MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY INC (EIN 39-0980343)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-01
IRS object ID: 201312139349301101
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-01T14:39:21-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390980343	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MAYO	NameControl
Phone	5075381297	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1501 THOMPSON STREET	AddressLine1
City	BLOOMER	City
State	WI	State
ZIP Code	54724	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWARD WITTROCK	Name
Title	VICE PRESIDENT	Title
Phone	7158386465	Phone
Date Signed	2013-08-01	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	EDWARD WITTROCK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1501 THOMPSON STREET	AddressLine1
City	BLOOMER	City
State	WI	State
ZIP Code	54724	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	39180932	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAYOCLINICHEALTHSYSTEM.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1959	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	HOSPITAL WITH ATTACHED NURSING HOME AND THREE CLINICS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	394	TotalNbrEmployees
Total Nbr Volunteers	56	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	213760	ContributionsGrantsPriorYear
Contributions Grants Current Year	315656	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	35033165	ProgramServiceRevenuePriorYear
Program Service Revenue CY	38689130	ProgramServiceRevenueCY
Investment Income Prior Year	72000	InvestmentIncomePriorYear
Investment Income Current Year	875	InvestmentIncomeCurrentYear
Other Revenue Prior Year	65564	OtherRevenuePriorYear
Other Revenue Current Year	53658	OtherRevenueCurrentYear
Total Revenue Prior Year	35384489	TotalRevenuePriorYear
Total Revenue Current Year	39059319	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	14805	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	20438	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	20586924	SalariesEtcPriorYear
Salaries Etc Current Year	22572425	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	21575	TotalFundrsngExpCurrentYear
Other Expense Prior Year	10492235	OtherExpensePriorYear
Other Expenses Current Year	15566645	OtherExpensesCurrentYear
Total Expenses Prior Year	31093964	TotalExpensesPriorYear
Total Expenses Current Year	38159508	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4290525	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	899811	RevenuesLessExpensesCY
Total Assets BOY	28823992	TotalAssetsBOY
Total Assets EOY	29411307	TotalAssetsEOY
Total Liabilities BOY	7681799	TotalLiabilitiesBOY
Total Liabilities EOY	7234613	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	21142193	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	22176694	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	35701324	Expense
Revenue	38670274	Revenue
Description	PATIENT CARE (SCHEDULE O)PATIENT CARE: MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY INC. (MCHS-CHIPPEWA VALLEY) IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA 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 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. PATIENT CARE: AS OUR MISSION STATES, OUR ORGANIZATION AIMS TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH. OUR VISION IS TO ACHIEVE THE HIGHEST STANDARDS FOR MEDICAL CARE AND HEALTH IMPROVEMENT IN THE COMMUNITIES IN WHICH WE LIVE AND WORK. OUR FIRST PRIORITY IS TO MEET PATIENT NEEDS GUIDED BY THE CORE VALUES OF INTEGRITY, CONTINUOUS IMPROVEMENT, SERVICE, TEAMWORK, INNOVATION, BALANCE AND FINANCIAL INTEGRITY. MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.BLOOMER HOSPITAL: THE HOSPITAL PLAYS A VITAL ROLE IN THE HEALTH AND WELL BEING OF THE COMMUNITY BY OFFERING SERVICES SUCH AS 24-HOUR EMERGENCY CARE, SAME DAY SURGERY, PT/OT/RT/SPEECH THERAPY, PULMONARY REHABILITATIVE SERVICES, CARDIAC REHABILITATIVE TREATMENTS, AND ADVANCED DIAGNOSTIC TECHNOLOGY. THE HOSPITAL HAD 474 ADMISSIONS IN 2012 INCLUDING ADULT INPATIENT AND SWING BED ADMISSIONS. THERE WERE 2,363 EMERGENCY ROOM VISITS IN 2012, ALONG WITH 114,391 LABORATORY PROCEDURES, 12,009 THERAPY AND REHABILITATIVE SERVICES, 428 OUTPATIENT SURGERIES AND 12,592 IMAGING PROCEDURES PERFORMED. MCHS - CHIPPEWA VALLEY IS LICENSED FOR 25 ACUTE AND 31 LONG-TERM CARE BEDS, AND EMPLOYS OVER 335 STAFF MEMBERS. IN 2012, MCHS - CHIPPEWA VALLEY DISCHARGED MORE THAN 475 PATIENTS. NURSING HOME: EACH RESIDENT OF THE NURSING HOME RECEIVES PERSONALIZED MEDICAL, SOCIAL AND SPIRITUAL CARE. THE FOCUS IS ON PRESERVING THE LIFESTYLE OF EACH RESIDENT WITH 24-HOUR NURSING CARE, SOCIAL SERVICES, ACTIVITY THERAPY, DIETARY SERVICES, CHAPLAIN SERVICES, AND REHABILITATION THERAPY. THERE WERE 10,551 DAYS OF SERVICE IN THE NURSING HOME DURING 2012.CHARITY CARE: MCHS - CHIPPEWA VALLEY 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 AVAILABLE TO PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2012 WAS APPROXIMATELY $661,034.ADDITIONALLY, MCHS - CHIPPEWA VALLEY PROVIDES CARE BELOW COST TO PERSONS COVERED BY MEDICAID. THE UNREIMBURSED COST OF MEDICAID WAS APPROXIMATELY $1,206,060. MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL, INC. AND MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC, INC. (LUTHER MIDELFORT) VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE WISCONSIN ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET THE ORGANIZATION'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO OUR PATIENTS REGARDING OUR CHARITY CARE PROGRAM. ADDITIONALLY, THE WISCONSIN ATTORNEY GENERAL REVIEWED AND APPROVED OUR BILLING AND COLLECTION POLICIES AND PRACTICES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	62704	Expense
