MAYO CLINIC HEALTH SYSTEM-NORTHLANDINC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC HEALTH SYSTEM-NORTHLANDINC (EIN 39-0920634)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-25
IRS object ID
201542379349300604
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-25T09:01:59-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390920634EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-NORTHLANDINCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAYOBusinessNameControlTxt
Phone5075381297PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11222 E WOODLAND AVEAddressLine1Txt
CityBARRONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP548121798ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL M BAMMELPersonNm
Person TitleCFOPersonTitleTxt
Phone5075381297PhoneNum
Signature2015-08-25SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRANDALL L LINTON MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11222 E WOODLAND AVEAddressLine1Txt
CityBARRONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP548121798ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,392,786GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption5983GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MAYOCLINICHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionHOSPITAL, CLINICS, NURSING HOME AND INDEPENDENT/ASSISTED LIVING CENTER.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee509TotalEmployeeCnt
Total Volunteers126TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$300,489PYContributionsGrantsAmt
CY Contributions Grants$247,483CYContributionsGrantsAmt
PY Program Service Revenue$59,652,056PYProgramServiceRevenueAmt
CY Program Service Revenue$60,536,913CYProgramServiceRevenueAmt
PY Investment Income$470,231PYInvestmentIncomeAmt
CY Investment Income$414,629CYInvestmentIncomeAmt
PY Other Revenue$119,607PYOtherRevenueAmt
CY Other Revenue$141,053CYOtherRevenueAmt
PY Total Revenue$60,542,383PYTotalRevenueAmt
CY Total Revenue$61,340,078CYTotalRevenueAmt
PY Grants And Similar Paid$13,940PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,674CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,921,636PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,999,125CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,004CYTotalFundraisingExpenseAmt
PY Other Expenses$25,879,010PYOtherExpensesAmt
CY Other Expenses$26,803,066CYOtherExpensesAmt
PY Total Expenses$58,814,586PYTotalExpensesAmt
CY Total Expenses$59,815,865CYTotalExpensesAmt
PY Revenues Less Expenses$1,727,797PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,524,213CYRevenuesLessExpensesAmt
Total Assets BOY$49,934,342TotalAssetsBOYAmt
Total Assets EOY$58,154,560TotalAssetsEOYAmt
Total Liabilities BOY$9,912,404TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,445,149TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,021,938NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,709,411NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$57,874,513ExpenseAmt
Revenue$60,630,401RevenueAmt
DescPATIENT CARE (SCHEDULE O)MAYO CLINIC HEALTH SYSTEM-NORTHLAND, INC. (MCHS-NORTHLAND) IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS 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. MAYO CLINIC HEALTH SYSTEM 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 NEARLY 70 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 19 OWNED HOSPITALS, FIVE 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, MAYO CLINIC HEALTH SYSTEM 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 MAYO CLINIC HEALTH SYSTEM. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS.MCHS-NORTHLAND IS A WISCONSIN NONPROFIT CORPORATION, TAX EXEMPT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION, WHICH INCLUDES A HOSPITAL, CLINICS, A NURSING HOME AND A RESIDENTIAL CARE APARTMENT COMPLEX, OPERATES PRIMARILY FOR THE RESIDENTS OF BARRON, WISCONSIN AND SURROUNDING COMMUNITIES.MCHS-NORTHLAND'S MISSION STATEMENT STATES THAT THE ORGANIZATION'S AIM IS 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. OUR VISION IS TO ACHIEVE THE HIGHEST STANDARDS FOR MEDICAL CARE AND HEALTH IMPROVEMENT IN THE COMMUNITIES IN WHICH WE LIVE AND WORK. OUR FIRST PRIORITY IS TO MEET PATIENT NEEDS GUIDED BY THE CORE VALUES OF INTEGRITY, CONTINUOUS IMPROVEMENT, SERVICE, TEAMWORK, INNOVATION, BALANCE AND FINANCIAL INTEGRITY. AS A MEMBER OF MAYO CLINIC HEALTH SYSTEM, MCHS-NORTHLAND PROVIDES QUALITY HEALTHCARE CLOSE TO HOME WITH DIRECT ACCESS TO HIGHLY SPECIALIZED CARE IF THE NEED ARISES. MCHS-NORTHLAND OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.THE HOSPITAL PLAYS A VITAL ROLE IN THE HEALTH AND WELL-BEING OF THE COMMUNITY BY OFFERING SERVICES SUCH AS FIVE CLINIC LOCATIONS, 24-HOUR EMERGENCY CARE, SAME DAY SURGERY, FAMILY CENTERED MATERNITY CARE, OB/GYN SERVICES, PEDIATRIC CARE, PAIN CLINIC SERVICES AND ADVANCED DIAGNOSTIC TECHNOLOGY. THE HOSPITAL HAD 887 ADMISSIONS INCLUDING ADULTS, CHILDREN, NEWBORN AND SWING BED ADMISSIONS. THERE WERE OVER 62,472 CLINIC ENCOUNTERS. THERE WERE 1,385 SURGICAL CASES IN 2014, ALONG WITH 149,822 LABORATORY PROCEDURES AND 20,918 IMAGING PROCEDURES PERFORMED IN THE HOSPITAL DURING 2014.EACH RESIDENT OF THE NURSING HOME RECEIVES PERSONALIZED MEDICAL, SOCIAL AND SPIRITUAL CARE. THE FOCUS IS ON PRESERVING THE LIFESTYLE OF EACH RESIDENT WITH 24-HOUR NURSING CARE, SOCIAL SERVICES, ACTIVITY THERAPY, DIETARY SERVICES, CHAPLAIN SERVICES AND REHABILITATION THERAPY. THERE WERE 6,488 DAYS OF SERVICE IN THE NURSING HOME DURING 2014.MAPLECROFT INDEPENDENT & ASSISTED LIVING IS A REGISTERED RESIDENTIAL CARE APARTMENT COMPLEX (RCAC), OFFERING