STILLWATER MEDICAL GROUP: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- STILLWATER MEDICAL GROUP (EIN 83-0379473)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201122279349304617
- Schema version
- 2009v1.7
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T17:31:04-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830379473 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stillwater Medical Group | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STIL | NameControl |
| Phone | 6514304581 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 CURVE CREST BLVD | AddressLine1 |
| City | STILLWATER | City |
| State | MN | State |
| ZIP Code | 55082 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUGLAS E JOHNSON | Name |
| Title | CFO | Title |
| Phone | 6514304581 | Phone |
| Date Signed | 2011-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEFFREY J ROBERTSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 CHURCHILL ST W | AddressLine1 |
| City | STILLWATER | City |
| State | MN | State |
| ZIP Code | 55082 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48872891 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.STILWATERMEDICALGROUP.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 419 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4776111 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8630531 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 39850338 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 40025219 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -59486 | InvestmentIncomePriorYear |
| Investment Income Current Year | -26809 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 99258 | OtherRevenuePriorYear |
| Other Revenue Current Year | 211285 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 44666221 | TotalRevenuePriorYear |
| Total Revenue Current Year | 48840226 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 2916275 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 28857824 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29213416 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 15396211 | OtherExpensePriorYear |
| Other Expenses Current Year | 15313981 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 44254035 | TotalExpensesPriorYear |
| Total Expenses Current Year | 47443672 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 412186 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1396554 | RevenuesLessExpensesCY |
| Total Assets BOY | 35521402 | TotalAssetsBOY |
| Total Assets EOY | 37438470 | TotalAssetsEOY |
| Total Liabilities BOY | 4749057 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5241269 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30772345 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32197201 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO MEET THE HEALTHCARE NEEDS OF INDIVIDUALS, FAMILIES & COMMUNITIES OF THE ST. CROIX VALLEY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 40802081 | Expense |
| Grants | 2916275 | Grants |
| Revenue | 40135481 | Revenue |
| Description | Provided superior healthcare services to the residents of the St. Croix Valley through operations of medical clinics. The clinic provided charity care of $86,326 in 2010 and $64,205 in 2009. | Description |
| Total Program Service Expense | 40802081 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | 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 | 0 | Hospital |
| 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 | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 419 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Doug Johnson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6514304581 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 CHURCHILL STREET W | AddressLine1 |
| City | STILLWATER | City |
| State | MN | State |
| ZIP Code | 55082 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Greg Benson | ||||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | |||
| Jeffrey J Robertson | ||||||||
| CEO | 60.00 | X | 0 | 597790 | 75893 | X | ||
| Chuck Stevens MD | ||||||||
| Secretary/Physician | 40.00 | X | 161411 | 0 | 13696 | X | ||
| Larry Morrissey MD | ||||||||
| Board Member/Physician | 40.00 | X | 184067 | 0 | 14998 | |||
| Steve Scallon MD | ||||||||
| Vice-Chair/Physician | 40.00 | X | 231744 | 0 | 13116 | X | ||
| Charles Hipp MD | ||||||||
| Board Member/Physician | 40.00 | X | 298000 | 0 | 17233 | X | ||
| Michael Bourne MD | ||||||||
| Treasurer/Physician | 40.00 | X | 346053 | 0 | 17548 | X | ||
| Douglas E Johnson | ||||||||
| CFO | 60.00 | 0 | 316905 | 50047 | X | |||
| Matt Ritchie | ||||||||
| Administrator | 60.00 | 48615 | 0 | 1853 | X | |||
| Matt Sedgley | ||||||||
| Physician | 40.00 | 295810 | 0 | 17548 | X | |||
| Ray Watts | ||||||||
| Physician | 40.00 | 294516 | 0 | 16574 | X | |||
| Kevin Bjork | ||||||||
| Physician | 40.00 | 331432 | 0 | 17548 | X | |||
| Candy Corey | ||||||||
| Physician | 40.00 | 360000 | 0 | 13813 | X | |||
| Thomas Stormont | ||||||||
| Physician | 40.00 | 670774 | 0 | 17548 | X | |||
| Andrew Dorwart MD | ||||||||
| Physician | 40.00 | 291904 | 0 | 29875 | X | |||
| Bruce Denison MD | ||||||||
| Physician | 40.00 | 288608 | 0 | 43204 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3802934 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 914695 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 360494 | TotalOtherCompensation |
| Number Individuals GT100 K | 72 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Select Transcription Services | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11040 183rd Circle NW C | AddressLine1 |
| City | Elk River | City |
| State | MN | State |
| ZIP Code | 55330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Transportation Services | DescriptionOfServices |
| Compensation | 387174 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Related Organizations | 8630531 | RelatedOrganizations |
| Total Contributions | 8630531 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUES | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 40025219 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40025219 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 40025219 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1385 | TotalRevenueColumn |
| Exclusion | -$1,385 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 101023 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 101023 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101023 | TotalRevenueColumn |
| Exclusion | $101,023 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7241 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 32665 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -25424 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -25424 | TotalRevenueColumn |
| Exclusion | -$25,424 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 110262 | TotalRevenueColumn |
| Exclusion | $110,262 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 110262 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48840226 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40025219 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $184,476 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2916275 | Total |
| Program Services | 2916275 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1521344 | Total |
| Program Services | 1521344 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23989993 | Total |
| Program Services | 22966868 | ProgramServices |
| Management And General | 1023125 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 657965 | Total |
| Program Services | 416043 | ProgramServices |
| Management And General | 241922 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1587205 | Total |
| Program Services | 462749 | ProgramServices |
| Management And General | 1124456 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1456909 | Total |
| Program Services | 775809 | ProgramServices |
| Management And General | 681100 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9249 | Total |
| Management And General | 9249 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3913120 | Total |
| Program Services | 2920842 | ProgramServices |
| Management And General | 992278 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 318599 | Total |
| Program Services | 594 | ProgramServices |
| Management And General | 318005 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3460228 | Total |
| Program Services | 3192170 | ProgramServices |
| Management And General | 268058 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341886 | Total |
| Management And General | 341886 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2330394 | Total |
| Program Services | 2225486 | ProgramServices |
| Management And General | 104908 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5075 | Total |
| Program Services | 5075 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4053 | Total |
| Management And General | 4053 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2502740 | Total |
| Program Services | 2502740 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 714456 | Total |
| Management And General | 714456 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| Bad debt | 572783 | 572783 | |
| EQUIPMENT MAINTENANCE | 387667 | 105036 | 282631 |
| Miscellaneous expenses | 374435 | 50631 | 323804 |
| EMPLOYEE TRAINING | 153177 | 12953 | 140224 |
| DUES & LICENSES | 125839 | 100 | 125739 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100280 | Total |
| Program Services | 23688 | ProgramServices |
| Management And General | 76592 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47443672 | Total |
| Program Services | 40802081 | ProgramServices |
| Management And General | 6641591 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3518551 | BOY |
| EOY | 4669250 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3889650 | BOY |
| EOY | 3602869 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 548860 | BOY |
| EOY | 799110 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 189585 | BOY |
| EOY | 172700 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 39369064 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11174523 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27374756 | BOY |
| EOY | 28194541 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35521402 | BOY |
| EOY | 37438470 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4705100 | BOY |
| EOY | 5195291 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43957 | BOY |
| EOY | 45978 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4749057 | BOY |
| EOY | 5241269 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30772345 | BOY |
| EOY | 32197201 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30772345 | BOY |
| EOY | 32197201 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35521402 | BOY |
| EOY | 37438470 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 3956345 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4776111 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5742558 | CurrentTaxYear |
| Total | 14475014 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 31817652 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34696859 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39787401 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 39850338 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40025219 | CurrentTaxYear |
| Total | 186177469 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 31817652 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34696859 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 43743746 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44626449 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45767777 | CurrentTaxYear |
| Total | 200652483 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 200652483 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 143166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 123272 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 98874 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103694 | CurrentTaxYearMinus1Year |
| Current Tax Year | 99638 | CurrentTaxYear |
| Total | 568644 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 143166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 123272 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 98874 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103694 | CurrentTaxYearMinus1Year |
| Current Tax Year | 99638 | CurrentTaxYear |
| Total | 568644 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 110262 | CurrentTaxYear |
| Total | 110262 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 31960818 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 34820131 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 43842620 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44730143 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45977677 | CurrentTaxYear |
| Total | 201331389 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99660 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99700 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00280 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00300 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | Schedule A, Part II, Line 12, Explanation of Other Income: MISCELLANEOUS INCOME | GeneralExplanation |
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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 571589 | OtherCostOrOtherBasis |
| Book Value | 571589 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26497146 | OtherCostOrOtherBasis |
| Depreciation | 6264385 | Depreciation |
| Book Value | 20232761 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2564112 | OtherCostOrOtherBasis |
| Depreciation | 614899 | Depreciation |
| Book Value | 1949213 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9736217 | OtherCostOrOtherBasis |
| Depreciation | 4295239 | Depreciation |
| Book Value | 5440978 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 28194541 | TotalOfBookValueLandBuildings |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakeview Memorial Hospital Association Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 927 Churchill Street West | AddressLine1 |
| City | Stillwater | City |
| State | MN | State |
| ZIP Code | 55082 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 410811697 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 2916275 | AmountOfCashGrant |
| Purpose Of Grant | General Operations | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | 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: All grants are paid to related organizations under common control. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey J Robertson | |||||||||||||
| 0 | 321343 | 0 | 75100 | 0 | 201347 | 0 | 25097 | 0 | 50796 | 0 | 673683 | 0 | 0 |
| Chuck Stevens MD | |||||||||||||
| 146244 | 0 | 15167 | 0 | 0 | 0 | 0 | 0 | 13696 | 0 | 175107 | 0 | 0 | 0 |
| Larry Morrissey MD | |||||||||||||
| 172105 | 0 | 11962 | 0 | 0 | 0 | 0 | 0 | 14998 | 0 | 199065 | 0 | 0 | 0 |
| Steve Scallon MD | |||||||||||||
| 206073 | 0 | 25671 | 0 | 0 | 0 | 0 | 0 | 13116 | 0 | 244860 | 0 | 0 | 0 |
| Charles Hipp MD | |||||||||||||
| 264307 | 0 | 33693 | 0 | 0 | 0 | 0 | 0 | 17233 | 0 | 315233 | 0 | 0 | 0 |
| Michael Bourne MD | |||||||||||||
| 317656 | 0 | 28397 | 0 | 0 | 0 | 0 | 0 | 17548 | 0 | 363601 | 0 | 0 | 0 |
| Douglas E Johnson | |||||||||||||
| 0 | 199775 | 0 | 51047 | 0 | 66083 | 0 | 15206 | 0 | 34841 | 0 | 366952 | 0 | 0 |
| Matt Sedgley | |||||||||||||
| 275090 | 0 | 20720 | 0 | 0 | 0 | 0 | 0 | 17548 | 0 | 313358 | 0 | 0 | 0 |
| Ray Watts | |||||||||||||
| 294516 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16574 | 0 | 311090 | 0 | 0 | 0 |
| Kevin Bjork | |||||||||||||
| 303000 | 0 | 28432 | 0 | 0 | 0 | 0 | 0 | 17548 | 0 | 348980 | 0 | 0 | 0 |
| Candy Corey | |||||||||||||
| 350000 | 0 | 10000 | 0 | 0 | 0 | 0 | 0 | 13813 | 0 | 373813 | 0 | 0 | 0 |
| Thomas Stormont | |||||||||||||
| 619260 | 0 | 51514 | 0 | 0 | 0 | 0 | 0 | 17548 | 0 | 688322 | 0 | 0 | 0 |
| Andrew Dorwart MD | |||||||||||||
| 264408 | 0 | 27496 | 0 | 0 | 0 | 19285 | 0 | 10590 | 0 | 321779 | 0 | 0 | 0 |
| Bruce Denison MD | |||||||||||||
| 263200 | 0 | 25408 | 0 | 0 | 0 | 25656 | 0 | 17548 | 0 | 331812 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | SCHEDULE J, PART I, LINE 3 THE CEO'S AND CFO'S COMPENSATION IS ESTABLISHED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USED THE FOLLOWING TO ESTABLISH THEIR COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER IS STILLWATER HEALTH SYSTEM. | |
| Form 990, Part VI, Section A, line 7a | THE MEMBER HAS THE POWER TO RATIFY, APPROVE AND REMOVE ALL MEMBERS OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE. | |
| Form 990, Part VI, Section A, line 7b | THE MEMBER HAS RESERVED TO ITSELF THE FOLLOWING POWERS CONCERNING THE GOVERNANCE OF STILLWATER MEDICAL GROUP: 1. RATIFICATION, APPROVAL AND REMOVAL ALL MEMBERS OF THE BOARD OF DIRECTORS, WITH OR WITHOUT CAUSE. 2. APPROVAL OF ANY MISSION OR VISION STATEMENT OR STATEMENT OF CORPORATE PURPOSE ADOPTED BY THE ORGANIZATION. 3. APPROVAL OF THE ORGANIZATION'S STRATEGIC PLANS, CAPITAL BUDGETS, OPERATING BUDGETS AND FINANCIAL POLICIES. 4. APPROVAL OF ANY PLANS OF MERGER OR CONSOLIDATION BY THE ORGANIZATION WITH ANY FOREIGN OR DOMESTIC ORGANIZATION, VOLUNTARY DISSOLUTION OF THE ORGANIZATION, OR SALE, LEASE OR TRANSFER OF THE ORGANIZATION'S REAL ESTATE OR A SIGNIFICANT PORTION OF THE OPERATIONS OR ASSETS OF THE ORGANIZATION. 5. APPROVAL OF THE GRANT OF A SECURITY INTEREST IN ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS, OR THE INCURRENCE OF INDEBTEDNESS OR THE GUARANTEE OF ANY INDEBTEDNESS. 6. APPROVAL OF INDIVIDUAL CAPITAL EXPENDITURES BY THE ORGANIZATION, WHETHER BUDGETED OR UNBUDGETED, IN EXCESS OF $500,000. 7. RATIFICATION OF SELECTION AND EVALUATION, AND TERMINATION, OF THE PRESIDENT OF THE ORGANIZATION. 8. APPROVAL OF PHYSICIAN, EMPLOYEE AND EXECUTIVE COMPENSATION PLANS FOR THE ORGANIZATION, INCLUDING CRITERIA FOR INCENTIVE COMPENSATION ARRANGEMENTS. 9. APPROVAL OF ALL SUBSTANTIVE AFFILIATIONS BETWEEN THE ORGANIZATION AND A THIRD PARTY. 10. APPROVAL OF CONFLICTS OF INTEREST POLICIES FOR THE ORGANIZATION. | |
| Form 990, Part VI, Section B, line 11 | The Medical Group's draft 990 was reviewed and approved by the Lakeview CFO, then distributed electronically to all Stillwater Medical Group and Stillwater Health System board members (voting and non-voting). The Form 990 was reviewed by the Stillwater Health System Audit Committee. A copy of the final Form 990 was sent electronically to all board members prior to filing. | |
| Form 990, Part VI, Section B, line 12c | The organization requires Interested Persons to disclose potential conflicts of interest. Interested persons are excluded from deliberations and votes pertaining to the transaction or arrangement. Alternatives to the transaction or arrangement are explored. If a more advantageous transaction or arrangement cannot be identified that does not give rise to conflict of interest, the Board considers the transaction or arrangement based on its benefit to the Corporation. If the board has reasonable cause to believe that a member has failed to disclose possible conflicts of interest, it informs the member of the basis for such belief and affords the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of the member and making such further investigation as is warranted, the board determines that the member has in fact failed to disclose an actual or possible conflict of interest, it takes appropriate disciplinary and corrective action. The board of directors and officers are covered under the Organization's conflict of interest policy. Determinations of conflicts of interest are made and reviewed at the clinic provider level and at the Corporation executive and board level. | |
| Form 990, Part VI, Section B, line 15b | IN 2010, LAKEVIEW HEALTH SYSTEM' COMPENSATION COMMITTEE RETAINED AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM TO PROVIDE A COMPREHENSIVE MARKET COMPARISON FOR THE FOLLOWING EXECUTIVE POSITIONS WITHIN LAKEVIEW HEALTH: SYSTEM CEO, SYSTEM CFO, CLINIC PRESIDENT, CLINIC ADMINISTRATOR AND HOSPITAL PRESIDENT. THE DATA FROM THE 2008 ANALYSIS ALLOWED THE COMMITTEE TO LEARN THE COMPENSATION RATES THAT ARE CONSIDERED P50 TO P60 OF MARKET FOR COMPARABLE LAKEVIEW POSITIONS. OTHER CONSIDERATIONS BY THE COMMITTEE INCLUDE: ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES, INDIVIDUAL PERFORMANCE, EXPERIENCE, SUBJECTIVE EVALUATION BY BOARD MEMBERS, GENERAL ECONOMIC CONDITIONS, COSTS OF REPLACEMENT, PREVAILING COMMUNITY ATTITUDES AND BELIEFS REGARDING EXECUTIVE COMPENSATION. THE PROCESS OF DETERMINING THE OFFICERS AND BOARD MEMBERS'COMPENSATION INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2010. | |
| Form 990, Part VI, Section C, line 19 | THE MEDICAL GROUP'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE MEDICAL GROUP'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH ITS ANNUAL REPORT. | |
| FORM 990, PART III, LINE 4A | FOR THE 2009 FORM 990 THE ORGANIZATION HAS DECIDED TO REPORT THE AMOUNT OF CHARITY CARE PROVIDED TO PATIENTS AT COST, IN THE PRIOR YEAR HOWEVER, THIS AMOUNT WAS REPORTED AT GROSS, THEREFORE, THE FISCAL YEAR 2009 AMOUNT WAS CHANGED FROM $98,712 IN THE 2008 FORM 990 TO $64,205 IN THE 2009 FORM 990. THE ORGANIZATION DECIDED TO REPORT THE CHARITY CARE AT COST IN ORDER TO BE CONSERVATIVE AND CONSISTENT WITH HOW THIS AMOUNT IS PRESENTED ON THE FORM 990S OF THEIR RELATED ORGANIZATIONS. | AMOUNT OF CHARITY CARE PROVIDED |
| FORM 990, PART VII, SECTION A | THE COMPENSATED BOARD MEMBERS AND OFFICERS FREQUENTLY DEVOTE THEIR TIME TO MULTIPLE RELATED ORGANIZATIONS IN A PARTICULAR WEEK. EACH INDIVIDUAL WORKS AN AVERAGE OF APPROXIMATELY 60 HOURS PER WEEK FOR STILLWATER MEDICAL GROUP AND ITS RELATED ORGANIZATIONS. | AVERAGE WEEKLY HOURS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 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 |
|---|---|---|---|---|---|---|---|---|---|
| Lakeview Memorial Hospital Association Inc | |||||||||
| 927 Churchill St W | STILLWATER | MN | 55082 | 410811697 | HOSPITAL | MN | 501(C)(3) | 3 | N/A |
| Stillwater Health System | |||||||||
| 927 Churchill St W | STILLWATER | MN | 55082 | 300221189 | HEALTH CARE | MN | 501(C)(3) | 11 - TYPE 2 | N/A |
| Lakeview Memorial Hospital Foundation | |||||||||
| 927 Churchill St W | STILLWATER | MN | 55082 | 411386635 | FOUNDATION | MN | 501(C)(3) | 11 - TYPE 2 | N/A |
| ST CROIX VALLEY HEALTH AND CARE RESEARCH FOUNDATION | |||||||||
| 1500 CHURCHILL BLVD | STILLWATER | MN | 55082 | 411923524 | FOUNDATION | MN | 501(C)(3) | PF | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 | 0 | 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 | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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