MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC (EIN 39-0806374)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201603169349301440
- Schema version
- 2015v2.1
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T10:48:06-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390806374 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN | BusinessNameLine1Txt |
| Business Name Line2 | MEDICAL CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAYO | BusinessNameControlTxt |
| Phone | 5075381297 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 WEST AVENUE SOUTH | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS H TIGGELAAR | PersonNm |
| Person Title | VP/CFO | PersonTitleTxt |
| Phone | 5075381297 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY J JOHNSON MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 WEST AVENUE SOUTH | AddressLine1Txt |
| City | LA CROSSE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $437,717,503 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 5983 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAYOCLINICHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1888 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | HOSPITALS AND CLINICS | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 7317 | TotalEmployeeCnt |
| Total Volunteers | 765 | TotalVolunteersCnt |
| Total Gross UBI | $1,104,815 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $64,465 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,495,370 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,192,298 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $446,428,272 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $429,484,764 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$316,266 | PYInvestmentIncomeAmt |
| CY Investment Income | $93,702 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,501,997 | PYOtherRevenueAmt |
| CY Other Revenue | $2,681,365 | CYOtherRevenueAmt |
| PY Total Revenue | $452,109,373 | PYTotalRevenueAmt |
| CY Total Revenue | $436,452,129 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $117,905 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $162,577 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $271,698,620 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $268,977,728 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $161,009,389 | PYOtherExpensesAmt |
| CY Other Expenses | $161,049,452 | CYOtherExpensesAmt |
| PY Total Expenses | $432,825,914 | PYTotalExpensesAmt |
| CY Total Expenses | $430,189,757 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,283,459 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,262,372 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $265,174,897 | TotalAssetsBOYAmt |
| Total Assets EOY | $311,934,704 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $105,157,797 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $116,826,358 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $160,017,100 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $195,108,346 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $401,224,957 | ExpenseAmt |
| Revenue | $429,377,039 | RevenueAmt |
| Desc | PATIENT CARE (SCHEDULE O)PATIENT CARE:MAYO CLINIC HEALTH SYSTEM FRANCISCAN MEDICAL CENTER, INC. (FMCI) IS PART OF THE MAYO CLINIC HEALTH SYSTEM (MCHS), A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA, WISCONSIN AND GEORGIA. AS PART OF MAYO CLINIC, THE HEALTH SYSTEM OFFERS CARE DESIGNED FOR THE WHOLE BODY CLOSE TO THE PATIENT'S HOME WHEN THEY NEED IT. A MULTIDISCIPLINARY TEAM OF EXPERTS HAS READY ACCESS TO KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC AND COLLABORATES ON PROVIDING EXACTLY THE CARE THE PATIENT NEEDS.MCHS SITES EMPLOY APPROXIMATELY 1,000 PHYSICIANS AND 15,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN MORE THAN 60 COMMUNITIES, MCHS INCLUDES 19 OWNED HOSPITALS, TWO OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH ONE ADDITIONAL HOSPITAL, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MCHS HAS GROWN INTO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN THE UNITED STATES. MORE THAN 600,000 UNIQUE PATIENTS ACCOUNT FOR MORE THAN 2.6 MILLION VISITS ANNUALLY IN MCHS. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS.AS A MEMBER OF MCHS, FMCI PROVIDES MEDICAL SERVICES AND ENHANCES THE GENERAL HEALTH AND WELLBEING OF THOSE LIVING ACROSS THE TRI-STATE REGION OF SOUTHWEST WISCONSIN, SOUTHEAST MINNESOTA AND NORTHEAST IOWA. FMCI OPERATES A 124-BED HOSPITAL IN LA CROSSE, WI AND A 12-BED CRITICAL ACCESS HOSPITAL IN SPARTA, WI. IN ADDITION, FMCI OPERATES PRIMARY CARE CLINICS IN LA CROSSE AND SPARTA, AS WELL AS IN ARCADIA, TOMAH, HOLMEN, ONALASKA AND PRAIRIE DU CHIEN, ALL IN WISCONSIN; CALEDONIA AND LA CRESCENT, IN MINNESOTA, AND WAUKON, IOWA. IN DECORAH, IOWA, FMCI PROVIDES MANAGEMENT FOR THE WINNESHIEK MEDICAL CENTER THROUGH A MANAGEMENT CONTRACT. FOR 2015 FMCI RECORDED 7,091 INPATIENT ADMISSIONS, 8,486 SURGERIES, AND 931 DELIVERIES. IN ADDITION A TOTAL OF 496,392 OUTPATIENT VISITS WERE RECORDED, INCLUDING 29,177 EMERGENCY DEPARTMENT VISITS. FMCI PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE ALSO PROVIDED TO MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2015, FMCI PROVIDED APPROXIMATELY $2,909,000 IN FINANCIAL ASSISTANCE TO PATIENTS. THE TOTAL COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $32,544,000 WHICH INCLUDES THE MEDICAID SURCHARGE OF $5,395,826. THE UNREIMBURSED COST OF SERVICES TO MEDICARE PATIENTS WAS APPROXIMATELY $60,331,000. FMCI OPERATES FREE, PRIMARY CARE CLINICS IN LA CROSSE AND SPARTA, IN COOPERATION WITH THE GUNDERSEN HEALTH SYSTEM. MEDICAL CARE IS PROVIDED AT NO CHARGE AT THESE CLINICS TO LOW INCOME INDIVIDUALS WHO DO NOT HAVE HEALTH INSURANCE AND WHO ARE NOT ENROLLED IN MEDICAL ASSISTANCE PROGRAMS. FUNDING FOR THESE CLINICS IS SUPPORTED THROUGH CHARITABLE DONATIONS. STAFF ASSIST PATIENTS IN APPLYING FOR PROGRAMS FOR WHICH THEY MAY QUALIFY. DURING 2015 THE FREE CLINICS RECORDED 1,437 VISITS. 4,541 PRESCRIPTIONS WERE FILLED AT NO COST TO THE PATIENTS. WHILE ITS HOSPITAL BUILDINGS ARE TAX EXEMPT, FMCI NONETHELESS PAYS A VARIETY OF TAXES EACH YEAR. TAXES FOR THE 2015 TAX REPORTING YEAR EXCEEDED $20 MILLION AND INCLUDED $5,395,826 IN WISCONSIN HEALTHCARE TAX (MEDICAID): $50,366 IN MINNESOTA CARE TAX; $12,812 IN UNRELATED BUSINESS INCOME TAX; $13,169,928 IN FICA TAX; $21,768 IN SALES TAXES. $1,441,122 IN PROPERTY TAXES PAID IN THE STATE OF WISCONSIN $33,433 IN THE STATE OF MINNESOTA; AND $64,885 IN IOWA.THE LA CROSSE CAMPUS OF FMCI SERVES AS THE MAIN LOCATION FROM WHICH MOST OF THE MEDICAL SPECIALTY SERVICES ARE OFFERED. MANY PROVIDERS OF SPECIALTY CARE ALSO TRAVEL AND EXTEND OUTREACH SERVICES TO THE COMMUNITIES SERVED BY FMCI. ON THE LA CROSSE CAMPUS THE FOLLOWING SERVICES ARE OFFERED: ALLERGY, ASTHMA, ANESTHESIOLOGY, ANTICOAGULATION, BEHAVIORAL HEALTH, BIRTHING, HEMATOLOGY, ORTHOPEDICS, BREAST CARE, CANCER, CARDIAC REHABILITATION, CARDIOLOGY, PEDIATRIC & ADOLESCENT MEDICINE, INTENSIVE CARE, DERMATOLOGY, ENDOCRINOLOGY, DIABETES EDUCATION, INPATIENT AND OUTPATIENT DIALYSIS, GASTROENTEROLOGY / HEPATOLOGY, DOMESTIC ABUSE/SEXUAL ASSAULT, OTORHINOLARYNGOLOGY, ELDER SERVICES, EMERGENCY MEDICINE, OPHTHALMOLOGY, OPTOMETRY, FAMILY MEDICINE, PODIATRY, GERIATRICS, HEALTH PROMOTION, AUDIOLOGY, HOME CARE, HOSPICE, HOSPITAL MEDICINE, INFECTIOUS DISEASES, MEDICAL GENETICS, RHEUMATOLOGY, NEPHROLOGY, PATHOLOGY, PULMONOLOGY, MAMMOGRAPHY, MASSAGE THERAPY, MEDICAL SUPPLY STORE, MEDICAL TRANSPORT, NEUROLOGY, NEONATAL INTENSIVE CARE, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OCCUPATIONAL MEDICINE, OCCUPATIONAL THERAPY, OPHTHALMOLOGY, OPTICAL SERVICES, OPTOMETRY, ORTHOPEDIC SURGERY, PALLIATIVE CARE, PHARMACY, PHYSICAL MEDICINE AND REHABILITATION, PHYSICAL THERAPY, PLASTIC & RECONSTRUCTIVE SURGERY, PSYCHIATRY & PSYCHOLOGY, RADIOLOGY AND IMAGING, REHABILITATION THERAPIES, SLEEP MEDICINE, SPEECH LANGUAGE THERAPY, SPORTS MEDICINE, SURGERY, TOBACCO TREATMENT, TRAUMA, URGENT CARE, UROLOGY, WEIGHT MANAGEMENT, WELLNESS COACHING, WOMEN'S HEALTH, WOUND CARE.FMCI OFFERS THE FOLLOWING SERVICES THROUGH SPECIALIZED CENTERS OF CARE: CANCER SERVICES: THE LA CROSSE-CAMPUS CANCER CENTER, WHICH OPENED IN 2004, INTEGRATES THE MAYO CLINIC HEALTH SYSTEM MEDICAL ONCOLOGY PRACTICE WITH RADIATION ONCOLOGY SERVICES PROVIDED BY THE DIVISION OF RADIATION ONCOLOGY, MAYO CLINIC ROCHESTER, TO CREATE A COMPREHENSIVE AND PATIENT CENTERED CANCER PROGRAM. THE CANCER CENTER OFFERS A VARIETY OF OPTIONAL SERVICES TO PROVIDE COMFORT DURING TREATMENT. THESE SERVICES PROMOTE HEALING, WELLNESS, AND A HEALTHFUL LIFESTYLE. THEY ARE AVAILABLE FOR PATIENTS AND CARE GIVERS. THE SERVICES INCLUDE: HEALING TOUCH AND REIKI, MASSAGE THERAPY, GROUP ACUPUNCTURE AND OTHER WELLNESS PROGRAMS. THE CENTER FOR BREAST CARE UTILIZES A TEAM APPROACH TO PROVIDE EVALUATION, TREATMENT AND FOLLOW-UP SERVICES. THE TEAM INCLUDES PHYSICIANS, CLINICAL NURSE BREAST HEALTH SPECIALISTS, AND TECHNOLOGISTS WHO DEVELOP COMPREHENSIVE PLANS AS NEEDED BY PATIENTS. SPECIALISTS FROM BREAST IMAGING, GENERAL SURGERY, PLASTIC SURGERY, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, PATHOLOGY, GENETIC EDUCATION AND NURSING ARE AVAILABLE TO COLLABORATE AS NEEDED. THE CENTER WAS ESTABLISHED IN 2005 AND WAS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) IN 2009. A MOBILE HEALTH CARE DELIVERY SYSTEM OFFERS ACCESSIBLE, QUALITY CARE AND CONVENIENCE, WITH FLEXIBLE AND EXTENDED HOURS. BIRTHING CENTER: FROM PREGNANCY INFORMATION AND CHILDBIRTH CLASSES TO BIRTHING TIPS AND PARENTING CLASSES, FMCI OFFERS COMPREHENSIVE BIRTHING SERVICES. THESE INCLUDE THE AVAILABILITY OF MATERNITY COUNSELORS TO ASSIST IN DEVELOPING A BIRTH PLAN, ADDRESSING ISSUES FROM PAIN MANAGEMENT TO PARTNER INVOLVEMENT, BONDING TIME, BREASTFEEDING, EDUCATION AND SUPPORT. FMCI ALSO OFFERS CARE FOR NEWBORNS WITH CHALLENGING MEDICAL CONDITIONS IN ITS NEONATAL INTENSIVE CARE UNIT IN LA CROSSE. SLEEP DISORDERS: THE FMCI SLEEP DISORDERS CENTER EMPLOYS A WIDE VARIETY OF DIAGNOSTIC TOOLS TO ASSESS BREATHING AND SLEEP DIFFICULTIES. THE CENTER OFFERS THE FOLLOWING DIAGNOSTIC SERVICES: ELECTROENCEPHALOGRAM (EEG); EEG WITH VIDEO MONITORING; AMBULATORY EEG; EVOKED POTENTIALS: EVOKED POTENTIAL MONITORING DURING SURGERY; EEG MONITORING DURING SURGERY; POLYSOMNOGRAM; MULTIPLE SLEEP LATENCY TEST (MSLT); MAINTENANCE OF WAKEFULNESS TEST (MWT). THE CENTER IS ACCREDITED BY AMERICAN ACADEMY OF SLEEP MEDICINE AND THE AMERICAN BOARD OF REGISTRATIONS OF ELECTROENCEPHALOGRAPHIC AND EVOKED POTENTIAL TECHNOLOGISTS, INC.SURGERY: GENERAL SURGERY SERVICES ARE PROVIDED ON BOTH THE LA CROSSE AND SPARTA CAMPUSES. BREAST, COLORECTAL AND GENERAL SURGEONS ARE CERTIFIED BY THE AMERICAN BOARD OF SURGERY. THE DEPARTMENT OF SURGERY WORKS CLOSELY WITH THE CENTER FOR BREAST CARE AND PLASTIC AND RECONSTRUCTIVE SURGERY. IN ADDITION TO TRADITIONAL SURGERY THE DA VINCI SURGICAL SYSTEM PROVIDES SURGEONS ON THE LA CROSSE CAMPUS WITH AN ALTERNATIVE TO BOTH TRADITIONAL OPEN SURGERY AND CONVENTIONAL LAPAROSCOPY, PUTTING THE SURGEON'S HANDS AT THE CONTROLS OF A STATE-OF-THE ART ROBOTIC PLATFORM. BENEFITS OF ROBOTIC SURGERY MAY INCLUDE: LESS PAIN; LESS BLOOD LOSS; LESS SCARRING; SHORTER RECOVERY TIME; FASTER RETURN TO NORMAL ACTIVITIES; BETTER CLINICAL OUTCOMES.THE FILING ORGANIZATION LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,298,083 | ExpenseAmt |
| Revenue | $1,468,367 | RevenueAmt |