INDEPENDENT APARTMENTS, AND IF NEEDED, UP TO 28 HOURS PER WEEK OF PERSONAL CARE, SUPPORTIVE CARE AND NURSING SERVICES TAILORED TO THE NEEDS AND PREFERENCES OF EACH INDIVIDUAL. ADDITIONAL AMENITIES INCLUDE AN EMERGENCY CALL SYSTEM, WEEKLY HOUSEKEEPING SERVICES, LAUNDRY FACILITIES AND DAILY NOON MEALS. THERE WERE 8 ADMISSIONS TO THE RETIREMENT COMMUNITY DURING 2014, WITH 10,010 DAYS OF SERVICE.THE AMBULANCE SERVICE IS A HOSPITAL BASED SERVICE WITH THREE AMBULANCES AND PROVIDES EMERGENCY RESPONSE TO THE ENTIRE SURROUNDING COMMUNITY. THERE WERE 689 AMBULANCE RUNS AND 531 INTER-FACILITY TRANSFERS IN 2014. EMT'S AND EMT-P'S ARE IN THE FACILITY 24/7 FOR 911 SERVICE AND ANOTHER TEAM IS ON CALL 24 HOURS PER DAY, 7 DAYS PER WEEK FOR INTER-FACILITY TRANSPORT.FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF FINANCIAL ASSISTANCE PROVIDED IN 2014 WAS APPROXIMATELY $673,000.MCHS-NORTHLAND ALSO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. THE UNREIMBURSED COST OF MEDICAID WAS APPROXIMATELY $1,494,000.THE NORTHWEST WISCONSIN REGION OF THE MAYO CLINIC HEALTH SYSTEM (WHICH INCLUDES THE FILING ORGANIZATION) VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE WISCONSIN ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET THE ORGANIZATION'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO OUR PATIENTS REGARDING OUR CHARITY CARE PROGRAM. ADDITIONALLY, THE WISCONSIN ATTORNEY GENERAL REVIEWED AND APPROVED OUR BILLING AND COLLECTION POLICIES AND PRACTICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$40,338ExpenseAmt
Grant$8,500GrantAmt
DescHEALTH PROFESSIONAL EDUCATION (SCHEDULE O)MCHS-NORTHLAND HAS AGREEMENTS WITH EDUCATIONAL ORGANIZATIONS TO PROVIDE EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTHCARE PROFESSIONALS. DURING 2014, STAFF WORKED WITH 41 NURSING STUDENTS AND 32 OTHER ALLIED HEALTH STUDENTS TO PROVIDE INSTRUCTION AND EXPERIENCE TO FURTHER THE STUDENT'S EDUCATION.UNDER THE HEALTH CARE ADMINISTRATION PRACTICUM PROGRAM, MCHS-NORTHLAND PROVIDES INTERNSHIPS FOR STUDENTS FROM THE UNIVERSITY OF WISCONSIN-EAU CLAIRE. THE INTERNS, UNDER THE DIRECTION OF NURSING HOME ADMINISTRATION, WORK WITH EMPLOYEES TO GAIN KNOWLEDGE AND EXPERIENCE IN HEALTHCARE ADMINISTRATION. IN 2014, TWO STUDENTS HAD THE OPPORTUNITY TO LEARN ABOUT THE HEALTH CARE ENVIRONMENT.FOR 2014, MCHS-NORTHLAND AWARDED $8,500 POST SECONDARY SCHOLARSHIPS TO LOCAL HIGH SCHOOL STUDENTS PURSUING CAREERS IN A HEALTH-RELATED FIELD.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$170,493ExpenseAmt
Grant$5,174GrantAmt
Revenue$34,261RevenueAmt
DescOTHER COMMUNITY BENEFITS (SCHEDULE O)MCHS-NORTHLAND IS INVOLVED IN SEVERAL COMMUNITY EVENTS.MCHS-NORTHLAND PARTICIPATES IN THE MEALS ON WHEELS PROGRAM WHICH PROVIDED 2,003 MEALS AT BELOW COST DURING 2014.MCHS-NORTHLAND STAFF PROVIDED ASSISTANCE WITH SAFETY PRECAUTIONS AND EMERGENCY MEDICAL COVERAGE AT VARIOUS COMMUNITY EVENTS SUCH AS THE HUNGRY HOLLOW DAYS, STEAM AND GAS ENGINE CLUB ANNUAL EVENT, NATIONAL NIGHT OUT EVENT, HIGH SCHOOL FOOTBALL GAMES, HIGH SCHOOL CROSS COUNTRY MEETS, A WRESTLING TOURNAMENT, AND LOCAL PARADES IN 2014.OPTIMAL AGING TO CAREGIVER SUPPORT GROUP AND LYMPHEDEMA LAUGH AND LEARN SUPPORT GROUP ASSISTED AREA RESIDENTS NEEDING SUPPORT.MCHS-NORTHLAND PROVIDES AN INSTYMEDS MACHINE IN THE FACILITY TO PROVIDE PATIENTS ACCESS TO EMERGENT MEDICATION PRESCRIPTIONS GENERATED FROM THE EMERGENCY DEPARTMENT WHEN RETAIL PHARMACIES ARE CLOSED. THERE WERE 1,887 PRESCRIPTIONS FILLED THRU INSTYMEDS IN 2014.MCHS-NORTHLAND ALSO OFFERS NUMEROUS EDUCATIONAL SEMINARS, CLASSES AND OPPORTUNITIES FOR ITS PATIENTS, THEIR FAMILIES, EMPLOYEES, COMMUNITY MEMBERS AND THE GENERAL PUBLIC. OVER 22,000 AREA RESIDENTS WERE SERVED BY THE VARIOUS PROGRAMS. SOME EXAMPLES OF EDUCATIONAL COMMUNITY ACTIVITIES ARE LISTED BELOW.MCHS-NORTHLAND OFFERED PRENATAL CLASSES, BREASTFEEDING CLASSES, TOBACCO FREE CLASSES AND DIABETES SELF CARE CLASSES FREE OF CHARGE TO MCHS-NORTHLAND PATIENTS REACHING MORE THAN 120 PEOPLE. EDUCATIONAL SEMINARS OFFERED TO AREA RESIDENTS, COMMUNITY GROUPS AND HEALTH CARE WORKERS INCLUDED THE FOLLOWING PRESENTATIONS: DIABETES SELF CARE CLASSES, NUTRITION MYTHS, HEALTH COACHING, ADVANCE DIRECTIVES, FERTILITY, CONTRACEPTION AND STD'S, ALONG WITH NUMEROUS TOURS, TALKS AND DEMONSTRATIONS FOR AREA ELEMENTARY AND HIGH SCHOOL STUDENTS.PRESENTED HEALTH INFORMATION AT: WITC HEALTH FAIR, UW-BARRON COUNTY, RICE LAKE WEIGHING SYSTEMS HEALTH FAIR, BARRON CO-OP EVENT, RICE LAKE AREA FARM SHOW, CAMERON NATIONAL NIGHT OUT, CHETEK COMMUNITY HEALTH FAIR, BARRON COUNTY GOVERNMENT EMPLOYEE HEALTH FAIR, CHILDREN'S SAFETY FAIR AND HEALTH & WELLNESS EXPO AT CAMERON HIGH SCHOOL. THE ABOVE PRESENTATIONS REACHED 1,500 PEOPLE.MCHS-NORTHLAND RECEIVES DONATED SERVICES FROM COMMUNITY VOLUNTEERS. DURING 2014, VOLUNTEERS DONATED OVER 9,045 HOURS OF VOLUNTEER SERVICE TO THE HOSPITAL, VALUED AT APPROXIMATELY $208,668 BASED ON THE INDEPENDENT SECTORS AVERAGE ESTIMATED VALUE OF SUCH SERVICES. THESE SERVICE HOURS WERE SPENT ORGANIZING AND MANAGING ACTIVITIES FOR THE BENEFIT OF OUR PATIENTS, PATIENTS' FAMILIES, VISITORS, AND STAFF.IN ADDITION, MCHS-NORTHLAND DONATED $5,174 TO LOCAL CHARITIES AND COMMUNITY ORGANIZATIONS DURING 2014.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$3,644RevenueAmt
DescMCHS-NORTHLAND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$3,644TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$58,085,344TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee509EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORPORATE TAX UNITBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5075381297PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 FIRST STREET SWAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55905ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CADMAN BERWYN
