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MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC (EIN 39-0806374)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-15
IRS object ID
201311979349300331
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-15T14:35:47-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390806374EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-FRANCISCANBusinessNameLine1
Business Name Line2MEDICAL CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMAYONameControl
Phone5075381297Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 WEST AVENUE SOUTHAddressLine1
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS TIGGELAARName
TitleVP/CFOTitle
Phone5075381297Phone
Date Signed2013-07-16DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS TIGGELAARNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1700 WEST AVENUE SOUTHAddressLine1
CityLA CROSSECity
StateWIState
ZIP Code54601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts419185107GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MAYOCLINICHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionHOSPITALS AND CLINICSActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees4016TotalNbrEmployees
Total Nbr Volunteers751TotalNbrVolunteers
Total Gross UBI1553320TotalGrossUBI
Net Unrelated Business Txbl Income58235NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2104279ContributionsGrantsPriorYear
Contributions Grants Current Year14591874ContributionsGrantsCurrentYear
Program Service Revenue Prior Year393769032ProgramServiceRevenuePriorYear
Program Service Revenue CY400253847ProgramServiceRevenueCY
Investment Income Prior Year12215InvestmentIncomePriorYear
Investment Income Current Year-138431InvestmentIncomeCurrentYear
Other Revenue Prior Year2384980OtherRevenuePriorYear
Other Revenue Current Year2724526OtherRevenueCurrentYear
Total Revenue Prior Year398270506TotalRevenuePriorYear
Total Revenue Current Year417431816TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year34040GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY243771GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year252084206SalariesEtcPriorYear
Salaries Etc Current Year276106865SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year150085524OtherExpensePriorYear
Other Expenses Current Year160946143OtherExpensesCurrentYear
Total Expenses Prior Year402203770TotalExpensesPriorYear
Total Expenses Current Year437296779TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3933264RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-19864963RevenuesLessExpensesCY
Total Assets BOY240278878TotalAssetsBOY
Total Assets EOY241691925TotalAssetsEOY
Total Liabilities BOY84637011TotalLiabilitiesBOY
Total Liabilities EOY107230949TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY155641867NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY134460976NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense408780354Expense
Revenue399832342Revenue
DescriptionPATIENT CARE (SCHEDULE O)MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA AND WISCONSIN. AS PART OF MAYO CLINIC, MAYO CLINIC HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO CLINIC HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS HEALTH CARE NEEDS LOCALLY. MAYO CLINIC HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO CLINIC HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.IN 2012, MAYO CLINIC HEALTH SYSTEM SITES EMPLOYED APPROXIMATELY 1,000 PHYSICIANS AND 14,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT THE MAYO CLINIC HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN 72 COMMUNITIES, THE 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 FROM A NEW IDEA TO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN AMERICA. MAYO CLINIC HEALTH SYSTEM COMPLETES MORE THAN TWO-MILLION PATIENT VISITS ANNUALLY. IT ALSO SERVES AS A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS BEING RECOGNIZED SIX TIMES BY THE AMERICAN MEDICAL GROUP ASSOCIATION'S ACCLAIM AWARD PROGRAM (2005 ACCLAIM AWARD RECIPIENT AND FIVE-TIME ACCLAIM AWARD HONOREE). THE ACCLAIM AWARDS HONOR PHYSICIAN-LED ORGANIZATIONS DELIVERING CARE ALIGNED WITH THE IDEAL DELIVERY MODEL WHERE PATIENTS EXPERIENCE SAFE, RELIABLE, RESPONSIVE, READILY AVAILABLE AND INTEGRATED CARE. IN ADDITION, THE MINNESOTA COUNCIL FOR QUALITY HAS RECOGNIZED MAYO CLINIC HEALTH SYSTEM THREE TIMES FOR ITS PERFORMANCE EXCELLENCE EFFORTS. INDIVIDUAL MAYO CLINIC HEALTH SYSTEM LOCATIONS HAVE ALSO BEEN HONORED FOR THEIR COMMITMENT TO QUALITY, SAFETY, SERVICE, PERFORMANCE AND THEIR COMMUNITIES.PEOPLE IN MINNESOTA, IOWA AND WISCONSIN CAN HAVE PEACE OF MIND KNOWING THAT MAYO CLINIC HEALTH SYSTEM AND MAYO CLINIC PARTNER TO ENSURE HEALTHIER LIVES IN THE REGION.MAYO CLINIC HEALTH SYSTEMFRANCISCAN 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 8,213 INPATIENT ADMISSIONS, 976 DELIVERIES, AND 8,440 SURGERIES DURING 2012.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. THE ACCREDITATION WILL OPEN UP THE LAB AS A NEW CHOICE FOR PATIENTS FROM A BROADER RANGE OF INSURANCE PLANS.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. OTHER COULEE BRAIN TEAM EFFORTS INCLUDE ORGANIZATION OF A SPEAKERS BUREAU, MESSAGE-OF-THE-MONTH RELEASES TO MEDIA AND THE PRESENCE OF THE WISCONSIN'S BETTER BADGER BABY BUS TOUR AT RIVERFEST.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.SKILLED NURSING FACILITIES A SKILLED NURSING FACILITY IS LOCATED IN ARCADIA, WI (75 BED CAPACITY). 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 4,922 PATIENT ENCOUNTERS IN 2012.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 7,166 PATIENT ENCOUNTERS DURING 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionPATIENT CARE (SCHEDULE O) CONTINUED.PATIENT CARE (CONTINUED)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 6,016 PATIENT ENCOUNTERS IN 2012.HOME INFUSION THERAPY - THERE WERE 147 NEW PATIENTS SERVICED BY HOME INFUSION THERAPY DURING 2012.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 2012 WAS APPROXIMATELY $2,628,000. THE COST OF UNCOMPENSATED CARE PROVIDED LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $29,036,000 IN 2012. 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 $5,387,000. OTHER EXPENSES REPORTED ELSEWHERE: THE UNREIMBURSED COST OF MEDICARE WAS $47,674,000 IN 2012.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. ADDITIONALLY, THE WI ATTORNEY GENERAL REVIEWED AND APPROVED OUR BILLING AND COLLECTION POLICIES AND PRACTICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2991159Expense
Grants243771Grants
Revenue494418Revenue
DescriptionCOMMUNITY 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, ST. CLARE HAS BECOME A MODEL FOR OTHER COMMUNITY CLINICS IN WISCONSIN. THE CLINIC HAD 4,789 PATIENT VISITS IN 2012, WITH FMCI EXPENDITURES OF $368,002 FOR THIS PROGRAM, WHICH DOES NOT INCLUDE THE VALUE OF THE MANY DONATED HOURS AND SUPPLIES. WOMEN'S HEALTH - MINNESOTA BREAST AND CERVICAL CANCER PROGRAM - THE MINNESOTA BREAST AND CERVICAL CANCER PROGRAM IS OFFERED TO PATIENTS AT THE CLINIC SITES IN MINNESOTA OR TO PATIENTS BEING SEEN IN LACROSSE FROM ONE OF THESE CLINICS 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 OUR 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. FMCI PILOTED AN EXPANDED VERSION OF THIS PROGRAM IN 2000 IN TWO DEPARTMENTS AT THE LACROSSE CAMPUS (THE CENTER FOR WOMEN'S HEALTH AND THE FAMILY HEALTH CLINIC). 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, IN 1999 AND 2000, THIS GROUP BEGAN WORKING 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. THE SEXUAL ASSAULT COMPONENT HAS BEEN FUNDED BY THE FRANCISCAN SISTERS OF PERPETUAL ADORATION (ONE OF THE CORPORATE MEMBERS OF FMCI). SOME OF THE FUNDING HAS ALSO GONE TO PROVIDE FREE COUNSELING, MONEY FOR INCIDENTAL NECESSITIES WHEN WOMEN ARE FLEEING FROM THEIR HOMES WITHOUT MONEY OR CLOTHES, MONEY FOR NEW LOCKS ON THEIR HOME, AND SIMILAR ITEMS. 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 WILL BE USED IN THIS COURSE, INCLUDING LECTURE FORMAT TO SHARE THE LATEST RESEARCH, SAMPLE CASE PRESENTATIONS, AND GROUP DISCUSSION. TOPICS WILL INCLUDE IDENTIFYING THOSE WOMEN WITH RISK FACTORS FOR HORMONE REPLACEMENT THERAPY AND ALTERNATIVES TO STANDARD HORMONE REPLACEMENT REGIMES INCLUDING PHYTOESTROGEN / NATURAL ESTROGENS AND HOLISTIC THERAPIES. 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 (HEALTH SCIENCE CENTER). FUTURE PLANS CALL FOR A NETWORK OF HEALTH EDUCATION CENTERS IN RURAL COMMUNITIES IN THE CONSORTIUM'S 27 COUNTY SERVICE AREA. 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. THE PROGRAM WAS RECENTLY CITED AS ONE OF SIX MODEL PROGRAMS IN THE NATION.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. FMCI EXPENDITURES FOR THIS PROGRAM IN 2012 WERE $2,469,391. CLINICAL PASTORAL EDUCATION PROGRAM - REESTABLISHED IN 1999, 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. THE PROGRAM IS COMMUNITY-BASED AND IS DESIGNED TO PROVIDE MINISTRY TRAINING IN NON-TRADITIONAL SETTINGS WHERE SPIRITUAL CARE MAY NOT CURRENTLY EXIST. 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. THIS PROGRAM REQUIRES CORE WORKSHOPS, ELECTIVE WORKSHOPS, AND A WORK PRACTICUM.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, RECOGNITION FOR THE CONTRIBUTIONS OF OUR VOLUNTEER TEAM, SELF-HELP OPPORTUNITIES FOR THE POOR AND UNDERPRIVILEGED, CONCERTS AND PERFORMANCES BY LOCAL FINE 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense553361Expense
Revenue25236Revenue
DescriptionCOMMUNITY ACTIVITIES & EDUCATIONAL PROGRAMS CONTINUED (SCHEDULE O): UNITED CEREBRAL PALSY - FRANCISCAN MEDICAL CENTER HAS BEEN THE LEAD SPONSOR FOR THE ANNUAL CELEBRITY WAITER NIGHT SINCE THIS EVENT FIRST CAME TO LACROSSE SIX YEARS AGO.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 ONE OF ONLY FOUR LOCAL BUSINESSES THAT HAS BEEN 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. MANAGED BY THE VOLUNTEER SERVICES AREA, UPPER-CLASS HIGH SCHOOL STUDENTS MAY SPEND A DAY TO SEVERAL WEEKS GATHERING FIRST HAND EXPERIENCE WITH HEALTHCARE OPPORTUNITIES. 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 INSTALLED IN 2000 IN THE RESOURCE LIBRARY OF THE FAMILY HEALTH CLINIC. THE DATA CAN BE READ ON SCREEN OR PRINTED FOR LATER REVIEW. SOME TOPICS EVEN OFFER BRIEF VIDEO CLIPS. HEALTHTOUCH OFFERS INFORMATION FROM SUCH TRUSTED SOURCES AS THE AMERICAN HEART ASSOCIATION, THE ARTHRITIS FOUNDATION AND THE CENTERS FOR DISEASE CONTROL. HEALTHTOUCH SERVICE IS PROVIDED FREE FOR PATIENTS, STAFF AND THE GENERAL PUBLIC THROUGH A GRANT FROM THE MCHS-FRANCISCAN HEALTHCARE FOUNDATION.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. DISEASE MANAGEMENT STRATEGIES TRANSLATES RESEARCH INTO PRACTICE BY INCORPORATING INTO PATIENT CARE THE "BEST PRACTICES" SUPPORTED BY LITERATURE THROUGH THE USE OF CONTINUOUS IMPROVEMENT TECHNIQUES. IN THIS PROCESS, FMCI STRIVES TO IMPROVE SERVICE, CLINICAL OUTCOMES, AND COST, WHICH ARE THREE FACTORS PATIENTS ASSOCIATE WITH QUALITY. 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. IT RELIES ON THE COLLABORATIVE EFFORTS OF PRIMARY CARE PHYSICIANS, GERIATRIC, BEHAVIORAL HEALTH, AND NEUROLOGY PROFESSIONALS FOR A COMPLETE PLAN OF CARE. THE PROGRAM IS ALSO PART OF THE WISCONSIN ALZHEIMER'S INSTITUTE AT THE UNIVERSITY OF WISCONSIN-MADISON AND ITS STATEWIDE NETWORK OF DIAGNOSTIC AND REFERRAL CENTERS. COLLEAGUES AT MAYO CLINIC ALZHEIMER'S DISEASE RESEARCH CENTER, WHO ARE IN THE FOREFRONT OF CLINICAL RESEARCH AND STUDIES, ARE AVAILABLE FOR CONSULTATIONS AT ANY TIME, THUS ENABLING FMCI PATIENTS TO BE ON THE CUTTING EDGE OF COMMUNITY-BASED CARE, TREATMENT AND RESEARCH.VOLUNTEER ACTIVITIES: 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 2012, APPROXIMATELY 750 VOLUNTEERS DONATED APPROXIMATELY 58,020 HOURS OF VOLUNTEER SERVICE THESE SERVICES WERE VALUED AT APPROXIMATELY $1,284,563 BASED ON THE INDEPENDENT SECTOR, A DIVISION OF THE POINTS OF LIGHT FOUNDATION, AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES. 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp553361TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev25236TotalOfOtherProgramServiceRev
Total Program Service Expense412324874TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096129NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4016NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CORPORATE TAX UNITBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075381297TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 FIRST STREET SWAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55905ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANIL MD GOKHAN
DIRECTOR/PHYSICIAN40.000.00X486585035531
FITZGERALD MD KEVIN
DIRECTOR/PHYSICIAN40.000.00X280043046695
FLEISCHMANN MD ALAN
DIRECTOR/PHYSICIAN40.000.00X265545064355
GRAU MD THOMAS J
DIRECTOR/PHYSICIAN40.000.00X280488069542
GRENISEN MD MARGARET M
DIRECTOR/PHYSICIAN40.000.00X217999031739
HAGER NICKIJO
DIRECTOR/RN40.000.00X140268034271
HOLMAY DIANE
DIRECTOR/RN/CNO40.000.00X185263051809
HUGHES PETER R
DIRECTOR/REGIONAL VP40.000.00X241515057991X
JOHNSON MD TIMOTHY J
CHAIR/CEO/DIRECTOR/PHYSICIAN40.000.00X419408049471X
JUNGCK MD MARK
DIRECTOR/PHYSICIAN40.000.00X319286060493
KORDUCKI MD JANE M
DIRECTOR/PHYSICIAN40.000.00X229859059738
KRIEN MD JOSEPH S
DIRECTOR/PHYSICIAN40.000.00X291642046987
KRUMHOLZ MD ALAN
DIRECTOR/PHYSICIAN40.000.00X282315072487
KRUSE JOSEPH J
CAO/VICE CHAIR/SECRETARY/DIRECTOR40.000.00X227274053032X
ERICKSON ERIC B
DIRECTOR(11/1-12/31/12)/PRIMARY CARE VP40.000.00X330210753
MOLLING DO PAUL
DIRECTOR/PHYSICAN40.000.00X278790048843
NEMEC JOHN
SECRETARY/DIRECTOR (1/1-10/31/12)40.000.00X212171041709X
PACZKOWSKI RONALD R
VICE-CHAIR/DIRECTOR(1/1-12/3/12)40.000.00X335976064217X
SCHAEFER DANIEL E
DIRECTOR1.0040.00X020628116577
NOEL AMY J
VICE CHAIR/DIRECTOR(12/10-12/31/12)40.000.00X108023036942X
TIGGELAAR THOMAS H
CFO/TREASURER/DIRECTOR40.000.00X226414053347X
RUSHLOW MD DAVID R
DIRECTOR/PHYSICAN40.000.00X281975053488
BUTLER MD AARON M
ORTHOPEDIST40.000.00799800043988X
MORRISSEY JOHN E
ORTHOPEDIST40.000.001264104059060X
NOLTE DO CHARLES P
ORTHOPEDIST40.000.00973219046762X
RADEMACHER MD DANA E
UROLOGIST40.000.00911125049268X
STEVENS MD MARK K
NEUROSURGEON40.000.001099325061314X
NESSE MD ROBERT E
FORMER CHAIR0.0040.00068814118683X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10391433TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs894422TotalReportableCompFrmRltdOrgs
Total Other Compensation1329092TotalOtherCompensation
Number Individuals GT100 K295NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAYO CLINIC
200 1ST STREET SWROCHESTERMN55905HEALTHCARE & ADMIN12163264
FOWLER & HAMMER INC
157 SUMMER STREETLACROSSEWI54603CONSTRUCTION3892232
XCEL ENERGY
PO BOX 8500PHILADELPHIAPA19178UTILITIES2089179
HARTFORD INSURANCE
PO BOX 828STEVENS POINTWI54481INSURANCE2060060
DELTA DENTAL OF WISCONSIN
PO BOX 0569CAROL STREAMIL60132INSURANCE2009848
FieldValueIRS element (for citing)
Number Of Contractors GT100 K184NumberOfContractorsGT100K
Fundraising Events78326FundraisingEvents
Related Organizations9802911RelatedOrganizations
Government Grants4405728GovernmentGrants
All Other Contributions304909AllOtherContributions
Noncash Contributions1710NoncashContributions
Total Contributions14591874TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE620000399323316398789185534131
EDUCATION REVENUE611600494418494418
LIFELINE621990270779270779
SHARED SERVICES REVENUE561000140098140098
RESEARCH REVENUE5417002523625236
FieldValueIRS element (for citing)
Total Program Service Revenue400253847TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1179736Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1116580Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real63156Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column63156TotalRevenueColumn
Exclusion$63,156ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other51835Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other190266Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-138431Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-138431TotalRevenueColumn
Exclusion-$138,431ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events129932GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events78326CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses183790FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-53858TotalRevenueColumn
Exclusion-$53,858ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming7105GrossIncomeGaming
Gaming Direct Expenses1710GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column5395TotalRevenueColumn
Exclusion$5,395ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory277341GrossSalesOfInventory
Cost Of Goods Sold260945CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column16396TotalRevenueColumn
Exclusion$16,396ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/VENDING REVENUE7222102103235527136$1,576,099
MANAGEMENT FEE REVENUE541610486931486931
MISC. REVENUE90009935623512230501

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column67648TotalRevenueColumn
Related Or Exempt Function Income67648RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2693437TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column417431816TotalRevenueColumn
Related Or Exempt Function Income399817865RelatedOrExemptFunctionIncome
Unrelated Business Revenue1553320UnrelatedBusinessRevenue
Exclusion$1,468,757ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total243771Total
Program Services243771ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6377300Total
Program Services4544148ProgramServices
Management And General1833152ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1976572Total
Program Services1677605ProgramServices
Management And General298967ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total180960396Total
Program Services175860125ProgramServices
Management And General5100271ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total41645113Total
Program Services40323231ProgramServices
Management And General1321882ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total33031508Total
Program Services31985959ProgramServices
Management And General1045549ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12115976Total
Program Services11675388ProgramServices
Management And General440588ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total152374Total
Management And General152374ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30500Total
Management And General30500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total8254Total
Management And General8254ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35514569Total
Program Services26704510ProgramServices
Management And General8810059ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total768280Total
Program Services248583ProgramServices
Management And General519697ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15797098Total
Program Services14512097ProgramServices
Management And General1285001ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2763276Total
Management And General2763276ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13150011Total
Program Services12916491ProgramServices
Management And General233520ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total862819Total
Program Services830680ProgramServices
Management And General32139ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2402363Total
Program Services2364763ProgramServices
Management And General37600ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total788667Total
Program Services788667ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13232329Total
Program Services12434825ProgramServices
Management And General797504ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1440951Total
Program Services1440951ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES5214230452142304
BAD DEBT EXPENSE1502583615025836
MN CARE & WI HEALTHCARE52194995219499
DUES, LICENSES & SUBSCR790778547298243480

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total856235Total
Program Services838143ProgramServices
Management And General18092ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total437296779Total
Program Services412324874ProgramServices
Management And General24971905ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27156BOY
EOY31339EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY82539BOY
EOY73197EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY40115BOY
EOY47745EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY80929021BOY
EOY73318530EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1442889BOY
EOY1442889EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7515049BOY
EOY7523145EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8365072BOY
EOY7351128EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis268617028LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec157897654LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY109606031BOY
EOY110719374EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY330772BOY
EOY330772EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY31940234BOY
EOY40853806EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY240278878BOY
EOY241691925EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY57210020BOY
EOY82613518EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1296110BOY
EOY1230810EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY49734BOY
EOY54903EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26081147BOY
EOY23331718EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY84637011BOY
EOY107230949EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY155641867BOY
EOY134460976EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155641867BOY
EOY134460976EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY240278878BOY
EOY241691925EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-19864963ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-100560ReconciliationUnrealizedInvest
Reconcilation Other Changes-1215368ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$8,254OtherActivitiesAmount
Total Lobbying Expenditures IIB8254TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15943228BeginningOfYearBalance
Contributions608124Contributions
Investment Earnings Or Losses632787InvestmentEarningsOrLosses
Grants Or Scholarships546648GrantsOrScholarships
End Of Year Balance16637491EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance16028434BeginningOfYearBalance
Contributions1367448Contributions
Investment Earnings Or Losses-512980InvestmentEarningsOrLosses
Grants Or Scholarships939674GrantsOrScholarships
End Of Year Balance15943228EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15824272BeginningOfYearBalance
Contributions1086762Contributions
Investment Earnings Or Losses416290InvestmentEarningsOrLosses
Grants Or Scholarships1298890GrantsOrScholarships
End Of Year Balance16028434EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8421455BeginningOfYearBalance
Contributions7660836Contributions
Investment Earnings Or Losses596750InvestmentEarningsOrLosses
Grants Or Scholarships854769GrantsOrScholarships
End Of Year Balance15824272EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12396987BeginningOfYearBalance
Contributions2161148Contributions
Investment Earnings Or Losses-1676307InvestmentEarningsOrLosses
Grants Or Scholarships4460373GrantsOrScholarships
End Of Year Balance8421455EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.77920PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.22080TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10633484OtherCostOrOtherBasis
Book Value10633484BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis175828694OtherCostOrOtherBasis
Depreciation99302730Depreciation
Book Value76525964BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis82154850OtherCostOrOtherBasis
Depreciation58594924Depreciation
Book Value23559926BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110719374TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value40853806BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets40853806TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$18,126,135
DEFERRED COMPENSATION LIABILITY$2,632,350
ASSET RETIREMENT OBLIGATION$2,573,233
FieldValueIRS element (for citing)
Total Of Amounts23331718TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:ARCADIA NURSING HOME RESIDENT FUNDS AND ASSISTED LIVING SECURITY DEPOSITS.
PART V, LINE 4:THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
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.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TINY TIM PROJECTNameOfEvent1
Gross Receipts Event1127542GrossReceiptsEvent1
Charitable Contributions Event169621CharitableContributionsEvent1
Gross Revenue Event157921GrossRevenueEvent1
Non Cash Prizes Event118644NonCashPrizesEvent1
Food And Beverage Event112279FoodAndBeverageEvent1
Other Direct Expenses Event128369OtherDirectExpensesEvent1
Name Of Event2GERANIUM SALESNameOfEvent2
Gross Receipts Event241147GrossReceiptsEvent2
Gross Revenue Event241147GrossRevenueEvent2
Other Direct Expenses Event232187OtherDirectExpensesEvent2
Total Number Of Other Events9TotalNumberOfOtherEvents
Gross Receipts Other Events37859GrossReceiptsOtherEvents
Charitable Contrib Other Events6994CharitableContribOtherEvents
Gross Revenue Other Events30865GrossRevenueOtherEvents
Food And Beverage Other Events3557FoodAndBeverageOtherEvents
Other Direct Expenses Other Events88755OtherDirectExpensesOtherEvents
Gross Receipts Total206548GrossReceiptsTotal
Charitable Contributions Total76615CharitableContributionsTotal
Gross Revenue Total Events129933GrossRevenueTotalEvents
Non Cash Prizes Total Events18644NonCashPrizesTotalEvents
Food And Beverage Total Events15836FoodAndBeverageTotalEvents
Other Direct Expenses Total Events149311OtherDirectExpensesTotalEvents
Direct Expense Summary Events183791DirectExpenseSummaryEvents
Net Income Summary-53858NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2627820TotalCommunityBenefitExpense
Net Community Benefit Expense2627820NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense46235909TotalCommunityBenefitExpense
Direct Offsetting Revenue17199804DirectOffsettingRevenue
Net Community Benefit Expense29036105NetCommunityBenefitExpense
Percent Of Total Expense0.06880PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense48863729TotalCommunityBenefitExpense
Direct Offsetting Revenue17199804DirectOffsettingRevenue
Net Community Benefit Expense31663925NetCommunityBenefitExpense
Percent Of Total Expense0.07500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense503012TotalCommunityBenefitExpense
Direct Offsetting Revenue52799DirectOffsettingRevenue
Net Community Benefit Expense450213NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2476047TotalCommunityBenefitExpense
Net Community Benefit Expense2476047NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3833090TotalCommunityBenefitExpense
Direct Offsetting Revenue2823162DirectOffsettingRevenue
Net Community Benefit Expense1009928NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense553361TotalCommunityBenefitExpense
Net Community Benefit Expense553361NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense12100TotalCommunityBenefitExpense
Net Community Benefit Expense12100NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7377610TotalCommunityBenefitExpense
Direct Offsetting Revenue2875961DirectOffsettingRevenue
Net Community Benefit Expense4501649NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense56241339TotalCommunityBenefitExpense
Direct Offsetting Revenue20075765DirectOffsettingRevenue
Net Community Benefit Expense36165574NetCommunityBenefitExpense
Percent Of Total Expense0.08570PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense900TotalCommunityBuildingExpense
Net Community Building Expense900NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense22192TotalCommunityBuildingExpense
Net Community Building Expense22192NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense110000TotalCommunityBuildingExpense
Net Community Building Expense110000NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense883TotalCommunityBuildingExpense
Net Community Building Expense883NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense133975TotalCommunityBuildingExpense
Net Community Building Expense133975NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$15,025,836BadDebtExpenseAmount
Amount Reimbursed By Medicare47288033AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare56233475CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8945442MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospitalEr OtherErOther
FRANCISCAN MEDICAL CTR-LACROSSE HOSPITAL
1700 WEST AVENUE SOUTHLACROSSEWI546014796XXXX
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL
2310 WEST MAIN STREETSPARTAWI546562142XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
FRANCISCAN MEDICAL CTR-LACROSSE HOSPITAL
111100.0000000000001300.0000000000001XXXXXX11XXXXX10XXXXX1X00
FRANCISCAN MEDICAL CTR-SPARTA HOSPITAL
211100.0000000000001300.0000000000001XXXXXX11XXXXX10XXXXX1X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities27NumberOfOtherFacilities

Other Facilities OtherFacilities (27 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
FRANCISCAN MEDICAL CENTER - LACROSSE
800 WEST AVENUE SOUTHLACROSSEWI546014796CLINIC, PHARMACY
ONALASKA CLINIC
191 THEATER ROADONALASKAWI54650CLINIC, BEHAVIORAL HEALTH CLINIC, PHARMACY, DME
TOMAH CLINIC
325 BUTTS AVENUETOMAHWI546600610CLINIC, BEHAVIORAL HEALTH CLINIC
BEHAVIORAL HEALTH SERVICE-LACROSSE
212 11TH STREET SOUTHLACROSSEWI54601BEHAVIORAL HEALTH CLINIC
HOLMEN CLINIC
1303 MAIN STREET SHOLMENWI546369337CLINIC, BEHAVIORAL HEALTH CLINIC
FRANCISCAN ARCADIA NURSING HOME
464 SOUTH ST JOSEPH AVENUEARCADIAWI546121499NURSING HOME
ARCADIA CLINIC
464 SOUTH ST JOSEPH AVENUEARCADIAWI546121499CLINIC, BEHAVIORAL HEALTH CLINIC, DME
SPARTA CLINIC
310 WEST MAIN STREETSPARTAWI546562142CLINIC, BEHAVIORAL HEALTH CLINIC, DME
FRANCISCAN LACROSSE CLINIC DME
620 SOUTH 11TH STREETLACROSSEWI546014711DME
WAUKON CLINIC
105 EAST MAIN STREETWAUKONIA52172CLINIC
PRAIRIE DU CHIEN CLINIC
800 EAST BLACKHAWK AVENUEPRAIRIE DU CHIENWI53821CLINIC, BEHAVORIAL HEALTH
PROFESSIONAL ARTS BUILDING
615 SOUTH 10TH STREETLACROSSEWI54601ALLERGY, ORAL SURGERY
FRANCISCAN FAMILY HEALTH CLINIC
815 SOUTH 10TH STREETLACROSSEWI54601FAMILY HEALTH CLINIC
FRANCISCAN-HOME CARE PHARMACY
700 WEST AVENUE SOUTHLACROSSEWI54601PHARMACY
CALEDONIA CLINIC
701 NORTH PRAGUE STREETCALEDONIAMN559211066CLINIC, BEHAVIORAL HEALTH CLINIC, DME
LA CRESCENT CLINIC
524 NORTH ELMLA CRESCENTMN559471027CLINIC
FRANCISCAN OCCUPATIONAL HEALTH CLINIC
630 10TH STREETLACROSSEWI54601OCCUPATIONAL HEALTH CLINIC
SIENA HALL
613 SOUTH 10TH STREETLACROSSEWI54601BEHAVIORAL HEALTH
VILLAGE ON 9TH
621 SOUTH 9TH STREETLACROSSEWI54601ELDERLY HOUSING
VILLA SUCCESS
121 PRAIRIE STREETPRAIRIE DU CHIENWI53821BEHAVIORAL HEALTH
WOMEN'S LAAR HOUSE
1005 JACKSON STREETLACROSSEWI54601BEHAVIORAL HEALTH
ST CLAIRE HEALTH MISSION
916 FERRY STREETLACROSSEWI54601CLINIC
SCARSETH HOUSE
535 SOUTH 17TH STREETLACROSSEWI54601BEHAVIORAL HEALTH
GROUP HOME I
518 10TH STREET SOUTHLACROSSEWI54601BEHAVIORAL HEALTH
VILLAGE ON CASS
225 24TH STREET SOUTHLACROSSEWI54601ELDERLY HOUSING
GERARD HALL
940 DIVISION STREETLACROSSEWI54601MATERNITY HOME
WALMART CLINIC OPERATED BY FRANCISCAN HE
4622 MORMON COULEE RDLACROSSEWI54601CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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: $85,169.
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 $ 15025836.
PART II: THE FILING ORGANIZATION MADE SEVERAL CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS WITHIN THE COMMUNITY WHICH PROMOTED ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT AND ENVIRONMENTAL IMPROVEMENTS. THE LARGEST BEING A $110,000 GRANT TO THE HILLVIEW URBAN AGRICULTURE CENTER AND $20,040 TO THE WAFER FOOD PANTRY.
PART III, LINE 4: 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.FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 6, 8 AND 9 OF MAYO CLINIC'S 2012 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 $47,674,000 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 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-LACROSSE 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 GOVENMENTAL 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-LACROSSE 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-LACROSSE 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 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 WILL WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY 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 IN MINNESOTA, AND WINNESHIEK, AND ALLAMAKEE 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.
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 ON THE MINNESOTA HOSPITAL ANNUAL REPORT OR TO THE WISCONSIN HOSPITAL ASSOCIATION.PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
VITERBO UNIVERSITY
900 VITERBO DRIVELACROSSEWI54601390978445501C39500EDUCATION
HILLVIEW URBAN AGRICULTURE CENTER
737 24TH STREET NORTHLACROSSEWI54602261891235501C3110000SUPPORT MISSION
WAFER INC
403 CAUSEWAY BOULEVARDLACROSSEWI54603391552632501C320040FOOD PANTRY
MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVENUE SOUTHLACROSSEWI54601391186647501C358600SUPPORT MISSION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANIL MD GOKHAN
DIRECTOR/PHYSICIAN2649380573802159090161470193840522116000
FITZGERALD MD KEVIN
DIRECTOR/PHYSICIAN192774032330840360212620254330326738000
FLEISCHMANN MD ALAN
DIRECTOR/PHYSICIAN265533000120408840234710329900000
GRAU MD THOMAS J
DIRECTOR/PHYSICIAN27345000070380455650239770350030000
GRENISEN MD MARGARET M
DIRECTOR/PHYSICIAN13316202386082451028789029500249738000
HAGER NICKIJO
DIRECTOR/RN13101500092530207820134890174539000
HOLMAY DIANE
DIRECTOR/RN/CNO168196000170670311610206480237072000
HUGHES PETER R
DIRECTOR/REGIONAL VP24151500000377070202840299506000
JOHNSON MD TIMOTHY J
CHAIR/CEO/DIRECTOR/PHYSICIAN40044000018968041978074930468879000
JUNGCK MD MARK
DIRECTOR/PHYSICIAN227802032330882510363300241630379779000
KORDUCKI MD JANE M
DIRECTOR/PHYSICIAN153491024960738720302620294760289597000
KRIEN MD JOSEPH S
DIRECTOR/PHYSICIAN1687420323301196670227500242370338629000
KRUMHOLZ MD ALAN
DIRECTOR/PHYSICIAN28126900010460456500268370354802000
KRUSE JOSEPH J
CAO/VICE CHAIR/SECRETARY/DIRECTOR211568000157060288880241440280306000
MOLLING DO PAUL
DIRECTOR/PHYSICAN195133032330804240198740289690327633000
NEMEC JOHN
SECRETARY/DIRECTOR (1/1-10/31/12)15059300061578038732029770253880000
PACZKOWSKI RONALD R
VICE-CHAIR/DIRECTOR(1/1-12/3/12)2232660001127100449780192390400193000
SCHAEFER DANIEL E
DIRECTOR0203738000254300016577022285800
TIGGELAAR THOMAS H
CFO/TREASURER/DIRECTOR200076000263380303940229530279761000
RUSHLOW MD DAVID R
DIRECTOR/PHYSICAN280010065590-45940255590279290335463000
BUTLER MD AARON M
ORTHOPEDIST66892801915301117190213570226310843788000
MORRISSEY JOHN E
ORTHOPEDIST906131019153033882003642902263101323164000
NOLTE DO CHARLES P
ORTHOPEDIST771451019153018261502309102367101019981000
RADEMACHER MD DANA E
UROLOGIST64721301408602498260252910239770960393000
STEVENS MD MARK K
NEUROSURGEON891051023462018481203837702293701160639000
NESSE MD ROBERT E
FORMER CHAIR05936410009450000142017263142070540400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BTHIS 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 INDIVIDUAL RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ROBERT E. NESSE, M.D. $85,127
PART IIIPART 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. COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
HEALTH TRADITION HEALTH PLAN
COMMON BOARD MEMBER25431637CAPITATION PAYMENTS/MEDICAL INSURANCE PREMIUMS0
MICHAEL TIGGELAAR
EMPLOYMENT37339COMPENSATION PAID TO SON OF BOARD MEMBER, TOM TIGGELAAR0
LORI JUNGCK
EMPLOYMENT30513COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, MARK JUNGCK, M.D.0
NENA NEMEC
EMPLOYMENT89680COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, JOHN NEMEC0
HEATHER MOLLING
EMPLOYMENT35030COMPENSATION PAID TO SISTER-IN-LAW OF BOARD MEMBER, PAUL MOLLING, D.O.0
JOHN W COCHRAN MD
EMPLOYMENT278546COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, MARGARENT M. GRENISEN, M.D.0
STACI M ANIL
EMPLOYMENT51944COMPENSATION PAID TO SPOUSE OF BOARD MEMBER, GOKHAN ANIL, M.D.0
MAUREEN E GRENISEN
EMPLOYMENT10707COMPENSATION PAID TO SISTER OF BOARD MEMBER, MARGARET M. GRENISEN, M.D.0
MMSI INC
COMMON BOARD MEMBER2461992CAPITATION PAYMENTS/HEALTH BENEFIT PLAN0
BEN MY KRUSE
EMPLOYMENT14983COMPENSATION PAID TO SON OF BOARD MEMBER/CAO, JOSEPH J. KRUSE0
GREGORY PACZKOWSKI
EMPLOYMENTCOMPENSATION PAID TO SON OF BOARD MEMBER, RONALD R. PACZKOWSKI0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3IN 2012, THE MAJORITY OF THE SUPPORT SERVICES WITHIN THE REGIONAL HEALTH CARE DELIVERY SYSTEM WERE SHIFTED TO BEING PROVIDED BY THE FILING ORGANIZATION VERSUS MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC., HOWEVER, MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEATHCARE INC.'S BOARD STILL MAINTAINS AN OVERSIGHT FUNCTION OVER THE ENTITIES.
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: SCHAEFER, DANIEL E. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: NESSE M.D., ROBERT E. PETER R. HUGHES, TIMOTHY J. JOHNSON M.D., ALAN J. KRUMHOLZ M.D., JOSEPH J. KRUSE, AND THOMAS H. TIGGELAAR HAVE A BUSINESS RELATIONSHIP AS THEY SERVE ON THE BOARD OF HEALTH TRADITION HEALTH PLAN, A RELATED TAXABLE ENTITY.
FORM 990, PART VI, SECTION A, LINE 3MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC. ALSO PROVIDED MANAGEMENT SERVICES ON A REGIONAL BASIS THAT INCLUDED THE FILING ORGANIZATION FOR A PORTION OF THE YEAR. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER IS MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNING BODY IS SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE 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 12CMAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS 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 CAO, CEO AND PHYSICIAN LEADERS ON THE BOARD OF THE FILING ORGANIZATION WAS 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, THE FILING ORGANIZATION'S INTERNAL PROCESS FOR DETERMINING COMPENSATION FOR TOP MANAGEMENT OFFICIALS INCLUDED REVIEW OF COMPARABILITY DATA FOR SIMILAR SIZED ORGANIZATIONS BY AN INDEPENDENT COMMITTEE OF THE BOARD. SALARIES FOR THE PAST YEAR AND RANGES FOR THE NEXT YEAR WERE REVIEWED FOR REASONABLENESS. CONTEMPORANEOUS MEETING MINUTES OF THE COMPENSATION COMMITTEE ARE KEPT ON FILE.
FORM 990, PART VI, SECTION C, LINE 19THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:FAS 158 PENSION ADJUSTMENT -1,215,368.
IN REGARDS TO FILING CERTAIN FOREIGN FORMSSCHEDULE F, PART IV, LINES 3, 5, & 6DISCLOSURE 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

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (48 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNAAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(C)(3)7MCHS--CHIPPEWA VALLEY INC1
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(C)(3)9MAYO CLINIC1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH ST JOSEPH AVENUEARCADIAWI54612391322480FUNDRAISING FOUNDATIONWI501(C)(3)9MCHS--FRANCISCAN HEALTHCARE INC1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(C)(3)9MFMER1
LUTHER LAKESIDE APARTMENTS INC
PO BOX 1510EAU CLAIREWI54702391409024LOW INCOME HOUSING FOR ELDERLYWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(C)(3)91N/A
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410739106HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(C)(3)3MAYO CLINIC1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(C)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC
1900 TEBEAU STREETWAYCROSSGA31501581667166HOSPITALGA501(C)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
1000 FIRST DRIVE NWAUSTINMN55912411404075HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NWAUSTINMN55912410695606HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--AUSTIN1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(C)(3)3MAYO CLINIC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(C)(3)11-IMCHS--EAU CLAIRE CLINIC INC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(C)(3)7MCHS--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(C)(3)9MCHS--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(C)(3)11-IMAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(C)(3)3MCHS--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NENEW PRAGUEMN56071410723639HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVENUEBARRONWI54812390920634HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
13025 EIGHTH STREET PO BOX 70OSSEOWI54758391029430HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEW STOWATONNAMN55060411862132PATIENT CARE - CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED WING
701 HEWITT BOULEVARDRED WINGMN55066411713783PATIENT CARE SERVICESMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE
701 HEWITT BOULEVARDRED WINGMN55066411539756HOME HEALTHCARE SERVICESMN501(C)(3)7MCHS--RED WING1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--ST JAMES1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(C)(3)7MAYO CLINIC1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(C)(3)9MAYO CLINIC1
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMFMER160486 FRANKFURT AM MAINFRANKFURTGMGM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(C)(3)11-IMAYO CLINIC1
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC -- SAINT MARYS HOSPITAL1
RED WING SEMINARY HOME
701 HEWITT BOULEVARDRED WINGMN55066411263419RESIDENT CARE AND HOUSINGMN501(C)(3)9MCHS--RED WING1
SATILLA HEALTH MANAGEMENT INC
1900 TEBEAU STREETWAYCROSSGA31501581717889HEALTHCARE SERVICESGA501(C)(3)3MCHS IN WAYCROSS INC1
THE DOWNTOWN PLAZA
701 HEWITT BOULEVARDRED WINGMN55066411532554ELDERLY HOUSINGMN501(C)(3)9MCHS--RED WING1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
FRANKLIN HEATING STATION
119 THIRD ST SWROCHESTERMN55902410264830UTILITYMNN/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200LISLEIL60532453414836HEALTHCARE RELATED SOFTWAREILN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryPostal CodeAddressForeign/PostalCode
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC1
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC1
MAYO CLINIC GBS MAURITIUS
HEALTHCARE MANAGEMENTN/AC12ND FLOOR EBENE MEWS 57EBENE CYBERCITYMPMP
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC1
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SEFARIBAULTMN55021411817179PATIENT CARE - CLINICMNN/AC1
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC1
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411346366REFERENCE LAB SERVICESMNN/AC1
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC1
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/AC1CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREETWILMINGTONMA01887043323713LABORATORY SERVICESMAN/AC1
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259061190278THIRD PARTY ADMINISTRATION SERVICESAZN/AC1
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC1
RESOUNDANT INC
221 1ST AVE SWROCHESTERMN55902461661978MANUFACTURING MEDICAL DEVICE COMPONENTMNN/AC1
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC1
SATILLA HEALTH ENTERPRISES INC
1900 TEBEAU STREETWAYCROSSGA31501581717222HEALTHCAREGAN/AC1
SATILLA HEALTHNET INC
1900 TEBEAU STREETWAYCROSSGA31501582151076HEALTH SERVICESGAN/AC1
SATILLA REGIONAL SPECIALTY PHYSICIANS INC
1900 TEBEAU STREETWAYCROSSGA31501204363143PHYSICIAN OFFICESGAN/AC1
SIT ALPHA II BOND FUND LTD
980648163INVESTMENT MANAGEMENTN/AC1CLIFTON HOUSE 75 FORTH STGRAND CAYMANCJCJKY1-1108
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC1
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC1
CHARITABLE LEAD TRUST
CHARITABLE TRUSTCAN/AT1
PERPETUAL TRUST
CHARITABLE TRUSTNDN/AT1
PERPETUAL TRUST
CHARITABLE TRUSTLAN/AT1
PERPETUAL TRUST (2)
CHARITABLE TRUSTMAN/AT1
PERPETUAL TRUST
CHARITABLE TRUSTMON/AT1
PERPETUAL TRUST
CHARITABLE TRUSTAZN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTCON/AT1
CHARITABLE REMAINDER TRUST (6)
CHARITABLE TRUSTFLN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTFLN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTILN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTLAN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTMIN/AT1
CHARITABLE REMAINDER TRUST (68)
CHARITABLE TRUSTMNN/AT1
CHARITABLE REMAINDER TRUST (77)
CHARITABLE TRUSTMNN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTNCN/AT1
CHARITABLE REMAINDER TRUST (2)
CHARITABLE TRUSTTXN/AT1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DECORAH CLINIC
L201064GAAP
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
C293367GAAP
MAYO CLINIC - METHODIST HOSPITAL
A118271GAAP
MAYO CLINIC - METHODIST HOSPITAL
L129679GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
B58600GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
C1139495GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
Q387972GAAP
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
C57966GAAP
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
L58332GAAP
MAYO COLLABORATIVE SERVICE INC
M1465212GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
L105940GAAP
MMSI INC
S2461992GAAP

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