| Desc | EDUCATION AND RESEARCH (SCHEDULE O) EDUCATIONFMCI PROVIDES OPPORTUNITIES FOR EDUCATION IN THE HEALTH PROFESSIONS THROUGH FORMALIZED PROGRAMS INCLUDING: THE MAYO CLINIC HEALTH SYSTEM - FRANCISCAN HEALTHCARE SCHOOL OF ANESTHESIA, ACCREDITED BY THE COUNCIL ON ACCREDITATION (COA) OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS, A SPECIALIZED ACCREDITING BODY RECOGNIZED BY THE COUNCIL ON HIGHER EDUCATION ACCREDITATION AND THE U.S. DEPARTMENT OF EDUCATION. UPON COMPLETION OF THE COURSE OF STUDY AND FULFILLMENT OF THE TERMINAL OBJECTIVES AND OTHER OBLIGATIONS OF THE PROGRAM, STUDENTS OF THE SCHOOL OF ANESTHESIA WILL HAVE ACHIEVED ELIGIBILITY TO WRITE THE QUALIFYING EXAMINATION OF THE COUNCIL ON CERTIFICATION OF NURSE ANESTHETISTS. THROUGH A PARTNERSHIP WITH THE UNIVERSITY OF WISCONSIN-LA CROSSE, STUDENTS WHO COMPLETE THE 31 GRADUATE CREDITS REQUIRED OF THE PROGRAM ALSO EARN A MASTER OF SCIENCE DEGREE IN BIOLOGY. 10 STUDENTS GRADUATED FROM THE PROGRAM IN AUGUST 2015. PHARMACY RESIDENCY, A COMPREHENSIVE PROGRAM BUILDING ON DOCTOR OF PHARMACY EDUCATION AND OUTCOMES TO CONTRIBUTE TO THE DEVELOPMENT OF CLINICAL PHARMACISTS RESPONSIBLE FOR MEDICATION-RELATED CARE OF PATIENTS WITH A WIDE RANGE OF CONDITIONS, ELIGIBLE FOR BOARD CERTIFICATION, AND ELIGIBLE FOR POSTGRADUATE YEAR TWO PHARMACY RESIDENCY TRAINING. THIS RESIDENCY OFFERS A VARIETY OF ACUTE CARE TRAINING OPPORTUNITIES THROUGH INDIVIDUALIZED TRAINING PLANS THAT ARE CREATED BASED ON THE RESIDENT'S KNOWLEDGE, SKILLS, AND INTERESTS, IN ACCORDANCE WITH ACCREDITATION STANDARDS FOR PGY1 PHARMACY RESIDENCY PROGRAMS (ASHP). IN ADDITION TO COMPREHENSIVE TRAINING AS A MEMBER OF THE INTERDISCIPLINARY TEAM, PHARMACY RESIDENTS AT FMCI ARE AFFORDED COUNTLESS LEARNING OPPORTUNITIES, INCLUDING BUT NOT LIMITED TO: ADVANCED CARDIAC LIFE SUPPORT TRAINING AND MEDICAL EMERGENCY PARTICIPATION, CO-PRECEPTOR AND INTERDISCIPLINARY TEACHING OPPORTUNITIES, DELIVERY OF ACPE-ACCREDITED CONTINUING EDUCATION PRESENTATIONS, STRUCTURED RESEARCH SEMINAR, TEACHING CERTIFICATE. THE LA CROSSE-MAYO FAMILY MEDICINE RESIDENCY, WAS FOUNDED IN 1976, AND IS FULLY-ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION TO TRAIN FUTURE FAMILY PHYSICIANS. IN 2015 SIX RESIDENTS GRADUATED FROM THE RESIDENCY. TO DATE, 198 FAMILY PHYSICIANS HAVE COMPLETED THEIR TRAINING HERE. COLLECTIVELY, THEY PRACTICE IN 19 STATES AND AS FAR AWAY AS NEW ZEALAND. ONE OF THE GOALS OF THE LA CROSSE-MAYO FAMILY MEDICINE RESIDENCY IS TO GIVE RESIDENTS THE KNOWLEDGE, SKILLS AND ATTITUDES NECESSARY FOR FUTURE PRACTICE, NOT ONLY IN SMALL COMMUNITIES, BUT ALSO FOR SUCCESSFUL PRACTICE IN AN EVER-CHANGING MEDICAL ENVIRONMENT. TO ACHIEVE THIS, OUR OUTSTANDING FACULTY MEMBERS WORK CLOSELY WITH A HIGHLY MOTIVATED TEAM OF PHYSICIANS, NURSES, PSYCHOLOGISTS AND OTHERS, EACH COMMITTED TO TRAINING COMPETENT, CARING FAMILY PHYSICIANS. RESIDENTS LEARN TO FOCUS ON PATIENTS' INDIVIDUAL NEEDS AND TO CARE FOR THE WHOLE PERSON IN THE CONTEXT OF FAMILY AND COMMUNITY. THROUGHOUT THE ENTIRE CURRICULUM, THERE IS A FOCUS ON THE CONCEPT OF FAMILY SYSTEMS AND THE BIOPSYCHOSOCIAL MODEL IS THE CORNERSTONE. PREVENTION AND WELLNESS ARE EMPHASIZED. OUR GRADUATES ARE ACTIVELY RECRUITED, BOTH REGIONALLY AND NATIONALLY, AND OUR PROGRAM HAS A NATIONAL REPUTATION AS A GREAT PLACE TO LEARN FAMILY MEDICINE. THROUGHOUT THE YEAR FMCI STAFF PROVIDE TRAINING FOR HEALTHCARE PROVIDERS AS WELL AS FOR THE GENERAL PUBLIC IN BASIC AND ADVANCED CARDIAC LIFE SUPPORT, CPR AND RELATED FIRST AID TECHNIQUES. DURING 2015 STAFF OFFERED 1,420 CLASSES AND REGISTERED A TOTAL OF 6,341 STUDENTS. APPROXIMATELY 838 CLASSES WERE HELD, AND 3,639 STUDENTS TRAINED, ON THE FMCI LA CROSSE CAMPUS.GERIATRICS: FMCI ORGANIZES THREE SUPPORT GROUPS, EACH MEETING TWICE PER MONTH FOR ONE HOUR SESSIONS. THE EARLY STAGE MEMORY DISORDERS GROUP, THE SOCIALIZATION/ACTIVITY GROUP, AND THE MEMORY DISORDERS FAMILY SUPPORT GROUP FOR FAMILY CAREGIVERS. THIS GROUP ALLOWS FOR SUPPORT AND EDUCATION WHILE COPING WITH THE VARIOUS DISEASES. FMCI OFFERS THE SUCCESSFUL AGING PROGRAM, PROVIDING EDUCATION ON A VARIETY OF TOPICS PERTINENT TO SENIORS IN OUR COMMUNITY. THIS PROGRAM IS OFFERED ONCE PER MONTH ON THE FMCI LA CROSSE CAMPUS. TOPICS RANGE FROM MEDICAL TO SOCIAL TO FINANCIAL ASPECTS OF THE AGING PROCESS. ATTENDANCE AT THESE SESSIONS RANGES FROM 25 TO 80. OTHER COMMUNITY PROGRAMS INCLUDE THE SEPTEMBER SERIES ON DEMENTIA, A SERIES OF THREE PROGRAMS ON VARIOUS DEMENTIA RELATED TOPICS. ATTENDANCE RANGES FROM 60 TO 100 PARTICIPANTS EACH YEAR, AND NATIONAL MEMORY SCREENING DAY, A FREE MEMORY SCREENING CLINIC OFFERED TO COMMUNITY MEMBERS EACH NOVEMBER. ATTENDANCE HAS AVERAGED BETWEEN 50 AND 100 PARTICIPANTS.RESEARCHFMCI PHYSICIANS AND STAFF PARTICIPATE IN NUMEROUS CLINICAL RESEARCH PROTOCOLS, MANY OF WHICH ARE MULTI-SITE STUDIES; OTHERS ARE INVESTIGATOR-INITIATED. ALL ARE REVIEWED AND APPROVED BY THE MAYO CLINIC INSTITUTIONAL REVIEW BOARD (IRB). STUDIES HAVE VARIOUS FUNDING SOURCES, INCLUDING PRIVATE FOUNDATIONS, GOVERNMENT SOURCES AND INDUSTRY. RESEARCH STUDY PARTICIPATION IS OFFERED TO PATIENTS WITH VARIOUS DISEASES AND MEDICAL CONDITIONS EITHER AS A PRIMARY TREATMENT OPTION, AS IN THE CASE OF CANCER PATIENTS, OR AS AN ADDED OPPORTUNITY TO TRADITIONAL CLINICAL CARE. OTHER STUDIES FOCUS ON PREVENTIVE HEALTH OR EVALUATION OF PROCESSES OF CARE DELIVERY. RESEARCH PROTOCOLS WERE ACTIVE IN THE FOLLOWING MEDICAL SPECIALTY AREAS DURING 2015: MEDICAL AND RADIATION ONCOLOGY, CARDIOLOGY, FAMILY MEDICINE, GERIATRICS, NEUROLOGY, AND PEDIATRICS, AMONG OTHERS. RESEARCH IS ONE OF THE THREE MAYO CLINIC SHIELDS AND IS SEEN AS A CRITICAL COMPONENT OF THE PURSUIT OF EXCELLENCE IN HEALTH CARE BY FOSTERING AN ENVIRONMENT OF INQUIRY AND COLLABORATION, AND LINKING SCIENTIFIC DISCOVERIES TO DIRECT PATIENT CARE. WITH INCREASING EMPHASIS ON EVIDENCED BASED MEDICINE, RESEARCH IS CRITICAL TO THE FUTURE OF MEDICAL CARE AND HEALTH CARE IN GENERAL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $388,220 | ExpenseAmt |
| Grant | $162,577 | GrantAmt |
| Revenue | $78,439 | RevenueAmt |
| Desc | COMMUNITY BENEFIT(SCHEDULE O) COMMUNITY BENEFIT:FMCI ORGANIZES AND HOLDS AN ANNUAL EVENT, THE BIG BLUE DRAGON BOAT FESTIVAL, TO PROMOTE HEALTH AND FITNESS WHILE RAISING MONEY FOR BREAST CANCER RESEARCH AND TREATMENT. IN 2015 THE FESTIVAL WAS HELD JUNE 17 & 18 AT COPELAND PARK IN LA CROSSE. THE EVENT ATTRACTED MORE THAN 1,000 PARTICIPANTS AND RAISED MORE THAN $100,000.ON BEHALF OF THE BLOOD CENTER OF WISCONSIN, FMCI HOLDS BLOOD DRIVES ON ITS LA CROSSE AND SPARTA CAMPUSES. DURING 2015, FIVE BLOOD DRIVES WERE HELD OVER A TOTAL OF TEN DAYS IN LA CROSSE, RESULTING IN THE COLLECTION OF 389 UNITS OF BLOOD. SEVERAL BLOOD DRIVES WERE ALSO HELD ON FMCI CAMPUS IN SPARTA. FMCI ENTHUSIASTICALLY COLLABORATES WITH OTHER ORGANIZATIONS TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. ALONG WITH GUNDERSEN HEALTH SYSTEM, WESTERN TECHNICAL COLLEGE, VITERBO UNIVERSITY AND THE UNIVERSITY OF WISCONSIN-LA CROSSE, FMCI IS A FOUNDING PARTNER OF THE LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM. THE CONSORTIUM WAS FOUNDED IN 1993 AS A 501(C)(3) NONPROFIT CORPORATION TO ADDRESS PROJECTED HEALTHCARE WORKFORCE SHORTAGES, FACILITATE IMPROVEMENTS IN REGIONAL HEALTH AND HEALTHCARE, AND SUPPORT APPLIED RESEARCH IN HEALTH AND MEDICALLY-RELATED DISCIPLINES. IN COLLABORATION WITH VITERBO UNIVERSITY AND THE LA CROSSE POLICE DEPARTMENT, FMCI IS CONTRIBUTING MORE THAN $100,000 TO SUPPORT TWO COMMUNITY POLICE OFFICER POSITIONS SERVING THE WASHBURN NEIGHBORHOOD FOR THREE YEARS. IN 2015 FMCI HIRED AND DEPLOYED A MASTER'S DEGREE SOCIAL WORKER TO SERVE YOUTH AS A FULL TIME CASE WORKER AT THE BOYS AND GIRLS CLUBS OF LA CROSSE. THIS PROJECT WAS UNDERTAKEN IN COLLABORATION WITH THE LA CROSSE AREA BOYS AND GIRLS CLUBS AS WELL AS RONALD MCDONALD HOUSE CHARITIES OF WESTERN WISCONSIN AND SOUTHEASTERN MINNESOTA. THE CASE WORKER OFFERS FREE AND CONFIDENTIAL COUNSELING.SINCE 1952 THE FMCI AUXILIARY HAS HELD FUNDRAISING EVENTS AND ACTIVITIES TO SUPPORT LOCAL PROGRAMS AND SERVICES. IN 2015 THE AUXILIARY HELD SEVERAL EVENTS SUCH AS ITS ANNUAL GERANIUM SALE, CHARITABLE GOLF TOURNAMENT, TINY TIM GALA, SEASON OF LIGHT, LINEN SALES, BOOK SALES, AND JEWELRY SALES.DURING 2015, APPROXIMATELY 765 VOLUNTEERS DONATED APPROXIMATELY 48,875 HOURS OF SERVICE VALUED AT APPROXIMATELY $1,151,495 BASED ON THE INDEPENDENT SECTOR'S VALUE OF VOLUNTEER TIME. THESE SERVICE HOURS WERE SPENT ORGANIZING AND MANAGING ACTIVITIES FOR THE BENEFIT OF PATIENTS, PATIENTS' FAMILIES, VISITORS AND STAFF.AS A MAJOR EMPLOYER AND COMMITTED CORPORATE CITIZEN, FMCI FINANCIALLY SUPPORTS A VARIETY OF CHARITABLE, COMMUNITY AND CIVIC ENDEAVORS THROUGHOUT ITS SERVICE AREA. FUNDING FOR THIS PURPOSE IS PROVIDED THROUGH THE FMCI OPERATING BUDGET AS WELL AS THROUGH A GRANT FROM MCHS-FH FOUNDATION, AND TOTALED MORE THAN $270,000 FOR 2015. SUPPORT WAS PROVIDED TO NUMEROUS ORGANIZATIONS AND AGENCIES INCLUDING: 7 RIVERS ALLIANCE, 7 RIVERS CHAPTER SUDDEN CARDIAC ARREST ASS., 7 RIVERS ROBOTIC COALITION, ABLE FOUNDATION, AFRICAN AMERICAN MUTUAL ASSISTANCE, ALLAMAKEE CO EXTENSION, ALLAMAKEE COUNTY FAIR, ALLAMAKEE COUNTY FOOD SHELF, ALLAMAKEE MUSIC BOOSTERS, ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN RED CROSS, APPLEFEST, AQUINAS BOOSTER CLUB, AQUINAS BOOSTER CLUB, AQUINAS GOLF SCRAMBLE, ARCADIA ATHLETIC DEPT., ARCADIA FOOD PANTRY, ARCADIA HIGH SCHOOL, ARCADIA LIONS CLUB, ARCADIA PUBLIC LIBRARY, BIG BROTHERS/BIG SISTERS, BLAIR CHEESE FESTIVAL, BOYS & GIRLS CLUB OF LA CROSSE, BOYS & GIRLS CLUB OF SPARTA, CALEDONIA BOYS BASKETBALL, CALEDONIA CHAMBER OF COMMERCE, CALEDONIA HIGH SCHOOL, CALEDONIA POLICE DEPARTMENT, CALEDONIA SINGS, CAMP WINNEBAGO, CAMP WINNEBAGO, CATHOLIC CHARITIES, CEA FOUNDATION, CELEBRATIONS TEAM, CHILDREN'S ADVISORY BOARD, CHILDREN'S ADVISORY BOARD, CHILDREN'S SAFETY & HEALTHCARE, CHURCH OF THE CRUCIFIXION, CITIZEN ADVOCACY, COMMUNITIES OFF N' RUNNING, COMMUNITY CHEST OF TREMPEALEAU, CONSUMER CREDIT COUNSELING SVS, COULEE CAP COMMUNITY FOOD PANTRY, COULEE COUNCIL ON ADDICTIONS, COULEE PARTNERS FOR SUSTAINABILITY, COULEE REGION HUMANE SOCIETY, COULEE REGION MARDI GRAS, COULEE REGION VOLUNTEER COORD., COULEECAP, INC., CRAWFORD COUNTY COMMUNITY FUND, CROSSING RIVERS HEALTH FOUNDATION, CULTURAL HERITAGE OF INDIA, DOWN SYNDROME ASSOC OF WI, DOWNTOWN MAINSTREET,INC., DRIFTLESS REGION BICYCLE COALITION, DRIFTLESS WISCONSIN GROWN CDA, EVERYBODY CAN DANCE, FORT MCCOY MWR MARKETING, FRATERNAL ORDER OF EAGLES, FREEDOM HONOR FLIGHT, FRIENDS OF WEST SALEM BASEBALL, G.E.T. SCHOOL DISTRICT, GATEWAY AREA BSA,G.E.T. EDUCATIONAL FOUNDATION, GREAT RIVERS UNITED WAY, HABITAT FOR HUMANITY, HOLMEN AREA FOUNDATION, HOLMEN YOUTH BASEBALL PARENTS ASS., HOUSTON COUNTY PUBLIC HEALTH, HOUSTON COUNTY FAIR, HOUSTON LIONS ROOT RIVER TRIATHLON, IDENTITY WORKS, INTERNATIONAL OWL CENTER, IRISHFEST, JUBILEE CENTER, INC., JUNE DAIRY DAYS, JUNIOR ACHIEVEMENT, JUVENILE DIABETES RESEARCH FOUND., KEE HIGH SCHOOL, KIWANIS CLUB OF SPARTA, KNIGHTS OF COLUMBUS, LA CRESCENT AREA FOOD BASKET, LA CRESCENT AREA HEALTH COMMUNITY, LA CRESCENT AREA HEALTHY COMMUNITY, LA CRESCENT CHAMBER OF COMMERCE, LA CRESCENT HIGH SCHOOL, LA CRESCENT HOKAH ELEMENTARY SCHOOL, LA CRESCENT HOKAH SCHOOL DISTRICT FOUND., LA CRESCENT YOUTH HOCKEY, LA CROSSE AREA AUTISM FOUND., LA CROSSE AREA LAW ENFORCEMENT CHAPLAINCY, LA CROSSE CHAMBER OF COMMERCE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COMMUNITY THANKSGIVING DINNER, LA CROSSE CONCERT BAND, LA CROSSE COUNTY AGING, LA CROSSE COUNTY AGING UNIT, LA CROSSE COUNTY HEALTH DEPT., LA CROSSE COUNTY JUNIOR LIVESTOCK, LA CROSSE COUNTY MOUNTED DRILL TEAM, LA CROSSE FESTIVALS, INC., LA CROSSE FIRE DEPARTMENT, LA CROSSE LIONS, LA CROSSE POLICE DEPARTMENT, LA CROSSE PUBLIC ED FOUND, LACVB, LADCO, LOCAL LUPUS ALLIANCE, MARCH OF DIMES FOUNDATION, MISS ARCADIA ORGANIZATION, MISS ONALASKA ORGANIZATION, MONROE COUNTY HISTORY ROOM MUSEUM, NAMI MONROE CO., NEIGHBOR FOR NEIGHBOR, NEIGHBORHOOD CITY CHURCH, NEIGHBORS IN ACTION, ONALASKA ENHANCEMENT FOUNDATION, ONALASKA/HOLMEN EMERGENCY FOOD BASKET, ONALASKA FIRE DEPARTMENT, PRAIRIE DU CHIEN AREA CHAMBER OF COMMERCE, PRAIRIE DU CHIEN KIWANIS CLUB, PRAIRIE DU CHIEN SCHOLARSHIP COMMITTEE, PLACE OF GRACE, PRAIRIE DU CHIEN FIRE DEPARTMENT, PRAIRIE DU CHIEN HIGH SCHOOL, REMEMBERING JESSE PARKER, INC., RETIRED SENIOR VOLUNTEER PROGRAM, RIVERFEST, ROTARY WORKS FOUNDATION, SALVATION ARMY, SANTA FUN RUN, SCENIC BLUFFS COMM. HEALTH CTR, SCENIC BLUFFS COMMUNITY HEALTH CENTERS, SEMCAC, HOUSTON COMMUNITY FOOD SHELF, SERRA CLUB, SERRA CLUB OF LA CROSSE, SHELBY YOUTH BASEBALL, SPARTA AREA CHAMBER OF COMMERCE, SPARTA BREAD BASKET, SPARTA CHAMBER OF COMMERCE, ST. PATRICK SCHOOL, SUSTAINABILITY INSTITUTE, THE PARENTING PLACE, THE PLACE OF GRACE, TOMAH AREA CHAMBER OF COMMERCE, TOMAH AREA SCHOOL DISTRICT, TOMAH FIRE DEPARTMENT, TOMAH POLICE DEPT., UNITED FUND FOR THE ARTS & HUMANITIES, UNIVERSITY OF MINNESOTA EXTENSION, UNTIL WE MEET AGAIN, UW EXTENSION, UW-L FOUNDATION, UW-LA CROSSE, VERNON MEMORIAL HEALTHCARE FOUNDATION, VETERANS MEMORIAL HEALTH CARE FOUND., VILLAGE OF HOLMEN PARK & REC, VITERBO ATHLETICS, WAFER, WASHBURN NEIGHBORHOOD ASSOCIATION, WAUKON AREA CHAMBER OF COMMERCE, WAUKON LIONS CLUB, WAUKON STATE BANK, WAUKON SWIM MEET, WEST SALEM HIGH SCHOOL, WEST SALEM PARK & REC, WESTERN FOUNDATION, WIS CORPS, WISCONSIN BADGER CAMP, WISCONSIN CSA, WOMEN'S FUND, WORLD SERVICES, YMCA, YWCA. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE (CONTINUED)WOMEN'S HEALTH: CLINICAL SERVICES: THE FMCI CENTER FOR WOMEN'S HEALTH PROVIDES A MENU OF CLINICAL SERVICES INCLUDING ACUTE AND CHRONIC CONDITIONS; BREAST HEALTH SERVICES; MINOR INJURY TREATMENT; ADOLESCENT HEALTH SERVICES; PSYCHOLOGICAL COUNSELING; MASSAGE THERAPY; LABORATORY/EKG/X-RAY DOMESTIC ABUSE AND SEXUAL ASSAULT COUNSELING; FERTILITY SERVICES.ANCILLARY SERVICES: IN ADDITION TO ITS MEDICAL SPECIALTY SERVICES, FMCI OFFERS ANCILLARY SERVICES TO ASSIST PATIENTS AND THEIR FAMILIES INCLUDING ADVANCE CARE PLANNING: A FREE SERVICE TO HELP FACILITATE THE DEVELOPMENT OF ADVANCE DIRECTIVES, WHICH HELP MAKE KNOWN AN INDIVIDUAL'S WISHES IN THE EVENT THAT HE/SHE BECOMES INCAPACITATED/UNABLE TO SPEAK WITH A MEDICAL PROVIDER. HOSPICE AND HOME HEALTH: HOSPICE STAFF PROVIDE A COMPREHENSIVE NETWORK OF SERVICES THAT MAKES IT POSSIBLE FOR PERSONS WITH A LIFE-THREATENING ILLNESS TO RECEIVE CARE IN THE SETTING OF THEIR CHOICE - AT HOME, IN A NURSING HOME, OR IN A HOSPITAL. HOSPICE SERVICES INCLUDE: SKILLED NURSING CARE, MEDICAL SOCIAL SERVICES, SPIRITUAL CARE, HOME HEALTH ASSISTANCE, PHYSICAL AND OCCUPATIONAL THERAPY, BEREAVEMENT, PHARMACY, RESPITE CARE. IN 2015 FMCI SERVED 121 PATIENTS IN HOSPICE AND 148 PATIENTS IN HOME HEALTH. LANGUAGE AND TRANSLATION ASSISTANCE: FMCI PROVIDES CONFIDENTIAL LANGUAGE SERVICES AT ALL TIMES. QUALIFIED INTERPRETERS ARE ON STAFF TO PROVIDE SPANISH, HMONG, AND AMERICAN SIGN LANGUAGE TRANSLATION IN-PERSON AS NEEDED. SERVICES ARE ALSO AVAILABLE OVER-THE-PHONE AND/OR THROUGH VIDEO RELAY WHEN AN IN-PERSON INTERPRETER IS NOT AVAILABLE TO MEET THE LANGUAGE NEEDS OF PATIENTS.ORGAN & TISSUE DONATION: FMCI COLLABORATES WITH THREE RECOVERY AGENCIES TO HONOR PATIENT'S WISHES FOR ORGAN, TISSUE AND EYE DONATION AT THE TIME OF DEATH. THESE AGENCIES INCLUDE UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS ORGAN PROCUREMENT; WISCONSIN TISSUE BANK AND LION'S EYE BANK OF WISCONSIN. AT DEATH, ALL PATIENTS ARE EVALUATED AND IF MEDICALLY ELIGIBLE, RECOVERY IS COORDINATED WITH THE APPROPRIATE RECOVERY AGENCY. RECOVERY OCCURS IN THE OPERATING ROOM, DOES NOT DELAY FUNERAL ARRANGEMENTS OR AN OPEN CASKET VIEWING. THERE IS NO ADDITIONAL MEDICAL EXPENSE TO THE FAMILY OF AN ORGAN OR TISSUE DONOR. SAFE PATH: FREE DOMESTIC ABUSE AND SEXUAL ASSAULT SERVICES FOR PATIENTS, STAFF AND COMMUNITY MEMBERS. SERVICES INCLUDE SCREENING AND ASSESSMENT, SAFETY PLANNING, COUNSELING AND SUPPORT, LEGAL ADVOCACY, RESOURCE INFORMATION AND REFERRAL. DURING 2015 THIS PROGRAM SERVED 254 PATIENTS AND RECORDED A TOTAL OF 1,481 PATIENT CONTACTS. SPIRITUAL CARE: PROFESSIONAL CHAPLAINS AND SUPPORT PERSONNEL PROVIDE AND FACILITATE AN EFFECTIVE, COMPASSIONATE RESPONSE TO THE SPIRITUAL NEEDS OF PATIENTS, FAMILIES AND VISITORS AS WELL AS STAFF. SERVICES ARE OFFERED TO ALL REGARDLESS OF AFFILIATION OR LACK OF AFFILIATION WITH ANY PARTICULAR RELIGIOUS DENOMINATION OR SECT. WORSHIP SERVICES ARE OFFERED IN THE ROMAN CATHOLIC TRADITION ON A REGULAR BASIS THROUGHOUT THE YEAR IN THE CHAPEL. ECUMENICAL SERVICES ARE OFFERED AROUND SPECIFIC RELIGIOUS HOLIDAYS OR CELEBRATIONS OR WHENEVER APPROPRIATE. AN INTERDENOMINATIONAL SERVICE IS OFFERED ON SUNDAY FOR PSYCHIATRIC PATIENTS AND ON THURSDAY FOR SUB-ACUTE UNIT PATIENTS AND THEIR FAMILIES. STAFF CHAPLAINS MAKE SACRAMENTS AND OTHER RELIGIOUS OBSERVANCES AVAILABLE OR ARRANGE THOSE SERVICES FROM COMMUNITY CLERGY. A BI-MONTHLY ECUMENICAL MEMORIAL SERVICE IS OFFERED FOR ALL FAMILY MEMBERS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IN THE MEDICAL CENTER AND ALSO FOR EMPLOYEES WHO HAVE EXPERIENCED THE LOSS OF A FAMILY MEMBER. STAFF CHAPLAINS ARE OCCASIONALLY CALLED UPON BY THE FAMILIES OF UNCHURCHED PATIENTS TO PERFORM FUNERALS OF THEIR LOVED ONES WHO HAVE DIED AT OUR FACILITY. ALL CLINICAL MEMBERS OF THE SPIRITUAL CARE DEPARTMENT ARE BOARD-CERTIFIED BY A RECOGNIZED NATIONAL ACCREDITING AGENCY. THE SIX CHAPLAINS THAT COVER EMERGENT CARE ON AN ON-CALL BASIS REPRESENT THE EPISCOPAL, CATHOLIC, PRESBYTERIAN, UCC AND METHODIST FAITHS. IN ADDITION, A ROMAN CATHOLIC PRIEST IS ALWAYS ON BACKUP CALL FOR SACRAMENTAL NEEDS. SPIRITUAL CARE CHAPLAINS ARE PART OF THE SHARE PROGRAM IN THE FAMILY BIRTHPLACE AND CLINIC WHEN PARENTS EXPERIENCE THE LOSS OF THEIR CHILD THROUGH MISCARRIAGE, STILLBIRTH OR DEATH OCCURRING SHORTLY AFTER BIRTH; THE SPIRITUAL CARE CHAPLAINS ALSO ASSIST WITH ADVANCE CARE PLANNING; SERVE AS CERTIFIED REQUESTORS FOR CASES INVOLVING ORGAN DONATION; SERVE ON THE ONCOLOGY TEAM THAT FOLLOWS THE PATIENT THROUGH THE COURSE OF THEIR CANCER TREATMENT; AND AS PART OF THE PATIENT CARE TEAM ON SEVERAL OF THE HOSPITAL UNITS; THE SPIRITUAL CARE TEAM ALSO OFFERS THE HEALING THROUGH GRIEF SERIES TO ASSIST THOSE COPING WITH LOSS AND GRIEF. BEHAVIORAL HEALTH SERVICES: FMCI PROVIDES A VARIETY OF BEHAVIORAL HEALTH SERVICES IN LA CROSSE, ARCADIA, HOLMEN, PRAIRIE DU CHIEN, SPARTA AND TOMAH. THESE INCLUDE: CLINICAL ASSESSMENT SERVICES; MENTAL HEALTH, SUBSTANCE ABUSE, PSYCHIATRY, AND PSYCHOLOGICAL TESTING, ALCOHOL AND SUBSTANCE ABUSE, CHILD & ADOLESCENT SERVICES; EATING DISORDERS, AND COMPREHENSIVE DIALECTICAL BEHAVIOR THERAPY. SERVICES ARE ALSO PROVIDED THROUGH PROGRAMS HOUSED IN SEVERAL COMMUNITY BASED RESIDENTIAL FACILITIES. THE GOAL OF EACH PROGRAM IS TO MEET RESIDENTS AT THEIR STAGE OF THE RECOVERY PROCESS AND TO HELP FACILITATE INTERNAL CHANGES TOWARD A MORE SUCCESSFUL RECOVERY. STAFF ASSIST RESIDENTS IN MAKING HEALTHY LIFE CHANGES THROUGH MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, CASE MANAGEMENT SERVICES AND WHEN APPROPRIATE, USE OF A 12-STEP MODEL; THE FACILITIES INCLUDE: GERARD HALL, AN 8-BED CLASS A AMBULATORY FACILITY FOR FEMALES WITH MENTAL HEALTH AND/OR AODA ISSUES SPECIALIZING IN PREGNANCY AND PARENTING. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL FACILITY. SCARSETH HOUSE, AN 8-BED CLASS A AMBULATORY FACILITY FOR MALES WITH CO-OCCURRING MENTAL HEALTH AND CHEMICAL DEPENDENCY DISORDERS. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL FACILITY. IT IS ALSO LICENSED TO PROVIDE TRANSITIONAL RESIDENTIAL TREATMENT AND MEDICALLY MONITORED TREATMENT UNDER DHS 75. SIENA HALL, A 20-BED CLASS A AMBULATORY FACILITY FOR MALES AND FEMALES WITH MENTAL HEALTH AND CO-OCCURRING DISORDERS. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL FACILITY. WOMEN'S LAAR HOUSE, A 9-BED CLASS A AMBULATORY FACILITY FOR WOMEN WITH CHEMICAL DEPENDENCE, AND MENTAL HEALTH DISORDERS. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL TREATMENT FACILITY, AND LICENSED TO PROVIDE MEDICALLY MONITORED TREATMENT AND TRANSITIONAL RESIDENTIAL TREATMENT UNDER DHS 75. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $404,911,260 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 7317 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORPORATE TAX UNIT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5075381297 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 FIRST STREET SW | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55905 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANIL MD GOKHAN | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $516,739 | $0 | $57,514 | |||
| BINN MD MARTHA C | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $288,826 | $0 | $47,907 | |||
| ERICKSON ERIC B | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $232,471 | $0 | $42,346 | |||
| FITZGERALD MD KEVIN | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $283,923 | $0 | $49,934 | |||
| GRAU MD THOMAS J | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $296,305 | $0 | $24,898 | |||
| GRENISEN MD MARGARET M | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $245,291 | $0 | $45,432 | |||
| HAGER NICKIJO L | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $161,424 | $0 | $31,757 | |||
| HOLMAY DIANE K | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $233,626 | $0 | $52,309 | |||
| HUGHES PETER R | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $267,069 | $0 | $68,984 | |||
| JOHNSON MD TIMOTHY J | |||||||||
| DIRECTOR/CHAIR/CEO | 40.00 | 0.00 | Yes (X) | $516,503 | $0 | $67,415 | Yes (X) | ||
| JUNGCK MD MARK C | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $299,263 | $0 | $64,907 | |||
| KORDUCKI MD JANE M | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $267,345 | $0 | $70,092 | |||
| KRIEN MD JOSEPH S | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $294,022 | $0 | $53,529 | |||
| KRUSE JOSEPH J | |||||||||
| DIRECTOR/VICE CHAIR/SECRETARY/CAO | 40.00 | 0.00 | Yes (X) | $301,466 | $0 | $67,831 | Yes (X) | ||
| MOLLING DO PAUL E | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $282,109 | $0 | $51,521 | |||
| NOEL AMY J | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $228,843 | $0 | $55,852 | |||
| RUSHLOW MD DAVID R | |||||||||
| DIRECTOR | 40.00 | 0.00 | Yes (X) | $334,603 | $0 | $57,420 | |||
| TIGGELAAR THOMAS H | |||||||||
| DIRECTOR/TREASURER/CFO | 40.00 | 0.00 | Yes (X) | $248,474 | $0 | $55,531 | Yes (X) | ||
| MORRISSEY MD JOHN E | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,006,575 | $0 | $73,676 | Yes (X) | |||
| NOLTE DO CHARLES P | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $795,901 | $0 | $57,272 | Yes (X) | |||
| RADEMACHER MD DANA E | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $766,092 | $0 | $57,649 | Yes (X) | |||
| STEVENS MD MARK K | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $924,574 | $0 | $77,264 | Yes (X) | |||
| UY MD JONATHAN J | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $734,102 | $0 | $64,368 | Yes (X) | |||
| NESSE MD ROBERT E | |||||||||
| FORMER OFFICER | 0.00 | 40.00 | $0 | $917,696 | $28,153 | Yes (X) | |||
| SAATHOFF BARBARA L | |||||||||
| FORMER OFFICER | 40.00 | 0.00 | $196,745 | $0 | $59,576 | Yes (X) | |||
| MAHANY DOUGLAS A | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $161,182 | $38,288 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,722,291 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,078,878 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,421,425 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 352 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MAYO FOUNDATION FOR MEDICAL EDUCATION AN | |||||
| 200 1ST STREET SW | ROCHESTER | MN | 55905 | PROCUREMENT AGENT | $9,981,970 |
| MAYO CLINIC | |||||