DIRECTOR1.000.00Yes (X)$0$0$0
DEGEN SUSANNE C
DIRECTOR (4/28-12/31)1.0040.00Yes (X)$0$170,588$43,942
EZENAGU MD LEONARD C
DIRECTOR/PHYSICIAN1.0040.00Yes (X)$0$456,303$70,146
HORSTMAN JENNIFER
DIRECTOR (7/28-12/31)1.000.00Yes (X)$0$0$0
JEROME TRICIA
DIRECTOR (1/1-7/28)1.000.00Yes (X)$0$0$0
LARSON MD JOHN L
DIRECTOR/PRESIDENT/PHYSICIAN1.0040.00Yes (X)$0$368,210$59,233Yes (X)
MOMMSEN HUGH
DIRECTOR1.000.00Yes (X)$0$0$0
NAGLER MD RICHARD
DIRECTOR/PHYSICIAN1.0040.00Yes (X)$0$163,786$58,950
PETERSON DONALD
DIRECTOR/VICE CHAIR1.000.00Yes (X)$0$0$0Yes (X)
RAZIM CHERYL
DIRECTOR/TREASURER1.000.00Yes (X)$0$0$0Yes (X)
REISNER MD PETER D
DIRECTOR/PHYSICIAN1.0040.00Yes (X)$0$299,654$40,955
SKOLD M COLLEEN
DIRECTOR (1/1-4/28)1.0040.00Yes (X)$0$117,899$32,946
WHITE PAMELA K
DIRECTOR/SECRETARY1.0040.00Yes (X)$0$234,939$57,789Yes (X)
BAMMEL PAUL M
REGIONAL CFO1.0040.00$0$351,236$62,740Yes (X)
DICKEY JOHN M
REGIONAL CAO1.0040.00$0$391,503$61,766Yes (X)
LINTON MD RANDALL L
REGIONAL CEO1.0040.00$0$577,599$59,749Yes (X)
MYERS MD DAVID A
SITE CHAIR/PHYSICIAN1.0040.00$0$233,623$60,794Yes (X)
SULLIVAN MAURITA A
SITE VP-OPERATIONS1.0040.00$0$194,711$51,116Yes (X)
BOYD ROBERT M
PHYSICIAN ASSISTANT40.000.00$171,206$0$18,910Yes (X)
GRAYKOSKI JOHN J
PHYSICIAN ASSISTANT40.000.00$212,659$0$42,341Yes (X)
LARSON STEPHEN H
RN ANESTHETIST40.000.00$214,610$0$42,009Yes (X)
LILLARD PATRICK H
RN ANESTHETIST40.000.00$212,011$0$44,846Yes (X)
THOMSEN THOMAS J
RN ANESTHETIST40.000.00$209,557$0$45,905Yes (X)
WITTROCK EDWARD A
FORMER TREASURER0.0040.00$0$213,724$63,215Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,020,043TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,773,775TotReportableCompRltdOrgAmt
Total Other Compensation$917,352TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAYO FNDN FOR MEDICAL EDUCATION & RESEAR
200 FIRST STREET SWROCHESTERMN55905PURCHASING AGENT$4,692,762
MAYO CLINIC HEALTH SYST-EAU CLAIRE HOSPI
1221 WHIPPLE STREETEAU CLAIREWI54703PURCHASED SERVICES$1,503,297
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905PURCHASED SERVICES$137,194
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$5,790FundraisingAmt
Related Organizations$7,030RelatedOrganizationsAmt
Government Grants$234,663GovernmentGrantsAmt
Noncash Contributions$1,189NoncashContributionsAmt
Total Contributions$247,483TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE620000$60,068,633$60,068,633
RESIDENT REVENUE623000$461,407$461,407
SHARED SERVICES561000$3,644$3,644
EDUCATION REVENUE611600$3,229$3,229
FieldValueIRS element (for citing)
Total Program Service Revenue$60,536,913TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$414,713TotalRevenueColumnAmt
Exclusion$414,713ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$31,180RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$21,180RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21,180TotalRevenueColumnAmt
Exclusion-$21,180ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$84OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$84OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$84TotalRevenueColumnAmt
Exclusion-$84ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$3,876FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$5,790ContriRptFundraisingEventAmt
Fundraising Direct Expenses$3,092FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$784TotalRevenueColumnAmt
Exclusion$784ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$1,106GamingGrossIncomeAmt
Gaming Direct Expenses$1,189GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column-$83TotalRevenueColumnAmt
Exclusion-$83ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$20,601GrossSalesOfInventoryAmt
Cost Of Goods Sold$17,163CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,438TotalRevenueColumnAmt
Exclusion$3,438ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CAFETERIA/VENDING722210$120,430$120,430
MEDICAL DIRECTOR FEES541900$22,880$22,880
MISC. REVENUE900099$14,751$10,930$3,821

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33TotalRevenueColumnAmt
Related Or Exempt Func Income$33RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$158,094OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,340,078TotalRevenueColumnAmt
Related Or Exempt Func Income$60,668,306RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$424,289ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,174TotalAmt
Program Services$5,174ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,500TotalAmt
Program Services$8,500ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$80,026TotalAmt
Program Services$80,026ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,382,849TotalAmt
Program Services$24,525,103ProgramServicesAmt
Management And General$856,710ManagementAndGeneralAmt
Fundraising$1,036FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,831,499TotalAmt
Program Services$1,769,885ProgramServicesAmt
Management And General$61,545ManagementAndGeneralAmt
Fundraising$69FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,030,520TotalAmt
Program Services$3,888,854ProgramServicesAmt
Management And General$141,555ManagementAndGeneralAmt
Fundraising$111FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,674,231TotalAmt
Program Services$1,610,928ProgramServicesAmt
Management And General$63,235ManagementAndGeneralAmt
Fundraising$68FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$58,143TotalAmt
