MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC (EIN 39-0806374)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-09-08
IRS object ID: 201442519349300044
Schema version: 2013v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-09-08T12:55:56-05:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1
Business Name Line2	MEDICAL CENTER INC	BusinessNameLine2

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	AddressLine1
City	LA CROSSE	City
State	WI	State
ZIP Code	54601	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS H TIGGELAAR	PersonNm
Person Title	VP/CFO	PersonTitleTxt
Phone	5075381297	PhoneNum
Signature	2014-09-08	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	LA CROSSE	City
State	WI	State
ZIP Code	54601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$432,562,031	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	4030	TotalEmployeeCnt
Total Volunteers	885	TotalVolunteersCnt
Total Gross UBI	$1,152,284	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$46,986	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,591,874	PYContributionsGrantsAmt
CY Contributions Grants	$4,929,555	CYContributionsGrantsAmt
PY Program Service Revenue	$400,253,847	PYProgramServiceRevenueAmt
CY Program Service Revenue	$423,585,845	CYProgramServiceRevenueAmt
PY Investment Income	-$138,431	PYInvestmentIncomeAmt
CY Investment Income	-$209,060	CYInvestmentIncomeAmt
PY Other Revenue	$2,724,526	PYOtherRevenueAmt
CY Other Revenue	$3,223,267	CYOtherRevenueAmt
PY Total Revenue	$417,431,816	PYTotalRevenueAmt
CY Total Revenue	$431,529,607	CYTotalRevenueAmt
PY Grants And Similar Paid	$243,771	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$206,049	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$276,106,865	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$261,552,893	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$160,946,143	PYOtherExpensesAmt
CY Other Expenses	$158,790,671	CYOtherExpensesAmt
PY Total Expenses	$437,296,779	PYTotalExpensesAmt
CY Total Expenses	$420,549,613	CYTotalExpensesAmt
PY Revenues Less Expenses	-$19,864,963	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,979,994	CYRevenuesLessExpensesAmt
Total Assets BOY	$241,691,925	TotalAssetsBOYAmt
Total Assets EOY	$253,462,833	TotalAssetsEOYAmt
Total Liabilities BOY	$107,230,949	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$65,774,906	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$134,460,976	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$187,687,927	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	$385,518,834	ExpenseAmt
Revenue	$422,197,242	RevenueAmt
Desc	PATIENT CARE (SCHEDULE O)MAYO CLINIC HEALTH SYSTEM FRANCISCAN MEDICAL CENTER, INC. IS PART 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 AND 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 1000 PHYSICIANS AND 14,000 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 70 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 18 OWNED HOSPITALS, SIX OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH TWO ADDITIONAL HOSPITALS, AND CONTRACT MANAGEMENT AGREEMENTS WITH AN ADDITIONAL HOSPITAL AND 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 2.5 MILLION VISITS ANNUALLY IN MAYO CLINIC HEALTH SYSTEM. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS.MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. (FMCI) FULFILLS ITS MISSION THROUGH THE FOLLOWING LOCATIONS AND SERVICES:HOSPITALS-2 HOSPITALS, LACROSSE (248 BEDS) AND SPARTA (25 BEDS). THE HOSPITALS PROVIDE ACUTE HEALTH CARE SERVICES INCLUDING 24-HOUR EMERGENCY CARE, ADULT AND PEDIATRIC SURGERY, LABOR, DELIVERY, MATERNITY CARE, REHABILITATION SERVICES, AND HEALTH EDUCATION CLASSES. THE HOSPITALS HAD 7,555 INPATIENT ADMISSIONS, 943 DELIVERIES, AND 8,478 SURGERIES DURING 2013.SLEEP LAB-THE FMCI SLEEP LAB HAS RECEIVED THE FULL FIVE-YEAR ACCREDITATION FROM AMERICAN ACADEMY OF SLEEP MEDICINE. THE FACILITY WAS APPROVED FOLLOWING A LENGTHY EXAMINATION PROCESS AND SITE VISIT THAT COVERED THE UNIT'S POLICIES, PROCEDURES AND ACTIVITIES. EACH YEAR THE SLEEP LAB EVALUATES APPROXIMATELY 250 PATIENTS. NATIONAL OUTCOMES MEASUREMENT SYSTEM-SINCE JAN. 1999, THE SPEECH-LANGUAGE PATHOLOGISTS AT FMCI HAVE BEEN TAKING PART IN A NATIONAL PROJECT THAT ALLOWS THEM TO TRACK PATIENT OUTCOMES AND COMPARE THEIR SERVICES WITH OTHER THERAPY PROGRAMS ACROSS THE STATE AND THE NATION. THE NATIONAL OUTCOMES MEASUREMENT SYSTEM PROJECT CONSISTS OF MAKING A SPECIAL ASSESSMENT OF THE PATIENT AT THE FIRST AND LAST VISIT. BY COMPARING SUCH FACTORS AS FUNCTIONALITY PRIOR TO CARE, NUMBER OF VISITS, NUMBER OF MINUTES OF CARE AND FUNCTIONALITY AT THE END OF THE SESSIONS, THERAPISTS CAN NOW ACCURATELY TRACK THE PROGRESS OF PATIENTS.LACROSSE COULEE REGION BRAIN TEAM-FMCI MEMBERS SERVED ON THE LACROSSE COULEE REGIONAL BRAIN TEAM, WHICH IS A COMMUNITY EFFORT TO ENCOURAGE PUBLIC DISCUSSION AND ACTIONS RELATED TO THE IMPORTANCE OF EARLY BRAIN DEVELOPMENT; TO FIND WAYS TO SUPPORT PARENTS/FAMILIES IN NURTURING THEIR CHILDREN; AND TO PROVIDE POSITIVE STIMULATING ENVIRONMENTS NECESSARY FOR LEARNING. IN COOPERATION WITH THE UNIVERSITY OF WISCONSIN-LA CROSSE, THE TEAM SURVEYED 1,200 AREA PROFESSIONALS WHO WORK WITH CHILDREN IN AN EFFORT TO DETERMINE THE LEVEL OF AWARENESS OF EARLY BRAIN DEVELOPMENT INFORMATION AND HOW THEIR PRACTICE IS AFFECTED. THE SURVEY RESULTS WILL BE USED TO DEVELOP ACTION PLANS WHICH MEET THE EDUCATIONAL NEEDS OF PROFESSIONALS WORKING WITH YOUNG CHILDREN. CLINICS-FAMILY PRACTICE CLINICS PROVIDE OUTPATIENT SERVICES AND ARE LOCATED IN THE FOLLOWING COMMUNITIES IN WISCONSIN, IOWA, AND MINNESOTA:WISCONSIN-ARCADIA, GALESVILLE, LACROSSE, ONALASKA, PRAIRIE DU CHIEN, SPARTA, TOMAHIOWA-WAUKONMINNESOTA-CALEDONIA, LACRESCENTAFFILIATION WITH THE LARGER MAYO CLINIC HEALTH SYSTEM ALLOWS ACCESS FOR MEMBERS OF THESE COMMUNITIES TO VARIOUS SPECIALTY SERVICES. SOME OF THESE SERVICES INCLUDE: OCCUPATIONAL HEALTH-THE SERVICES INCLUDE WORKERS' COMPENSATION SERVICES, DOT PHYSICALS, JOB SITE ASSESSMENTS, HEALTH AND SAFETY CONSULTATIONS, SIGNIFICANT EXPOSURE FOLLOW-UP, DISABILITY MANAGEMENT AND RETURN-TO-WORK PROGRAMS, DRUG TESTING SERVICES, BREATH ALCOHOL TESTING AND RESPIRATOR FIT TESTING.ALLERGY-PATIENTS WITH ALLERGIC CONDITIONS AND PROBLEMS WITH IMMUNE RESPONSE ARE TREATED AND SERVICES INCLUDE BOTH CONSULTATIONS AND DIAGNOSTICS.CARDIOLOGY-CARDIOLOGY SERVICES PROVIDED INCLUDE CARDIOLOGY ASSESSMENTS, CONSULTATIONS, AND FOLLOW-UPS.GERIATRIC-SERVICES PROVIDED INCLUDE GERIATRIC CONSULTATIONS AND FOLLOW-UPS RELATED TO ALL ASPECTS OF SPECIALTY ELDER CARE INCLUDING DEMENTIA, MEMORY LOSS, MEDICATION MANAGEMENT, LONG-TERM CARE AND DISEASE MANAGEMENT.PEDIATRIC NEUROLOGY-SERVICES PROVIDED INCLUDE PEDIATRIC NEUROLOGY CONSULTATIONS AND FOLLOW-UPS. PEDIATRIC NEUROLOGY PROVIDES SUB-SPECIALTY EXPERTISE FOR CHILDREN WITH DIFFICULT SEIZURE DISORDERS, HEADACHES, DEVELOPMENTAL DISORDERS AND HYPERACTIVITY AND LEARNING DISORDERS.HOME HEALTH-HOME HEALTH SERVICES PROVIDES HEALTH CARE SERVICES TO PATIENTS IN THE CONVENIENCE OF THEIR HOME, NURSING HOME, OR HOSPITAL ROOM. THE FIVE AREAS OF CARE PROVIDED ARE HOME CARE, HOSPICE, PHARMACY, HOME MEDICAL EQUIPMENT AND INFUSION THERAPY. HOME CARE-HOME CARE INCLUDES