| 200 1ST STREET SW | ROCHESTER | MN | 55905 | HEALTHCARE SERVICES | $6,275,975 |
| FOWLER & HAMMER INC | |||||
| 313 MONITOR STREET | LA CROSSE | WI | 54603 | CONSTRUCTION | $1,835,904 |
| WEATHERBY LOCUMS | |||||
| 6541 NORTH FEDERAL HWY SUITE 800 | FORT LAUDERDALE | FL | 33308 | HEALTHCARE SERVICES | $1,493,539 |
| LINDE HEALTHCARE STAFFING INC | |||||
| PO BOX 790051 | SAINT LOUIS | MO | 63179 | HEALTHCARE SERVICES | $795,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $895 | MembershipDuesAmt |
| Fundraising | $76,976 | FundraisingAmt |
| Related Organizations | $2,042,357 | RelatedOrganizationsAmt |
| Government Grants | $1,212,303 | GovernmentGrantsAmt |
| All Other Contributions | $859,767 | AllOtherContributionsAmt |
| Noncash Contributions | $790,000 | NoncashContributionsAmt |
| Total Contributions | $4,192,298 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 620000 | $424,560,705 | $424,162,095 | $398,610 | |
| SHARED SERVICES | 561000 | $3,347,704 | $258,802 | $3,088,902 | |
| RESIDENT REVENUE | 623000 | $807,777 | $807,777 | ||
| RENT FROM AFFILIATES | 531120 | $446,013 | $446,013 | ||
| EDUCATION REVENUE | 611600 | $285,425 | $285,425 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,140 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,140 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $429,484,764 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $239,764 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $40,625 | UnrelatedBusinessRevenueAmt |
| Exclusion | $199,139 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $106,489 | RealAmt |
| Personal | $8,582 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,159 | RealAmt |
| Personal | $8,582 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$11,670 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,670 | TotalRevenueColumnAmt |
| Exclusion | -$11,670 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $730,433 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $876,495 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$146,062 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$146,062 | TotalRevenueColumnAmt |
| Exclusion | -$146,062 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $127,012 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $76,976 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $117,251 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,761 | TotalRevenueColumnAmt |
| Exclusion | $9,761 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $1,985 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $2,033 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$48 | TotalRevenueColumnAmt |
| Exclusion | -$48 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $149,245 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $142,854 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,391 | TotalRevenueColumnAmt |
| Exclusion | $6,391 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA/VENDING | 722210 | $1,860,240 | $1,356,804 | $500,380 | $3,056 |
| MEDICAL DIRECTOR FEES | 541900 | $296,215 | $296,215 | ||
| MISC. REVENUE | 900099 | $251,388 | $73,500 | $177,888 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269,088 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,777 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $165,200 | UnrelatedBusinessRevenueAmt |
| Exclusion | $95,111 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,676,931 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $436,452,129 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $427,436,333 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,104,815 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,718,683 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,827 | TotalAmt |
| Program Services | $151,827 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,750 | TotalAmt |
| Program Services | $10,750 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,263,480 | TotalAmt |
| Program Services | $3,600,466 | ProgramServicesAmt |
| Management And General | $2,663,014 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,086,878 | TotalAmt |
| Program Services | $757,773 | ProgramServicesAmt |
| Management And General | $329,105 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,392,091 | TotalAmt |
| Program Services | $194,912,512 | ProgramServicesAmt |
| Management And General | $3,479,579 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,186,736 | TotalAmt |
| Program Services | $17,867,761 | ProgramServicesAmt |
| Management And General | $318,975 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,548,891 | TotalAmt |
| Program Services | $30,995,558 | ProgramServicesAmt |
| Management And General | $553,333 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,499,652 | TotalAmt |
| Program Services | $13,262,883 | ProgramServicesAmt |
| Management And General | $236,769 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,584 | TotalAmt |
| Management And General | $180,584 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $512 | TotalAmt |
| Management And General | $512 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,419 | TotalAmt |
| Program Services | $10,419 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,946,046 | TotalAmt |
| Program Services | $29,010,491 | ProgramServicesAmt |
| Management And General | $13,935,555 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815,788 | TotalAmt |
| Program Services | $815,788 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,948,846 | TotalAmt |
| Program Services | $28,441,071 | ProgramServicesAmt |
| Management And General | $507,775 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,371,330 | TotalAmt |
| Program Services | $1,361,888 | ProgramServicesAmt |
| Management And General | $9,442 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,603 | TotalAmt |
| Program Services | $1,603 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,903,355 | TotalAmt |
| Program Services | $9,045,325 | ProgramServicesAmt |
| Management And General | $1,858,030 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,892,210 | TotalAmt |
| Program Services | $2,787,797 | ProgramServicesAmt |
| Management And General | $104,413 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,298 | TotalAmt |
| Program Services | $219,593 | ProgramServicesAmt |
| Management And General | $25,705 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,588 | TotalAmt |
| Program Services | $570,588 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,886,257 | TotalAmt |
| Program Services | $12,893,867 | ProgramServicesAmt |
| Management And General | $992,390 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $988,878 | TotalAmt |
| Program Services | $963,543 | ProgramServicesAmt |
| Management And General | $25,335 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UNRELATED BUSINESS TAX | $52,658 | $52,658 | |
| MEDICAL SUPPLIES | $38,214,549 | $38,214,549 | |
| BAD DEBT EXPENSE | $12,203,483 | $12,203,483 | |
| MEDICAID SURCHARGE | $5,395,826 | $5,395,826 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,421,222 | TotalAmt |
| Program Services | $1,415,899 | ProgramServicesAmt |
| Management And General | $5,323 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,189,757 | TotalAmt |
| Program Services | $404,911,260 | ProgramServicesAmt |
| Management And General | $25,278,497 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,376 | BOYAmt |
| EOY | $21,837 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,151 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,520 | BOYAmt |
| EOY | $46,334 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,678,557 | BOYAmt |
| EOY | $58,129,609 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,314,296 | BOYAmt |
| EOY | $18,514,971 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,364,027 | BOYAmt |
| EOY | $4,561,684 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,768,240 | BOYAmt |
| EOY | $258,936 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $278,727,537 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $165,845,776 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,519,832 | BOYAmt |
| EOY | $112,881,761 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,424,789 | BOYAmt |
| EOY | $68,946,593 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,997,109 | BOYAmt |
| EOY | $48,572,979 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,174,897 | BOYAmt |
| EOY | $311,934,704 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,005,260 | BOYAmt |
| EOY | $22,241,352 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $856,977 | BOYAmt |
| EOY | $16,374 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,776 | BOYAmt |
| EOY | $1,198 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,250,784 | BOYAmt |
| EOY | $94,567,434 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,157,797 | BOYAmt |
| EOY | $116,826,358 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,017,100 | BOYAmt |
| EOY | $195,108,346 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,017,100 | BOYAmt |
| EOY | $195,108,346 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,174,897 | BOYAmt |
| EOY | $311,934,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,262,372 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $28,828,874 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,419 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,419 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,655,679 | OtherCostOrOtherBasisAmt |
| Book Value | $11,655,679 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,398,897 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,037,112 | DepreciationAmt |
| Book Value | $72,361,785 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $253,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $253,811 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,582 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $88,309,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,554,853 | DepreciationAmt |
| Book Value | $24,762,927 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,101,370 | OtherCostOrOtherBasisAmt |
| Book Value | $4,101,370 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $112,881,761 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MAYO POOLED INVESTMENTS | Desc |
| Book Value | $68,946,593 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $68,946,593 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $33,530,936 |
| DEFERRED COMPENSATION | $15,042,043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $48,572,979 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | -$7,496 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $79,532,887 |
| DEFERRED COMPENSATION LIABILITY | $15,042,043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $94,567,434 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | ASSISTED LIVING SECURITY DEPOSITS. |
| PART X, LINE 2: | AT DECEMBER 31, 2015 AND 2014, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DRAGON BOAT FESTIVAL | Event1Nm |
| Gross Receipts Event1 | $61,589 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $29,448 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $32,141 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $60,414 | OtherDirectExpensesEvent1Amt |
| Event2 | TINY TIM | Event2Nm |