Grants	2500	Grants
Revenue	710	Revenue
Description	EDUCATION (SCHEDULE O)EDUCATION: SUPPORT GROUPS: IN 2012, MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY FACILITATED THREE SUPPORT GROUPS: DIABETIC (33 CONTACTS), CELIAC SPRUE (19 CONTACTS), AND BREAST CANCER (17 CONTACTS).COMMUNITY EDUCATION: MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY COMMUNITY EDUCATION EFFORTS INCLUDE CLASSES IN BABYSITTING, SAFETY NET EDUCATION AND VARIOUS DEPARTMENT PRESENTATIONS OPEN TO THE COMMUNITY AT NO COST. WE HAVE INVOLVED A NUMBER OF DIFFERENT DISCIPLINES IN THE PROVISION OF THESE OFFERINGS. SCHOOL CONTACTS: IN 2012, MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY PROVIDED EDUCATION TO STUDENTS, KINDERGARTEN THROUGH HIGH SCHOOL ABOUT HANDWASHING, HEALTHY EATING AND EXCERCISE. OUR PHYSICIANS HAVE PRESENTED TO GRADE SCHOOL CHILDREN THROUGHOUT THE YEAR ABOUT THE IMPORTANCE OF LIVING HEALTHY LIFESTYLES. MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY DONATES TO VARIOUS SCHOOL FUNCTIONS SUCH AS AFTER-PROM PARTIES, RUN/WALKS AND MENTOR PROGRAMS AS WELL AS THE SAFETY NET AND FIREPUP PROGRAMS IN THE CHIPPEWA VALLEY AND SPORTING FUNDRAISERS. OUR CLINICS ALSO HOST ELEMENTARY STUDENTS FOR KIDS' CLINIC DAYS IN CHIPPEWA FALLS AND COLFAX.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	75291	Expense
Grants	17938	Grants
Revenue	65065	Revenue
Description	COMMUNITY BENEFIT (SCHEDULE O):COMMUNITY EVENTS: MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY PARTICIPATES IN THE BLOOMER JUMP ROPE CONTEST, AN ANNUAL COMMUNITY EVENT, IN JANUARY TO HELP ORGANIZE AND STAFF THIS EVENT. MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY SET UP A BOOTH AND ARE SPONSORS OF THE COLFAX FAIR, THE BLOOMER FAIR AND THE NORTHERN WISCONSIN STATE FAIR. THE FACILITY BUS AND STAFF MEMBERS PARTICIPATED IN PARADES IN BLOOMER, CHIPPEWA FALLS AND COLFAX DURING THE SUMMER MONTHS. OUR FACILITY IS A CORPORATE SPONSOR FOR THE CHIPPEWA COUNTY RELAY FOR LIFE WALK AND STAFF COORDINATE AND FUNDRAISE FOR THIS EVENT EACH YEAR RAISING APPROXIMATELY $3,000 IN ADDITION TO THE CORPORATE SPONSORSHIP AND PARTICIPATING IN THE RELAY FOR LIFE WALK. STAFF ALSO PARTICIPATED IN THE CHIPPEWA VALLEY HEART WALK AND THE MAKING STRIDES AGAINST BREAST CANCER WALKS, BOTH HELD IN EAU CLAIRE AND BOTH RAISING OVER $2,000 FOR THOSE CAUSES. IN COLLABORATION WITH THE AMERICAN RED CROSS FOR THE SIXTH YEAR, MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY AND KUSS FILTRATION SPONSORED THE SUMMER BLOOD DRIVE FOR THE SURROUNDING COMMUNITY OF BLOOMER.A SAFETY CAMP WAS HELD IN CHIPPEWA FALLS FOR 4TH AND 5TH GRADERS TO PROMOTE HEALTH AND SAFETY TO THE 44 CHILDREN IN ATTENDANCE. IN OCTOBER, A HEALTH FAIR WAS HELD IN BLOOMER IN CONJUNCTION WITH THE COMMUNITY WOMEN'S CLUB ARTS AND CRAFTS FAIR FOR THE SEVENTH YEAR WITH ATTENDANCE BEING AROUND 350 PEOPLE. A FALL WOMEN'S HEALTH FAIR WAS ALSO HELD AT THE CLINIC IN COLFAX AND ABOUT 60 PEOPLE ATTENDED. VARIOUS BOOTHS, INFORMATION AND SCREENINGS ARE CONDUCTED THROUGHOUT THE YEAR WITHIN THE SURROUNDING COMMUNITIES AS WELL.IN 2012, THE FACILITY WAS ALSO AN ACTIVE PARTICIPANT IN: CHAMBER OF COMMERCE EVENTS IN BLOOMER AND CHIPPEWA FALLS, WELLNESS TALKS AT THE AQUATIC CENTER IN BLOOMER, DONATING TO AREA FOOD PANTRIES AND SERVING MEALS AT AGNES TABLE IN CHIPPEWA FALLS. MEDICAL SUPPLIES WERE DONATED TO THE CHIPPEWA VALLEY FREE CLINIC LOCATED IN CHIPPEWA FALLS.SCHOLARSHIPS WERE AWARDED TO GRADUATING HIGH SCHOOL STUDENTS PURSUING A HEALTH RELATED CAREER. FOUR FAMILIES WERE SPONSORED AND PROVIDED WITH CHRISTMAS GIFTS DURING THE HOLIDAYS.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Description	VOLUNTEER PROGRAM (SCHEDULE O)VOLUNTEER PROGRAM: MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY HAS A VOLUNTEER PROGRAM COMPRISED OF APPROXIMATELY 50 COMMUNITY MEMBERS. COMMUNITY VOLUNTEERS ASSIST ACTIVITY, HEALTH INFORMATION, SOCIAL SERVICES, HOSPITAL NURSING, AND ADMINISTRATION DEPARTMENTS. THE VOLUNTEERS ASSIST BY HELPING PLANT FLOWERS, GREET PATIENTS, AND ASSIST RESIDENTS DURING ACTIVITY PROGRAMMING. THE VOLUNTEERS ARE VERY INSTRUMENTAL IN HELPING WITH FUND RAISING EVENTS FOR THE MEDICAL CENTER. ABOUT 4,877 HOURS WERE DONATED IN 2012 AT AN APPROXIMATE VALUE OF $ 106,260 BASED ON STATISTICS FROM THE INDEPENDENT SECTOR.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	35839319	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	394	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE TAX UNIT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5075381297	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BERGERON-BOWE MELISSA
SECRETARY/DIRECTOR	1.00	0.00	X	X	0	0	0
BLAIR MD DAVID
VICE PRESIDENT(1/24-12/31)/DIRECTOR	1.00	40.00	X	X	0	235703	60056
CARLSON ELDON
DIRECTOR	1.00	0.00	X		0	0	0
CULLINAN MD SUSAN M
DIRECTOR(1/24-12/31)	1.00	40.00	X		0	351297	62334
EIDE DEAN B