SERVICES OF SKILLED PROFESSIONAL NURSES WHO PROVIDE SPECIALIZED CARE AND TEACHING TO PATIENTS WITH ACUTE NEEDS SUCH AS WOUNDS, OSTOMIES, DIABETES MANAGEMENT, MEDICATION MANAGEMENT, AND INFUSION THERAPY INCLUDING CHEMO ADMINISTRATION. HOME HEALTH AIDES PROVIDE PERSONAL CARE AND ASSISTANCE WITH EXERCISE PROGRAMS. PHYSICAL THERAPISTS PROVIDE SPECIALIZED CARE AND TEACHING IN THE AREAS OF HOME THERAPEUTIC EXERCISE PROGRAMS, FUNCTIONAL/ACTIVITIES OF DAILY LIVING TRAINING, GAIT TRAINING, WHEELCHAIR FITTINGS AND THE USE OF ADAPTIVE EQUIPMENT. OCCUPATIONAL THERAPISTS PROVIDE SPECIALIZED CARE AND TEACHING PATIENTS HOW TO USE ADAPTIVE EQUIPMENT FOR ACTIVITIES OF DAILY LIVING, SAFETY ADAPTATIONS, FUNCTIONAL PROGRAMS, AND ENERGY CONSERVATION WITH DAILY TASKS. HOME CARE HAD 189 PATIENT ENCOUNTERS IN 2013.HOSPICE-HOSPICE USES A TEAM APPROACH TO CARING FOR PATIENTS WITH LIFE THREATENING ILLNESSES, PROVIDING SPECIALIZED CARE AND TEACHING AND ALSO FOCUSES ON PATIENTS' QUALITY OF LIFE AND DEATH WITH DIGNITY. THE TEAM CONSISTS OF SKILLED NURSES, HOME HEALTH AIDS, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SOCIAL WORKERS, CHAPLAINS AND VOLUNTEERS. BEREAVEMENT FOLLOW-UP AFTER THE PATIENT'S DEATH IS AN ADDITIONAL BENEFIT FOR THE FAMILY. HOSPICE PROVIDES THE EQUIPMENT, MEDICATIONS AND SUPPLIES (RELATED TO THEIR LIFE THREATENING ILLNESS) NECESSARY TO ASSURE THE COMFORT OF OUR PATIENTS IN THEIR FINAL DAYS IN FAMILIAR SURROUNDINGS WITH FAMILY AND FRIENDS. HOSPICE HAD 194 PATIENT ENCOUNTERS DURING 2013.HOME MEDICAL EQUIPMENT-THIS AREA OFFERS A FULL RANGE OF MEDICAL EQUIPMENT AND SUPPLIES INCLUDING BEDS, WALKERS, COMMODES, CANES, WHEELCHAIRS, SCOOTERS, SUPPLIES RELATED TO DIABETES, BREAST FEEDING, OSTOMY, AND SPORTS RELATED EQUIPMENT. RESPIRATORY THERAPISTS PROVIDE OXYGEN CONCENTRATORS AND PORTABLES, APNEA MONITORS, BI-PAPS AND CPAPS, NEBULIZERS, AS WELL AS OTHER RESPIRATORY NEEDS. OUR STAFF MEMBERS ARE TRAINED IN SEATING SYSTEMS FOR WHEELCHAIRS AND SCOOTERS. THERE ARE LOCATIONS IN LACROSSE, ARCADIA, SPARTA, AND TOMAH. FREE DELIVERY AND SERVICE IS PROVIDED IN A 100-MILE RADIUS AROUND LA CROSSE. HOME MEDICAL HAD 6,407 PATIENT ENCOUNTERS IN 2013.HOME INFUSION THERAPY-THERE WERE 161 NEW PATIENTS SERVICED BY HOME INFUSION THERAPY DURING 2013.CHARITY CARE: FMCI PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2013 WAS APPROXIMATELY $2,971,000. THE COST OF UNCOMPENSATED CARE PROVIDED LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $25,414,000 IN 2013. THIS SHORTFALL INCLUDES THE MEDICAID SURCHARGE AND TAXES PAID TO MN CARE AND WI FOR PROGRAMS THAT OFFER HEALTHCARE ASSISTANCE TO LOW INCOME POPULATIONS ALL OF WHICH TOTAL APPROXIMATELY $5,371,000. OTHER EXPENSES REPORTED ELSEWHERE: THE UNREIMBURSED COST OF MEDICARE WAS $58,213,000 IN 2013.FMCI VOLUNTARILY ENTERED INTO AN AGREEMEENT 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 PATIENTS REGARDING OUR CHARITY CARE PROGRAM, IN ADDITION, THE WI ATTORNEY GENERAL REVIEWED AND APPROVED OUR BILLING AND COLLECTION POLICIES AND PRACTICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,429,011	ExpenseAmt
Grant	$206,049	GrantAmt
Revenue	$476,385	RevenueAmt
Desc	COMMUNITY ACTIVITIES & EDUCATIONAL PROGRAMS (SCHEDULE O) IN ADDITION TO THESE SERVICES AND IN KEEPING WITH ITS HISTORIC MISSION, FMCI ENGAGES IN NUMEROUS EXTERNAL ACTIVITIES THAT PROMOTE HEALTH AND WELLNESS FOR THE MIND, BODY AND SPIRIT OF INDIVIDUALS IN THE COMMUNITIES WE SERVE. FMCI NOT ONLY ENGAGES IN THESE ACTIVITIES AS A SYSTEM, BUT ALSO ENCOURAGES MEDICAL STAFF AND EMPLOYEES TO DO THE SAME. EXAMPLES INCLUDE:ST. CLARE HEALTH MISSION-THE MISSION IS A FREE MEDICAL CLINIC WITH LOCATIONS ON THE FMCI'S CAMPUSES IN LACROSSE AND SPARTA, AND SERVES PERSONS WHO HAVE NO MEDICAL INSURANCE AND DO NOT QUALIFY FOR PUBLIC ASSISTANCE. STAFFED BY VOLUNTEER PHYSICIANS AND OTHER EMPLOYEES, THE CLINIC HAD 4,936 PATIENT VISITS IN 2013. WOMEN'S HEALTH-MINNESOTA BREAST AND CERVICAL CANCER PROGRAM - THE MINNESOTA BREAST AND CERVICAL CANCER PROGRAM IS OFFERED TO PATIENTS FOR MAMMOGRAMS OR FOLLOW-UP BREAST OR CERVICAL CANCER PROCEDURES THAT CANNOT BE PROVIDED IN THOSE SITES. THIS PROGRAM SERVES LOW-INCOME WOMEN WHO ARE EITHER UNINSURED OR UNDERINSURED. THE GRANT WAS WRITTEN TO ADDRESS THE NEEDS OF WOMEN IN RURAL MINNESOTA SITES WHO WERE NOT RECEIVING ADEQUATE PREVENTATIVE SERVICES. WISCONSIN WELL WOMAN PROGRAM-OFFERED IN COOPERATION WITH THE STATE OF WISCONSIN AND LACROSSE COUNTY, THIS PROGRAM HELPS WOMEN WITH LITTLE OR NO HEALTH INSURANCE GET BETTER ACCESS TO FREE SCREENINGS FOR BREAST CANCER, CERVICAL CANCER, DEPRESSION, DIABETES, DOMESTIC ABUSE, HEART DISEASE, HIGH BLOOD PRESSURE AND OSTEOPOROSIS. SAFE PATH DOMESTIC ABUSE AND SEXUAL ASSAULT SERVICE-STARTED IN 1996, THIS PROGRAM IS FUNDED THROUGH THE OPERATING BUDGET OF FMCI WITH A SIGNIFICANT GRANT FROM MCHS-FRANCISCAN HEALTHCARE FOUNDATION. IN ADDITION, THIS GROUP WORKS WITH THE EMERGENCY MEDICINE TRAUMA CENTER (EMTC) TO DEVELOP THE SEXUAL ASSAULT COMPONENT. IN 2000, 6 NURSES WERE TRAINED TO DO SEXUAL ASSAULT NURSE EXAMS IN THE EMERGENCY ROOM. THE PROGRAM PROVIDES THE VICTIM WITH ONE-ON-ONE ATTENTION OF A FEMALE NURSE PROVIDER TRAINED TO DO THE EXAM AND COLLECT THE FORENSIC EVIDENCE THAT IS NEEDED. FMCI IS NOW A "DESIGNATED SEXUAL ASSAULT CENTER" IN WISCONSIN. ESTROGEN & WOMEN'S HEALTH-THIS IS AN EDUCATIONAL PROGRAM FOR THE MEDICAL COMMUNITY ON ADVANCES IN PREVENTION, DIAGNOSIS, AND TREATMENT OF DISEASES IN WOMEN. THE TOPIC OF ESTROGEN, AND ITS ROLE IN WOMEN'S HEALTH ISSUES, CONTINUES TO BE OF GREAT IMPORTANCE. A MULTIFACETED LEARNING APPROACH IS USED IN THIS COURSE, INCLUDING LECTURE FORMAT TO SHARE THE LATEST RESEARCH, SAMPLE CASE PRESENTATIONS, AND GROUP DISCUSSION. THIS COURSE WAS DESIGNED FOR PHYSICIANS AND RESIDENTS IN FAMILY PRACTICE, INTERNAL MEDICINE AND OB/GYN, MEDICAL STUDENTS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND REGISTERED NURSES AND MIDWIVES. LACROSSE MEDICAL HEALTH SCIENCE CONSORTIUM-THE CONSORTIUM IS A PARTNERSHIP OF THE TWO HEALTHCARE PROVIDERS AND THREE POST SECONDARY EDUCATIONAL INSTITUTIONS IN LACROSSE. THE PURPOSE OF THE CONSORTIUM IS TO CREATE OPPORTUNITIES FOR EDUCATION AND RESEARCH IN THE ALLIED HEALTH SCIENCES. THE MOST RECENT PROJECT OF THE CONSORTIUM WAS THE OPENING OF A $27 MILLION ALLIED HEALTH EDUCATION AND RESEARCH FACILITY IN LACROSSE. JOINT COMMUNITY HEALTH INITIATIONS-FMCI OFTEN COLLABORATES WITH GUNDERSEN LUTHERAN MEDICAL CENTER, COUNTY HEALTH DEPARTMENTS AND OTHER ORGANIZATIONS INTERESTED IN COMMUNITY HEALTH AND WELL-BEING ON NUMEROUS TOPICS, SUCH AS EDUCATION CONFERENCES, CHILD DEVELOPMENT MATERIALS, INFLUENZA VACCINATION EDUCATION ANNOUNCEMENTS, CHILD SAFETY, MEDICATION SAFETY, AND COMMUNITY HEALTH ASSESSMENT PROGRAMS.ADVANCE DIRECTIVES PROGRAM-ESTABLISHED IN COOPERATION WITH GUNDERSEN LUTHERAN, THE PROGRAM ASSISTS PATIENTS AND THEIR FAMILIES WITH END-OF-LIFE ISSUES AND DECISION-MAKING.FREE HEALTH CHECKS AND SCREENINGS-PHYSICIANS, HEALTH EDUCATORS, AND OTHER ALLIED HEALTH STAFF PROVIDE NUMEROUS HEALTH SCREENINGS AT EVENTS THROUGHOUT THE MCHS-FRANCISCAN HEALTHCARE (FHI) SERVICE AREA. SUCH SCREENINGS INCLUDE BLOOD PRESSURE, CHOLESTEROL, BLOOD SUGAR, AND STROKE ASSESSMENTS.HEALTH AND WELLNESS EDUCATION