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Nonprofiteer
← OMC REGIONAL FOUNDATION

Form 990 for tax year 2023

Filed by OMC REGIONAL FOUNDATION.

Totals

Total revenue
$715,333
Total expenses
$322,759
Contributions and grants received
$473,750
Grants paid
$110,299
Program service revenue
$0
Investment income
$155,185
Other revenue
$86,398
Total assets, end of year
$5,856,393
Total liabilities, end of year
$16,000
Net assets or fund balances, end of year
$5,840,393
Program services expenses (Part IX)
$307,324
Management and general expenses
$15,435
Fundraising expenses
$0
Program service expenses (Part III)
$307,324

Program services were 95.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $7,700

  • 1d · Related organizations

    $258,481

  • 1f · All other contributions, gifts and grants

    $207,569

  • 3 · Investment income

    total $150,553 · excluded $150,553

  • 7a · Gross sales of assets other than inventory

    securities $102,460

  • 7b · Less cost or other basis and sales expenses

    securities $97,828

  • 7c · Gain or loss

    securities $4,632

  • 7d · Net gain or loss

    total $4,632 · excluded $4,632

  • 8a · Fundraising events: gross income

    $147,363

  • 8a · Fundraising events: contributions included on line 1c

    $7,700

  • 8b · Fundraising events: direct expenses

    $59,213

  • 8c · Net income from fundraising events

    total $88,150 · excluded $88,150

  • 10a · Gross sales of inventory

    $31,019

  • 10b · Cost of goods sold

    $32,771

  • 10c · Net income from sales of inventory

    total -$1,752 · excluded -$1,752

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $110,299 · program services $110,299

  • 11b · Fees: legal

    total $7,316 · management and general $7,316

  • 11f · Fees: investment management

    total $5,619 · management and general $5,619

  • 11g · Fees: other

    total $9,379 · program services $9,379

  • 12 · Advertising and promotion

    total $2,500 · management and general $2,500

  • 13 · Office expenses

    total $43,282 · program services $43,282

  • 14 · Information technology

    total $118,109 · program services $118,109

  • 16 · Occupancy

    total $180 · program services $180

  • 17 · Travel

    total $374 · program services $374

  • 19 · Conferences, conventions and meetings

    total $22,575 · program services $22,575

  • 24a · Other expenses: MEMBERSHIPS & DUES

    total $2,130 · program services $2,130

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $813 · program services $813

  • 24c · Other expenses: BOOKS & PERIODICALS

    total $183 · program services $183

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $2,260,630 · end of year $2,604,092

  • 11 · Investments: publicly traded securities

    beginning of year $1,795,517 · end of year $2,052,332

  • 15 · Other assets

    beginning of year $1,131,507 · end of year $1,199,969

  • 19 · Deferred revenue

    end of year $16,000

  • 27 · Net assets without donor restrictions

    beginning of year $2,887,042 · end of year $3,340,278

  • 28 · Net assets with donor restrictions

    beginning of year $2,300,612 · end of year $2,500,115

Mission and programs · 2023

Mission

TO ADVOCATE FOR AND SUPPORT OLMSTED MEDICAL CENTER AND TO ASSIST IT IN FUNDING QUALITY HEALTHCARE SERVICES AND EDUCATION IN THE COMMUNITIES IT SERVES.

Activities or mission (Part I)

TO ADVOCATE FOR AND SUPPORT OLMSTED MEDICAL CENTER AND ASSIST ITS HEALTHCARE SERVICES.

  • ESTABLISHED, DEVELOPED, SPONSORED, PROMOTED AND CONDUCTED CHARITABLE ACTIVITIES DEVOTED TO PROMOTING AND IMPROVING HEALTH FOR RESIDENTS OF THE COMMUNITY THROUGH COMMUNITY EDUCATION AND HEALTH AWARENESS ACTIVITIES, HEALTHCARE RELATED CAPITAL EXPENDITURES AND EDUCATIONAL SCHOLARSHIPS IN THE HEALTHCARE PROFESSIONS. THE FOUNDATION SERVED APPROXIMATELY 50,409 CLIENTS DURING 2023.