DIRECTOR(1/24-12/31)	1.00	40.00	X		0	125337	3565
GEISSLER DENNIS
VICE PRESIDENT/DIRECTOR(1/1-1/24)	1.00	0.00	X	X	0	0	0
GLADITSCH MD RICHARD E
DIRECTOR(1/1-1/24)	1.00	40.00	X		0	159716	43961
KUEHL MD MARY J
DIRECTOR	1.00	40.00	X		0	130953	45636
LARSON MD JOHN L
PRESIDENT/DIRECTOR	1.00	40.00	X	X	0	379327	52217
STIEHL DAVID
TREASURER/DIRECTOR	1.00	0.00	X	X	0	0	0
SULLIVAN MAURITA A
DIRECTOR	1.00	40.00	X		0	150639	40599
SUSEDIK ALLEN
DIRECTOR(7/24-12/31)	1.00	0.00	X		0	0	0
WELSH MIKE
DIRECTOR(1/1-10/23)	1.00	0.00	X		0	0	0
BAMMEL PAUL M
REGIONAL CFO	1.00	40.00		X	0	300711	61408
BYRD MD JANE D
SITE CHAIR(9/1-12/31)	1.00	40.00		X	0	233274	61144
DICKEY JOHN M
REGIONAL CAO	1.00	40.00		X	0	362803	64223
LINTON MD RANDALL L
REGIONAL CEO	1.00	40.00		X	0	576300	64577
WEINDORFER MD JASON J
SITE CHAIR(1/1-8/31)	1.00	40.00		X	0	225688	53106
WITTROCK EDWARD A
VP OPERATIONS	1.00	40.00		X	0	195411	49149
ARMSTRONG JAMES L
RN NURSE PRACTICIONER-EMERGENCY	40.00	0.00			125352	0	38646	X
KLUND STEVEN
RN ANESTHESIST-CERTIFIED	40.00	0.00			132781	0	13110	X
MORISSETTE LEE F
LEAD PHYSICIAN ASST-ED	40.00	0.00			157991	0	34670	X
REIMER RONALD J
PHYSICIAN ASST-EMERGENCY	40.00	0.00			199326	0	43117	X
WRIGHT JONATHAN C
PHYSICIAN ASST-EMERGENCY	40.00	0.00			102426	22620	21266	X
SKOLD M COLLEEN
FMR. ADMINISTRATOR	0.00	40.00			0	182028	36757		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	717876	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3631807	TotalReportableCompFrmRltdOrgs
Total Other Compensation	849541	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CL
PO BOX 1510	EAU CLAIRE	WI	54702	PURCHASED SERVICES	8310317
MAYO FOUNDATION FOR MEDICAL EDUCATION AN
200 FIRST STREET SW	ROCHESTER	MN	55905	PURCHASING AGENT	4331767
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HO
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	PURCHASED SERVICES	1756635
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HO
1221 WHIPPLE STREET	EAU CLAIRE	MN	54703	PURCHASED SERVICES	757929
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	PURCHASED SERVICES	320457

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Fundraising Events	7566	FundraisingEvents
Related Organizations	82122	RelatedOrganizations
Government Grants	225968	GovernmentGrants
Noncash Contributions	2960	NoncashContributions
Total Contributions	315656	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	620000	38622944	38622944
SHARED SERVICES REVENUE	561000	52596	52596
RENTAL REVENUE FROM AFFILIATES	531120	12880	12880
EDUCATION REVENUE	611600	710	710

Field	Value	IRS element (for citing)
Total Program Service Revenue	38689130	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	115512	TotalRevenueColumn
Exclusion	$115,512	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	450	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	450	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	450	TotalRevenueColumn
Exclusion	$450	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	114637	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-114637	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-114637	TotalRevenueColumn
Exclusion	-$114,637	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	4196	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	7566	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	3864	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	332	TotalRevenueColumn
Exclusion	$332	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	1869	GrossIncomeGaming
Gaming Direct Expenses	3112	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	-1243	TotalRevenueColumn
Exclusion	-$1,243	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
CAFETERIA/VENDING REVENUE	722210	45733	45733
MEDICAL DIRECTOR FEES	541900	7200		$7,200
MEDICAL RECORD/TRANSCRIPTION FEES	541900	775	775

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	411	TotalRevenueColumn
Related Or Exempt Function Income	411	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	54119	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	39059319	TotalRevenueColumn
Related Or Exempt Function Income	38736049	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$7,614	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	17938	Total
Program Services	17938	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	2500	Total
Program Services	2500	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	17329037	Total
Program Services	15837234	ProgramServices
Management And General	1491803	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1238357	Total
Program Services	1131751	ProgramServices
Management And General	106606	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2848568	Total
Program Services	2603343	ProgramServices
Management And General	245225	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1156463	Total
Program Services	1056906	ProgramServices
Management And General	99557	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	74793	Total
Program Services	30605	ProgramServices
Management And General	44188	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	7320	Total
Management And General	7320	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9226323	Total
Program Services	9115108	ProgramServices
Management And General	91567	ManagementAndGeneral