FOR THE PUBLIC-PROGRAMS OFFERED THROUGH FMCI INCLUDE PRENATAL CARE, SMOKING CESSATION, SUPPORT GROUPS FOR CANCER, SUDDEN INFANT DEATH, NEUROLOGICAL DISORDERS, DIABETES EDUCATION, AND BASIC AND ADVANCED LIFE SUPPORT INSTRUCTION OR CPR.LACROSSE-MAYO FAMILY PRACTICE RESIDENCY-THE FAMILY PRACTICE RESIDENCY PROGRAM IS AFFILIATED WITH THE MAYO GRADUATE SCHOOL OF MEDICINE. ITS FOCUS IS TO GIVE RESIDENTS THE KNOWLEDGE, SKILLS, AND ATTITUDES NECESSARY FOR FUTURE PRACTICE IN AN EVER-CHANGING MEDICAL ENVIRONMENT. CLINICAL PASTORAL EDUCATION PROGRAM-THIS PROGRAM IS WORKING COLLABORATIVELY AND ECUMENICALLY TO PROVIDE PASTORAL EDUCATION FOR CLERGY AND LAY PEOPLE OF ALL FAITH TRADITIONS AND DENOMINATIONS. THE PROGRAM'S PROFESSIONAL CONSULTATION BOARD IS COMPRISED OF REPRESENTATIVES FROM A DIVERSITY OF FAITH AND COMMUNITY ORGANIZATIONS. AN EMPHASIS IS PLACED ON PROVIDING SPIRITUAL CARE IN AN INTER-DISCIPLINARY ENVIRONMENT THAT SERVES PEOPLE TRADITIONALLY PUSHED TO THE MARGINS OF THE COMMUNITY BY POVERTY, MENTAL ILLNESS, RACISM, VIOLENCE, OR OTHER SOCIOECONOMIC CONDITIONS.GERONTOLOGY CERTIFICATE PROGRAM-IN A JOINT EFFORT WITH THE UNIVERSITY OF WISCONSIN-LACROSSE AND COMMUNITY AGENCIES, THIS NEW PROGRAM IS DESIGNED TO INCREASE THE SKILLS AND COMPETENCIES OF A BROAD RANGE OF PROFESSIONALS INCLUDING NURSES, NURSING ASSISTANTS, SOCIAL WORKERS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, PERSONAL CARE ASSISTANTS AND OTHERS. IT IS A DIRECT RESPONSE TO THE GROWING DEMAND PLACED ON AREA AGENCIES TO SERVE OUR RAPIDLY EXPANDING POPULATION OF OLDER ADULTS.CORPORATE FINANCIAL SUPPORT-IN BEING A "GOOD CORPORATE CITIZEN", FMCI ALSO PROVIDES FINANCIAL SUPPORT TO GROUPS WITHIN OUR SERVICE AREA WHO ARE ENGAGED IN COMMUNITY HEALTH AND WELLNESS, PUBLIC SAFETY, THE ARTS, EDUCATION AND QUALITY OF LIFE ISSUES. THESE ACTIVITIES INCLUDE: RUNS AND WALKS TO RAISE FUNDS FOR MEDICAL RESEARCH, PROGRAMS ON SELF ESTEEM FOR YOUNG WOMEN, FIRE SAFETY MATERIALS FOR SCHOOL CHILDREN, SELF-HELP OPPORTUNITIES FOR THE POOR AND UNDERPRIVILEGED, CONCERTS AND PERFORMANCES BY LOCAL ARTS GROUPS, AND SPONSORSHIPS OF LECTURES AND PROGRAMS ON HEALTH RELATED TOPICS.ALZHEIMER'S ASSOCIATION-FOR SEVERAL YEARS FMCI HAS BEEN A SPONSOR OF MEMORY WALKS HELD EACH FALL AND ITS ANNUAL EDUCATION CONFERENCE. SEVERAL MAYO CLINIC PHYSICIANS HAVE PRESENTED AT THE ANNUAL CONFERENCE.AMERICAN CANCER SOCIETY-FRANCISCAN MEDICAL CENTER WAS THE LEAD SPONSOR OF THE VERY FIRST LACROSSE AREA ALL YOUTH RELAY FOR LIFE. THIS RELAY, MODELED AFTER THE SUMMER EVENT, AND ORGANIZED AND DESIGNED ESPECIALLY FOR HIGH SCHOOL STUDENTS, RAISED MORE THAN $20,000. THE DAFFODILS THAT DECORATE THE MARKET PLACE RESTAURANT EACH SPRING ARE ALSO PART OF FMCI'S SUPPORT.AMERICAN HEART ASSOCIATION-STAFF FROM FMCI CARDIOVASCULAR SERVICES PLAY A LEAD ROLE IN THE ORGANIZATION OF THE ANNUAL HEART WALK. FOR THE PAST SEVERAL YEARS TEAMS FROM THE MEDICAL CENTER HAVE ALSO LED THE PACK IN FUNDS RAISED. THE MEDICAL CENTER IS ALSO A LONGTIME SPONSOR OF THE FRIGID FIVE RUN HELD IN JANUARY.UNITED CEREBRAL PALSY-FRANCISCAN MEDICAL CENTER HAS BEEN THE LEAD SPONSOR FOR THE ANNUAL CELEBRITY WAITER NIGHT.MULTIPLE SCLEROSIS-FMCI WAS THE LEAD SPONSOR FOR THIS EVENT, HELD IN APRIL THAT HAS RAISED NEARLY $80,000 YEARLY THROUGH THE EFFORTS OF MORE THAN 800 WALKERS.UNITED FUND FOR THE ARTS AND HUMANITIES-UFAH IS A CONSORTIUM OF 10 LOCAL ARTS AND HUMANITIES ORGANIZATIONS THAT CONTRIBUTE SIGNIFICANTLY TO THE QUALITY OF LIFE IN THE AREA. FMCI IS A CONTRIBUTOR TO THIS ANNUAL CAMPAIGN.HEALTH CAREER EXPLORATION-YOUNG MEN AND WOMEN INTERESTED IN HEALTH CAREERS HAVE AN OPPORTUNITY TO JOB SHADOW OR INTERN IN NUMEROUS PATIENT CARE AREAS WITHIN FMCI AND FHI.REPRESENTATION ON COMMUNITY BOARDS-FHI PROVIDES SUPPORT FOR PHYSICIANS AND EMPLOYEES WHO PARTICIPATE AT THE "BOARD OF DIRECTOR" LEVELS IN COMMUNITY SERVICE ORGANIZATIONS. ALL ARE ENCOURAGED TO IDENTIFY OPPORTUNITIES WHEREBY FHI CAN CONTRIBUTE ITS COLLECTIVE KNOWLEDGE AND EXPERTISE IN ASSISTING THESE COMMUNITY GROUPS TO MEET THEIR MISSIONS OF SERVICE.HEALTHTOUCH-WITH A TOUCH OF THE SCREEN, PATIENTS AND STAFF CAN NOW ACCESS ACCURATE, UP-TO-DATE INFORMATION ON MEDICATIONS, DISEASES AND WELLNESS TOPICS THANKS TO HEALTHTOUCH, AN INTERACTIVE KIOSK IN THE RESOURCE LIBRARY OF THE FAMILY HEALTH CLINIC.DISEASE MANAGEMENT STRATEGIES-FMCI IS PARTICIPATING IN THE UNITED COULEE REGION INFLUENZA COALITION IN COOPERATION WITH GUNDERSEN LUTHERAN AND THE HEALTH DEPARTMENT IN AN EFFORT TO COLLABORATE ON IMPROVING THE IMMUNIZATION RATES IN THE COMMUNITY. DEMENTIA CARE - FMCI HAS DEVELOPED A COMPREHENSIVE DEMENTIA CARE PROGRAM FOR PEOPLE WITH DEMENTIA AND THEIR FAMILIES. THE PROGRAM PROVIDES DIAGNOSIS, TREATMENT, EDUCATION, SUPPORT SERVICES AND LONG-TERM FOLLOW-UP.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	VOLUNTEER ACTIVITIES (SCHEDULE O) MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. (VIA THE FRANCISCAN AUXILIARY WHICH IS PART OF FMCI) RECEIVES DONATED SERVICES FROM COMMUNITY TEEN, COLLEGE, AND ADULT VOLUNTEERS. THE AUXILIARY WAS ORGANIZED IN 1952 TO "IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES" THROUGH FUNDRAISING, SERVICE, COLLABORATION, ADVOCACY AND EDUCATION. AUXILIARY PROJECTS ARE ORGANIZED BY A BOARD OF DIRECTORS THAT MEETS MONTHLY DURING THE SCHOOL YEAR AND ARE SUPPORTED THROUGH THE VOLUNTEER EFFORTS OF MORE THAN 200 MEMBERS. MEMBERSHIP IS OPEN TO ALL INTERESTED COMMUNITY MEMBERS. SPECIFICALLY, THE AUXILIARY SUPPORTS PROGRAMS AND SERVICES TO ADDRESS UNMET HEALTHCARE NEEDS; EQUIPMENT AND SERVICES TO ENHANCE PATIENT CARE DELIVERY; NEEDY PATIENT ACCOUNTS; NURSING EDUCATION FOR WWTC AND VITERBO COLLEGE STUDENTS; AND COMMUNITY HEALTH AWARENESS AND EDUCATION PROJECTS. THE AUXILIARY ALSO STRIVES TO ENHANCE THE VISIBILITY OF FMCI IN THE COMMUNITY.DURING 2013, APPROXIMATELY 885 VOLUNTEERS DONATED APPROXIMATELY 62,500 HOURS OF VOLUNTEER SERVICE THESE SERVICES WERE VALUED AT APPROXIMATELY $1,409,375 BASED ON THE INDEPENDENT SECTOR. THESE SERVICE HOURS WERE SPENT ORGANIZING AND MANAGING ACTIVITIES FOR THE BENEFIT OF THE HOSPITAL'S AND NURSING HOME'S PATIENTS, PATIENTS' FAMILIES, VISITORS AND STAFF.FMCI ALSO OPERATES LIFELINE (AN EASY-TO-USE PERSONAL RESPONSE SERVICE) TO ENSURE THAT OLDER ADULTS LIVING AT HOME CAN GET QUICK ASSISTANCE WHENEVER IT MAY BE NEEDED - 24 HOURS A DAY, 365 DAYS A YEAR. WHEN THE PERSONAL HELP BUTTON IS PRESSED, A FMCI MONITOR RESPONDS, ASSESSES THE SITUATION AND SUMMONS APPROPRIATE HELP.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Revenue	$1,003,664	RevenueAmt
Desc	THE FILING ORGANIZATION LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Revenue	$1,003,664	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$388,947,845	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	Yes (1)	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	0	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	Yes (1)	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	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	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	148	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4030	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	Yes (1)	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	5075381297	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55905	ZIPCode