Program Services$34,027ProgramServicesAmt
Management And General$24,116ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,500TotalAmt
Management And General$17,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,669TotalAmt
Program Services$1,669ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,529,578TotalAmt
Program Services$11,503,139ProgramServicesAmt
Management And General$23,160ManagementAndGeneralAmt
Fundraising$3,279FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$122,588TotalAmt
Program Services$208ProgramServicesAmt
Management And General$121,973ManagementAndGeneralAmt
Fundraising$407FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,977,786TotalAmt
Program Services$1,923,261ProgramServicesAmt
Management And General$54,525ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$181,477TotalAmt
Program Services$181,477ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,127,819TotalAmt
Program Services$2,830,911ProgramServicesAmt
Management And General$296,908ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$389,725TotalAmt
Program Services$357,434ProgramServicesAmt
Management And General$32,257ManagementAndGeneralAmt
Fundraising$34FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,829TotalAmt
Program Services$19,645ProgramServicesAmt
Management And General$2,184ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,203,358TotalAmt
Program Services$2,182,507ProgramServicesAmt
Management And General$20,851ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,705TotalAmt
Program Services$3,150ProgramServicesAmt
Management And General$3,555ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,825,122$3,825,122
BAD DEBT EXPENSE$2,890,772$2,890,772
EMPLOYEE RELATED EXP$211,051$210,413$638
MEDICAID SURCHARGE$168,106$168,106

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$69,838TotalAmt
Program Services$65,033ProgramServicesAmt
Management And General$4,805ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,815,865TotalAmt
Program Services$58,085,344ProgramServicesAmt
Management And General$1,725,517ManagementAndGeneralAmt
Fundraising$5,004FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,381BOYAmt
EOY$5,382EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,670BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$110,395BOYAmt
EOY$80,550EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,149,542BOYAmt
EOY$10,147,942EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$310,450BOYAmt
EOY$327,717EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$171,743BOYAmt
EOY$187,956EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$43,941BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$35,186,420LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,986,252LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,218,356BOYAmt
EOY$19,200,168EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$17,409,719BOYAmt
EOY$21,373,963EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,506,145BOYAmt
EOY$6,830,882EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$49,934,342BOYAmt
EOY$58,154,560EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,177,371BOYAmt
EOY$4,934,829EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$31,159BOYAmt
EOY$33,876EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,703,874BOYAmt
EOY$11,476,444EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,912,404BOYAmt
EOY$16,445,149EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,852,671BOYAmt
EOY$41,666,265EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,267BOYAmt
EOY$43,146EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,021,938BOYAmt
EOY$41,709,411EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,934,342BOYAmt
EOY$58,154,560EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,524,213ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$164,560NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,300OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,669OtherActivitiesAmt
Total Lobbying Expenditures$1,669TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE HOSPITAL, INC., THE PARENT COMPANY OF THE FILING ORGANIZATION, PROVIDES SUPPORT SERVICES TO THE FILING ORGANIZATION THAT INCLUDES PROVIDING INFORMATION OR EXPRESSING ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2014, PARENT COMPANY REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$385BeginningBalanceAmt
Additions During Year$2,196AdditionsDuringYearAmt
Distributions During Year$2,086DistributionsDuringYearAmt
Ending Balance$495EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,001OtherCostOrOtherBasisAmt
Book Value$172,001BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,579,424OtherCostOrOtherBasisAmt
Depreciation$10,718,929DepreciationAmt
Book Value$13,860,495BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$660,427OtherCostOrOtherBasisAmt
Depreciation$208,048DepreciationAmt
Book Value$452,379BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,961,195OtherCostOrOtherBasisAmt
Depreciation$5,059,275DepreciationAmt
Book Value$3,901,920BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$813,373OtherCostOrOtherBasisAmt
Book Value$813,373BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,200,168TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMAYO CLINIC INVESTMENT POOLDesc
Book Value$21,373,963BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$21,373,963TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$6,830,882BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,830,882TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$11,476,444Amt