| Gross Receipts Event2 | $60,355 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $27,693 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $32,662 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $18,883 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,634 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $82,044 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $19,835 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $62,209 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $36,320 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $203,988 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $76,976 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $127,012 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $18,883 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $98,368 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $117,251 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $9,761 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,909,420 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,909,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,507,532 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,963,651 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,543,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07790 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,416,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,963,651 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,453,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $159,001 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,247 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $152,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,148,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,291,335 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,856,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,879,164 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,367,538 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,511,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01800 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $149,884 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,949 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229,219 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,692 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $160,527 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,565,467 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,860,761 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,704,706 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,982,419 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,824,412 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,158,007 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10820 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,323 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,308 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $114,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $936 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $120,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,203,483 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $55,083,566 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $80,224,684 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,141,118 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room OtherEmergencyRoomOtherInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCISCAN MEDICAL CENTER - LA CROSSE | |||||||||||||
| 1 | 700 WEST AVENUE SOUTH | LA CROSSE | WI | 546014796 | MAYOCLINICHEALTHSYSTEM.ORG | 24 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| FRANCISCAN MEDICAL CENTER - SPARTA | |||||||||||||
| 2 | 310 WEST MAIN STREET | SPARTA | WI | 546562142 | MAYOCLINICHEALTHSYSTEM.ORG | 1009 | Yes (X) | Yes (X) | A | Yes (X) | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | MAYOCLINICHEALTHSYSTEM.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | MAYOCLINICHEALTHSYSTEM.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | MAYOCLINICHEALTHSYSTEM.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | MAYOCLINICHEALTHSYSTEM.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (30 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: FRANCISCAN MEDICAL CENTER - LA CROSSE, - FACILITY 2: FRANCISCAN MEDICAL CENTER - SPARTA |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 5: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 6A: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 6B: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 11: | ALCOHOL USE:MCHS-LA CROSSE DESIGNATED COMMUNITY INVESTMENT DOLLARS TO PROGRAMS PROMOTING PREVENTION EDUCATION SUCH AS THE DRUG & ALCOHOL RESISTANCE EDUCATION (DARE) PROGRAM; COULEE COUNCIL ON ADDICTIONS' TURNED LEAF FESTIVAL & HOME RUN 5K; COULEECAP'S HOUSING FIRST AND HOMELESS COALITION THAT IDENTIFIES DRUG & ALCOHOL ABUSE AND REFERS PARTICIPANTS FOR TREATMENT AS A REQUIREMENT FOR PARTICIPATION IN THE PROGRAM; AND THE "DRUG FREE ZONE" AT LA CROSSE'S ANNUAL OKTOBERFEST. CASH CONTRIBUTIONS TOTALED $12,000. MCHS-LA CROSSE CONTINUED ITS PARTICIPATION IN THE LA CROSSE HEALTH SCIENCE CONSORTIUM'S RISKY DRINKING BEHAVIORS COALITION COMPRISED OF COMMUNITY GROUPS, STUDENTS, PARENTS, GOVERNMENT AGENCIES, AND BUSINESSES. THE COALITION SUPPORTS POLICIES AND PRACTICES THAT MAKE IT EASIER FOR THOSE WHO DRINK TO DO SO SAFELY AND RESPONSIBLY.MCHS-LA CROSSE PROVIDED IN-KIND CONTRIBUTIONS RELATED TO SUBSTANCE ABUSE INCLUDING: A PHYSICIAN TO SERVE ON THE BOARD OF COULEE COUNCIL ON ADDICTIONS; A PHYSICIAN REPRESENTATIVE FOR THE LA CROSSE COUNTY HEROIN TASK FORCE; AND AN AODA COUNSELOR TO PRESENT "FAMILY ADJUSTMENTS TO LIVING WITH ADDICTION" AT COULEE COUNCIL ON ADDICTIONS. IN-KIND CONTRIBUTIONS TOTAL $1,020.HEALTH CARE ACCESS:MCHS-LA CROSSE OPERATES ST. CLARE HEALTH MISSION, A FREE, PRIMARY CARE CLINIC SERVING INDIVIDUALS WHO HAVE NO MEDICAL INSURANCE AND DO NOT QUALIFY FOR PUBLIC ASSISTANCE. THE MISSION SEES PATIENTS FROM A 5-COUNTY AREA AND IS OPEN 2 EVENINGS PER WEEK. PRESCRIPTIONS WRITTEN AT THE MISSION ARE FILLED AT NO COST TO PATIENTS VIA AN ON-SITE PHARMACY. FOR INDIVIDUALS WITH UNSTABLE CHRONIC MEDICAL CONDITIONS, THE MISSION ALSO OPERATES A CONTINUITY CLINIC ONE DAY PER WEEK THAT PROVIDES NUTRITION COUNSELING, DIABETES EDUCATION, SMOKING CESSATION, FOOT CARE AND SPECIALTY MEDICAL CARE. PATIENTS WHO REQUIRE SPECIALTY PROCEDURES OR SURGERY RECEIVE TREATMENT AT MCHS-LA CROSSE AT NO COST. MORE THAN 300 PATIENTS RECEIVED FREE CARE AND PRESCRIPTION MEDICATIONS IN 2015.MCHS-LA CROSSE CONTINUED ITS PARTICIPATION IN THE MINNESOTA BREAST & CERVICAL CANCER PROGRAM AND THE WISCONSIN WELL WOMAN PROGRAM, EXPANDING HEALTHCARE ACCESS FOR LOW-INCOME, UNINSURED AND UNDERINSURED WOMEN. SERVICES INCLUDE SCREENINGS, PREVENTION AND TREATMENT.MCHS-LA CROSSE PARTNERED WITH THE LA CROSSE YMCA, LA CROSSE COUNTY HEALTH DEPARTMENT AND GUNDERSEN HEALTH SYSTEM TO HOLD FREE COMMUNITY HEALTH SCREENINGS FOR CHOLESTEROL, BLOOD SUGAR, BLOOD PRESSURE AND BODY MASS INDEX. PARTICIPANTS RECEIVED COUNSELING BASED ON THEIR RESULTS AND INFORMATION ON HOW TO ACCESS FOLLOW UP CARE AT AREA MEDICAL CENTERS AND FREE CLINICS. IN-KIND CONTRIBUTIONS TOTALED $2,500.MCHS-LA CROSSE PROVIDED EDUCATIONAL OPPORTUNITIES FOR HIGH SCHOOL STUDENTS ENROLLED IN THE LA CROSSE SCHOOL DISTRICT'S HEALTH SCIENCE ACADEMY. SCHOLARSHIPS WERE PROVIDED FOR SENIORS PURSUING HIGHER EDUCATION IN HEALTHCARE. CASH & IN-KIND CONTRIBUTIONS TOTALED $6,500.MCHS-LA CROSSE DESIGNATED COMMUNITY INVESTMENT DOLLARS TO PROGRAMS SUPPORTING ACCESS TO CARE INCLUDING: THE RETIRED SENIOR VOLUNTEER PROGRAM THAT PROVIDES SENIORS AND DISABLED ADULTS WITH RIDES TO/FROM MEDICAL APPOINTMENTS; THE LA CROSSE COUNTY HEALTH DEPARTMENT FOR ITS ANNUAL HMONG HEALTH FAIR AND ITS COMMUNITY-WIDE HPV VACCINATION CAMPAIGN; THE FAMILY & CHILDREN'S CENTER FOR ITS HEALTHY FAMILIES PROGRAM THAT PROVIDES REGULAR HOME VISITS TO EDUCATE PARENTS AND PREVENT CHILD ABUSE/NEGLECT IN AT-RISK HOMES. CASH CONTRIBUTIONS TOTALED $12,000.MENTAL HEALTH:MCHS-LA CROSSE OFFERS AN ARRAY OF OUTPATIENT, INPATIENT AND RESIDENTIAL MENTAL HEALTH SERVICES INCLUDING 4 COMMUNITY BASED RESIDENTIAL FACILITIES: SIENA HALL - SERVING ADULTS WITH MENTAL HEALTH DISORDERS; LAAR HOUSE AND SCARSETH HOUSE - SERVING WOMEN AND INDIVIDUALS RESPECTIVELY WITH SUBSTANCE ABUSE AND/OR CO-OCCURRING DISORDERS; AND GERARD HALL - SERVING WOMEN WHO ARE PREGNANT OR PARENTING AND HAVE MENTAL HEALTH AND/OR CO-OCCURRING DISORDERS. MCHS-LA CROSSE ENTERED INTO A UNIQUE 3-YEAR PARTNERSHIP WITH THE LA CROSSE AREA BOYS & GIRLS CLUBS (LABGC) AND RONALD MCDONALD HOUSE CHARITIES (RMHC) TO PLACE A FULL-TIME BEHAVIORAL HEALTH SPECIALIST AT THE LABGC - MATHY CENTER. THE BEHAVIORAL HEALTH SPECIALIST IS EMPLOYED BY MCHS-LA CROSSE AND IS MENTORED/SUPERVISED BY SENIOR STAFF IN THE BEHAVIORAL HEALTH DEPARTMENT. RMHC FUNDS THE SALARY & BENEFITS.MCHS-LA CROSSE PROVIDED OFFICE AND MEETING SPACE IN A HOME IT OWNS IN LA CROSSE'S WASHBURN NEIGHBORHOOD FOR A SOCIAL WORKER OF THE LA CROSSE COUNTY FAMILY COLLABORATIVE. BASED ON A SUCCESSFUL PROGRAM IN MADISON, WI, THE COLLABORATIVE SEEKS TO PROVIDE SERVICES FOR AT-RISK INDIVIDUALS AND FAMILIES WHERE THEY RESIDE. THE SOCIAL WORKER CONNECTS PEOPLE IN THE NEIGHBORHOOD WITH COMMUNITY RESOURCES, INCLUDING MENTAL HEALTH SERVICES. MCHS-LA CROSSE'S SAFE PATH PROGRAM IDENTIFIES PATIENTS SUFFERING ABUSE AT HOME AND PROVIDES COUNSELING, REFERRALS, AND FINANCIAL ASSISTANCE TO ENSURE A PATIENT'S SAFETY. MCHS-LA CROSSE STAFF ALSO CONSULT WITH VARIOUS COMMUNITY AGENCIES PROVIDING SHELTER/CARE FOR VICTIMS OF DOMESTIC VIOLENCE.MCHS-LA CROSSE SERVES AS A RESOURCE AND SUPERVISED CLINICAL SETTING FOR VITERBO UNIVERSITY STUDENTS WORKING TOWARD MASTERS DEGREES IN MENTAL HEALTH COUNSELING. MCHS-LA CROSSE PARTICIPATED IN THE "CAMPAIGN TO CHANGE DIRECTION," A COLLABORATIVE, COMMUNITY-WIDE EFFORT TO REDUCE THE STIGMA OF MENTAL ILLNESS AND ENCOURAGE PEOPLE TO SEEK HELP FOR THEMSELVES OR FOR LOVED ONES. IN-KIND CONTRIBUTION TOTALED $316.MCHS-LA CROSSE DESIGNATED COMMUNITY INVESTMENT DOLLARS TO SUPPORT THE ANNUAL SUICIDE PREVENTION SUMMIT IN LA CROSSE, AN EDUCATION AND AWARENESS EVENT FOR BEHAVIORAL HEALTH PROFESSIONALS AND THE PUBLIC. CASH CONTRIBUTION TOTALED $2,000.MCHS-LA CROSSE PROVIDED A QUALIFIED BOARD MEMBER FOR THE MENTAL HEALTH COALITION OF GREATER LA CROSSE, WHICH IS COMPRISED OF ORGANIZATIONS, HEALTHCARE PROVIDERS, AND CITIZENS. COALITION PROJECTS INCLUDE CREATING AWARENESS THAT SUICIDE IS A PREVENTABLE PUBLIC HEALTH PROBLEM; IMPROVING OUTCOMES WHEN LAW ENFORCEMENT COMES IN CONTACT WITH INDIVIDUALS WITH MENTAL ILLNESS; AND WORKING TO ENSURE THAT DISCHARGE PLANS AID IN MAKING A SAFE TRANSITION BACK INTO THE COMMUNITY. OBESITY:MCHS-LA CROSSE DESIGNATED COMMUNITY INVESTMENT DOLLARS TO COMMUNITY PROGRAMS THAT PROMOTE HEALTHY EATING SUCH AS HEALTHY SNACKS FOR SUMMER CAMP, SUPPORT FOR THE 'ACTIVE EARLY WORK' CHILDHOOD OBESITY PROGRAM AT THE PARENTING PLACE; AND SPONSORSHIP OF TWO EDUCATIONAL PRESENTATIONS IN THE COMMUNITY BY RENOWNED URBAN AGRICULTURE GURU, WILL ALLEN. CASH CONTRIBUTIONS TOTALED $6,800.MCHS-LA CROSSE INITIATED AN EDIBLE LANDSCAPE PROGRAM AT THE HOSPITAL AND ITS REGIONAL CLINICS TO DEMONSTRATE SMALL-SPACE GARDENING TECHNIQUES AND ENGAGE PATIENTS, VISITORS & STAFF IN CONVERSATIONS ABOUT GROWING AND CONSUMING FRESH HEALTHY FOODS. RAISED BED PLANTERS AT THE HOSPITAL ALLOWED PATIENTS OF ALL ABILITIES TO ACCESS GROWING PLANTS. THE RAISED BEDS ALSO SERVED AS THE SETTING FOR A CARDIAC REHABILITATION CLASS ON COOKING WITH HERBS. VEGETABLES GROWN IN THE PLANTERS/BEDS WERE FEATURED IN THE HOSPITAL CAFETERIA ON SEVERAL OCCASIONS.MCHS-LA CROSSE WORKS WITH THE WASHBURN NEIGHBORHOOD ASSOCIATION AND THE CITY OF ONALASKA PARKS & RECREATION DEPARTMENT TO PROVIDE SPACE ON ITS PROPERTIES IN LA CROSSE AND ONALASKA FOR COMMUNITY GARDENING. MCHS-LA CROSSE PROVIDES STAFF AND EQUIPMENT TO STAKE PLOTS, TILL SOIL, MOVE DIRT, ETC., AND PAYS FOR WATER SERVICE AT BOTH SITES AND PORTABLE RESTROOMS FOR THE ONALASKA SITE. IN-KIND CONTRIBUTIONS TOTALED $7,500.A MOBILE TEACHING KITCHEN WAS USED AT A VARIETY OF LOCAL EVENTS AND ON THE MCHS-LA CROSSE CAMPUS TO DEMONSTRATE QUICK, TASTY AND HEALTHY FOOD PREPARATION. IN-KIND CONTRIBUTIONS TOTALED $4,225.MCHS-LA CROSSE SERVED AS THE CORPORATE SPONSOR OF GROW LA CROSSE, INC., A NONPROFIT ORGANIZATION WHOSE MISSION IS "CONNECTING CHILDREN WITH HEALTHY FOOD AND NATURE." PARTNERING WITH GROW LA CROSSE, MCHS-LA CROSSE SUPPORTED ELEMENTARY SCHOOL GARDENS, CLASSROOM EDUCATION, TASTE-TESTING SESSIONS, AND WEEK-LONG "FARM CAMP" SESSIONS, INCLUDING SCHOLARSHIPS FOR DISADVANTAGED YOUTH. CASH & IN-KIND DONATIONS TOTALED $14,000.MCHS-LA CROSSE PARTNERED WITH HILLVIEW URBAN AGRICULTURE AND UW-LA CROSSE (UW-L) TO CREATE A VERMICOMPOSTING CENTER (VC) ON ITS LA CROSSE CAMPUS. THE VC USES WORMS TO TURN PRE-CONSUMER KITCHEN WASTE INTO HIGH-DENSITY ORGANIC FERTILIZER FOR GARDEN SOIL. UW-L DONATED THE VERMICOMPOSTING UNITS AND PROVIDES AGRICULTURAL EXPERTISE AND STUDENTS TO ASSIST WITH THE PROGRAM. HILLVIEW OPERATES THE VC, DONATING A PORTION OF THE "VERMIGOLD AND SELLING THE REST AT A MODEST COST TO SUPPORT ITS EDUCATIONAL PROGRAMS. MCHS-LA CROSSE PROVIDES A GARAGE WITH A FULL BASEMENT, FURNACE, AIR CONDITIONER & WATER SUPPLY, MAINTAINS THE PROPERTY, AND COVERS COSTS ASSOCIATED WITH WATER, ELECTRICITY, GAS, TRASH & SNOW REMOVAL. CASH & IN-KIND CONTRIBUTIONS TOTALED $25,000. |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 13B: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 13H: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 16I: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 20E: | |