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 / PHYSICIAN	40.00	0.00	Yes (X)	$481,074	$0	$36,582
ERICKSON ERIC B
DIRECTOR / ADMINISTRATOR	40.00	0.00	Yes (X)	$215,497	$0	$14,317
FITZGERALD MD KEVIN
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$275,237	$0	$43,800
FLEISCHMANN MD ALAN J
DIRECTOR (1/1-3/1/2013) / PHYSICIAN	40.00	0.00	Yes (X)	$72,137	$0	$63,377
GRAU MD THOMAS J
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$280,268	$0	$66,144
GRENISEN MD MARGARET M
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$223,980	$0	$27,540
HAGER NICKIJO L
DIRECTOR / RN	40.00	0.00	Yes (X)	$146,598	$0	$30,662
HOLMAY DIANE K
DIRECTOR / RN / CNO	40.00	0.00	Yes (X)	$194,226	$0	$49,211
HUGHES PETER R
DIRECTOR/REGIONAL VP OF DEVELOPMENT	40.00	0.00	Yes (X)	$244,511	$0	$65,744	Yes (X)
JOHNSON MD TIMOTHY J
CEO/CHAIR/DIRECTOR/PHYSICIAN	40.00	0.00	Yes (X)	$443,614	$0	$58,595	Yes (X)
JUNGCK MD MARK C
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$301,171	$0	$53,991
KORDUCKI MD JANE M
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$230,433	$0	$54,607
KRIEN MD JOSEPH S
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$285,281	$0	$44,307
KRUMHOLZ MD ALAN J
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$288,817	$0	$66,233
KRUSE JOSEPH J
CAO/VICE-CHAIR/SECRETARY/DIRECTOR	40.00	0.00	Yes (X)	$278,644	$0	$55,997	Yes (X)
MOLLING DO PAUL E
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$275,172	$0	$45,941
NOEL AMY J
DIRECTOR / ADMINISTRATOR	40.00	0.00	Yes (X)	$215,750	$0	$38,216
RUSHLOW MD DAVID R
DIRECTOR / PHYSICIAN	40.00	0.00	Yes (X)	$285,196	$0	$47,419
SCHAEFER DANIEL E
DIRECTOR (1/1-5/1/13)	1.00	40.00	Yes (X)	$0	$108,417	$7,284
TIGGELAAR THOMAS H
CFO/TREASURER/DIRECTOR	40.00	0.00	Yes (X)	$237,554	$0	$50,235	Yes (X)
MORRISSEY MD JOHN E
PHYSICIAN	40.00	0.00		$1,146,645	$0	$57,738		Yes (X)
NOLTE DO CHARLES P
PHYSICIAN	40.00	0.00		$927,139	$0	$44,300		Yes (X)
RADEMACHER MD DANA E
PHYSICIAN	40.00	0.00		$922,350	$0	$45,883		Yes (X)
STEVENS MD MARK K
PHYSICIAN	40.00	0.00		$1,095,049	$0	$60,105		Yes (X)
UY MD JONATHAN J
PHYSICIAN	40.00	0.00		$738,170	$0	$50,461		Yes (X)
NESSE MD ROBERT E
FORMER CHAIR	0.00	40.00		$0	$740,824	$15,779			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,804,513	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$849,241	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,194,468	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	303	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
MAYO CLINIC
200 1ST STREET SW	ROCHESTER	MN	55905	HEALTHCARE & ADMIN	$5,583,260
FOWLER & HAMMER INC
313 MONITOR STREET	LACROSSE	WI	54603	CONSTRUCTION	$5,486,785
WEATHERBY LOCUMS
6541 NORTH FEDERAL HWY SUITE 800	FORT LAUDERDALE	FL	33308	HEALTHCARE SERVICES	$1,707,632
MAYO COLLABORATIVE SERVICES LIMITED
200 1ST STREET SW	ROCHESTER	MN	55905	HEALTHCARE SERVICES	$1,627,536
COULEE REGION MECHANICAL
2255 PALACE STREET	LACROSSE	WI	54603	HEALTHCARE SERVICES	$1,251,486

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	165	CntrctRcvdGreaterThan100KCnt
Membership Dues	$2,122	MembershipDuesAmt
Fundraising	$65,452	FundraisingAmt
Related Organizations	$1,663,613	RelatedOrganizationsAmt
Government Grants	$3,144,989	GovernmentGrantsAmt
All Other Contributions	$53,379	AllOtherContributionsAmt
Noncash Contributions	$24,459	NoncashContributionsAmt
Total Contributions	$4,929,555	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	$421,888,615	$420,015,154	$346,541	$1,526,920
RENTAL REVENUE FROM AFFILIATES	531120	$570,344	$570,344
SHARED SERVICES	561000	$433,320	$433,320
LIFELINE	621990	$252,335	$252,335
EDUCATION REVENUE	611600	$150,202	$150,202

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$291,029	TotalRevenueColumnAmt
Related Or Exempt Func Income	$287,754	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,275	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$423,585,845	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,850	TotalRevenueColumnAmt
Exclusion	$42,850	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$787,426	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$304,263	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$483,163	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$483,163	TotalRevenueColumnAmt
Exclusion	$483,163	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$84,768	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$336,678	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$251,910	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$251,910	TotalRevenueColumnAmt
Exclusion	-$251,910	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$98,783	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$65,452	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$147,863	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$49,080	TotalRevenueColumnAmt
Exclusion	-$49,080	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$2,051	GamingGrossIncomeAmt
Gaming Direct Expenses	$150	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,901	TotalRevenueColumnAmt
Exclusion	$1,901	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$275,726	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$243,470	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,256	TotalRevenueColumnAmt
Exclusion	$32,256	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA/VENDING REVENUE	722210	$1,940,569	$526,255	$1,414,314
MANAGEMENT FEE REVENUE	541610	$357,932	$200,000	$157,932
MISC. REVENUE	900099	$332,776	$79,488	$207,728	$45,560

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,750	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,886	RelatedOrExemptFuncIncomeAmt
Exclusion	$77,864	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,755,027	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$431,529,607	TotalRevenueColumnAmt
Related Or Exempt Func Income	$421,800,555	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,152,284	UnrelatedBusinessRevenueAmt
Exclusion	$3,647,213	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$206,049	TotalAmt
Program Services	$206,049	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,888,079	TotalAmt
Program Services	$4,222,842	ProgramServicesAmt
Management And General	$1,665,237	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$967,536	TotalAmt
Program Services	$723,311	ProgramServicesAmt
Management And General	$244,225	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$191,205,065	TotalAmt
Program Services	$187,311,165	ProgramServicesAmt
Management And General	$3,893,900	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,530,464	TotalAmt
Program Services	$15,077,198	ProgramServicesAmt
Management And General	$453,266	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,578,540	TotalAmt
Program Services	$34,563,003	ProgramServicesAmt
Management And General	$1,015,537	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,383,209	TotalAmt
Program Services	$12,021,798	ProgramServicesAmt
Management And General	$361,411	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$18,485,024	TotalAmt
Management And General	$18,485,024	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$103,768	TotalAmt