    Expenses $232,177 · Grants $56,757

  • CARL AND IHLA PETERSEN TRUST PATIENT ASSISTANCE PROGRAM: OMC REGIONAL FOUNDATION HAS DESIGNATED PROCEEDS FROM THE CARL AND IHLA PETERSEN TRUST TO ASSIST WITH OLMSTED MEDICAL CENTER PATIENTS AND FAMILIES WHO RESIDE IN OLMSTED COUNTY, THAT DO NOT HAVE SUFFICIENT INSURANCE COVERAGE NOR FINANCIAL MEANS BUT ARE NOT ELIGIBLE FOR MEDICAL ASSISTANCE, TO PAY AT LEAST A PORTION OF THEIR MEDICAL BILLS.

    Expenses $53,542 · Grants $53,542

  • MEDICAL EDUCATION FOR THE COMMUNITY: TO PROVIDE EDUCATIONAL OPPORTUNITIES TO OLMSTED MEDICAL CENTER CLINICIANS AND TO THE COMMUNITY VIA THE NOEL R PETERSON LECTURE SERIES, BURICH ELECTRONIC LIBRARY, AND CONTINUING MEDICAL EDUCATION LECTURES.

    Expenses $21,605

As filed on the 2023 return.

Listed in Part VII

  • Tim Weir Fache

    DIRECTOR & OMC CEO

    Total calculated
    $976,809
    From this org
    $0
    From related orgs
    $945,667
    Other
    $31,142
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $726,809 related
    Bonus
    $0 + $218,858 related
    Other
    $0
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $18,942 related
    Filer's total
    $0 + $976,809 related
  • James Hoffmann Do

    DIRECTOR & OMC PRESIDENT

    Total calculated
    $677,747
    From this org
    $0
    From related orgs
    $645,762
    Other
    $31,985
    Hours/week
    1 + 32 related

    Schedule J breakdown matched by us

    Base
    $0 + $535,333 related
    Bonus
    $0 + $109,429 related
    Other
    $0 + $1,000 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $19,785 related
    Filer's total
    $0 + $677,747 related
  • Kevin Higgins

    OMC CFO

    Total calculated
    $629,607
    From this org
    $0
    From related orgs
    $578,825
    Other
    $50,782
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $454,823 related
    Bonus
    $0 + $107,271 related
    Other
    $0 + $16,731 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $38,582 related
    Filer's total
    $0 + $629,607 related
  • Lilia Ponton MD

    SECRETARY & OMC PHYSICIAN

    Total calculated
    $291,901
    From this org
    $0
    From related orgs
    $279,703
    Other
    $12,198
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,703 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,559 related
    Nontaxable benefits
    $0 + $1,639 related
    Filer's total
    $0 + $291,901 related
  • Stacey Vanden Heuvel

    VP MARKETING & PHILANTHROPY

    Total calculated
    $285,124
    From this org
    $0
    From related orgs
    $273,929
    Other
    $11,195
    Hours/week
    24 + 16 related

    Schedule J breakdown matched by us

    Base
    $0 + $226,335 related
    Bonus
    $0 + $47,594 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $2,045 related
    Filer's total
    $0 + $285,124 related
  • Corenia Walz

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tyler Coleman

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Paul Tieskotter

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Jeanine Gangeness PhD

    DIRECTOR (THROUGH JANUARY 2023)

    Total calculated
    $0
    Hours/week
    1
  • Cassie Harrington

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Denise Kelly

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David Oeth

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dharani Ramamoorthy

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mitch Stevenson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Don Supalla

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION FOR THE CEO WAS ESTABLISHED AND PAID BY OLMSTED MEDICAL CENTER, THE SOLE MEMBER. THE FOLLOWING METHODS WERE RELIED UPON BY OLMSTED MEDICAL CENTER TO DETERMINE SUCH COMPENSATION: 1. COMPENSATION COMMITTEE, 2. INDEPENDENT COMPENSATION CONSULTANT, 3. COMPENSATION SURVEY OR STUDY, AND 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. IN ORDER TO ENSURE THAT ALL OLMSTED MEDICAL CENTER (OMC) EXECUTIVE COMPENSATION DECISIONS ARE COMPETITIVE, EQUITABLE, UNIFORMLY ADMINISTERED, AND CONSISTENT WITH MARKET PRACTICES, OMC FOLLOWS RECOMMENDED BEST PRACTICES. THE GOALS OF EXECUTIVE COMPENSATION ARE TO ATTRACT AND RETAIN HIGHLY QUALIFIED PERSONNEL, TO MAINTAIN COMPENSATION LEVELS COMMENSURATE WITH THE SCOPE OF RESPONSIBILITIES FOR EACH POSITION, AND TO REWARD OUTSTANDING PERFORMANCE. OMC WILL SEEK MANAGEMENT TALENT BY CONDUCTING NATIONAL SEARCHES FOR QUALIFIED APPLICANTS FOR ANY VACANCIES AT THE CHIEF MEDICAL OFFICER AND CEO POSITIONS IN ADDITION TO VICE PRESIDENT POSITIONS AS NECESSARY. THE SAME PHILOSOPHY IS APPLICABLE TO THE POSITION OF OMC PRESIDENT. OMC ENGAGES AN EXTERNAL CONSULTANT WHO ANNUALLY COMPILES A PEER GROUP COMPENSATION ANALYSIS AND ON A TWO-YEAR BASIS COMPILES A PEER GROUP COMPENSATION AND BENEFITS ANALYSIS. PEER GROUPS FOR EXECUTIVE COMPENSATION, WHICH INCLUDES BASE SALARIES, INCENTIVE AND BENEFITS, WILL BE PROVIDED FOR HEALTH DELIVERY SYSTEMS WITH A MINIMUM OF A HOSPITAL AND AN EMPLOYED PHYSICIAN NETWORK AND NET REVENUES ROUGHLY SIMILAR TO THE REVENUES OF OLMSTED MEDICAL CENTER. MOST RECENTLY A COMPENSATION AND BENEFITS PEER REVIEW STUDY WAS COMPLETED FOR THE CEO, PRESIDENT, CHIEF MEDICAL OFFICER AND VICE PRESIDENTS AND PRESENTED TO THE BOARD EXECUTIVE COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RECEIVES A SUMMARY OF EVERYONE'S COMPENSATION TO ENSURE IT IS IN ALIGNMENT WITH THE SAME COMPENSATION METHODOLOGY AND AGREED UPON METHODOLOGY OF THE EXECUTIVE COMPENSATION SYSTEM OF OMC. THESE POSITIONS INCLUDE THE CHIEF MEDICAL OFFICER AND VICE PRESIDENTS OF OMC. THE EXECUTIVE COMPENSATION COMMITTEE WILL SET THE COMPENSATION OF THE PRESIDENT, AND CEO, AND MINUTES ARE KEPT OF THESE DISCUSSIONS. THE BOARD OF TRUSTEES, ACTING THROUGH THE BOARD OF TRUSTEES COMPENSATION COMMITTEE, MUST APPROVE THE EXECUTIVE COMPENSATION POLICY AND PROCESS OF DETERMINING EXECUTIVE COMPENSATION. IN ADDITION, THE PHYSICIAN SALARIES ARE CALCULATED ANNUALLY, USING NATIONAL PHYSICIAN SALARY COMPARISON GUIDES FACTORING IN PRODUCTIVITY AND QUALITY MEASURES, AND REVIEWED ON AN ANNUAL BASIS FOR MARKET REASONABLENESS BY AN INDEPENDANT CONSULTING FIRM. THE PHYSICIANS RECEIVE NO COMPENSATION AS ATTENDING BOARD MEMBERS. THESE DISCUSSIONS ARE NOTED IN THE MINUTES OF THE BOARD OF TRUSTEES COMPENSATION COMMITTEE ANNUAL MEETING. THE BOARD OF TRUSTEES COMPENSATION COMMITTEE REPORTS TO THE FULL BOARD OF TRUSTEES ON AN ANNUAL BASIS THE COMPLETION OF SUCH DUTIES AND ARE ALSO NOTED IN THE MINUTES.
PART I, LINE 4B
OLMSTED MEDICAL CENTER, A RELATED ORGANIZATION, HAS A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN FOR CERTAIN INDIVIDUALS IN LEADERSHIP POSITIONS. DURING 2023, THE EMPLOYEES EARNED A CONTRIBUTION TO THEIR SUPPLEMENTAL NONQUALIFIED PLAN. SAID CONTRIBUTIONS WON'T BE 100% VESTED UNTIL 2027, AT WHICH TIME EACH WILL BECOME TAXABLE TO THE EMPLOYEE. THE AMOUNT, NET OF TAXES, WILL REMAIN IN THE EMPLOYEE'S ACCOUNT UNTIL THEIR RETIREMENT. THE FOLLOWING AMOUNTS WERE EARNED IN 2023: TIM WEIR, FACHE - $92,300 JAMES HOFFMANN, DO - $46,150 KEVIN HIGGINS - $41,499 STACEY VANDEN HEUVEL - $5,625

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
11 July 2024
IRS schema version
2023v5.1
Source object
202401989349301105

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