| GROUP A-FACILITY 1 -- FRANCISCAN MEDICAL CENTER - LA CROSSE PART V, SECTION B, LINE 22D: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 5: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 6A: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 6B: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 11: | ALCOHOL USE:MAYO CLINIC HEALTH SYSTEM - IN SPARTA (MCHS-SPARTA) CONTINUES TO PROVIDE ALCOHOL AND OTHER DRUG TREATMENT AND PREVENTION SERVICES THAT ADDRESS THE NEEDS OF ITS PATIENTS. MCHS-SPARTA ALSO PARTICIPATED IN MONROE COUNTY ALCOHOL AND OTHER DRUG ABUSE INITIATIVE AND WORKED WITH TRI-COUNTY HEROIN ADDICTION COALITION AS A TREATMENT RESOURCE FOR THE LAW ENFORCEMENT AGENCIES IN LA CROSSE, VERNON AND MONROE COUNTIES. IN-KIND CONTRIBUTIONS TOTAL $5,274.ACCESS TO HEALTH CARE:MCHS-SPARTA OPERATES ST. CLARE HEALTH MISSION OF SPARTA, A FREE, BASIC HEALTH CARE CLINIC THAT SERVES INDIVIDUALS WHO RESIDE IN MONROE COUNTY AND HAVE NO MEDICAL INSURANCE OR DO NOT QUALIFY FOR PUBLIC ASSISTANCE. PHYSICIANS AND STAFF VOLUNTEER AT THE CLINIC. THE CLINIC FILLS PRESCRIPTIONS WRITTEN AT THE MISSION FREE OF CHARGE AT THE ON-SITE PHARMACY. MCHS-SPARTA ALSO CONTINUES TO PROVIDE PREVENTION AND TREATMENT SERVICES THAT ADDRESS PATIENTS' NEEDS AND PARTICIPATES IN THE WISCONSIN WELL WOMAN PROGRAM PROVIDING UNINSURED AND UNDERINSURED PATIENTS WITH ACCESS TO SCREENINGS.MCHS-SPARTA SERVES AS A PARTNER FACILITY FOR SCENIC BLUFFS COMMUNITY HEALTH CENTER WHICH OPERATES LOCATIONS IN CASHTON AND NORWALK, WISCONSIN. THE CENTER OFFERS PRIMARY AND BEHAVIORAL HEALTH CARE AND OUTREACH SERVICES TO PATIENTS ON A SLIDING FEE SCALE, INCLUDING INSURED PATIENTS WITH HIGH DEDUCTIBLES. ADDITIONAL CASH CONTRIBUTIONS TO SCENIC BLUFFS TOTALED $1,100.MENTAL HEALTH:MCHS-SPARTA CONTINUES TO OFFER MENTAL HEALTH TREATMENT AND PREVENTION SERVICES THAT ADDRESS THE NEEDS OF ITS PATIENTS. MCHS-SPARTA PARTICIPATES IN MONROE COUNTY MENTAL HEALTH WORKGROUP INITIATIVES, WHICH INCLUDES INCREASING INDIVIDUAL AND COMMUNITY KNOWLEDGE OF DEPRESSION SYMPTOMS AND SUICIDE. MCHS-SPARTA ALSO PARTICIPATES IN THE COUNTY'S EDUCATIONAL SESSIONS ON ANTI-BULLYING. MCHS-SPARTA DESIGNATED COMMUNITY INVESTMENT DOLLARS FOR NAMI (NATIONAL ALLIANCE FOR MENTAL ILLNESS) OF MONROE COUNTY FOR PROGRAMS THAT EDUCATE THE COMMUNITY ABOUT MENTAL ILLNESS. CASH CONTRIBUTION TOTALED $1,200.OBESITY:MCHS-SPARTA CONTINUES TO OFFER HEALTHY EATING, PHYSICAL ACTIVITY AND STRESS REDUCTION PROGRAMS THAT MEET THE NEEDS OF PATIENTS AND EMPLOYEES INCLUDING A COMMUNITY SUPPORT AGRICULTURE (CSA) BENEFIT AS PART OF ITS HEALTH PLAN. MCHS-SPARTA INSTALLED THREE EDIBLE LANDSCAPE PLANTERS AT THE HOSPITAL'S MAIN ENTRANCE TO DEMONSTRATE SMALL-SPACE GARDENING TECHNIQUES AND ENGAGE PATIENTS, VISITORS AND STAFF IN CONVERSATION ABOUT GROWING AND CONSUMING HEALTHY FOODS. MCHS-SPARTA PARTICIPATED IN MONROE COUNTY PROGRAMS TO INCREASE INDIVIDUAL AND COMMUNITY KNOWLEDGE RELATED TO NUTRITION AND PHYSICAL ACTIVITY.MCHS-SPARTA DESIGNATED COMMUNITY INVESTMENT DOLLARS TO SUPPORT A HEALTHY LIVING PROGRAM OFFERED BY THE TOMAH AREA SCHOOL DISTRICT. CASH CONTRIBUTION TOTALED $500. DENTAL CARE ACCESS AND COST:MCHS-SPARTA OPERATES AN ORAL SURGERY PROGRAM THAT PROVIDES DENTAL SURGERY ACCESS AND MINOR RESTORATIVE PROCEDURES TO PEDIATRIC PATIENTS WHO CANNOT FIND AN AREA DENTIST TO PROVIDE THESE SERVICES.MCHS-SPARTA ALSO SUPPORTED DENTAL CARE FOR LOW INCOME AND RURAL RESIDENTS OF MONROE COUNTY THROUGH ITS SUPPORT OF SCENIC BLUFFS COMMUNITY HEALTH CENTER. |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 13B: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 13H: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 16I: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 20E: | |
| GROUP A-FACILITY 2 -- FRANCISCAN MEDICAL CENTER - SPARTA PART V, SECTION B, LINE 22D: | |
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: FRANCISCAN MEDICAL CENTER - LA CROSSE, - FACILITY 2: FRANCISCAN MEDICAL CENTER - SPARTA |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: | THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA IS BASED INCLUDED PARTICIPATION OF THE PUBLIC HEALTH DEPARTMENTS OF HOUSTON, LA CROSSE, MONROE, TREMPEALEAU, AND VERNON COUNTIES. THE "COMPASS NOW" ASSESSMENT RECEIVED INPUT FROM THE FOLLOWING SOURCES: RANDOMLY SELECTED HOUSEHOLD SURVEYS, KEY STAKEHOLDER MEETINGS, AND FOCUS GROUPS. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: | THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA REPORT IS BASED INCLUDED MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER-LA CROSSE CAMPUS, MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER-SPARTA CAMPUS, GUNDERSEN LUTHERAN HEALTH SYSTEM, ST. JOSEPH'S HEALTH SERVICES-GUNDERSEN LUTHERAN, TOMAH MEMORIAL HOSPITAL, TRI-COUNTY MEMORIAL HOSPITAL, AND VERNON MEMORIAL HOSPITAL. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: | THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA REPORT IS BASED INCLUDED GREAT RIVERS UNITED WAY, HOUSTON COUNTY HEALTH DEPARTMENT, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT, AND LA CROSSE COMMUNITY FOUNDATION. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13B: | IF A PATIENT'S BALANCE EXCEEDS 25% OF THEIR ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON FPG, CHARITY CARE WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: | THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16I: | WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBED THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E: | FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS AND STATEMENTS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 22D: | OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 50% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - FRANCISCAN MEDICAL CENTER - LA CROSSE | ||||
| 800 WEST AVENUE SOUTH | LA CROSSE | WI | 546014796 | CLINIC, PHARMACY |
| 2 - ONALASKA CLINIC | ||||
| 191 THEATER ROAD | ONALASKA | WI | 54650 | CLINIC, BEHAVIORAL HEALTH CLINIC, PHARMACY, DME |
| 3 - TOMAH CLINIC | ||||
| 325 BUTTS AVENUE | TOMAH | WI | 546600610 | CLINIC, BEHAVIORAL HEALTH CLINIC |
| 4 - BEHAVORIAL HEALTH SERVICE - LA CROSSE | ||||
| 212 11TH STREET SOUTH | LA CROSSE | WI | 54601 | BEHAVIORAL HEALTH CLINIC |
| 5 - HOLMEN CLINIC | ||||
| 1303 MAIN STREET S | HOLMEN | WI | 546369337 | CLINIC, BEHAVIORAL HEALTH CLINIC |
| 6 - ARCADIA CLINIC | ||||
| 464 SOUTH ST JOSEPH AVENUE | ARCADIA | WI | 546121499 | CLINIC, BEHAVIORAL HEALTH CLINIC, DME |
| 7 - SPARTA CLINIC | ||||
| 310 WEST MAIN STREET | SPARTA | WI | 546562142 | CLINIC, BEHAVIORAL HEALTH CLINIC, DME |
| 8 - FRANCISCAN LA CROSSE CLINIC DME | ||||
| 620 SOUTH 11TH STREET | LA CROSSE | WI | 546014711 | DME |
| 9 - WAUKON CLINIC | ||||
| 105 EAST MAIN STREET | WAUKON | IA | 52172 | CLINIC |
| 10 - PRAIRIE DU CHIEN CLINIC | ||||
| 800 EAST BLACKHAWK AVENUE | PRAIRIE DU CHIEN | WI | 53821 | CLINIC, BEHAVIORAL HEALTH CLINIC |
| 11 - PROFESSIONAL ARTS BUILDING | ||||
| 615 SOUTH 10TH STREET | LA CROSSE | WI | 54601 | ALLERGY, ORAL SURGERY |
| 12 - FRANCISCAN FAMILY HEALTH CLINIC | ||||
| 815 SOUTH 10TH STREET | LA CROSSE | WI | 54601 | FAMILY HEALTH CLINIC |
| 13 - FRANCISCAN-HOME CARE PHARMACY | ||||
| 700 WEST AVENUE SOUTH | LA CROSSE | WI | 54601 | PHARMACY |
| 14 - CALEDONIA CLINIC | ||||
| 701 NORTH PRAGUE STREET | CALEDONIA | MN | 559211066 | CLINIC, BEHAVIORAL HEALTH CLINIC, DME |
| 15 - LA CRESCENT CLINIC | ||||
| 524 NORTH ELM | LA CRESCENT | MN | 559471027 | CLINIC |
| 16 - FRANCISCAN OCCUPATIONAL HEALTH CLINIC | ||||
| 630 10TH STREET | LA CROSSE | WI | 54601 | OCCUPATIONAL HEALTH CLINIC |
| 17 - SIENA HALL | ||||
| 608 11TH STREET SOUTH | LA CROSSE | WI | 54601 | BEHAVIORAL HEALTH |
| 18 - VILLAGE ON 9TH | ||||
| 621 SOUTH 9TH STREET | LA CROSSE | WI | 54601 | ELDERLY HOUSING |
| 19 - VILLA SUCCESS | ||||
| 121 PRAIRIE STREET | PRAIRIE DU CHIEN | WI | 53821 | BEHAVIORAL HEALTH |
| 20 - WOMEN'S LAAR HOUSE | ||||
| 1005 JACKSON STREET | LA CROSSE | WI | 54601 | BEHAVIORAL HEALTH |
| 21 - ST CLARE HEALTH MISSION | ||||
| 916 FERRY STREET | LA CROSSE | WI | 54601 | CLINIC |
| 22 - SCARSETH HOUSE | ||||
| 535 SOUTH 17TH STREET | LA CROSSE | WI | 54601 | BEHAVIORAL HEALTH |
| 23 - GROUP HOME I | ||||
| 518 10TH STREET SOUTH | LA CROSSE | WI | 54601 | BEHAVIORAL HEALTH |
| 24 - VILLAGE ON CASS | ||||
| 225 24TH STREET SOUTH | LA CROSSE | WI | 54601 | ELDERLY HOUSING |
| 25 - GERARD HALL | ||||
| 940 DIVISION STREET | LA CROSSE | WI | 54601 | MATERNITY HOME |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | MEDICAL INDIGENCY MAY BE USED TO DETERMINE ELIGIBILITY IN ADDITION TO FPG.IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR. |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO. |
| PART I, LINE 7G: | THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $7,511,626. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 12,203,483. |
| SCHEDULE H, PART I, LINE 5A | THE FILING ORGANIZATION ESTIMATES CHARITY CARE FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE OR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THROUGH DONATIONS AND GRANTS TO PUBLIC, PRIVATE, AND NONPROFIT ORGANIZATIONS, THE FILING ORGANIZATION ASSISTS WITH SUSTAINING AND ENHANCING THE COMMUNITIES IT SERVES. |
| PART III, LINE 2: | PART III, SECTION A, LINE 1:THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 4: | FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 5, 7, 8 AND 9 OF MAYO CLINIC'S 2015 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $60,331,000 AS REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL REPORTED ON THE CORE FORM, PART III INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.REASONS WHY MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. |
| PART III, LINE 9B: | MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE. |