Management And General	$103,768	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$14,100	TotalAmt
Management And General	$14,100	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,482	TotalAmt
Management And General	$10,482	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,639,619	TotalAmt
Program Services	$13,964,890	ProgramServicesAmt
Management And General	$674,729	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,044,049	TotalAmt
Program Services	$195,234	ProgramServicesAmt
Management And General	$848,815	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,523,192	TotalAmt
Program Services	$14,622,936	ProgramServicesAmt
Management And General	$900,256	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,726,506	TotalAmt
Management And General	$1,726,506	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,732,890	TotalAmt
Program Services	$13,541,092	ProgramServicesAmt
Management And General	$191,798	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$887,296	TotalAmt
Program Services	$863,606	ProgramServicesAmt
Management And General	$23,690	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,340,900	TotalAmt
Program Services	$2,314,248	ProgramServicesAmt
Management And General	$26,652	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$829,597	TotalAmt
Program Services	$829,597	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,448,464	TotalAmt
Program Services	$12,758,278	ProgramServicesAmt
Management And General	$690,186	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,361,995	TotalAmt
Program Services	$1,361,995	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAX	$21,900	$21,900
MEDICAL SUPPLIES	$50,379,400		$50,379,400
BAD DEBT EXPENSE	$17,384,423		$17,384,423
MN CARE TAX	$5,371,231		$5,371,231

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,485,835	TotalAmt
Program Services	$1,235,549	ProgramServicesAmt
Management And General	$250,286	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$420,549,613	TotalAmt
Program Services	$388,947,845	ProgramServicesAmt
Management And General	$31,601,768	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,339	BOYAmt
EOY	$32,700	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$73,197	BOYAmt
EOY	$68,341	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,745	BOYAmt
EOY	$22,390	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,318,530	BOYAmt
EOY	$70,465,604	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$1,734	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,442,889	BOYAmt
EOY	$1,378,593	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,523,145	BOYAmt
EOY	$7,591,383	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,351,128	BOYAmt
EOY	$18,323,569	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$275,302,180	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$163,018,831	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$110,719,374	BOYAmt
EOY	$112,283,349	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$330,772	BOYAmt
EOY	$21,613,173	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,853,806	BOYAmt
EOY	$21,681,997	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$241,691,925	BOYAmt
EOY	$253,462,833	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$82,613,518	BOYAmt
EOY	$44,722,932	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,230,810	BOYAmt
EOY	$986,945	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$54,903	BOYAmt
EOY	$43,931	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,331,718	BOYAmt
EOY	$20,021,098	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,230,949	BOYAmt
EOY	$65,774,906	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$134,460,976	BOYAmt
EOY	$187,687,927	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$134,460,976	BOYAmt
EOY	$187,687,927	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$241,691,925	BOYAmt
EOY	$253,462,833	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,979,994	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$42,246,957	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	$10,482	OtherActivitiesAmt
Total Lobbying Expenditures	$10,482	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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,637,491	BeginningYearBalanceAmt
Contributions	$960,654	ContributionsAmt
Investment Earnings Or Losses	$1,100,771	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$672,798	GrantsOrScholarshipsAmt
End Year Balance	$18,026,118	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,943,228	BeginningYearBalanceAmt
Contributions	$608,124	ContributionsAmt
Investment Earnings Or Losses	$632,787	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$546,648	GrantsOrScholarshipsAmt
End Year Balance	$16,637,491	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,028,434	BeginningYearBalanceAmt
Contributions	$1,367,448	ContributionsAmt
Investment Earnings Or Losses	-$512,980	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$939,674	GrantsOrScholarshipsAmt
End Year Balance	$15,943,228	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,824,272	BeginningYearBalanceAmt
Contributions	$1,086,762	ContributionsAmt
Investment Earnings Or Losses	$416,290	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,298,890	GrantsOrScholarshipsAmt
End Year Balance	$16,028,434	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,421,455	BeginningYearBalanceAmt
Contributions	$7,660,836	ContributionsAmt
Investment Earnings Or Losses	$596,750	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$854,769	GrantsOrScholarshipsAmt
End Year Balance	$15,824,272	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.78940	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.21060	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,198,461	OtherCostOrOtherBasisAmt
Book Value	$11,198,461	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$136,777	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$172,055,235	OtherCostOrOtherBasisAmt
Depreciation	$102,305,893	DepreciationAmt
Book Value	$69,886,119	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$533,300	OtherCostOrOtherBasisAmt
Depreciation	$522,378	DepreciationAmt
Book Value	$10,922	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,117,658	OtherCostOrOtherBasisAmt
Depreciation	$59,939,732	DepreciationAmt
Book Value	$22,177,926	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,260,749	OtherCostOrOtherBasisAmt
Depreciation	$250,828	DepreciationAmt
Book Value	$9,009,921	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$112,283,349	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	MAYO POOLED INVESTMENTS	Desc
Book Value	$21,613,173	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$21,613,173	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE FROM AFFILIATES	Desc
Book Value	$21,681,997	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$21,681,997	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$16,561,608
DEFERRED COMPENSATION LIABILITY	$2,231,202
ASSET RETIREMENT OBLIGATION	$1,228,288

Field	Value	IRS element (for citing)
Total Liability	$20,021,098	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	ASSISTED LIVING SECURITY DEPOSITS.