Fundraising	19648	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	43028	Total
Program Services	556	ProgramServices
Management And General	42472	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1951239	Total
Program Services	1846455	ProgramServices
Management And General	102970	ManagementAndGeneral
Fundraising	1814	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	105583	Total
Program Services	91273	ProgramServices
Management And General	14310	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	655934	Total
Program Services	655934	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	214117	Total
Program Services	178110	ProgramServices
Management And General	36007	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	17271	Total
Program Services	11709	ProgramServices
Management And General	5449	ManagementAndGeneral
Fundraising	113	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	933118	Total
Program Services	924532	ProgramServices
Management And General	8586	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	136766	Total
Program Services	136766	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	1055928	1055928
BAD DEBT EXPENSE	898447	898447
MEDICAID SURCHARGE	190924	190924
DUES, LICENSES AND SUBS	44345	41916	2429

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11509	Total
Program Services	11385	ProgramServices
Management And General	124	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	38159508	Total
Program Services	35839319	ProgramServices
Management And General	2298613	ManagementAndGeneral
Fundraising	21575	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1762	BOY
EOY	2010	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3531	BOY
EOY	10775	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	37046	BOY
EOY	37115	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5840795	BOY
EOY	6509774	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	30000	BOY
EOY	80000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10516	BOY
EOY	11082	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	81044	BOY
EOY	74122	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	19096753	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7668102	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	10251621	BOY
EOY	11428651	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	11976083	BOY
EOY	10645694	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	591594	BOY
EOY	612084	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	28823992	BOY
EOY	29411307	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5105871	BOY
EOY	4604739	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2575928	BOY
EOY	2629874	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7681799	BOY
EOY	7234613	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21142193	BOY
EOY	22169828	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	6866	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	21142193	BOY
EOY	22176694	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	28823992	BOY
EOY	29411307	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	899811	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	134690	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	1	AgentTrusteeEtc
Beginning Balance	374	BeginningBalance
Additions During Year	6027	AdditionsDuringYear
Distributions During Year	5982	DistributionsDuringYear
Ending Balance	419	EndingBalance
Included On FS	0	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	333987	OtherCostOrOtherBasis
Book Value	333987	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14750248	OtherCostOrOtherBasis
Depreciation	5420907	Depreciation
Book Value	9329341	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4012518	OtherCostOrOtherBasis
Depreciation	2247195	Depreciation
Book Value	1765323	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	11428651	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	MAYO CLINIC INVESTMENT POOL	Description
Book Value	10645694	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	10645694	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO AFFILIATES	Description
Amount	$2,629,874	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	2629874	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 1B:	NURSING HOME RESIDENT 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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	661034	TotalCommunityBenefitExpense
Net Community Benefit Expense	661034	NetCommunityBenefitExpense
Percent Of Total Expense	0.01770	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3556051	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2349991	DirectOffsettingRevenue
Net Community Benefit Expense	1206060	NetCommunityBenefitExpense
Percent Of Total Expense	0.03240	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1225293	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1162873	DirectOffsettingRevenue
Net Community Benefit Expense	62420	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5442378	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3512864	DirectOffsettingRevenue
Net Community Benefit Expense	1929514	NetCommunityBenefitExpense
Percent Of Total Expense	0.05180	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57353	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11283	DirectOffsettingRevenue