| PART VI, LINE 2: | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER COLLABORATES WITH PUBLIC AND PRIVATE GROUPS IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. THESE GROUPS AND DATA SOURCES INCLUDE: 2015 COMMUNITY NEEDS ASSESSMENT IN PARTNERSHIP WITH THE GREAT RIVERS UNITED WAY AND GUNDERSON LUTHERAN MEDICAL CENTER;HEALTHIEST WISCONSIN 2020 (PLAN OF WI DHS); POPULATION HEALTH PROJECT OF THE LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM, WHICH COLLECTS AND ANALYZES DATA FROM A 20 COUNTY AREA THAT MIRRORS THE REPORTING ORGANIZATION'S SERVICE AREA. MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER ALSO HAS REPRESENTATION ON NUMEROUS LOCAL HEALTH ADVOCACY GROUPS THAT TARGET SPECIFIC DISEASES AND CONDITIONS (CHILDHOOD OBESITY, DIABETES, SMOKING CESSATION, SUICIDE PREVENTION, ETC.). WE USE INFORMATION AND DATA FROM THESE GROUPS AS WELL TO HELP PLAN EVENTS IN THE SERVICE AREA. |
| PART VI, LINE 3: | MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION. |
| PART VI, LINE 4: | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVES THE RESIDENTS OF BUFFALO, TREMPEALEAU, JACKSON, MONROE, LA CROSSE, JUNEAU, VERNON, CRAWFORD, RICHLAND, SAUK, AND GRANT COUNTIES IN WISCONSIN, WABASHA, WINONA, FILLMORE, AND HOUSTON COUNTIES IN MINNESOTA, AND WINNESHIEK, AND ALLAMAKEE COUNTIES IN IOWA. THE CITIES OF LA CROSSE (50K) AND WINONA (35K) REPRESENT SMALL METROPOLITAN AREAS AND THE BALANCE OF THE SERVICE AREA IS EITHER RURAL OR SMALL TOWNS (500 TO 10K). THE SERVICE AREA INCLUDES A GROWING NUMBER OF HISPANIC AND HMONG RESIDENTS. THE AREA POPULATION ALSO TRENDS OLDER, POORER AND LESS EDUCATED THAN THE STATEWIDE AVERAGE. |
| PART VI, LINE 5: | THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS:MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. COMMUNITY REPRESENTATION ON GOVERNING BODY:THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE FILING ORGANIZATION, WHICH IS CONTROLLED BY MAYO CLINIC, RELIES ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT.OPEN V. CLOSED STAFF MODEL:STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. EMERGENCY ROOM:THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY. |
| PART VI, LINE 6: | THIS ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. |
| PART VI, LINE 7 | NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM INC | |||||||
| 1725 STATE STREET | LA CROSSE | WI | 54601 | 391804725 | 501(C)(3) | $34,565 | SUPPORT CHARITABLE PROGRAMS |
| LA CROSSE AREA CHAMBER OF COMMERCE | |||||||
| 601 7TH STREET NORTH | LA CROSSE | WI | 54601 | 390414500 | 501(C)(6) | $10,000 | SUPPORT EXEMPT PURPOSE |
| GREAT RIVERS UNITED WAY INC | |||||||
| 1855 EAST MAIN STREET | ONALASKA | WI | 54650 | 390848188 | 501(C)(3) | $10,000 | SUPPORT CHARITABLE PROGRAMS |
| CITY OF LA CROSSE | |||||||
| 400 LA CROSSE ST | LA CROSSE | WI | 54601 | 396005490 | CTY OF LA CROSSE | $13,375 | GENERAL SUPPORT |
| PAWS 4 INDEPENDENCE | |||||||
| 15612 PRAIRIE RIDGE RD | CALEDONIA | MN | 55921 | 800895834 | 501(C)(3) | $7,000 | SUPPORT CHARITABLE PROGRAMS |
| YMCA | |||||||
| 1140 MAIN ST | LA CROSSE | WI | 54601 | 390806172 | 501(C)(3) | $6,000 | SUPPORT CHARITABLE PROGRAMS |
| WISCORPS INC | |||||||
| 789 MYRICK PARK DRIVE | LA CROSSE | WI | 54601 | 270774779 | 501(C)(3) | $5,999 | SUPPORT CHARITABLE PROGRAMS |
| WAFER | |||||||
| 403 CAUSEWAY BLVD | LA CROSSE | WI | 54601 | 391552632 | 501(C)(3) | $5,040 | SUPPORT CHARITABLE PROGRAMS |
| MCHS-FRANCISCAN HEALTHCARE FOUNDATION INC | |||||||
| 700 WEST AVENUE SOUTH | LA CROSSE | WI | 54601 | 391186647 | 501(C)(3) | $36,953 | SUPPORT CHARITABLE PROGRAMS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 8 | RecipientCnt |
| Cash Grant | $10,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. SCHOLARSHIPS ARE AWARDED TO INDIVIDUALS PURSUING A DEGREE IN A HEALTHCARE FIELD. THESE SCHOLARSHIPS ARE PAID DIRECTLY TO THE COLLEGE OR UNIVERSITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANIL MD GOKHAN | ||||||||||||||
| DIRECTOR | $475,227 | $0 | $0 | $0 | $41,512 | $0 | $26,600 | $0 | $30,914 | $0 | $574,253 | $0 | $0 | $0 |
| BINN MD MARTHA C | ||||||||||||||
| DIRECTOR | $284,958 | $0 | $0 | $0 | $3,868 | $0 | $25,981 | $0 | $21,926 | $0 | $336,733 | $0 | $0 | $0 |
| ERICKSON ERIC B | ||||||||||||||
| DIRECTOR | $228,228 | $0 | $0 | $0 | $4,243 | $0 | $35,112 | $0 | $7,234 | $0 | $274,817 | $0 | $0 | $0 |
| FITZGERALD MD KEVIN | ||||||||||||||
| DIRECTOR | $279,407 | $0 | $0 | $0 | $4,516 | $0 | $29,474 | $0 | $20,460 | $0 | $333,857 | $0 | $0 | $0 |
| GRAU MD THOMAS J | ||||||||||||||
| DIRECTOR | $278,031 | $0 | $0 | $0 | $18,274 | $0 | $5,893 | $0 | $19,005 | $0 | $321,203 | $0 | $0 | $0 |
| GRENISEN MD MARGARET M | ||||||||||||||
| DIRECTOR | $239,649 | $0 | $0 | $0 | $5,642 | $0 | $42,804 | $0 | $2,628 | $0 | $290,723 | $0 | $0 | $0 |
| HAGER NICKIJO L | ||||||||||||||
| DIRECTOR | $159,125 | $0 | $0 | $0 | $2,299 | $0 | $24,792 | $0 | $6,965 | $0 | $193,181 | $0 | $0 | $0 |
| HOLMAY DIANE K | ||||||||||||||
| DIRECTOR | $224,494 | $0 | $0 | $0 | $9,132 | $0 | $42,425 | $0 | $9,884 | $0 | $285,935 | $0 | $0 | $0 |
| HUGHES PETER R | ||||||||||||||
| DIRECTOR | $251,540 | $0 | $0 | $0 | $15,529 | $0 | $52,252 | $0 | $16,732 | $0 | $336,053 | $0 | $0 | $0 |
| JOHNSON MD TIMOTHY J | ||||||||||||||
| DIRECTOR/CHAIR/CEO | $470,439 | $0 | $0 | $0 | $46,064 | $0 | $49,324 | $0 | $18,091 | $0 | $583,918 | $0 | $0 | $0 |
| JUNGCK MD MARK C | ||||||||||||||
| DIRECTOR | $264,902 | $0 | $0 | $0 | $34,361 | $0 | $49,781 | $0 | $15,126 | $0 | $364,170 | $0 | $0 | $0 |
| KORDUCKI MD JANE M | ||||||||||||||
| DIRECTOR | $213,544 | $0 | $0 | $0 | $53,801 | $0 | $46,703 | $0 | $23,389 | $0 | $337,437 | $0 | $0 | $0 |
| KRIEN MD JOSEPH S | ||||||||||||||
| DIRECTOR | $288,291 | $0 | $0 | $0 | $5,731 | $0 | $31,187 | $0 | $22,342 | $0 | $347,551 | $0 | $0 | $0 |
| KRUSE JOSEPH J | ||||||||||||||
| DIRECTOR/VICE CHAIR/SECRETARY/CAO | $290,161 | $0 | $0 | $0 | $11,305 | $0 | $46,805 | $0 | $21,026 | $0 | $369,297 | $0 | $0 | $0 |
| MOLLING DO PAUL E | ||||||||||||||
| DIRECTOR | $278,448 | $0 | $0 | $0 | $3,661 | $0 | $28,105 | $0 | $23,416 | $0 | $333,630 | $0 | $0 | $0 |
| NOEL AMY J | ||||||||||||||
| DIRECTOR | $225,189 | $0 | $0 | $0 | $3,654 | $0 | $40,271 | $0 | $15,581 | $0 | $284,695 | $0 | $0 | $0 |
| RUSHLOW MD DAVID R | ||||||||||||||
| DIRECTOR | $322,174 | $0 | $0 | $0 | $12,429 | $0 | $34,652 | $0 | $22,768 | $0 | $392,023 | $0 | $0 | $0 |
| TIGGELAAR THOMAS H | ||||||||||||||
| DIRECTOR/TREASURER/CFO | $245,585 | $0 | $0 | $0 | $2,889 | $0 | $41,501 | $0 | $14,030 | $0 | $304,005 | $0 | $0 | $0 |
| MORRISSEY MD JOHN E | ||||||||||||||
| PHYSICIAN | $817,629 | $0 | $0 | $0 | $188,946 | $0 | $49,983 | $0 | $23,693 | $0 | $1,080,251 | $0 | $0 | $0 |
| NOLTE DO CHARLES P | ||||||||||||||
| PHYSICIAN | $706,126 | $0 | $0 | $0 | $89,775 | $0 | $36,196 | $0 | $21,076 | $0 | $853,173 | $0 | $0 | $0 |
| RADEMACHER MD DANA E | ||||||||||||||
| PHYSICIAN | $658,687 | $0 | $0 | $0 | $107,405 | $0 | $36,350 | $0 | $21,299 | $0 | $823,741 | $0 | $0 | $0 |
| STEVENS MD MARK K | ||||||||||||||
| PHYSICIAN | $746,891 | $0 | $0 | $0 | $177,683 | $0 | $50,469 | $0 | $26,795 | $0 | $1,001,838 | $0 | $0 | $0 |
| UY MD JONATHAN J | ||||||||||||||
| PHYSICIAN | $629,330 | $0 | $0 | $0 | $104,772 | $0 | $42,381 | $0 | $21,987 | $0 | $798,470 | $0 | $0 | $0 |
| NESSE MD ROBERT E | ||||||||||||||
| FORMER OFFICER | $0 | $769,366 | $0 | $0 | $0 | $148,330 | $0 | $10,600 | $0 | $17,553 | $0 | $945,849 | $0 | $0 |
| SAATHOFF BARBARA L | ||||||||||||||
| FORMER OFFICER | $193,861 | $0 | $0 | $0 | $2,884 | $0 | $37,310 | $0 | $22,266 | $0 | $256,321 | $0 | $0 | $0 |
| MAHANY DOUGLAS A | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $157,733 | $0 | $0 | $0 | $3,449 | $0 | $25,984 | $0 | $12,304 | $0 | $199,470 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | GOKHAN ANIL, M.D. RECEIVED TUITION REIMBURSEMENT AS GROSSED-UP TAXABLE COMPENSATION. TIMOTHY J. JOHNSON, M.D. AND PETER R, HUGHES EACH RECEIVED A $400 MEMBERSHIP TO THE LA CROSSE CLUB AS PART OF THEIR RESPONSIBILITIES FOR COMMUNITY ENGAGEMENT WHICH INCLUDES RELATIONSHIP MANAGEMENT WITH KEY COMMUNITY AND BUSINESS LEADERS. |
| PART I, LINE 3 | THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. |
| PART I, LINE 4B | THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ANIL M.D., GOKHAN $ 14,945 BINN M.D., MARTHA C. $ 1,597 FITZGERALD M.D., KEVIN $ 3,285 GRAU M.D., THOMAS J. $ 5,358 GRENISEN M.D., MARGARET M. $ 2,294 JOHNSON M.D., TIMOTHY J. $ 37,115 JUNGCK M.D., MARK C. $ 7,772 KORDUCKI M.D., JANE M. $ 1,214 KRIEN M.D., JOSEPH S. $ 4,451 KRUSE, JOSEPH J. $ 7,434 MOLLING D.O., PAUL E. $ 2,621 MORRISSEY M.D., JOHN E. $171,330 NESSE M.D., ROBERT E. $137,631 NOLTE D.O., CHARLES P. $ 72,070 RADEMACHER M.D., DANA E. $ 92,344 RUSHLOW M.D., DAVID R. $ 10,294 STEVENS M.D., MARK K. $159,841 UY M.D., JONATHAN J. $100,572 |
| PART II: | COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LORI A JUNGCK | |||
| FAMILY MEMBER OF DIRECTOR MARK C. JUNGCK M.D. | $36,758 | COMPENSATION | 0 |
| ANJA DROGSETH | |||
| FAMILY MEMBER OF DIRECTOR MARK C. JUNGCK M.D. | $54,267 | COMPENSATION | 0 |
| JOHN W COCHRAN MD | |||
| FAMILY MEMBER OF DIRECTOR MARGARET GRENISEN M.D. | $343,445 | COMPENSATION | 0 |
| STACI M ANIL | |||
| FAMILY MEMBER OF DIRECTOR GOKHAN ANIL M.D. | $50,548 | COMPENSATION | 0 |
| BEN MY KRUSE | |||
| FAMILY MEMBER OF DIRECTOR JOSEPH J. KRUSE | $78,966 | COMPENSATION | 0 |
| JENIFER J MAHANY | |||
| FAMILY MEMBER OF FORMER KEY EMPLOYEE DOUGLAS A. MAHANY | $72,817 | COMPENSATION | 0 |
| HEATHER M MOLLING | |||
| FAMILY MEMBER OF DIRECTOR PAUL E. MOLLING D.O. | $73,757 | COMPENSATION | 0 |
| CONOR P JOHNSON | |||
| FAMILY MEMBER OF DIRECTOR TIMOTHY J. JOHNSON M.D. | $64,281 | COMPENSATION | 0 |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $790,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | TIGGELAAR, THOMAS H., KRUSE, JOSEPH J., JOHNSON M.D., TIMOTHY J., HUGHES, PETER R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF HEALTH TRADITION HEALTH PLAN, A RELATED TAXABLE ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 3 | MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER IS MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GOVERNING BODY IS SUBJECT TO APPROVAL BY THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ARTICLES OF INCORPORATION PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS AMENDMENT OF ARTICLES AND BYLAWS, CERTAIN LARGE TRANSACTIONS, AND OTHER KEY DECISIONS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS, EXECUTIVE AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE SALARIES AND BENEFIT PROGRAMS OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF ADMINISTRATIVE OFFICER (CAO) WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR SENIOR ADMINISTRATIVE LEADERSHIP. THE COMPENSATION AND BENEFIT PROGRAMS FOR SENIOR ADMINISTRATIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR PHYSICIANS FROM ALL CAMPUSES, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990. |
| FORM 990, PART XI, LINE 9: | PENSION-POST RETIREMENT (PER FASB A 28,828,874. |
| FILING OF CERTAIN FOREIGN FORMS | DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLOOMER LAKEVIEW INC | |||||||||||||||
| 2110 DUNCAN ROAD | BLOOMER | WI | 54724 | 391450617 | LOW INCOME HOUSING | WI | 501(C)(3) | 7 | MCHS--CHIPPEWA VALLEY INC | Yes (1) | |||||
| CHARTERHOUSE INC | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411405254 | RETIREMENT LIVING CENTER | MN | 501(C)(3) | 9 | MAYO CLINIC | Yes (1) | |||||
| DESTINATION MEDICAL CENTER EDA | |||||||||||||||
| 50 SOUTH SIXTH STREET SUITE 1500 | MINNEAPOLIS | MN | 554021498 | 464893585 | ECONOMIC DEVELOPMENT | MN | 501(C)(3) | 11-I | MAYO CLINIC | Yes (1) | |||||
| GOLD CROSS AMBULANCE SERVICE | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411917516 | AMBULANCE SERVICE | MN | 501(C)(3) | 9 | MFMER | Yes (1) | |||||
| LUTHER LAKESIDE APARTMENTS INC | |||||||||||||||
| PO BOX 1510 | EAU CLAIRE | WI | 54702 | 391409024 | LOW INCOME HOUSING FOR ELDERLY | WI | 501(C)(3) | 9 | MCHS--EAU CLAIRE HOSPITAL INC | Yes (1) | |||||
| MAYO CLINIC | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 416011702 | PATIENT CARE - CLINIC | MN | 501(C)(3) | 9 | Yes (1) | N/A | |||||
| MAYO CLINIC ARIZONA | |||||||||||||||
| 13400 EAST SHEA BOULEVARD | SCOTTSDALE | AZ | 85259 | 860800150 | HOSPITAL AND CLINIC | AZ | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) | |||||||||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 590714831 | HOSPITAL | FL | 501(C)(3) | 3 | MAYO CLINIC JACKSONVILLE | Yes (1) | |||||
| MAYO CLINIC HOSPITAL -- ROCHESTER | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 410944601 | HOSPITAL | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MAYO CLINIC JACKSONVILLE | |||||||||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 593337028 | PATIENT CARE - CLINIC | FL | 501(C)(3) | 7 | MAYO CLINIC | Yes (1) | |||||
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411506440 | CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES | MN | 501(C)(3) | 9 | MAYO CLINIC | Yes (1) | |||||
| MAYO CLINIC STIFTUNG | |||||||||||||||
| FUNDRAISING FOUNDATION | MFMER | Yes (1) | 60486 FRANKFURT AM MAIN | FRANKFURT | GM | GM | |||||||||
| MCHS IN WAYCROSS INC | |||||||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 581667166 | HOSPITAL | GA | 501(C)(3) | 3 | MAYO CLINIC JACKSONVILLE | Yes (1) | |||||
| MCHS--ALBERT LEA AND AUSTIN | |||||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 411404075 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--AUSTIN FOUNDATION | |||||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 300107471 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MCHS--ALBERT LEA AND AUSTIN | Yes (1) | |||||
| MCHS--CANNON FALLS | |||||||||||||||
| 32021 COUNTY ROAD 24 BLVD | CANNON FALLS | MN | 55009 | 204156428 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--CHIPPEWA VALLEY INC | |||||||||||||||
| 1501 THOMPSON STREET | BLOOMER | WI | 54724 | 390980343 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--EAU CLAIRE HOSPITAL INC | Yes (1) | |||||
| MCHS--EAU CLAIRE CLINIC INC | |||||||||||||||
| 733 W CLAIREMONT AVE PO BOX 1510 | EAU CLAIRE | WI | 54702 | 391735831 | PATIENT CARE - CLINIC | WI | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--EAU CLAIRE FOUNDATION INC | |||||||||||||||
| 733 W CLAIREMONT AVE PO BOX 1510 | EAU CLAIRE | WI | 54702 | 391633407 | GRANTMAKING FOUNDATION | WI | 501(C)(3) | 11-I | MCHS--EAU CLAIRE CLINIC INC | Yes (1) | |||||
| MCHS--EAU CLAIRE HOSPITAL INC | |||||||||||||||
| 1221 WHIPPLE STREET | EAU CLAIRE | WI | 54703 | 390813418 | HOSPITAL | WI | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--FAIRMONT | |||||||||||||||
| 800 MEDICAL CENTER DRIVE PO BOX 800 | FAIRMONT | MN | 56031 | 410760836 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | Yes (1) | |||||
| MCHS--FRANCISCAN HEALTHCARE FOUNDATION INC | |||||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 391186647 | FUNDRAISING FOUNDATION | WI | 501(C)(3) | 7 | MCHS--FRANCISCAN HEALTHCARE INC | Yes (1) | |||||
| MCHS--FRANCISCAN HEALTHCARE INC | |||||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 391411999 | HEALTHCARE SYSTEM PARENT | WI | 501(C)(3) | 11-I | MAYO CLINIC | Yes (1) | |||||
| MCHS--FRANCISCAN MEDICAL CENTER INC | |||||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 390806374 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--FRANCISCAN HEALTHCARE INC | Yes (1) | |||||
| MCHS--LAKE CITY | |||||||||||||||
| 500 WEST GRANT STREET | LAKE CITY | MN | 55041 | 411906820 | HOSPITAL | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--MANKATO | |||||||||||||||
| 1025 MARSH STREET | MANKATO | MN | 56002 | 411236756 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--MANKATO HEALTH CARE FOUNDATION | |||||||||||||||
| 1025 MARSH STREET | MANKATO | MN | 56002 | 411663357 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MCHS--MANKATO | Yes (1) | |||||
| MCHS--NEW PRAGUE | |||||||||||||||
| 301 SECOND STREET NE | NEW PRAGUE | MN | 56071 | 410723639 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | Yes (1) | |||||
| MCHS--NORTHLAND INC | |||||||||||||||
| 1222 EAST WOODLAND AVENUE | BARRON | WI | 54812 | 390920634 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--EAU CLAIRE HOSPITAL INC | Yes (1) | |||||
| MCHS--OAKRIDGE INC | |||||||||||||||
| 13025 EIGHTH STREET PO BOX 70 | OSSEO | WI | 54758 | 391029430 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--EAU CLAIRE HOSPITAL INC | Yes (1) | |||||
| MCHS--OWATONNA | |||||||||||||||
| 134 SOUTHVIEW ST | OWATONNA | MN | 55060 | 411862132 | PATIENT CARE - CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--RED CEDAR INC | |||||||||||||||
| 2321 STOUT ROAD | MENOMONIE | WI | 54751 | 510190875 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--EAU CLAIRE HOSPITAL INC | Yes (1) | |||||
| MCHS--RED WING | |||||||||||||||
| 701 HEWITT BOULEVARD | RED WING | MN | 55066 | 411713783 | PATIENT CARE SERVICES | MN | 501(C)(3) | 3 | MAYO CLINIC | Yes (1) | |||||
| MCHS--SPRINGFIELD | |||||||||||||||
| 625 NORTH JACKSON AVENUE | SPRINGFIELD | MN | 56087 | 411893827 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | Yes (1) | |||||
| MCHS--ST JAMES | |||||||||||||||
| 1101 MOULTON PARSONS DR PO BOX 460 | ST JAMES | MN | 56081 | 410797368 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | Yes (1) | |||||
| MCHS--WASECA | |||||||||||||||
| 501 NORTH STATE STREET | WASECA | MN | 56093 | 363606405 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | Yes (1) | |||||
| MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 412020392 | SUPPORT RESEARCH, PRACTICE & EDUCATION | MN | 501(C)(3) | 11-I | MAYO CLINIC | Yes (1) | |||||
| POVERELLO FOUNDATION | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411494881 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MAYO CLINIC HOSPITAL - ROCHESTER | Yes (1) | |||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| FRANKLIN HEATING STATION | |||||||
| 119 THIRD ST SW | ROCHESTER | MN | 55902 | 410264830 | UTILITY | MN | N/A |
| LATIGO PETROLEUM LLC | |||||||
| PO BOX 14230 | ODESSA | TX | 79768 | 364767494 | OIL & GAS EXPLORATION | DE | N/A |
| WATERSHED CAP INSTL PRTNRS III LP | |||||||
| ONE MARITIME PLAZA SUITE 1525 | SAN FRANCISCO | CA | 94111 | 462982848 | INVESTMENT ACTIVITIES | DE | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMBIENT CLINICAL ANALYTICS INC | |||||||||||||
| 221 1ST AVE SW SUITE 202 | ROCHESTER | MN | 55902 | 800928405 | SOFTWARE | DE | N/A | C | Yes (1) | ||||
| BWL HOLDINGS INC | |||||||||||||
| 1209 ORANGE STREET | WILMINGTON | DE | 19801 | 472413749 | OIL & GAS EXPLORATION | DE | N/A | C | Yes (1) | ||||
| CAVALRY CLO III LTD | |||||||||||||
| INVESTMENT ACTIVITIES | N/A | C | Yes (1) | PO BOX 1093 GT QUEENSGATE HOUSE S | GRAND CAYMAN | CJ | CJ | ||||||
| CAVALRY CLO IV LTD | |||||||||||||
| INVESTMENT ACTIVITIES | N/A | C | Yes (1) | PO BOX 1093 GT QUEENSGATE HOUSE S | GRAND CAYMAN | CJ | CJ | ||||||
| GMO GLOBAL BOND INVESTMENT FUND | |||||||||||||
| OTHER FINANCIAL INVESTMENT ACTIVITIES | N/A | Yes (1) | 78 SIR JOHN ROGERSONS QUAY | DUBLIN 2 | EI | EI | |||||||
| HEALTH TRADITION HEALTH PLAN | |||||||||||||
| 1808 EAST MAIN STREET | ONALASKA | WI | 54650 | 391545987 | MEDICAL SERVICES COMPANY | WI | N/A | C | Yes (1) | ||||
| LOBSS NETWORK SUPPORT 2002 INC | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 481276150 | ADMINISTRATIVE SERVICES | MN | N/A | C | Yes (1) | ||||
| MAYO CLINIC GBS MAURITIUS | |||||||||||||
| HEALTHCARE MANAGEMENT | N/A | C | Yes (1) | 2ND FLOOR EBENE MEWS 57 | EBENE CYBERCITY | MP | MP | ||||||
| MAYO CLINIC SUPPORT SERVICES TEXAS | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 471751102 | HEALTH SERVICES | TX | N/A | C | Yes (1) | ||||
| MAYO HOLDING COMPANY | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411578020 | HOLDING COMPANY | MN | N/A | C | Yes (1) | ||||
| MAYO INSURANCE COMPANY LTD | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | SELF INSURANCE POOL | N/A | C | Yes (1) | CJ | |||||
| MCHS--DECORAH CLINIC PHYSICIANS | |||||||||||||
| 907 MONTGOMERY STREET | DECORAH | IA | 52101 | 411711329 | PATIENT CARE - CLINIC | IA | N/A | C | Yes (1) | ||||
| MCHS--PHARMACY & HOME MEDICAL INC | |||||||||||||
| 1221 WHIPPLE STREET | EAU CLAIRE | WI | 54703 | 391528920 | PHARMACY SERVICES | WI | N/A | C | Yes (1) | ||||
| MMSI INC | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411547003 | THIRD PARTY ADMINISTRATION SERVICES | MN | N/A | C | Yes (1) | ||||
| RESOUNDANT INC | |||||||||||||
| 221 1ST AVE SW SUITE 202 | ROCHESTER | MN | 55902 | 461661978 | MANUFACTURING MEDICAL DEVICE COMPONENT | MN | N/A | C | Yes (1) | ||||
| ROCHESTER AIRPORT COMPANY | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 410506870 | AIRPORT MANAGEMENT | MN | N/A | C | Yes (1) | ||||
| SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION | |||||||||||||
| 13400 E SHEA BLVD | SCOTTSDALE | AZ | 85259 | 860870505 | COMMERCIAL PROPERTY OWNERS ASSOCIATION | AZ | N/A | C | Yes (1) | ||||
| THE STABILE BUILDING OWNERS' ASSOCIATION | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 208994499 | COMMERCIAL PROPERTY OWNERS ASSOCIATION | MN | N/A | C | Yes (1) | ||||
| CHARITABLE LEAD TRUST | |||||||||||||
| CHARITABLE TRUST | CA | N/A | T | Yes (1) | |||||||||
| PERPETUAL TRUST | |||||||||||||
| CHARITABLE TRUST | ND | N/A | T | Yes (1) | |||||||||
| PERPETUAL TRUST | |||||||||||||
| CHARITABLE TRUST | AZ | N/A | T | Yes (1) | |||||||||
| PERPETUAL TRUST | |||||||||||||
| CHARITABLE TRUST | LA | N/A | T | Yes (1) | |||||||||
| PERPETUAL TRUST (2) | |||||||||||||
| CHARITABLE TRUST | MA | N/A | T | Yes (1) | |||||||||
| PERPETUAL TRUST | |||||||||||||
| CHARITABLE TRUST | MO | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | AZ | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | CO | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST (8) | |||||||||||||
| CHARITABLE TRUST | FL | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | LA | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | MA | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST (77) | |||||||||||||
| CHARITABLE TRUST | MN | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST (2) | |||||||||||||
| CHARITABLE TRUST | NC | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | TX | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | CO | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | IL | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST | |||||||||||||
| CHARITABLE TRUST | MI | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST (64) | |||||||||||||
| CHARITABLE TRUST | MN | N/A | T | Yes (1) | |||||||||
| CHARITABLE REMAINDER TRUST (7) | |||||||||||||
| CHARITABLE TRUST | MN | N/A | T | Yes (1) | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH TRADITION HEALTH PLAN | ||
| A | $40,625 | GAAP |
| HEALTH TRADITION HEALTH PLAN | ||
| L | $3,088,902 | GAAP |
| MAYO CLINIC HOSPITAL - ROCHESTER | ||
| A | $106,164 | GAAP |
| MAYO CLINIC HOSPITAL - ROCHESTER | ||
| Q | $73,162 | GAAP |
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | ||
| L | $114,541 | GAAP |
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | ||
| P | $103,505,189 | GAAP |
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | ||
| S | $375,169 | GAAP |
| MCHS-FRANCISCAN HEALTHCARE FOUNDATION INC | ||
| C | $2,070,782 | GAAP |
| MCHS-FRANCISCAN HEALTHCARE FOUNDATION INC | ||
| L | $96,366 | GAAP |
| MMSI INC | ||
| S | $30,406,198 | GAAP |
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