PART V, LINE 4:	THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS.
PART X, LINE 2:	AT DECEMBER 31, 2013 AND 2012, 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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	TINY TIM	NameOfEvent1Amt
Gross Receipts Event1	$104,988	GrossReceiptsEvent1Amt
Charitable Contri Event1	$65,197	CharitableContriEvent1Amt
Gross Revenue Event1	$39,791	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$14,459	NonCashPrizesEvent1Amt
Food And Beverage Event1	$13,642	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$25,662	OtherDirectExpensesEvent1Amt
Name Of Event2	GERANIUMS	NameOfEvent2Amt
Gross Receipts Event2	$33,761	GrossReceiptsEvent2Amt
Charitable Contri Event2	$0	CharitableContriEvent2Amt
Gross Revenue Event2	$33,761	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$24,544	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$138,749	GrossReceiptsTotalAmt
Charitable Contributions Tot	$65,197	CharitableContributionsTotAmt
Gross Revenue Total Events	$73,552	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$14,459	NonCashPrizesTotalEventsAmt
Food And Beverage Total Events	$13,642	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$50,206	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$78,307	DirectExpenseSummaryEventsAmt
Net Income Summary	-$4,755	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
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
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	$2,970,997	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,970,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,076,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,662,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,414,309	NetCommunityBenefitExpnsAmt
Total Expense	0.06300	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,047,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,662,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,385,306	NetCommunityBenefitExpnsAmt
Total Expense	0.07040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$503,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$412,996	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,230,698	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,067,024	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,163,674	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,247,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,944,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,303,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$497,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$143,437	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$353,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,760	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,760	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,489,196	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,244,943	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,244,253	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,536,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,907,264	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,629,559	NetCommunityBenefitExpnsAmt
Total Expense	0.08590	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,014	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,014	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,183	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,183	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,249	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,249	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$88,537	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$17,384,423	BadDebtExpenseAmt
Reimbursed By Medicare	$48,389,902	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$55,513,073	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,123,171	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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room OtherEmergencyRoomOtherInd
FRANCISCAN MEDICAL CTR-LACROSSE HOSPITAL
1	700 WEST AVENUE SOUTH	LACROSSE	WI	546014796	WWW.MAYOCLINICHELATHSYSTEM.ORG	24	Yes (X)	Yes (X)	Yes (X)	Yes (X)
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL
2	310 WEST MAIN STREET	SPARTA	WI	546562142	WWW.MAYOCLINICHELATHSYSTEM.ORG	1009	Yes (X)	Yes (X)			Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	ResidencyResidencyInd	Other FactorsOtherFactorsInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Available On RequestAvailableOnRequestInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL
1	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	100.000000000000	Yes (1)	300.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL
2	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	Yes (1)	Yes (X)	WWW.MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	0	0	Yes (1)	Yes (1)	100.000000000000	Yes (1)	300.000000000000	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 3: THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA IS BASED INCLUDED PARTICIPATION OF THE PUBLIC HEALTH DEPARTMENTS OF HOUSTON, LACROSSE, 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 3: THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA IS BASED INCLUDED PARTICIPATION OF THE PUBLIC HEALTH DEPARTMENTS OF HOUSTON, LACROSSE, 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 4: THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA REPORT IS BASED INCLUDED MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER-LACROSSE 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 4: THE COALITION THAT CONDUCTED THE "COMPASS NOW" ASSESSMENT ON WHICH THIS CHNA REPORT IS BASED INCLUDED MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER-LACROSSE 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 7: ACCESS TO AND COST OF DENTAL CARE AND ILLEGAL DRUG USE WERE DETERMINED TO BE EMERGING ISSUES TO WATCH.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 7: ACCESS TO AND COST OF DENTAL CARE AND ILLEGAL DRUG USE WERE DETERMINED TO BE EMERGING ISSUES TO WATCH.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 12I: 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 12I: 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 14G: WITH REGARD 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 14G: WITH REGARD 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 18E: 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 18E: 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 20D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 25% 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.
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL	PART V, SECTION B, LINE 20D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 25% 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	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
FRANCISCAN MEDICAL CENTER - LACROSSE
800 WEST AVENUE SOUTH	LACROSSE	WI	546014796	CLINIC, PHARMACY
ONALASKA CLINIC
191 THEATER ROAD	ONALASKA	WI	54650	CLINIC, BEHAVIORAL HEALTH CLINIC, PHARMACY, DME
TOMAH CLINIC
325 BUTTS AVENUE	TOMAH	WI	546600610	CLINIC, BEHAVIORAL HEALTH CLINIC
BEHAVIORAL HEALTH SERVICE-LACROSSE
212 11TH STREET SOUTH	LACROSSE	WI	54601	BEHAVIORAL HEALTH CLINIC
HOLMEN CLINIC
1303 MAIN STREET S	HOLMEN	WI	546369337	CLINIC, BEHAVIORAL HEALTH CLINIC
ARCADIA CLINIC
464 SOUTH ST JOSEPH AVENUE	ARCADIA	WI	546121499	CLINIC, BEHAVIORAL HEALTH CLINIC, DME
SPARTA CLINIC
310 WEST MAIN STREET	SPARTA	WI	546562142	CLINIC, BEHAVIORAL HEALTH CLINIC, DME
FRANCISCAN LACROSSE CLINIC DME
620 SOUTH 11TH STREET	LACROSSE	WI	546014711	DME
WAUKON CLINIC
105 EAST MAIN STREET	WAUKON	IA	52172	CLINIC
PRAIRIE DU CHIEN CLINIC
800 EAST BLACKHAWK AVENUE	PRAIRIE DU CHIEN	WI	53821	CLINIC, BEHAVORIAL HEALTH
PROFESSIONAL ARTS BUILDING
615 SOUTH 10TH STREET	LACROSSE	WI	54601	ALLERGY, ORAL SURGERY
FRANCISCAN FAMILY HEALTH CLINIC
815 SOUTH 10TH STREET	LACROSSE	WI	54601	FAMILY HEALTH CLINIC
FRANCISCAN-HOME CARE PHARMACY
700 WEST AVENUE SOUTH	LACROSSE	WI	54601	PHARMACY
CALEDONIA CLINIC
701 NORTH PRAGUE STREET	CALEDONIA	MN	559211066	CLINIC, BEHAVIORAL HEALTH CLINIC, DME
LA CRESCENT CLINIC
524 NORTH ELM	LA CRESCENT	MN	559471027	CLINIC
FRANCISCAN OCCUPATIONAL HEALTH CLINIC
630 10TH STREET	LACROSSE	WI	54601	OCCUPATIONAL HEALTH CLINIC
SIENA HALL
613 SOUTH 10TH STREET	LACROSSE	WI	54601	BEHAVIORAL HEALTH
VILLAGE ON 9TH
621 SOUTH 9TH STREET	LACROSSE	WI	54601	ELDERLY HOUSING
VILLA SUCCESS
121 PRAIRIE STREET	PRAIRIE DU CHIEN	WI	53821	BEHAVIORAL HEALTH
WOMEN'S LAAR HOUSE
1005 JACKSON STREET	LACROSSE	WI	54601	BEHAVIORAL HEALTH
ST CLARE HEALTH MISSION
916 FERRY STREET	LACROSSE	WI	54601	CLINIC
SCARSETH HOUSE
535 SOUTH 17TH STREET	LACROSSE	WI	54601	BEHAVIORAL HEALTH
GROUP HOME I
518 10TH STREET SOUTH	LACROSSE	WI	54601	BEHAVIORAL HEALTH
VILLAGE ON CASS
225 24TH STREET SOUTH	LACROSSE	WI	54601	ELDERLY HOUSING
GERARD HALL
940 DIVISION STREET	LACROSSE	WI	54601	MATERNITY HOME
WALMART CLINIC OPERATED BY FRANCISCAN HE
4622 MORMON COULEE RD	LACROSSE	WI	54601	CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
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: $171,767.
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 $ 17,384,423.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE FILING ORGANIZATION MADE SEVERAL CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS WITHIN THE COMMUNITY WHICH PROMOTED COMMUNITY SUPPORT AND COALITION BUILDING. SOME OF THE LARGER CONTRIBUTIONS INCLUDED $10,000 TO THE BOYS AND GIRLS CLUB OF THE GREATER COULEE REGION, $10,000 TO THE CASA FOR KIDS PROGRAM AT THE YWCA, $6,000 TO BLUFF COUNTY FAMILY RESOURCE, $14,183 FOR SLEEP SACKS FOR NEWBORNS, $41,494 TO THE LACROSSE HEALTH SCIENCE CONSORTIUM AND $5,000 TO THE DIOCESE OF LACROSSE.
PART III, LINE 2:	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, 6, 8 AND 9 OF MAYO CLINIC'S 2013 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 $58,213,000 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 MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY 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 MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT.
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: 2012 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 LACROSSE 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.
PART VI, LINE 4:	MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVES THE RESIDENTS OF BUFFALO, TREMPELEAU, JACKSON, MONROE, LACROSSE, 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 LACROSSE (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 ORGANIZATIONS 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 (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VITERBO UNIVERSITY
900 VITERBO DRIVE	LACROSSE	WI	54601	390978445	501C3	$8,500	EDUCATION
BOYS AND GIRLS CLUB OF GREATER LACROSSE
1331 CLINTON STREET	LACROSSE	WI	54603	396084791	501C3	$10,000	SUPPORT MISSION
YWCA OF THE COULEE REGION
3219 COMMERCE STREET	LACROSSE	WI	54603	390810543	501C3	$10,000	SUPPORT MISSION
MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVENUE SOUTH	LACROSSE	WI	54601	391186647	501C3	$53,260	SUPPORT MISSION
LACROSSE MEDICAL HEALTH SCIENCE CONSORTIUM
1300 BADGER STREET	LACROSSE	WI	54601	391804725	501C3	$41,494	SUPPORT MISSION
BLUFF COUNTY FAMILY RESOURCES
PO BOX 294	HOKAH	MN	55941	411502808	501C3	$6,000	SUPPORT MISSION
BENEDICTINE LIVING COMMUNITY OF ARCADIA FOUNDATION
434 SOUTH ST JOSEPH AVENUE	ARCADIA	WI	54612	411513014	501C3	$5,808	SUPPORT MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (24 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 / PHYSICIAN	$264,938	$0	$0	$0	$216,136	$0	$12,213	$0	$24,369	$0	$517,656	$0	$0	$0
ERICKSON ERIC B
DIRECTOR / ADMINISTRATOR	$197,397	$0	$0	$0	$18,100	$0	$2,889	$0	$11,428	$0	$229,814	$0	$0	$0
FITZGERALD MD KEVIN
DIRECTOR / PHYSICIAN	$192,774	$0	$0	$0	$82,463	$0	$17,065	$0	$26,735	$0	$319,037	$0	$0	$0
GRAU MD THOMAS J
DIRECTOR / PHYSICIAN	$274,970	$0	$0	$0	$5,298	$0	$45,000	$0	$21,144	$0	$346,412	$0	$0	$0
GRENISEN MD MARGARET M
DIRECTOR / PHYSICIAN	$139,820	$0	$0	$0	$84,160	$0	$24,222	$0	$3,318	$0	$251,520	$0	$0	$0
HAGER NICKIJO L
DIRECTOR / RN	$125,989	$0	$0	$0	$20,609	$0	$19,180	$0	$11,482	$0	$177,260	$0	$0	$0
HOLMAY DIANE K
DIRECTOR / RN / CNO	$160,169	$0	$0	$0	$34,057	$0	$28,110	$0	$21,101	$0	$243,437	$0	$0	$0
HUGHES PETER R
DIRECTOR/REGIONAL VP OF DEVELOPMENT	$213,388	$0	$0	$0	$31,123	$0	$44,329	$0	$21,415	$0	$310,255	$0	$0	$0
JOHNSON MD TIMOTHY J
CEO/CHAIR/DIRECTOR/PHYSICIAN	$410,306	$0	$0	$0	$33,308	$0	$37,202	$0	$21,393	$0	$502,209	$0	$0	$0
JUNGCK MD MARK C
DIRECTOR / PHYSICIAN	$227,802	$0	$0	$0	$73,369	$0	$33,062	$0	$20,929	$0	$355,162	$0	$0	$0
KORDUCKI MD JANE M
DIRECTOR / PHYSICIAN	$158,130	$0	$0	$0	$72,303	$0	$28,443	$0	$26,164	$0	$285,040	$0	$0	$0
KRIEN MD JOSEPH S
DIRECTOR / PHYSICIAN	$156,844	$0	$0	$0	$128,437	$0	$18,761	$0	$25,546	$0	$329,588	$0	$0	$0
KRUMHOLZ MD ALAN J
DIRECTOR / PHYSICIAN	$282,808	$0	$0	$0	$6,009	$0	$39,481	$0	$26,752	$0	$355,050	$0	$0	$0
KRUSE JOSEPH J
CAO/VICE-CHAIR/SECRETARY/DIRECTOR	$236,632	$0	$0	$0	$42,012	$0	$30,447	$0	$25,550	$0	$334,641	$0	$0	$0
MOLLING DO PAUL E
DIRECTOR / PHYSICIAN	$183,339	$0	$0	$0	$91,833	$0	$15,667	$0	$30,274	$0	$321,113	$0	$0	$0
NOEL AMY J
DIRECTOR / ADMINISTRATOR	$180,055	$0	$0	$0	$35,695	$0	$11,963	$0	$26,253	$0	$253,966	$0	$0	$0
RUSHLOW MD DAVID R
DIRECTOR / PHYSICIAN	$281,301	$0	$0	$0	$3,895	$0	$21,063	$0	$26,356	$0	$332,615	$0	$0	$0
TIGGELAAR THOMAS H
CFO/TREASURER/DIRECTOR	$202,111	$0	$0	$0	$35,443	$0	$28,546	$0	$21,689	$0	$287,789	$0	$0	$0
MORRISSEY MD JOHN E
PHYSICIAN	$892,148	$0	$0	$0	$254,497	$0	$33,154	$0	$24,584	$0	$1,204,383	$0	$0	$0
NOLTE DO CHARLES P
PHYSICIAN	$771,328	$0	$0	$0	$155,811	$0	$18,804	$0	$25,496	$0	$971,439	$0	$0	$0
RADEMACHER MD DANA E
PHYSICIAN	$657,808	$0	$0	$0	$264,542	$0	$21,210	$0	$24,673	$0	$968,233	$0	$0	$0
STEVENS MD MARK K
PHYSICIAN	$863,775	$0	$0	$0	$231,274	$0	$35,246	$0	$24,859	$0	$1,155,154	$0	$0	$0
UY MD JONATHAN J
PHYSICIAN	$636,829	$0	$0	$0	$101,341	$0	$24,839	$0	$25,622	$0	$788,631	$0	$0	$0
NESSE MD ROBERT E
FORMER CHAIR	$0	$633,648	$0	$0	$0	$107,176	$0	$54	$0	$15,725	$0	$756,603	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). GOKHAN ANIL, M.D. $15,617 KEVIN FITZGERALD, M.D. $4,032 ALAN J. FLEISCHMANN, M.D. $4,349 THOMAS J. GRAU, M.D. $6,566 MARGARET M. GRENISEN, M.D.$2,739 TIMOTHY J. JOHNSON, M.D. $31,592 MARK C. JUNGCK, M.D. $14,901 JOSEPH S. KRIEN, M.D. $7,239 ALAN J. KRUMHOLZ, M.D. $8,755 PAUL E. MOLLING, D.O. $4,479 JOHN E. MORRISSEY, M.D. $206,927 ROBERT E. NESSE, M.D. $97,541 CHARLES P. NOLTE, D.O. $86,974 DANA E. RADEMACHER, M.D $113,487 DAVID R. RUSHLOW, M.D. $7,679 MARK K. STEVENS, M.D. $192,147 JONATHAN J. UY, M.D. $85,860

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 III: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	GOKHAN ANIL MD	PersonNm
Relationship With Org	DIRECTOR/PHYSICIAN	RelationshipWithOrgTxt
Loan Purpose	COMPUTER PURCHASE PROGRAM	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$2,049	OriginalPrincipalAmt
Balance Due	$1,734	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	0	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$1,734	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
HEALTH TRADITION HEALTH PLAN
COMMON BOARD MEMBER	$29,243,361	CAPITATION PAYMENTS/MEDICAL INSURANCE PREMIUMS	0
MICHAEL TIGGELAAR
EMPLOYMENT	$62,882	COMPENSATION PAID TO SON OF BOARD MEMBER, TOM TIGGELAAR	0
LORI JUNGCK
EMPLOYMENT	$45,965	COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, MARK JUNGCK, M.D.	0
NICHOLE J KRUSE
EMPLOYMENT	$55,135	COMPENSATION PAID TO DAUGHTER OF BOARD MEMBER, JOSEPH J. KRUSE	0
HEATHER MOLLING
EMPLOYMENT	$55,177	COMPENSATION PAID TO SISTER-IN-LAW OF BOARD MEMBER, PAUL MOLLING, D.O.	0
JOHN W COCHRAN MD
EMPLOYMENT	$291,954	COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, MARGARENT M. GRENISEN, M.D.	0
STACI M ANIL
EMPLOYMENT	$62,367	COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, GOKHAN ANIL, M.D.	0
MAUREEN E GRENISEN
EMPLOYMENT	$19,417	COMPENSATION PAID TO SISTER OF BOARD MEMBER, MARGARET M. GRENISEN, M.D.	0
MMSI INC
COMMON BOARD MEMBER	$2,749,985	CAPITATION PAYMENTS/HEALTH BENEFIT PLAN	0
BEN MY KRUSE
EMPLOYMENT	$26,703	COMPENSATION PAID TO SON OF BOARD MEMBER/CAO, JOSEPH J. KRUSE	0
LUKE C COCHRAN
EMPLOYMENT	$24,322	COMPENSATION PAID TO SON OF BOARD MEMBER, MARGARET M. GRENISEN, M.D.	0
ROBIN L FITZGERALD
EMPLOYMENT	$27,142	COMPENSATION PAID TO SPOUSE OF BAORAD MEMBER, KEVIN FITZGERALD, M.D.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	HUGHES, PETER R., JOHNSON M.D., TIMOTHY J., KRUMHOLZ M.D., ALAN J., KRUSE, JOSEPH J., TIGGELAAR, THOMAS H. 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 4	THE BYLAWS OF THE ORGANIZATION WERE AMENDED ON OCTOBER 24, 2013 TO EXPAND ON THE RESERVE POWERS OF THE SOLE CORPORATE MEMEBER IN REGARD TO THE INCURRENCE OF DEBT, CAPITAL EXPENDITURES, BUDGETS, COMPENSATION, AND BRANDING. IN ADDITION, CHANGES WERE REFLECTED IN THE COMPOSITION OF THE MANAGEMENT COMMITTEE, AND A SECTION WAS ADDED REGARDING THE EXECUTION OF DOCUMENTS.
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 ORGANIZATIONS 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 AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE CEO, CAO AND PHYSICIAN LEADERS ON THE BOARD OF THE FILING ORGANIZATION WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM - PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO CLINIC HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE THEN REVIEWS AND APPROVES THE COMPENSATION. FOR THOSE INDIVIDUALS FOR WHICH THE MAYO CLINIC HEALTH SYSTEM COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. IN ADDITION TO THE ABOVE COORDINATED REVIEW PROCESS CONDUCTED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE AND/OR THE MAYO CLINIC GOVERNANCE COMMITTEE, THE SOUTHWEST WISCONSIN REGION OF THE MAYO CLINIC HEALTH SYSTEM (WHICH INCLUDES THE FILING ORGANIZATION) ALSO HAS ITS OWN COMPENSATION REVIEW AND APPROVAL PROCESS FOR THE REGION'S SENIOR LEADERSHIP AND PHYSICIANS (WHICH INCLUDES THE BOARD PRESIDENT/CEO AND CAO). THE PROCESS INCLUDES REVIEW OF COMPARABILITY DATA FOR SIMILAR SIZED ORGANIZATIONS BY AN INDEPENDENT COMMITTEE CONSISTING OF PUBLIC BOARD MEMBERS ONLY. SALARY RANGES FOR THE PAST YEAR AND RANGES FOR THE NEXT YEAR ARE REVIEWED FOR REASONABLENESS. CONTEMPORANEOUS MEETING MINUTES OF THE COMPENSATION COMMITTEE ARE KEPT ON FILE.
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:	FAS PENSION-POST RETIREMENT ADJUSTMENT 50,559,040. REVERSE BOOK / TAX DIFFERENCE FROM RELATED ORG RECEIVABLES -8,312,083.
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) 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 (43 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	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)
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH ST JOSEPH AVENUE	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MCHS--FRANCISCAN HEALTHCARE INC	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 -- METHODIST HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410739106	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	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 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)
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
1116 WEST MILL STREET	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	0
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	0
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 FOUNDATION-SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	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--HOME HEALTH & HOSPICE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL 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	MAYO CLINIC	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--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--ST JAMES	Yes (1)
MCHS--SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MCHS--WASECA
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	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 KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MFMER	Yes (1)		60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM
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 (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
FRANKLIN HEATING STATION
119 THIRD ST SW	ROCHESTER	MN	55902	410264830	UTILITY	MN	N/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200	LISLE	IL	60532	453414836	HEALTHCARE RELATED SOFTWARE	IL	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (37 entries)

Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt
GMO GLOBAL BOND INVESTMENT FUND
78 SIR JOHN ROGERSONS QUAY	DUBLIN 2	EI	OTHER FINANCIAL INVESTMENT ACTIVITIES	EI	N/A	0
HEALTH TRADITION HEALTH PLAN
			MEDICAL SERVICES COMPANY		N/A	0	1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	WI	C
LOBSS NETWORK SUPPORT 2002 INC
			ADMINISTRATIVE SERVICES		N/A	0	200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	MN	C
MAYO CLINIC GBS MAURITIUS
2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MP	HEALTHCARE MANAGEMENT	MP	N/A	0							C
MCHS--DECORAH CLINIC PHYSICIANS
			PATIENT CARE - CLINIC		N/A	0	907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	IA	C
MCHS--PHARMACY & HOME MEDICAL INC
			PHARMACY SERVICES		N/A	0	1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	WI	C
MCHS PHYSICIANS IN WAYCROSS INC
			PHYSICIAN OFFICES		N/A	0	1900 TEBEAU STREET	WAYCROSS	GA	31501	204363143	GA	C
MAYO HOLDING COMPANY
			HOLDING COMPANY		N/A	0	200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	MN	C
MAYO INSURANCE COMPANY LTD
			SELF INSURANCE POOL	CJ	N/A	0	200 FIRST STREET SW	ROCHESTER	MN	55905			C
MMSI INC
			THIRD PARTY ADMINISTRATION SERVICES		N/A	0	21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	MN	C
RESOUNDANT INC
			MANUFACTURING MEDICAL DEVICE COMPONENT		N/A	0	221 1ST AVE SW	ROCHESTER	MN	55902	461661978	MN	C
ROCHESTER AIRPORT COMPANY
			AIRPORT MANAGEMENT		N/A	0	ROUTE 2	ROCHESTER	MN	55902	410506870	MN	C
SATILLA HEALTHNET INC
			HEALTH SERVICES		N/A	0	1900 TEBEAU STREET	WAYCROSS	GA	31501	582151076	GA	C
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
			COMMERCIAL PROPERTY OWNERS ASSOCIATION		N/A	0	13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	AZ	C
THE STABILE BUILDING OWNERS' ASSOCIATION
			COMMERCIAL PROPERTY OWNERS ASSOCIATION		N/A	0	200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	MN	C
DESTINATION MEDICAL CENTER ECONOMIC DEVELOPMENT AGENCY
			ECONOMIC DEVELOPMENT		N/A	0	50 SOUTH SIXTH STREET SUITE 1500	MINNEAPOLIS	MN	554021498	464893585	MN	C
CAVALRY CLO III LTD
PO BOX 1093 GT QUEENSGATE HOUSE S	GRAND CAYMAN	CJ	INVESTMENT ACTIVITIES	CJ	N/A	0							C
CHARITABLE LEAD TRUST (2)
			CHARITABLE TRUST		N/A	0						CA	T
CHARITABLE LEAD TRUST
			CHARITABLE TRUST		N/A	0						MN	T
CHARITABLE LEAD TRUST
			CHARITABLE TRUST		N/A	0						IL	T
PERPETUAL TRUST
			CHARITABLE TRUST		N/A	0						ND	T
PERPETUAL TRUST
			CHARITABLE TRUST		N/A	0						AZ	T
PERPETUAL TRUST
			CHARITABLE TRUST		N/A	0						LA	T
PERPETUAL TRUST (2)
			CHARITABLE TRUST		N/A	0						MA	T
PERPETUAL TRUST
			CHARITABLE TRUST		N/A	0						MN	T
PERPETUAL TRUST
			CHARITABLE TRUST		N/A	0						MO	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						AZ	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						CO	T
CHARITABLE REMAINDER TRUST (7)
			CHARITABLE TRUST		N/A	0						FL	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						LA	T
CHARITABLE REMAINDER TRUST (76)
			CHARITABLE TRUST		N/A	0						MN	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						NC	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						TX	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						CO	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						IL	T
CHARITABLE REMAINDER TRUST
			CHARITABLE TRUST		N/A	0						MI	T
CHARITABLE REMAINDER TRUST (72)
			CHARITABLE TRUST		N/A	0						MN	T

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	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	Yes (1)	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	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	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 (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
B	$53,260	GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
C	$1,581,962	GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
C	$64,384	GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
R	$719,532	GAAP
MAYO CLINIC - METHODIST HOSPITAL
A	$124,325	GAAP
MAYO CLINIC - METHODIST HOSPITAL
L	$68,289	GAAP
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
Q	$61,668	GAAP
MMSI INC
M	$181,149	GAAP
MMSI INC
S	$2,749,985	GAAP
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
S	$210,770	GAAP
HEALTH TRADITION HEALTH PLAN
R	$29,243,361	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
Q	$425,000	GAAP