Net Community Benefit Expense	46070	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60204	TotalCommunityBenefitExpense
Net Community Benefit Expense	60204	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10495400	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8768880	DirectOffsettingRevenue
Net Community Benefit Expense	1726520	NetCommunityBenefitExpense
Percent Of Total Expense	0.04630	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10778	TotalCommunityBenefitExpense
Net Community Benefit Expense	10778	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10623735	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8780163	DirectOffsettingRevenue
Net Community Benefit Expense	1843572	NetCommunityBenefitExpense
Percent Of Total Expense	0.04940	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16066113	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12293027	DirectOffsettingRevenue
Net Community Benefit Expense	3773086	NetCommunityBenefitExpense
Percent Of Total Expense	0.10120	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	7160	TotalCommunityBuildingExpense
Net Community Building Expense	7160	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	7160	TotalCommunityBuildingExpense
Net Community Building Expense	7160	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$898,447	BadDebtExpenseAmount
Amount Reimbursed By Medicare	10354879	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10243357	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	111522	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MCHS-CHIPPEWA VALLEY	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1501 THOMPSON STREET	AddressLine1
City	BLOOMER	City
State	WI	State
ZIP Code	54724	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MCHS-CHIPPEWA VALLEY	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MCHS CHIPPEWA VALLEY - BLOOMER CLINIC
1501 THOMPSON STREET	BLOOMER	WI	54724	CLINIC
MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS
611 1ST AVE	CHIPPEWA FALLS	WI	54729	CLINIC
THE MAPLEWOOD
1501 THOMPSON STREET	BLOOMER	WI	54724	NURSING HOME
MCHS CHIPPEWA VALLEY - COLFAX CLINIC
1010 HIGH STREET	COLFAX	WI	54730	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 6A: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC. THE FILING ORGANIZATION IS ALSO PART OF AN ANNUAL CONSOLIDATED REPORT FOR THE MAYO CLINIC HEALTH SYSTEM NORTHWEST WISCONSIN REGION.
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: $480,392
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 $ 898447.
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL, INC. AND MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC, INC. (F/K/A LUTHER MIDELFORT) VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE WI ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET THE ORGANIZATION'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO OUR PATIENTS REGARDING OUR CHARITY CARE PROGRAM. ADDITIONALLY, THE WI ATTORNEY GENERAL REVIEWED AND APPROVED OUR BILLING AND COLLECTION POLICIES AND PRACTICES.	PART I LINE 7
PART II: MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY IS AN ACTIVE PARTICIPANT IN ITS COMMUNITY. IN 2012 THE ORGANIZATION SUPPORTED THE FOLLOWING PROGRAMS: ECONOMIC DEVELOPMENT COUNCIL, CHAMBER OF COMMERCE, DISASTER READINESS, FOOD PANTRY, WORKFORCE DEVELOPMENT/HEALTHCARE TALKS, CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, AREA SCHOOL DISTRICT EVENTS, RED CROSS BLOOD DRIVE, NATIONAL FIRE AND SAFETY COUNCIL PROGRAMS, AND AMERICAN CANCER SOCIETY RELAY FOR LIFE . MCHS-CHIPPEWA VALLEY'S PARTICIPATION IS PROMOTING GOOD HEALTH IN THE COMMUNITIES IT SERVES.
PART III, LINE 4: 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. METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.PART III, SECTION A, LINE 1:THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
PART III, LINE 8: THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). REASONS WHY MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS 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: WE PUBLICIZE OUR FINANCIAL ASSISTANCE POLICY VIA A BROCHURE THAT IS AVAILABLE AT ALL SITES, INCLUDING THE EMERGENCY DEPARTMENTS.		MCHS-CHIPPEWA VALLEY
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 MAYO CLINIC.ORG.		MCHS-CHIPPEWA VALLEY
PART V, SECTION B, LINE 20D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 50% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.		MCHS-CHIPPEWA VALLEY
PART VI, LINE 2: ADMINISTRATION, ALONG WITH MEMBERS OF THE MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION, INC., WORK CLOSELY WITH LOCAL EDUCATIONAL INSTITUTIONS, AREA FREE CLINICS, NEIGHBORHOOD ASSOCIATIONS, CHARITIES, AND HEALTH DEPARTMENTS TO ASSESS HEALTHCARE NEED. MONETARY DONATIONS, SERVICES, EDUCATION, VOLUNTEERS AND GOODS ARE SUPPLIED ONCE THOSE NEEDS ARE ASSESSED. REQUESTS FOR ASSISTANCE ARE TRIAGED THROUGH THE CORPORATE COMMUNICATION DEPARTMENTS, AND EVALUATED BASED ON ANNUAL STRATEGY. PART OF THAT STRATEGY INCLUDES INPUT FROM THE RESPONSIBLE VICE PRESIDENT AND ULTIMATELY REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION, INC. ACCORDING TO THE DONATION REQUEST FLOWCHART. THE MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION, INC. ANNUAL STRATEGY IS BASED ON COMMUNITY HEALTH NEED, STRATEGIC INITIATIVES AND COMMUNITY ASSESSMENTS.
PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY 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 - CHIPPEWA VALLEY IS LOCATED IN BLOOMER, WISCONSIN. ITS SERVICE AREA INCLUDES CHIPPEWA COUNTY AND A PORTION OF DUNN COUNTY IN NORTHWESTERN WISCONSIN. MCHS - CHIPPEWA VALLEY IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES AND IS ONE OF TWO HOSPITALS IN CHIPPEWA COUNTY. THE POPULATION OF CHIPPEWA COUNTY (WHICH COMPRISES THE MAJORITY OF MCHSCV'S SERVICE AREA) IS APPROXIMATELY 60,000. ACCORDING TO 2008 CENSUS DATA, APPROXIMATELY 10.9% OF CHIPPEWA COUNTY INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. IN ADDITION, ACCORDING TO THE 2005-2007 WISCONSIN FAMILY HEALTH SURVEY, APPROXIMATELY 6% OF THE CHIPPEWA COUNTY POPULATION WAS UNINSURED FOR ALL OR PART OF THE PAST YEAR. ACCORDING TO COUNTY HEALTH RANKINGS "SNAPSHOT: 2011", CHIPPEWA COUNTY RANKED 30 OF 72 COUNTIES IN HEALTH OUTCOMES AND 19 OF 72 IN HEALTH FACTORS. CHIPPEWA COUNTY SERVICE AREA IS A MEDICALLY UNDERSERVED AREA AS DESIGNATED BY HRSA.
PART VI, LINE 5: THIS FILING ORGANIZATION IS AN AFFILIATE OF THE MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY.OPEN V. CLOSED STAFF MODEL - STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.EMERGENCY ROOM - THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6: THIS ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.
NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO THE WISCONSIN HOSPITAL ASSOCIATION.	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	AMERICAN CANCER SOCIETY (RELAY FOR LIFE OF CHIPPEWA COUNTY WI)	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2519 N HILLCREST PARKWAY SUITE 100	AddressLine1
City	ALTOONA	City
State	WI	State
ZIP Code	54720	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	410724036	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	8000	AmountOfCashGrant
Purpose Of Grant	SUPPORT OF EXEMPT PURPOSE	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BLAIR MD DAVID
VICE PRESIDENT(1/24-12/31)/DIRECTOR	0	179417	0	7271	0	49015	0	24415	0	35641	0	295759	0	0
CULLINAN MD SUSAN M
DIRECTOR(1/24-12/31)	0	300312	0	14902	0	36083	0	25710	0	36624	0	413631	0	0
GLADITSCH MD RICHARD E
DIRECTOR(1/1-1/24)	0	146068	0	7947	0	5701	0	16171	0	27790	0	203677	0	0
KUEHL MD MARY J
DIRECTOR	0	122670	0	6396	0	1887	0	13260	0	32376	0	176589	0	0
LARSON MD JOHN L
PRESIDENT/DIRECTOR	0	193262	0	7678	0	178387	0	25710	0	26507	0	431544	0	0
SULLIVAN MAURITA A
DIRECTOR	0	138259	0	11084	0	1296	0	15117	0	25482	0	191238	0	0
BAMMEL PAUL M
REGIONAL CFO	0	271922	0	21332	0	7457	0	25710	0	35698	0	362119	0	0
BYRD MD JANE D
SITE CHAIR(9/1-12/31)	0	212407	0	8174	0	12693	0	24106	0	37038	0	294418	0	0
DICKEY JOHN M
REGIONAL CAO	0	325896	0	25923	0	10984	0	25710	0	38513	0	427026	0	0
LINTON MD RANDALL L
REGIONAL CEO	0	515316	0	50000	0	10984	0	25710	0	38867	0	640877	0	0
WEINDORFER MD JASON J
SITE CHAIR(1/1-8/31)	0	201868	0	11012	0	12808	0	23445	0	29661	0	278794	0	0
WITTROCK EDWARD A
VP OPERATIONS	0	179028	0	14723	0	1660	0	30468	0	18681	0	244560	0	0
ARMSTRONG JAMES L
RN NURSE PRACTICIONER-EMERGENCY	125352	0	0	0	0	0	12654	0	25992	0	163998	0	0	0
MORISSETTE LEE F
LEAD PHYSICIAN ASST-ED	155491	0	2500	0	0	0	16024	0	18646	0	192661	0	0	0
REIMER RONALD J
PHYSICIAN ASST-EMERGENCY	199326	0	0	0	0	0	21033	0	22084	0	242443	0	0	0
SKOLD M COLLEEN
FMR. ADMINISTRATOR	0	166800	0	13688	0	1540	0	18273	0	18484	0	218785	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. 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.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	BUSINESS RELATIONSHIP - BOARD OVERLAP	Relationship
Amount Of Transaction	757929	AmountOfTransaction
Description Of Transaction	PURCHASES AND SHARED EMPLOYEES	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: BAMMEL, PAUL M. BLAIR M.D., DAVID BYRD M.D., JANE D. CULLINAN M.D., SUSAN M. DICKEY, JOHN M. EIDE, DEAN B. GLADITSCH M.D., RICHARD E. KUEHL M.D., MARY J. LARSON M.D., JOHN L. LINTON M.D., RANDALL L. SKOLD, M. COLLEEN SULLIVAN, MAURITA A. WEINDORFER M.D., JASON J. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BAMMEL, PAUL M. DICKEY, JOHN M. LINTON M.D., RANDALL L. SKOLD, M. COLLEEN SULLIVAN, MAURITA A. THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: WITTROCK, EDWARD A. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BAMMEL, PAUL M. DICKEY, JOHN M. LINTON M.D., RANDALL L. THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: WRIGHT, JONATHAN C. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: BAMMEL, PAUL M. DICKEY, JOHN M. LARSON M.D., JOHN L. LINTON M.D., RANDALL L. SKOLD, M. COLLEEN SULLIVAN, MAURITA A. WITTROCK, EDWARD A. RANDALL L. LINTON M.D. AND EDWARD A. WITTROCK HAVE A BUSINESS RELATIONSHIP AS BOTH SERVE ON THE BOARD OF MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, A RELATED TAXABLE ENTITY
FORM 990, PART VI, SECTION A, LINE 3	MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE HOSPITAL AND MAYO CLINIC HEALTH SYSTEM-EAU CLAIRE CLINIC ALSO PROVIDES MANAGEMENT SERVICES ON A REGIONAL BASIS THAT INCLUDES THE FILING ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER IS MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	THE ARTICLES AND BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, AND DEBT, AMENDMENT OF THE ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS.
FORM 990, PART VI, SECTION A, LINE 8B	THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. HENCE, THERE IS NO DOCUMENTATION FOR PART VI SECTION A LINE 8B.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE ASSISTANT ADMINISTRATOR OF FINANCE, THE REGIONAL SITE VICE PRESIDENT, AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE REGIONAL CEO, CAO, AND PHYSICIAN LEADERS ON THE BOARD OF THE FILING ORGANIZATION WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIANS 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.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 1,910,551. MANAGEMENT AND GENERAL EXPENSES 61,604. FUNDRAISING EXPENSES 19,648. TOTAL EXPENSES 1,991,803. IC PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,192,005. MANAGEMENT AND GENERAL EXPENSES 504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,192,509. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 12,552. MANAGEMENT AND GENERAL EXPENSES 29,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,011.	OTHER FEES
SCHEDULE F, PART IV, LINES 3, 5, & 6	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	DISCLOSURE STATEMENT RELATED TO FORMS 5713:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (48 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROAD	BLOOMER	WI	54724	391450617	LOW INCOME HOUSING	WI	501(C)(3)	7	MCHS--CHIPPEWA VALLEY INC	1
CHARTERHOUSE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411405254	RETIREMENT LIVING CENTER	MN	501(C)(3)	9	MAYO CLINIC	1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH ST JOSEPH AVENUE	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MCHS--FRANCISCAN HEALTHCARE INC	1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SW	ROCHESTER	MN	55905	411917516	AMBULANCE SERVICE	MN	501(C)(3)	9	MFMER	1
LUTHER LAKESIDE APARTMENTS INC
PO BOX 1510	EAU CLAIRE	WI	54702	391409024	LOW INCOME HOUSING FOR ELDERLY	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(C)(3)	9		1	N/A
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410739106	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410944601	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	860800150	HOSPITAL AND CLINIC	AZ	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	590714831	HOSPITAL	FL	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	1
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581667166	HOSPITAL	GA	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
1000 FIRST DRIVE NW	AUSTIN	MN	55912	411404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NW	AUSTIN	MN	55912	410695606	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	300107471	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--AUSTIN	1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREET	CANNON FALLS	MN	55009	204156428	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREET	BLOOMER	WI	54724	390980343	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391735831	PATIENT CARE - CLINIC	WI	501(C)(3)	3	MAYO CLINIC	0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391633407	GRANTMAKING FOUNDATION	WI	501(C)(3)	11-I	MCHS--EAU CLAIRE CLINIC INC	0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	390813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800	FAIRMONT	MN	56031	410760836	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(C)(3)	7	MCHS--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MCHS--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391411999	HEALTHCARE SYSTEM PARENT	WI	501(C)(3)	11-I	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	390806374	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREET	LAKE CITY	MN	55041	411906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREET	MANKATO	MN	56002	411236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREET	MANKATO	MN	56002	411663357	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NE	NEW PRAGUE	MN	56071	410723639	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVENUE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
13025 EIGHTH STREET PO BOX 70	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEW ST	OWATONNA	MN	55060	411862132	PATIENT CARE - CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROAD	MENOMONIE	WI	54751	510190875	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED WING
701 HEWITT BOULEVARD	RED WING	MN	55066	411713783	PATIENT CARE SERVICES	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE
701 HEWITT BOULEVARD	RED WING	MN	55066	411539756	HOME HEALTHCARE SERVICES	MN	501(C)(3)	7	MCHS--RED WING	1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	410797368	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--ST JAMES	1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	593337028	PATIENT CARE - CLINIC	FL	501(C)(3)	7	MAYO CLINIC	1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SW	ROCHESTER	MN	55905	411506440	CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES	MN	501(C)(3)	9	MAYO CLINIC	1
MAYO KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MFMER	1		60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SW	ROCHESTER	MN	55905	412020392	SUPPORT RESEARCH, PRACTICE & EDUCATION	MN	501(C)(3)	11-I	MAYO CLINIC	1
POVERELLO FOUNDATION
200 FIRST STREET SW	ROCHESTER	MN	55905	411494881	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC -- SAINT MARYS HOSPITAL	1
RED WING SEMINARY HOME
701 HEWITT BOULEVARD	RED WING	MN	55066	411263419	RESIDENT CARE AND HOUSING	MN	501(C)(3)	9	MCHS--RED WING	1
SATILLA HEALTH MANAGEMENT INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581717889	HEALTHCARE SERVICES	GA	501(C)(3)	3	MCHS IN WAYCROSS INC	1
THE DOWNTOWN PLAZA
701 HEWITT BOULEVARD	RED WING	MN	55066	411532554	ELDERLY HOUSING	MN	501(C)(3)	9	MCHS--RED WING	1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
FRANKLIN HEATING STATION
119 THIRD ST SW	ROCHESTER	MN	55902	410264830	UTILITY	MN	N/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200	LISLE	IL	60532	453414836	HEALTHCARE RELATED SOFTWARE	IL	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Postal CodeAddressForeign/PostalCode
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	MEDICAL SERVICES COMPANY	WI	N/A	C	1
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	ADMINISTRATIVE SERVICES	MN	N/A	C	1
MAYO CLINIC GBS MAURITIUS
					HEALTHCARE MANAGEMENT		N/A	C	1	2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MP	MP
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C	1
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SE	FARIBAULT	MN	55021	411817179	PATIENT CARE - CLINIC	MN	N/A	C	1
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C	1
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411346366	REFERENCE LAB SERVICES	MN	N/A	C	1
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C	1
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	1				CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREET	WILMINGTON	MA	01887	043323713	LABORATORY SERVICES	MA	N/A	C	1
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	061190278	THIRD PARTY ADMINISTRATION SERVICES	AZ	N/A	C	1
MMSI INC
21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C	1
RESOUNDANT INC
221 1ST AVE SW	ROCHESTER	MN	55902	461661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	N/A	C	1
ROCHESTER AIRPORT COMPANY
ROUTE 2	ROCHESTER	MN	55902	410506870	AIRPORT MANAGEMENT	MN	N/A	C	1
SATILLA HEALTH ENTERPRISES INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581717222	HEALTHCARE	GA	N/A	C	1
SATILLA HEALTHNET INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	582151076	HEALTH SERVICES	GA	N/A	C	1
SATILLA REGIONAL SPECIALTY PHYSICIANS INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	204363143	PHYSICIAN OFFICES	GA	N/A	C	1
SIT ALPHA II BOND FUND LTD
				980648163	INVESTMENT MANAGEMENT		N/A	C	1	CLIFTON HOUSE 75 FORTH ST	GRAND CAYMAN	CJ	CJ	KY1-1108
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C	1
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C	1
CHARITABLE LEAD TRUST
					CHARITABLE TRUST	CA	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	ND	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	LA	N/A	T	1
PERPETUAL TRUST (2)
					CHARITABLE TRUST	MA	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	MO	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	AZ	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	CO	N/A	T	1
CHARITABLE REMAINDER TRUST (6)
					CHARITABLE TRUST	FL	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	FL	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	IL	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	LA	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	MI	N/A	T	1
CHARITABLE REMAINDER TRUST (68)
					CHARITABLE TRUST	MN	N/A	T	1
CHARITABLE REMAINDER TRUST (77)
					CHARITABLE TRUST	MN	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	NC	N/A	T	1
CHARITABLE REMAINDER TRUST (2)
					CHARITABLE TRUST	TX	N/A	T	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
A	11693	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
M	855697	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
O	3728090	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
P	3552972	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
R	249417	GAAP
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
A	1186	GAAP
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
O	223794	GAAP
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
O	133318	GAAP
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
M	757929	GAAP
MAYO COLLABORATIVE SERVICES INC
M	59074	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
H	11501917	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
P	386728	GAAP
MMSI INC
M	53304	GAAP
MMSI INC
S	1605530	GAAP