FieldValueIRS element (for citing)
Total Liability$11,476,444TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 1B:NURSING HOME RESIDENT FUNDS
PART IV, LINE 2B:ASSISTED LIVING APARTMENT SECURITY DEPOSITS
PART X, LINE 2:AT DECEMBER 31, 2014 AND 2013, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO LONGER A RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$672,910TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$672,910NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,615,457TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,121,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,494,385NetCommunityBenefitExpnsAmt
Total Expense0.02630TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,288,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,121,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,167,295NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$170,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,032DirectOffsettingRevenueAmt
Net Community Benefit Expns$139,461NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,338TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,338NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,721,995TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,619,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,102,051NetCommunityBenefitExpnsAmt
Total Expense0.12480TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,628TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,628NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,937,454TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,650,976DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,286,478NetCommunityBenefitExpnsAmt
Total Expense0.12800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,225,821TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,772,048DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,453,773NetCommunityBenefitExpnsAmt
Total Expense0.16610TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,345TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,345NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,345TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,345NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,890,772BadDebtExpenseAmt
Reimbursed By Medicare$11,056,707ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,172,093CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$115,386MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-NORTHLAND INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11222 EAST WOODLANDAddressLine1Txt
CityBARRONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54812ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MAYOCLINICHEALTHSYSTEM.ORGWebsiteAddressTxt
State License1018StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-NORTHLAND INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MAYOCLINICHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-HEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.PART V, SECTION B, LINE 5: INPUT WAS PROVIDED BY A CROSS SECTION OF COMMUNITY AND ORGANIZATIONAL LEADERSHIP AS WELL AS DIRECT INPUT FROM THE COMMUNITY. THE ASSESSMENT PROCESS BEGAN WITH A THOROUGH REVIEW OF THE BARRON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT OF WHICH INDIVIDUALS FROM THE BARRON COUNTY PUBLIC HEALTH DEPARTMENT WERE ACTIVE PARTICIPANTS.
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.PART V, SECTION B, LINE 6A: LAKEVIEW MEDICAL CENTER-RICE LAKE AND CUMBERLAND HEALTH CARE-CUMBERLAND
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.PART V, SECTION B, LINE 11: A FORMAL COMMUNITY ENGAGEMENT AND WELLNESS DEPARTMENT WAS CREATED IN 2014 WITH THE PRIMARY FOCUS OF IMPACTING CHANGE ON THE THREE IDENTIFIED HEALTH NEEDS OF PHYSICAL ACTIVITY, NUTRITION AND CHRONIC DISEASE. THE DEPARTMENT HAS MADE SIGNIFICANT STRIDES IN FORMING COMMUNITY COALITIONS, BUILDING STRONG PARTNERSHIPS WITH LOCAL ORGANIZATIONS AND SCHOOLS, INCREASING THE NUMBER OF COMMUNITY WELLNESS ACTIVITIES TO OUR RESIDENTS, AND PLAYING ACTIVE ROLES IN TEAMS FOCUSED ON IMPROVING HEALTH. WITHIN THE HOSPITAL, A COMMUNITY WELLNESS COMMITTEE HAS BEEN ESTABLISHED, AND INTERESTED EMPLOYEES ARE PAID TO TAKE PART IN MANY WELLNESS PROGRAMS EDUCATING THE COMMUNITY.IN 2014, MCHS-NORTHLAND OFFERED 69 COMMUNITY WELLNESS CLASSES AND EVENTS REACHING MORE THAN 5,000 PEOPLE. HERE IS A SNAPSHOT OF OFFERINGS PROVIDED IN 2014: * FAMILY FITNESS FUN (PARTNERSHIP WITH THE BARRON COMMUNITY CENTER) * ICEBREAKER TRIATHLON * TAI CHI * BABYSITTING COURSES * STEPPING ON - FALL PREVENTION FOR SENIORS * STRONG WOMEN * SMART SHOPPING GROCERY STORE TOURS * DIABETES EDUCATION * KNOW YOUR NUMBERS - FREE HEALTH SCREENINGSIN ADDITION, STAFF IS HEAVILY INVOLVED IN SEVERAL COMMUNITY HEALTH INITIATIVES INCLUDING: MEMBERSHIP ON BARRON COUNTY ACTION TEAMS (FOCUSING ON MENTAL HEALTH, CHRONIC DISEASE AND TOBACCO/SUBSTANCE ABUSE), PARTICIPATION WITH HEALTH DEPARTMENT INITIATIVES (BE WELL BARRON COUNTY AND THRIVE BARRON COUNTY), AND THE SAFE AND STABLE FAMILIES COALITION.IDENTIFIED NEEDS MCHS-NORTHLAND IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES INCLUDE:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM DOES ADDRESS THIS NEED THROUGH OUR BI-ANNUAL TEEN CAR CONTROL CLASS; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY, ARE ADDRESSING THIS ISSUE. REPRESENTATIVES FROM MAYO CLINIC HEALTH SYSTEM ARE PART OF THIS ACTION TEAM.TOBACCO: WE WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION.MENTAL HEALTH: THIS IS A CORE SERVICE OF MAYO CLINIC HEALTH SYSTEM WHICH WILL CONTINUE TO ADDRESS THE NEEDS OF THE PATIENTS.
