter One Health Systems
300 North 7th Street	Bismarck	ND	58501	450397195	Promotion of Health	ND	501(c)(3)	3	N/A	0
Medcenter One Foundation
300 North 7th Street	Bismarck	ND	58501	450397196	Promotion of Health Through Fundraising	ND	501(c)(3)	7		0	Medcenter One Health Systems
Medcenter One Living Centers
1000 18th ST NW Suite 1	Mandan	ND	58554	450416454	Long-term Care Facility	ND	501(c)(3)	9		0	Medcenter One Health Systems
Bismarck Cancer Center
500 North 8th Street	Bismarck	ND	58501	450454363	Theraputic Radiation Treatment of Cancer and Other Diseases	ND	501(c)(3)	9		0	Medcenter One Health Systems
Central Dakota Hospital Laundry
1300 Industrial Drive	Bismarck	ND	58501	450317366	Laundry Service Cooperative	ND	501(e)			0	Medcenter One Health Systems

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Bismarck Air Medical	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2940 N 19TH ST	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58503	ZIPCode

Field	Value	IRS element (for citing)
EIN	721538378	EIN
Primary Activity	Air ambulance service	PrimaryActivity
Legal Domicile State	ND	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Medcenter One Affiliated Services Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	300 North 7th Street	AddressLine1
City	Bismarck	City
State	ND	State
ZIP Code	58501	ZIPCode

Field	Value	IRS element (for citing)
EIN	450403146	EIN
Primary Activity	investment activity	PrimaryActivity
Legal Domicile State	ND	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	1	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg