2013-10-15T10:36:31-05:00 2012-12-31 990 2012-01-01 411917516 GOLD CROSS AMBULANCE SERVICE GOLD 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 ROBERT E PEREZ 5075381297 2013-10-16 2012 2016-02-25 16:41:14Z SCOTT A SEINOLA 200 FIRST STREET SW ROCHESTER MN 55905 40965018 0 X WWW.MAYOMEDICALTRANSPORT.COM X 1998 MN AMBULANCE SERVICE 7 0 432 0 0 0 7281257 36934 29853653 40642834 4094 18282 59167 253743 37198171 40951793 1800 25000670 0 0 16528834 21801610 0 0 0 8656440 13687940 25187074 60490220 12011097 -19538427 39549841 20104994 6206810 6300390 33343031 13804604 X TO PROVIDE SUPERIOR PATIENT CARE, AT A REASONABLE COST IN A WAY THAT ENGAGES THE WHOLE TEAM, WORKING TOGETHER IN CLINICAL PRACTICE, EDUCATION AND RESEARCH. 0 0 53258947 25000670 39126688 PATIENT CARE - SEE SCHEDULE OGOLD CROSS AMBULANCE SERVICE IS A MEDICAL TRANSPORTATION SERVICE THAT OPERATES AS AN "OUT-OF-HOSPITAL" CARE ORGANIZATION PROVIDING MEDICAL CARE, COMPREHENSIVE MEDICAL TRANSPORTATION AND MEDICAL EDUCATION AND TRAINING TO GROUPS AND INDIVIDUALS IN THE COMMUNITIES SERVED. THE CORE PURPOSE OF THE GOLD CROSS SERVICE IS PROVIDING CARE TO PEOPLE DURING THEIR TIME OF NEED RESULTING FROM ACCIDENTS AND MEDICAL EMERGENCIES. GOLD CROSS RESPONDS TO "911" CALLS IN EACH COMMUNITY SERVED WITHOUT ANY REGARD TO REIMBURSEMENT FOR SERVICES, INCLUDING THE ABILITY OF THE CALLING PARTY TO PAY FOR THE COSTS ASSOCIATED WITH THE SERVICE. GOLD CROSS PROVIDES BASIC LIFE SUPPORT, ADVANCED LIFE SUPPORT, AND CRITICAL CARE SERVICES. NATIONALLY REGISTERED PARAMEDICS AND EMT'S (EMERGENCY MEDICAL TECHNICIANS) STAFF GOLD CROSS AMBULANCES. THIS CERTIFICATION REPRESENTS THE HIGHEST LEVEL OF CERTIFICATION FOR OUT-OF-HOSPITAL EMERGENCY CARE PROVIDERS AVAILABLE AND EXCEEDS THE AMBULANCE SERVICE STANDARDS REQUIRED BY MINNESOTA AND WISCONSIN LAW. GOLD CROSS IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SERVICES (CAMTS). THIS ACCREDITATION REQUIRES MEETING AND MAINTAINING THE HIGHEST LEVEL, RIGOROUS STANDARDS FOR SERVICES TO MEET IN THE NATION FOR AMBULANCE SERVICES. BOTH THE NATIONAL REGISTRY STATUS OF GOLD CROSS PARAMEDICS AND EMTS, AS WELL AS THE ACCREDITATION OF GOLD CROSS BY CAMTS DEMONSTRATE THE FINANCIAL AND PRACTICAL COMMITMENT GOLD CROSS HAS MADE TO PROVIDING THE BEST POSSIBLE CARE TO PATIENTS SERVED.GOLD CROSS UTILIZES DISPATCHING SERVICES PROVIDED BY A SOPHISTICATED COMPUTER AIDED DISPATCH SYSTEM HOUSED IN OUR CENTRALIZED EMERGENCY COMMUNICATIONS CENTER (ECC) IN ROCHESTER, MN, WHICH IS LOCATED IN AND OPERATED BY MAYO CLINIC - SAINT MARYS HOSPITAL, A RELATED EXEMPT MAYO ENTITY. THE ECC ENABLES AREA-WIDE DIGITAL PAGING, PROVIDES PRE-ARRIVAL MEDICAL INSTRUCTIONS TO CALLERS, AND ENSURES TIMELY AND EFFICIENT DISPATCH FOR ALL GOLD CROSS UNITS. WHEN PATIENT CARE REQUIRES IT, GOLD CROSS TEAMS UP WITH SPECIALLY TRAINED STAFF, INCLUDING REGISTERED NURSES FROM REGIONAL MEDICAL HELICOPTER PROGRAMS TO PROVIDE A HIGHER LEVEL OF CARE FOR THE PATIENT - CRITICAL CARE. THE STANDARDIZATION OF PATIENT CARE, SERVICES AND SUPPLIES ACROSS THE SYSTEM AND THE INTEGRATION OF GROUND AND AIR RESPONSE THROUGH A CENTRALIZED EMERGENCY COMMUNICATIONS CENTER HAS ENABLED GOLD CROSS TO PREPARE AN EFFICIENT PLAN OF ACTION FOR MULTIPLE INJURY INCIDENTS. IN ADDITION, GOLD CROSS FILLS A VARIETY OF PUBLIC SAFETY SERVICES IN EACH COMMUNITY SERVED.IN 2012, GOLD CROSS AMBULANCE PROVIDED MEDICAL TRANSPORTATION TO ALMOST 51,000 PATIENTS, OFTEN INVOLVING COMPREHENSIVE MEDICAL CARE DURING TRANSPORTATION. IN ADDITION, GOLD CROSS RESPONDED TO OVER 18,000 EMERGENT REQUESTS FOR SERVICE THAT DID NOT RESULT IN THE TRANSPORTATION OF A PATIENT. THESE NO TRANSPORT REQUESTS CONSUME A SIGNIFICANT AMOUNT OF FINANCIAL RESOURCES, WITHOUT A MEANS OF BILLING FOR AND COLLECTING REVENUE, AS GOLD CROSS FULFILLS ONE OF ITS ROLES AS A PUBLIC SAFETY PROVIDER IN THE COMMUNITIES SERVED. APPROXIMATELY 600 OF THESE NO TRANSPORTS ARE SPECIFIC REQUESTS FOR US TO PROVIDE EMERGENCY MEDICAL STANDBY AS OTHER PUBLIC SAFETY PROVIDERS CONDUCT THEIR NORMAL BUSINESS SUCH AS FIGHTING FIRES, DOING HIGH-RISK POLICE ENTRIES AND ACTIVITIES, ETC., WHICH CAN OFTEN CONSUME SEVERAL HOURS OF UNPAID SERVICE BY OUR CREWS FOR EACH STANDBY. IN ADDITION, GOLD CROSS SERVES THE NEEDS OF VETERANS THROUGH CONTRACTS FOR AMBULANCE SERVICE WITH THE VETERANS ADMINISTRATION IN ST. CLOUD AND DULUTH, IN MINNESOTA AND SUPERIOR, IN WISCONSIN.GOLD CROSS PROVIDES CHARITY CARE FOR PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. SERVICES ARE ALSO PROVIDED TO PATIENTS COVERED BY MEDICARE, MEDICAID, AND OTHER GOVERNMENTAL PROGRAMS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS AN ADDITIONAL FINANCIAL STRAIN ON AMBULANCE SERVICES. A RECENT GAO STUDY ON MEDICARE REIMBURSEMENT INDICATED REIMBURSEMENT FOR AMBULANCE SERVICES FALLS SHORT OF ACTUAL COSTS BY 6% IN URBAN AND RURAL AREAS AND 17% IN SUPER-RURAL AREAS. THE COST OF CHARITY CARE PROVIDED IN 2012 WAS $125,000 AND THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID IN 2012 WAS $923,000. THE UNREIMBURSED COST OF MEDICARE WAS $2,488,000. GCMN PAID $368,000 TO MNCARE, A PROGRAM THAT PROVIDES HEALTH CARE TO BENEFIT ELIGIBLE MINNESOTA RESIDENTS. 1343120 1528176 EDUCATION AND TRAINING - SEE SCHEDULE O: GOLD CROSS HAS BEEN DESIGNATED BY THE AMERICAN HEART ASSOCIATION (AHA) AS A COMMUNITY TRAINING CENTER (CTC) FOR THE AHA WHICH HAS ESTABLISHED GOLD CROSS AS A PROVIDER OF EMERGENCY CARDIAC CARE TRAINING AT VARIOUS PROFESSIONAL LEVELS FOR THE AHA. GOLD CROSS PROVIDES CUSTOMIZED EDUCATIONAL AND TRAINING PROGRAMS TO THE PUBLIC, MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, OTHER ALLIED HEALTH CARE AGENCIES, AND PUBLIC SAFETY AGENCIES COVERING TOPICS SUCH AS BASIC EMERGENCY CARE, MEDICAL-LEGAL ISSUES, OSHA REQUIREMENTS, ENVIRONMENTAL EMERGENCIES AND OTHER COURSES SPECIFIC TO CUSTOMER NEEDS. THROUGHOUT 2012, OVER 30,000 PEOPLE WERE TRAINED THROUGH THE CTC OPERATED BY GOLD CROSS.GOLD CROSS DONATES TRAINING TIME TO A VARIETY OF CITIES, COUNTIES, FIRE DEPARTMENTS, EMERGENCY MEDICAL SERVICE AGENCIES, AS WELL AS THE GENERAL PUBLIC. GOLD CROSS HAS DEMONSTRATED THIS COMMITMENT BY SUPPORTING VARIOUS ASSOCIATIONS INCLUDING THE SOUTHEAST REGIONAL EMS PROGRAM BOARD, THE MN EMS REGULATORY BOARD, THE MN EMS REGULATORY BOARD DATA COLLECTION SUBCOMMITTEE, THE MN EMS REGULATORY BOARD PREHOSPITAL EDUCATION ADVISORY COMMITTEE, THE MN EMS REGULATORY BOARD MENTAL HEALTH TRANSFER TASK FORCE, THE ROCHESTER/OLMSTED COUNTY INTEGRATED EMERGENCY MANAGEMENT SYSTEM DISASTER EXERCISE SUBCOMMITTEE, THE AMERICAN HEART ASSOCIATION, THE MINNESOTA AMBULANCE ASSOCIATION, AND THE SOUTHEAST REGIONAL EMS PREHOSPITAL ADVISORY COMMITTEE. APPROXIMATELY 7,800 HOURS OF EMPLOYEE TIME WAS PROVIDED FOR A VARIETY OF SAFETY-RELATED PROGRAMS TO VARIOUS COMMUNITIES, BUSINESSES, AND SCHOOLS. IN ADDITION, GOLD CROSS AMBULANCE SERVICE EMPLOYEES PARTICIPATED IN A LARGE NUMBER OF COMMUNITY EVENTS, SCHOOL CAREER FAIRS, STUDENT TOURS, BROWNIE TROOPS, CUB SCOUTS, BOY SCOUTS, VARIOUS PARADES, HEAD START EVENTS AND HEALTH FAIRS, AMONG OTHERS. THE ESTIMATED DOLLAR VALUE OF THESE EFFORTS AND OTHER DONATED SERVICES EXCEEDED $390,000.MANY LOCAL COMMUNITIES CANNOT UPGRADE THEIR AMBULANCE SERVICE FROM BASIC (BLS) TO ADVANCED (ALS) BECAUSE VOLUNTEERS DO NOT HAVE ACCESSIBLE TRAINING. INSPIRED BY THIS FACT, GOLD CROSS HAS WORKED WITH COMMUNITY PARTNERS IN ST. PETER, MOOSE LAKE AND PINE COUNTY (ALL IN MINNESOTA), TO DEVELOP INNOVATIVE TRAINING SOLUTIONS. SIMILARLY, VOLUNTEER COMMUNITY GROUPS SPECIALIZING IN FIRST RESPONSE OR DISASTER RESPONSE OFTEN LACK FINANCES TO MAKE INITIAL PURCHASES OF EQUIPMENT OR TO UPGRADE EQUIPMENT. GOLD CROSS DONATES USED EQUIPMENT TO SUCH ORGANIZATIONS REGULARLY. THE TOTAL VALUE OF DONATED EQUIPMENT, INCLUDING VEHICLES IN 2012 WAS APPROXIMATELY $32,000. GOLD CROSS FURTHER SUPPORTS VARIOUS COMMUNITIES BY CONTRACTING WITH THEM TO PROVIDE MANAGEMENT SUPPORT SERVICES FOR THEIR SERVICES.OVER THE YEARS, GOLD CROSS HAS DEVELOPED COOPERATIVE APPROACHES IN MEETING MEDICAL CENTER STAFFING NEEDS AS WELL AS INCREASING TRAINING FOR GOLD CROSS PARAMEDICS. BY COLLABORATING WITH HOSPITALS IN VARIOUS CITIES IN WHICH WE PROVIDE SERVICE, GOLD CROSS PARAMEDICS PROVIDE ADVANCED LEVEL PATIENT CARE IN THE EMERGENCY ROOM ENVIRONMENT IN COMMUNITIES THAT BENEFIT FROM THAT STAFFING. THROUGH THIS COLLABORATIVE EFFORT, GOLD CROSS PARAMEDICS RECEIVE TRAINING AND EXPERIENCE TO FURTHER ENHANCE THEIR SKILLS AND THE HOSPITAL AND MEDICAL CENTER BENEFIT FROM THE AVAILABILITY OF PARAMEDICS TO ASSIST DURING PERIODS OF TIME WHEN THEY EXPERIENCE SHORTAGES IN STAFFING.GOLD CROSS IS A FOUNDING MEMBER OF THE NORTH CENTRAL EMS COOPERATIVE (NCEMSC). THE NCEMSC IS OPEN TO MEMBERSHIP FROM EMS AGENCIES IN MINNESOTA, IOWA, NORTH DAKOTA, SOUTH DAKOTA, WISCONSIN AND OTHER PARTS OF THE COUNTRY, AND PROVIDES GROUP PURCHASING OF AMBULANCES, MEDICAL SUPPLIES AND DEVICES AND OTHER SERVICES IN AN EFFORT TO REDUCE COSTS OF VARIOUS INFRASTRUCTURES FOR AMBULANCE SERVICES FACING FINANCIAL HARDSHIP. IN ADDITION, GOLD CROSS PARTICIPATES IN THE WORK OF THE NORTH CENTRAL EMS INSTITUTE (NCEMSI) FOR THE PURPOSES OF ADVANCING BENCHMARKING AND PUBLIC POLICY RESEARCH RELATED TO THE EMS INDUSTRY. SIMILAR INVESTMENTS OF STAFF TIME AND ADMINISTRATIVE RESOURCES ARE EXPENDED IN EFFORTS WITH THE AMERICAN AMBULANCE ASSOCIATION ON NATIONAL BENCHMARKING EFFORTS FOR THE PURPOSE OF IMPROVING THE SERVICES PROVIDED TO THE PATIENTS SERVED BY EMS NATION WIDE, AS WELL AS THE AMERICAN HEART ASSOCIATION ON RESEARCH FUNDING AND EXECUTION OF COMMUNITY AWARENESS. RESEARCH - SEE SCHEDULE O:IN ROCHESTER, MN, GOLD CROSS IS PROUD TO HAVE ATTAINED THE NATION'S HIGHEST SURVIVAL RATE FOR OUT-OF-HOSPITAL VENTRICULAR FIBRILLATION CARDIAC ARREST VICTIMS. GOLD CROSS' RESEARCH DEMONSTRATED THE VALUE OF, AND HAS RESULTED IN NATIONWIDE EFFORTS TO PLACE AUTOMATIC DEFIBRILLATORS IN POLICE AND OTHER FIRST RESPONSE VEHICLES. AT THE END OF 2012, GOLD CROSS HAD 13 RESEARCH PROJECTS UNDERWAY, WHICH WILL HELP SHAPE CARE PROVIDED TO PATIENTS IN THE OUT OF HOSPITAL SETTING IN THE FUTURE. THESE RESEARCH PROJECTS INCLUDE PROJECTS RELATED TO CARDIAC PATIENTS, STROKE PATIENTS, AIRWAY MANAGEMENT TOOLS AND TECHNIQUES, DRIVER SAFETY, CREW CONFIGURATION AS RELATED TO PATIENT CARE, AND OTHER CRITICAL TREATMENTS FOR PATIENTS SERVED BY GOLD CROSS AND ALL OF EMS ACROSS THE NATION. RESEARCH PROJECTS ARE ESTABLISHED AND COORDINATED THROUGH THE MAYO CLINIC MEDICAL TRANSPORT RESEARCH COMMITTEE AND COMPLY WITH THE STANDARDS OF MAYO CLINIC IN ALL ASPECTS. THE INFORMATION PUBLISHED IS THE RESULT OF COLLABORATIVE EFFORTS BETWEEN GOLD CROSS AND REGIONAL HOSPITALS. GOLD CROSS HAS REQUESTED AND RECEIVED "INSTITUTIONAL REVIEW BOARD" (IRB) APPROVAL FROM THE REGIONAL HOSPITALS DEMONSTRATING THE QUALITY OF RESEARCH BEING CONDUCTED BY GOLD CROSS. OTHER RESEARCH PROJECTS UNDERWAY, DIRECTLY RELATED TO PATIENT CARE, INCLUDE A RETROSPECTIVE REVIEW OF SPINAL IMMOBILIZATION EFFICACY, A COMMUNITY CARDIAC ARREST STUDY, TRAUMA REVIEW STUDIES, AND A RETROSPECTIVE 12-LEAD ECG STUDY RELATED TO ST ELEVATION IN MYOCARDIAL INFARCTION PATIENTS. ALL RESEARCH PROJECTS ARE WELL INTEGRATED WITH OTHER MEDICAL INSTITUTIONS, INCLUDING IRB APPROVALS WHERE APPROPRIATE. THESE ARE IN ADDITION TO INTERNAL QUALITY ASSURANCE AND IMPROVEMENT STUDIES DONE WITHIN GOLD CROSS TO CONTINUALLY IMPROVE PATIENT CARE. RESULTS OF INTERNAL STUDIES ARE SHARED IN VARIOUS VENUES TO PROMOTE A HIGHER LEVEL OF CARE FOR PATIENTS SERVED BY THE EMS INDUSTRY NATIONWIDE. 54602067 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 432 1 0 0 0 0 0 0 0 0 0 0 X 7 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 MN X CORPORATE TAX UNIT 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 BOLTON JEFFREY W 1.00 40.00 X 0 777777 59357 SANTRACH MD PAULA J 1.00 40.00 X X 0 381010 52943 SCHNEIDER KENNETH J 1.00 40.00 X 0 285534 14669 SEINOLA SCOTT A 1.00 40.00 X X 0 220584 47338 SMOLDT CRAIG A 1.00 40.00 X X 0 419924 8244 TRANKEL SUSAN K 1.00 40.00 X X 0 169339 15597 ZIETLOW MD SCOTT P 1.00 40.00 X 0 484074 56748 ANDERSON PAUL D 40.00 0.00 X 156299 0 6453 GALINDEZ JR PETER 1.00 40.00 X 0 184620 40456 PEREZ ROBERT E 1.00 40.00 X 0 121188 30160 ELLINGSON RICHARD R 40.00 0.00 X 142860 0 2316 HALLUM BRADLEY G 40.00 0.00 X 106690 0 2316 MORK THOMAS 40.00 0.00 X 110492 0 1668 WILL MATTHEW D 40.00 0.00 X 107913 0 2772 WINGROVE GARY L 40.00 0.00 X 104901 0 11080 729155 3044050 352117 7 0 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION AN 200 FIRST ST SW ROCHESTER MN 55905 ACCOUNTS PAYABLE PROCUREMENT AGENT 1691627 1 36934 36934 NET PATIENT REVENUE 621910 38611645 38611645 EDUCATION REVENUE 611600 1528176 1528176 SHARED SERVICES REVENUE 561000 503013 503013 40642834 4557 4557 8112 6270 3888 9337 4224 -3067 1157 1157 13725 0 13725 13725 13725 MISC CONSULTING SERVICES 541610 209106 209106 MISC. REVENUE 900099 33404 1954 31450 MEDICAL RECORD/TRANSCRIPTION FEES 541900 10076 10076 252586 40951793 40654864 0 259995 25000670 25000670 162751 7484 155267 15475780 13175345 2300435 774976 653537 121439 4192248 3540460 651788 1195855 1008464 187391 15373 10027 5346 1001 1001 29004 29004 4104898 2378923 1725975 9841 1572 8269 1056041 821368 234673 125816 12946 112870 402781 385652 17129 943566 859821 83745 18162 4254 13908 1274 1274 1090883 1069393 21490 227352 90484 136868 BAD DEBT EXPENSE 4433554 4433554 MEDICAL SUPPLIES 596490 593200 3290 MN CARE TAX 368000 368000 EMPLOYEE RELATED EXPENS 222854 180802 42052 41050 4837 36213 60490220 54602067 5888153 0 5176327 5117367 2415 0 13379950 8703029 4626353 4676921 26959245 7205030 2785501 3105676 39549841 20104994 1400584 1447795 4806226 4852595 6206810 6300390 X 33343031 13804604 33343031 13804604 39549841 20104994 -19538427 0 X 0 1 X 1 0 X 1 36934 36935 25670372 25933176 27665265 29881881 40654864 149805558 25670372 25933176 27665265 29881882 40691798 149842493 0 0 0 149842493 742840 44784 24831 17276 18939 848670 742840 44784 24831 17276 18939 848670 68132 26550 27450 29450 240556 392138 26481344 26004510 27717546 29928608 40951293 151083301 0.99180 0.98810 0.00560 0.01030 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 29004 0 0 29004 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: DURING 2012 GOLD CROSS AMBULANCE SERVICE (GCMN) OFFICIALS HAD SEVERAL MEETINGS AND CONTACTS WITH GOVERNMENT OFFICIALS, PRIMARILY FROM THE MINNESOTA STATE GOVERNMENT. THESE MEETINGS INCLUDED DISCUSSIONS OF VARIOUS STATE REGULATORY AGENCIES. THESE MEETINGS WERE PRIMARILY HELD IN ST. PAUL, MINNESOTA. GCMN ALSO HAD A MEMBERSHIP IN THE MINNESOTA AMBULANCE ASSOCIATION WHICH MAY ADVOCATE ON BEHALF OF ITS MEMBERS BEFORE THE MINNESOTA LEGISLATURE. GCMN HAS ON OCCASION CORRESPONDED WITH ELECTED REPRESENTATIVES AND GOVERNMENT OFFICIALS OUTLINING GCMN'S CONCERNS AND RECOMMENDATIONS ON VARIOUS HEALTH CARE INITIATIVES AND PROPOSALS. THE PRIMARY FOCUS OF ALL THESE CONTACTS WAS TO DISCUSS PRINCIPLES OF AMBULANCE RELATED HEALTH CARE LEGISLATION RATHER THAN TRY TO INFLUENCE SPECIFIC PROPOSED LEGISLATION. THE MAJORITY OF THESE ACTIVITIES WERE CONDUCTED BY REGISTERED LOBBYISTS. FEES PAID TO REGISTERED LOBBYISTS FOR THESE ACTIVITIES TOTALED $29,004. EMPLOYEES AND REPRESENTATIVES OF GCMN HAVE ALSO CORRESPONDED, HELD MEETINGS AND TESTIFIED BEFORE LEGISLATORS AND LEGISLATIVE COMMITTEES AT THE REQUEST OF LEGISLATORS WHEN PARTICULAR EXPERTISE IN CERTAIN AREAS WAS REQUIRED. GCMN ALSO OCCASIONALLY HOSTS VISITS TO OUR VARIOUS SITES FOR POLICY MAKERS AND ELECTED OFFICIALS WHEN CERTAIN PROCEDURES AND UNIQUE ASPECTS OF GCMN OPERATIONS MAY HAVE A USEFUL BEARING ON PUBLIC POLICY OR THE PROVISION OF PUBLIC SERVICES. GCMN MAY ALSO DEAL WITH MEMBERS OF GOVERNMENT ON A LESS REGULAR BASIS WHEN MAKING EFFORTS TO MEET CERTAIN REGULATORY REQUIREMENTS IMPOSED BY LOCAL, STATE AND FEDERAL LAW AND RULE. THESE AREAS MAY INCLUDE AMBULANCE-RELATED REGULATIONS, PERSONNEL CERTIFICATION, TAX STATUS, LICENSING OF REGULATED ACTIVITIES SUCH AS OUR CERTIFIED TRAINING INSTITUTIONS, REAL ESTATE AND GROWTH MANAGEMENT ISSUES, ZONING, PUBLIC WORKS AND OTHER ISSUES COMMON IN THE COURSE OF PROVIDING SERVICES TO OUR PATIENTS AND FULFILLING OUR EDUCATIONAL AND RESEARCH OBLIGATIONS. WE BELIEVE THAT THESE INFORMAL MEETINGS DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION AS CONTEMPLATED BY THESE QUESTIONS. 839968 839968 3336805 2261529 1075276 9203177 6441500 2761677 4676921 MAYO POOLED INVESTMENTS 7205030 F 7205030 DUE FROM AFFILIATES 3105676 3105676 DUE TO AFFILIATES 4852595 4852595 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: AT DECEMBER 31, 2012 AND 2011, 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. 1 MAYO CLINIC 200 FIRST ST SW ROCHESTER MN 55905 416011702 501(C)(3) 25000000 SUPPORT EXEMPT PURPOSE CITY OF OWATONNA 204 EAST PEARL STREET OWATONNA MN 55060 416005444 CITY OF OWATONNA 8000 FMV 2003 FORD E350 WHEELED COACH AMBULANCE SUPPORT OF COMMUNITY WITH DONATION OF USED EQUIPMENT ST CLOUD POLICE DEPARTMENT 101 11TH AVENUE NORTH ST CLOUD MN 55303 416005515 CITY OF ST. CLOUD 8000 FMV 2003 FORD E350 WHEELED COACH AMBULANCE SUPPORT OF COMMUNITY WITH DONATION OF USED EQUIPMENT CLIFTON VOLUNTEER FIRE DEPARTMENT 6035 HOMESTEAD ROAD DULUTH MN 55804 411551119 DULUTH TOWNSHIP 8000 FMV 2003 FORD E350 WHEELED COACH AMBULANCE SUPPORT OF COMMUNITY WITH DONATION OF USED EQUIPMENT SUPERIOR TOWNSHIP VOLUNTEER FIRE DEPARTMENT 3326 TOWER AVE SUPERIOR WI 54880 396006132 SUPERIOR TOWNSHIP 7500 FMV 2003 FORD E350 WHEELED COACH AMBULANCE SUPPORT OF COMMUNITY WITH DONATION OF USED EQUIPMENT 5 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO 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. 0 1 0 0 0 0 0 0 0 BOLTON JEFFREY W 0 693020 0 0 0 84757 0 37595 0 21762 0 837134 0 0 SANTRACH MD PAULA J 0 357788 0 0 0 23222 0 40067 0 12876 0 433953 0 0 SCHNEIDER KENNETH J 0 276526 0 0 0 9008 0 245 0 14424 0 300203 0 0 SEINOLA SCOTT A 0 219769 0 0 0 815 0 26115 0 21223 0 267922 0 0 SMOLDT CRAIG A 0 372168 0 0 0 47756 0 0 0 8244 0 428168 0 0 TRANKEL SUSAN K 0 166694 0 0 0 2645 0 25 0 15572 0 184936 0 0 ZIETLOW MD SCOTT P 0 430193 0 0 0 53881 0 32910 0 23838 0 540822 0 0 ANDERSON PAUL D 145900 0 0 0 10399 0 0 0 6453 0 162752 0 0 0 GALINDEZ JR PETER 0 184177 0 0 0 443 0 19812 0 20644 0 225076 0 0 PEREZ ROBERT E 0 117338 0 0 0 3850 0 28 0 30132 0 151348 0 0 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). JEFFREY W. BOLTON $80,495 PAULA J. SANTRACH, M.D. $20,451 KENNETH J. SCHNEIDER $ 7,302 CRAIG A. SMOLDT $33,035 SCOTT P. ZIETLOW, M.D. $50,626 SUPPLEMENTAL INFORMATION PART III COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. 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. KWIK TRIP INC OVERLAPPING BOARD 434127 FUEL PURCHASE - ALL TRANSACTIONS ARE CONDUCTED AT AN ARMS LENGTH BASIS. 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: GALINDEZ JR., PETER PEREZ, ROBERT E. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL WHO IS ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BOLTON, JEFFREY W. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: SANTRACH M.D., PAULA J. SCHNEIDER, KENNETH J. SEINOLA, SCOTT A. SMOLDT, CRAIG A. TRANKEL, SUSAN K. ZIETLOW M.D., SCOTT P. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BOLTON, JEFFREY W. SCHNEIDER, KENNETH J. SMOLDT, CRAIG A. JEFFREY W. BOLTON AND SCOTT A. SEINOLA HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MMSI, INC., A RELATED TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 3 MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER ELECTS AND/OR REMOVES THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER MUST APPROVE CERTAIN ACTIONS OF THE BOARD SUCH AS INCURRENCE OF DEBT, CHANGES INVOLVING THE CORPORATION OR ITS STRATEGIC PLAN AND/OR MISSION, THE ALTERATION OF NAMES USED BY FACILITIES OPERATED BY THE CORPORATION, AND DISTRIBUTION OF ASSETS UPON DISSOLUTION. 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 SITE FINANCE STAFF AND THE TREASURER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF 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. 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 SALARIES OF THE CEO/PRESIDENT, CHAIR, AND TWO DIRECTORS WERE REVIEWED BY THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR FLORIDA, ARIZONA, AND ROCHESTER, MN - PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE ARIZONA, FLORIDA, AND ROCHESTER, MINNESOTA CAMPUSES. 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). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE SALARY AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION, AND GOVERNANCE (GOVERNANCE COMMITTEE) IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS THE COMPENSATION AND BENEFITS FOR PHYSICIANS FROM ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE GOVERNANCE COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF SENIOR PHYSICIAN, ADMINISTRATIVE, AND EXECUTIVE LEADERSHIP POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 THE FILING ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. IN REGARDS TO FILING CERTAIN FOREIGN FORMS SCHEDULE F, PART IV, LINES 3,5, & 6 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 HOLDING COMPANY (EIN: 41-1578020) 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 BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(C)(3) 7 MCHS--CHIPPEWA VALLEY INC 1 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(C)(3) 9 MAYO CLINIC 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 1 GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 AMBULANCE SERVICE MN 501(C)(3) 9 MFMER 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 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(C)(3) 9 N/A 1 MAYO CLINIC -- METHODIST HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410739106 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC -- SAINT MARYS HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410944601 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 HOSPITAL AND CLINIC AZ 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 HOSPITAL FL 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC 1900 TEBEAU STREET WAYCROSS GA 31501 581667166 HOSPITAL GA 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MAYO CLINIC HEALTH SYSTEM--ALBERT LEA 1000 FIRST DRIVE NW AUSTIN MN 55912 411404075 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--AUSTIN 1000 FIRST DRIVE NW AUSTIN MN 55912 410695606 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--AUSTIN 1 MAYO CLINIC HEALTH SYSTEM--CANNON FALLS 1116 WEST MILL STREET CANNON FALLS MN 55009 204156428 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC 1501 THOMPSON STREET BLOOMER WI 54724 390980343 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MAYO CLINIC HEALTH SYSTEM--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 MAYO CLINIC HEALTH SYSTEM--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 MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 HOSPITAL WI 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--FAIRMONT 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT MN 56031 410760836 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391186647 FUNDRAISING FOUNDATION WI 501(C)(3) 7 MCHS--FRANCISCAN HEALTHCARE INC 1 MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC 310 WEST MAIN STREET SPARTA WI 54656 391423234 FUNDRAISING FOUNDATION WI 501(C)(3) 9 MCHS--FRANCISCAN HEALTHCARE INC 1 MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 HEALTHCARE SYSTEM PARENT WI 501(C)(3) 11-I MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--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 1 MAYO CLINIC HEALTH SYSTEM--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 1 MAYO CLINIC HEALTH SYSTEM--LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--MANKATO 1025 MARSH STREET MANKATO MN 56002 411236756 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION 1025 MARSH STREET MANKATO MN 56002 411663357 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--MANKATO 1 MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE 301 SECOND STREET NE NEW PRAGUE MN 56071 410723639 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC 1222 EAST WOODLAND AVENUE BARRON WI 54812 390920634 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--EAU CLAIRE HOSPITAL INC 1 MAYO CLINIC HEALTH SYSTEM--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 1 MAYO CLINIC HEALTH SYSTEM--OWATONNA 134 SOUTHVIEW ST OWATONNA MN 55060 411862132 PATIENT CARE - CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC 2321 STOUT ROAD MENOMONIE WI 54751 510190875 HOSPITAL AND CLINIC WI 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--RED WING 701 HEWITT BOULEVARD RED WING MN 55066 411713783 PATIENT CARE SERVICES MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE 701 HEWITT BOULEVARD RED WING MN 55066 411539756 HOME HEALTHCARE SERVICES MN 501(C)(3) 7 MCHS--RED WING 1 MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD 625 NORTH JACKSON AVENUE SPRINGFIELD MN 56087 411893827 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MAYO CLINIC HEALTH SYSTEM--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 410797368 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MAYO CLINIC HEALTH SYSTEM--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 1 MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC PO BOX 2060 EAU CLAIRE WI 54702 391686673 HOME HEALTH CARE WI 501(C)(3) 9 MCHS--EAU CLAIRE HOSPITAL INC 1 MAYO CLINIC HEALTH SYSTEM--WASECA 501 NORTH STATE STREET WASECA MN 56093 363606405 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--MANKATO 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 PATIENT CARE - CLINIC FL 501(C)(3) 7 MAYO CLINIC 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 1 MAYO KLINIK STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MFMER 1 MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES 200 FIRST STREET SW ROCHESTER MN 55905 412020392 SUPPORT RESEARCH, PRACTICE & EDUCATION MN 501(C)(3) 11-I MAYO CLINIC 1 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MAYO CLINIC -- SAINT MARYS HOSPITAL 1 RED WING SEMINARY HOME 701 HEWITT BOULEVARD RED WING MN 55066 411263419 RESIDENT CARE AND HOUSING MN 501(C)(3) 9 MCHS--RED WING 1 SATILLA HEALTH MANAGEMENT INC 1900 TEBEAU STREET WAYCROSS GA 31501 581717889 HEALTHCARE SERVICES GA 501(C)(3) 3 MCHS IN WAYCROSS INC 1 THE DOWNTOWN PLAZA 701 HEWITT BOULEVARD RED WING MN 55066 411532554 ELDERLY HOUSING MN 501(C)(3) 9 MCHS--RED WING 1 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 HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA WI 54650 391545987 MEDICAL SERVICES COMPANY WI N/A C 1 LOBSS NETWORK SUPPORT 2002 INC 200 FIRST STREET SW ROCHESTER MN 55905 481276150 ADMINISTRATIVE SERVICES MN N/A C 1 MAYO CLINIC GBS MAURITIUS 2ND FLOOR EBENE MEWS 57 EBENE CYBERCITY MP HEALTHCARE MANAGEMENT MP N/A C 1 MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH IA 52101 411711329 PATIENT CARE - CLINIC IA N/A C 1 MAYO CLINIC HEALTH SYSTEM--FARIBAULT 635 FIRST STREET SE FARIBAULT MN 55021 411817179 PATIENT CARE - CLINIC MN N/A C 1 MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 391528920 PHARMACY SERVICES WI N/A C 1 MAYO COLLABORATIVE SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 411346366 REFERENCE LAB SERVICES MN N/A C 1 MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 411578020 HOLDING COMPANY MN N/A C 1 MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER MN 55905 SELF INSURANCE POOL CJ N/A C 1 MAYO MEDICAL LABORATORIES NEW ENGLAND INC 265 BALLARDVALE STREET WILMINGTON MA 01887 043323713 LABORATORY SERVICES MA N/A C 1 MAYO REGIONAL PRACTICES OF ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 061190278 THIRD PARTY ADMINISTRATION SERVICES AZ N/A C 1 MMSI INC 21 FIRST STREET SW ROCHESTER MN 55905 411547003 THIRD PARTY ADMINISTRATION SERVICES MN N/A C 1 RESOUNDANT INC 221 1ST AVE SW ROCHESTER MN 55902 461661978 MANUFACTURING MEDICAL DEVICE COMPONENT MN N/A C 1 ROCHESTER AIRPORT COMPANY ROUTE 2 ROCHESTER MN 55902 410506870 AIRPORT MANAGEMENT MN N/A C 1 SATILLA HEALTH ENTERPRISES INC 1900 TEBEAU STREET WAYCROSS GA 31501 581717222 HEALTHCARE GA N/A C 1 SATILLA HEALTHNET INC 1900 TEBEAU STREET WAYCROSS GA 31501 582151076 HEALTH SERVICES GA N/A C 1 SATILLA REGIONAL SPECIALTY PHYSICIANS INC 1900 TEBEAU STREET WAYCROSS GA 31501 204363143 PHYSICIAN OFFICES GA N/A C 1 SIT ALPHA II BOND FUND LTD CLIFTON HOUSE 75 FORTH ST GRAND CAYMAN CJ KY1-1108 980648163 INVESTMENT MANAGEMENT CJ N/A C 1 SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE AZ 85259 860870505 COMMERCIAL PROPERTY OWNERS ASSOCIATION AZ N/A C 1 THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER MN 55905 208994499 COMMERCIAL PROPERTY OWNERS ASSOCIATION MN N/A C 1 CHARITABLE LEAD TRUST CHARITABLE TRUST CA N/A T 1 PERPETUAL TRUST CHARITABLE TRUST ND N/A T 1 PERPETUAL TRUST CHARITABLE TRUST LA N/A T 1 PERPETUAL TRUST (2) CHARITABLE TRUST MA N/A T 1 PERPETUAL TRUST CHARITABLE TRUST MO N/A T 1 PERPETUAL TRUST CHARITABLE TRUST AZ N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 1 CHARITABLE REMAINDER TRUST (6) CHARITABLE TRUST FL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST FL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST IL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST LA N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST MI N/A T 1 CHARITABLE REMAINDER TRUST (68) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST (77) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST NC N/A T 1 CHARITABLE REMAINDER TRUST (2) CHARITABLE TRUST TX N/A T 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 1 1 1 1 MAYO CLINIC - SAINT MARYS HOSPITAL Q 147854 GAAP MAYO CLINIC - SAINT MARYS HOSPITAL P 2008426 GAAP MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC L 240000 GAAP MAYO CLINIC HEALTH SYSTEM--MANKATO L 110405 GAAP MMSI S 1131742 GAAP MMSI R 3014059 GAAP