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.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.
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.PART V, SECTION B, LINE 16I: IN REGARDS TO THE POSTINGS 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.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.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.
MAYO CLINIC HEALTH SYSTEM-NORTHLAND INC.PART V, SECTION B, LINE 22D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 20% 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.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MCHS NORTHLAND - BARRON
1222 EAST WOODLAND AVENUEBARRONWI54812CLINIC, NURSING HOME, AMBULANCE
MCHS NORTHLAND - RICE LAKE
331 S MAIN STREET SUITE HRICE LAKEWI548682239CLINIC
MCHS NORTHLAND - CHETEK
220 DOUGLAS STREETCHETEKWI547280027CLINIC
MCHS NORTHLAND - CAMERON
2049 15TH AVENUECAMERONWI548224380CLINIC
MCHS NORTHLAND - PRAIRIE FARM
224 RIVER AVENUE SPRAIRIE FARMWI54762CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: $1,657,360.
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 $ 2,890,772.
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 2014 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).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:ADMINISTRATION, ALONG WITH MEMBERS OF THE MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE FOUNDATION, INC., WORK CLOSELY WITH LOCAL EDUCATIONAL INSTITUTIONS, AREA FREE CLINICS, NEIGHBORHOOD ASSOCIATIONS, CHARITIES, AND HEALTH DEPARTMENTS TO ASSESS HEALTHCARE NEED. MONETARY DONATIONS, SERVICES, EDUCATION, VOLUNTEERS AND GOODS ARE SUPPLIED ONCE THOSE NEEDS ARE ASSESSED. REQUESTS FOR ASSISTANCE ARE TRIAGED THROUGH THE PUBLIC AFFAIRS DEPARTMENTS, AND EVALUATED BASED ON ANNUAL STRATEGY. PART OF THAT STRATEGY INCLUDES INPUT FROM THE COMMUNITY ENGAGEMENT AND WELLNESS DEPARTMENT, AND ULTIMATELY REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION, INC. ACCORDING TO THE DONATION REQUEST FLOWCHART. THE MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE FOUNDATION, INC. ANNUAL STRATEGY IS BASED ON COMMUNITY HEALTH NEED, STRATEGIC INITIATIVES AND COMMUNITY ASSESSMENTS.
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-NORTHLAND, INC. (MCHS-NORTHLAND) IS LOCATED IN BARRON, WISCONSIN. ITS SERVICE AREA INCLUDES BARRON COUNTY AND PORTIONS OF RUSK, WASHBURN, SAWYER, AND POLK COUNTIES IN NORTHWESTERN WISCONSIN. MCHS-NORTHLAND IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES AND IS ONE OF THREE HOSPITALS IN BARRON COUNTY. THE POPULATION OF BARRON COUNTY (WHICH COMPRISES MOST OF MCHS-NORTHLAND'S SERVICE AREA) IS APPROXIMATELY 46,000. ACCORDING TO 2012 WISCONSIN DEPARTMENT OF HEALTH SERVICES COUNTY PROFILE INFORMATION, APPROXIMATELY 14.5% OF BARRON COUNTY INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. IN ADDITION, ACCORDING TO THE 2012 WISCONSIN FAMILY HEALTH SURVEY, APPROXIMATELY 10% OF THE BARRON COUNTY POPULATION WAS UNINSURED FOR ALL OR PART OF THE PAST YEAR. ACCORDING TO 2014 COUNTY HEALTH RANKINGS, BARRON COUNTY RANKED 25 OF 72 COUNTIES IN HEALTH OUTCOMES AND 55 OF 72 IN HEALTH FACTORS. BARRON COUNTY IS A FEDERALLY-DESIGNATED MEDICALLY-UNDERSERVED AREA (OR STATE-DESIGNED HEALTH PROFESSIONAL SHORTAGE AREA).
PART VI, LINE 5:THIS FILING ORGANIZATION IS AN AFFILIATE OF THE 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, 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, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY.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 7NEITHER 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.
PART V, SECTION B, LINES 16A, 16B, 16CURL OF FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY (BROCHURE):MAYOCLINICHEALTHSYSTEM.ORG/LOCATIONS/BARRON/BILLING/FINANCIAL-ASSISTANCE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPS FOR STUDENTS ENTERING HEALTH CARE RELATED FIELDGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$8,500CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2: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 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.
PART IIISCHOLARSHIPS ARE PAID DIRECTLY TO STUDENTS AND/OR EDUCATIONAL INSTITUTIONS. NO ADDITIONAL MONITORING IS PERFORMED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEGEN SUSANNE C
DIRECTOR (4/28-12/31)$0$147,508$0$0$0$23,080$0$12,707$0$31,235$0$214,530$0$0
EZENAGU MD LEONARD C
DIRECTOR/PHYSICIAN$0$444,592$0$0$0$11,711$0$26,250$0$43,896$0$526,449$0$0
LARSON MD JOHN L
DIRECTOR/PRESIDENT/PHYSICIAN$0$348,252$0$0$0$19,958$0$26,250$0$32,983$0$427,443$0$0
NAGLER MD RICHARD
DIRECTOR/PHYSICIAN$0$161,090$0$0$0$2,696$0$16,173$0$42,777$0$222,736$0$0
REISNER MD PETER D
DIRECTOR/PHYSICIAN$0$291,111$0$0$0$8,543$0$0$0$40,955$0$340,609$0$0
SKOLD M COLLEEN
DIRECTOR (1/1-4/28)$0$113,603$0$0$0$4,296$0$19,097$0$13,849$0$150,845$0$0
WHITE PAMELA K
DIRECTOR/SECRETARY$0$231,378$0$0$0$3,561$0$26,396$0$31,393$0$292,728$0$0
BAMMEL PAUL M
REGIONAL CFO$0$334,867$0$0$0$16,369$0$26,250$0$36,490$0$413,976$0$0
DICKEY JOHN M
REGIONAL CAO$0$374,455$0$0$0$17,048$0$26,250$0$35,516$0$453,269$0$0
LINTON MD RANDALL L
REGIONAL CEO$0$558,144$0$0$0$19,455$0$26,250$0$33,499$0$637,348$0$0
MYERS MD DAVID A
SITE CHAIR/PHYSICIAN$0$229,720$0$0$0$3,903$0$21,842$0$38,952$0$294,417$0$0
SULLIVAN MAURITA A
SITE VP-OPERATIONS$0$190,173$0$0$0$4,538$0$17,948$0$33,168$0$245,827$0$0
BOYD ROBERT M
PHYSICIAN ASSISTANT$163,172$0$7,500$0$534$0$0$0$18,910$0$190,116$0$0$0
GRAYKOSKI JOHN J
PHYSICIAN ASSISTANT$196,541$0$0$0$16,118$0$22,846$0$19,495$0$255,000$0$0$0
LARSON STEPHEN H
RN ANESTHETIST$211,613$0$0$0$2,997$0$20,991$0$21,018$0$256,619$0$0$0
LILLARD PATRICK H
RN ANESTHETIST$209,016$0$0$0$2,995$0$21,512$0$23,334$0$256,857$0$0$0
THOMSEN THOMAS J
RN ANESTHETIST$207,606$0$0$0$1,951$0$21,571$0$24,334$0$255,462$0$0$0
WITTROCK EDWARD A
FORMER TREASURER$0$208,771$0$0$0$4,953$0$39,089$0$24,126$0$276,939$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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 IICOMPENSATION 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

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonTERRANCE SULLIVANPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF MAURITA SULLIVAN, CORPORATE OFFICERRelationshipDescriptionTxt
Transaction$80,026TransactionAmt
TransactionCOMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: SULLIVAN, MAURITA A. SKOLD, M. COLLEEN REISNER M.D., PETER D. NAGLER M.D., RICHARD MYERS M.D., DAVID A. LINTON M.D., RANDALL L. LARSON M.D., JOHN L. EZENAGU M.D., LEONARD C. DICKEY, JOHN M. BAMMEL, PAUL M. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: LINTON M.D., RANDALL L. DICKEY, JOHN M. BAMMEL, PAUL M. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: DEGEN, SUSANNE C. WHITE, PAMELA K. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: LINTON M.D., RANDALL L. DICKEY, JOHN M. BAMMEL, PAUL M. HUGH MOMMSEN (A CURRENT BOARD MEMBER) AND DONALD PETERSON (A CURRENT BOARD MEMBER) HAVE A FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 3MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE HOSPITAL, INC. AND MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE CLINIC, INC. ALSO PROVIDE MANAGEMENT SERVICES ON A REGIONAL BASIS THAT INCLUDES THE FILING ORGANIZATION. 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 6THE CORPORATE MEMBERS ARE MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE HOSPITAL, INC. AND MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BODY SHALL BE ELECTED BY MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE CORPORATE MEMBERS MUST APPROVE ANY AMENDMENT TO THE ARTICLES AND BYLAWS IN ADDITION TO THE BOARD OF DIRECTORS. THE BYLAWS PROVIDE THE CORPORATE MEMBERS CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT, AND GENERAL OPERATION DECISIONS.
FORM 990, PART VI, SECTION A, LINE 8BTHE FILING ORGANIZATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE 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 REGIONAL CHIEF FINANCIAL OFFICER (OR HIS DELEGATE) 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 12CMAYO 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 15THE 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 19THE 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 IX, LINE 11GIC PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 9,572,351. MANAGEMENT AND GENERAL EXPENSES 2,437. FUNDRAISING EXPENSES 187. TOTAL EXPENSES 9,574,975. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 1,930,788. MANAGEMENT AND GENERAL EXPENSES 20,723. FUNDRAISING EXPENSES 3,092. TOTAL EXPENSES 1,954,603.
FORM 990, PART XI, LINE 9:PLEDGE WRITE-OFFS -1,300.
FILING OF CERTAIN FOREIGN FORMSDISCLOSURE 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) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) 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 (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(C)(3)7MCHS--CHIPPEWA VALLEY INCYes (1)
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(C)(3)9MAYO CLINICYes (1)
DESTINATION MEDICAL CENTER EDA
50 SOUTH SIXTH STREET SUITE 1500MINNEAPOLISMN554021498464893585ECONOMIC DEVELOPMENTMN501(C)(3)11-IMAYO CLINICYes (1)
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(C)(3)9MFMERYes (1)
LUTHER LAKESIDE APARTMENTS INC
PO BOX 1510EAU CLAIREWI54702391409024LOW INCOME HOUSING FOR ELDERLYWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INCYes (1)
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(C)(3)9Yes (1)N/A
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(C)(3)3MAYO CLINICYes (1)
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(C)(3)3MAYO CLINIC JACKSONVILLEYes (1)
MAYO CLINIC HOSPITAL -- ROCHESTER
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(C)(3)3MAYO CLINICYes (1)
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(C)(3)7MAYO CLINICYes (1)
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(C)(3)9MAYO CLINICYes (1)
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMFMERYes (1)60486 FRANKFURT AM MAINFRANKFURTGMGM
MCHS IN WAYCROSS INC
1900 TEBEAU STREETWAYCROSSGA31501581667166HOSPITALGA501(C)(3)3MAYO CLINIC JACKSONVILLEYes (1)
MCHS--ALBERT LEA AND AUSTIN
1000 FIRST DRIVE NWAUSTINMN55912411404075HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINICYes (1)
MCHS--AUSTIN FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--ALBERT LEA AND AUSTINYes (1)
MCHS--CANNON FALLS
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINICYes (1)
MCHS--CHIPPEWA VALLEY INC
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INCYes (1)
MCHS--EAU CLAIRE CLINIC INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(C)(3)3MAYO CLINIC0
MCHS--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(C)(3)11-IMCHS--EAU CLAIRE CLINIC INC0
MCHS--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(C)(3)3MAYO CLINICYes (1)
MCHS--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATOYes (1)
MCHS--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(C)(3)7MCHS--FRANCISCAN HEALTHCARE INCYes (1)
MCHS--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(C)(3)9MCHS--FRANCISCAN HEALTHCARE INCYes (1)
MCHS--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(C)(3)11-IMAYO CLINICYes (1)
MCHS--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(C)(3)3MCHS--FRANCISCAN HEALTHCARE INCYes (1)
MCHS--HOME HEALTH & HOSPICE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INCYes (1)
MCHS--LAKE CITY
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(C)(3)3MAYO CLINICYes (1)
MCHS--MANKATO
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINICYes (1)
MCHS--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--MANKATOYes (1)
MCHS--NEW PRAGUE
301 SECOND STREET NENEW PRAGUEMN56071410723639HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATOYes (1)
MCHS--NORTHLAND INC
1222 EAST WOODLAND AVENUEBARRONWI54812390920634HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INCYes (1)
MCHS--OAKRIDGE INC
13025 EIGHTH STREET PO BOX 70OSSEOWI54758391029430HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INCYes (1)
MCHS--OWATONNA
134 SOUTHVIEW STOWATONNAMN55060411862132PATIENT CARE - CLINICMN501(C)(3)3MAYO CLINICYes (1)
MCHS--RED CEDAR INC
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINICYes (1)
MCHS--RED WING
701 HEWITT BOULEVARDRED WINGMN55066411713783PATIENT CARE SERVICESMN501(C)(3)3MAYO CLINICYes (1)
MCHS--SPRINGFIELD
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATOYes (1)
MCHS--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATOYes (1)
MCHS--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--ST JAMESYes (1)
MCHS--SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INCYes (1)
MCHS--WASECA
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATOYes (1)
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(C)(3)11-IMAYO CLINICYes (1)
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HOSPITAL - ROCHESTERYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
FRANKLIN HEATING STATION
119 THIRD ST SWROCHESTERMN55902410264830UTILITYMNN/A
LATIGO PETROLEUM LLC
PO BOX 14230ODESSATX79768364767494OIL & GAS EXPLORATIONDEN/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200LISLEIL60532453414836HEALTHCARE RELATED SOFTWAREILN/A
WATERSHED CAP INSTL PRTNRS III LP
ONE MARITIME PLAZA SUITE 1525SAN FRANCISCOCA94111462982848INVESTMENT ACTIVITIESDEN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BWL HOLDINGS INC
1209 ORANGE STREETWILMINGTONDE19801472413749OIL & GAS EXPLORATIONDEN/AC0
AMBIENT CLINICAL ANALYTICS INC
221 1ST AVE SW SUITE 202ROCHESTERMN55902800928405SOFTWAREDEN/AC0
CAVALRY CLO III LTD
INVESTMENT ACTIVITIESN/AC0PO BOX 1093 GT QUEENSGATE HOUSE SGRAND CAYMANCJCJ
CAVALRY CLO IV LTD
INVESTMENT ACTIVITIESN/AC0PO BOX 1093 GT QUEENSGATE HOUSE SGRAND CAYMANCJCJ
GMO GLOBAL BOND INVESTMENT FUND
OTHER FINANCIAL INVESTMENT ACTIVITIESN/A078 SIR JOHN ROGERSONS QUAYDUBLIN 2EIEI
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC0
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC0
MAYO CLINIC GBS MAURITIUS
HEALTHCARE MANAGEMENTN/AC02ND FLOOR EBENE MEWS 57EBENE CYBERCITYMPMP
MAYO CLINIC SUPPORT SERVICES TEXAS
200 FIRST STREET SWROCHESTERMN55905471751102HEALTH SERVICESTXN/AC0
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC0
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/AC0CJ
MCHS--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC0
MCHS--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC0
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC0
RESOUNDANT INC
221 1ST AVE SWROCHESTERMN55902461661978MANUFACTURING MEDICAL DEVICE COMPONENTMNN/AC0
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC0
SATILLA HEALTHNET INC
1900 TEBEAU STREETWAYCROSSGA31501582151076HEALTH SERVICESGAN/AC0
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC0
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC0
CHARITABLE LEAD TRUST
CHARITABLE TRUSTCAN/AT0
PERPETUAL TRUST
CHARITABLE TRUSTNDN/AT0
PERPETUAL TRUST
CHARITABLE TRUSTAZN/AT0
PERPETUAL TRUST
CHARITABLE TRUSTLAN/AT0
PERPETUAL TRUST (2)
CHARITABLE TRUSTMAN/AT0
PERPETUAL TRUST
CHARITABLE TRUSTMON/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTAZN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTCON/AT0
CHARITABLE REMAINDER TRUST (9)
CHARITABLE TRUSTFLN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTLAN/AT0
CHARITABLE REMAINDER TRUST (73)
CHARITABLE TRUSTMNN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTNCN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTNMN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTNVN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTNYN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTTXN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTWIN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTCON/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTILN/AT0
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTMIN/AT0
CHARITABLE REMAINDER TRUST (70)
CHARITABLE TRUSTMNN/AT0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MMSI INC
S$2,683,561GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
P$40,559,547GAAP
MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE CLINIC INC
R$7,805,727GAAP
MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE CLINIC INC
M$68,048GAAP
MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE CLINIC INC
P$7,445,412GAAP

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