MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC (EIN 51-0190875)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-02
IRS object ID: 201212159349300446
Schema version: 2011v1.2
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-02T13:47:58-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	510190875	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM - RED CEDAR 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	2321 STOUT ROAD	AddressLine1
City	MENOMONIE	City
State	WI	State
ZIP Code	54751	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEANIE LUBINSKY	Name
Title	CFO	Title
Phone	5075381297	Phone
Date Signed	2012-08-02	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	FKA RED CEDAR MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	HENRY SIMPSON MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2321 STOUT ROAD	AddressLine1
City	MENOMONIE	City
State	WI	State
ZIP Code	54751	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	88428482	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAYOCLINICHEALTHSYSTEM.ORG/LOCATIONS/MENOMONI	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1976	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	OPERATION OF A HOSPITAL & THREE CLINICS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	743	TotalNbrEmployees
Total Nbr Volunteers	175	TotalNbrVolunteers
Total Gross UBI	19874	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	143199	ContributionsGrantsPriorYear
Contributions Grants Current Year	641537	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	80677607	ProgramServiceRevenuePriorYear
Program Service Revenue CY	86288083	ProgramServiceRevenueCY
Investment Income Prior Year	617348	InvestmentIncomePriorYear
Investment Income Current Year	826448	InvestmentIncomeCurrentYear
Other Revenue Prior Year	616671	OtherRevenuePriorYear
Other Revenue Current Year	630317	OtherRevenueCurrentYear
Total Revenue Prior Year	82054825	TotalRevenuePriorYear
Total Revenue Current Year	88386385	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	7292	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	8371	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	48072549	SalariesEtcPriorYear
Salaries Etc Current Year	48875160	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	69253	TotalFundrsngExpCurrentYear
Other Expense Prior Year	26256867	OtherExpensePriorYear
Other Expenses Current Year	27811127	OtherExpensesCurrentYear
Total Expenses Prior Year	74336708	TotalExpensesPriorYear
Total Expenses Current Year	76694658	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7718117	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11691727	RevenuesLessExpensesCY
Total Assets BOY	91745126	TotalAssetsBOY
Total Assets EOY	104260919	TotalAssetsEOY
Total Liabilities BOY	9400836	TotalLiabilitiesBOY
Total Liabilities EOY	10221091	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	82344290	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	94039828	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	69731902	Expense
Revenue	86826583	Revenue
Description	PATIENT CARE (SEE SCHEDULE O):MAYO CLINIC HEALTH SYSTEM-RED CEDAR (MCHS-RED CEDAR) IS A MEMBER OF THE MAYO CLINC 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 2011, MAYO CLINIC HEALTH SYSTEM SITES EMPLOYED APPROXIMATELY 900 PHYSICIANS AND 13,000 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, SEVEN 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. AS PART OF THE MAYO CLINC HEALTH SYSTEM, MCHS-RED CEDAR OPERATES A CLINIC AND A HOSPITAL IN MENOMONIE, WISCONSIN - ALONG WITH REGIONAL CLINICS IN GLENWOOD CITY AND ELMWOOD, WISCONSIN. MCHS-RED CEDAR'S CLINICS PROVIDE PRIMARY CARE, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS AND GENERAL SURGERY. IN ADDITION, SPECIALTY CARE IN OCCUPATIONAL MEDICINE, BEHAVIORAL HEALTH, ORTHOPEDICS, PODIATRY AND NUTRITIONAL EDUCATION ARE ALSO PROVIDED. DURING 2011, THERE WERE 100,807 CLINIC VISITS. MCHS-RED CEDAR'S HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL PROVIDING MEDICAL, SURGICAL, MATERNITY, EMERGENCY AND CRITICAL CARE SERVICES TO AREA RESIDENTS. IN 2011, 1,872 PATIENTS WERE ADMITTED, 2,962 SURGICAL PROCEDURES WERE PERFORMED AND 9,259 PATIENTS USED THE HOSPITAL'S EMERGENCY ROOM.IN CONJUNCTION WITH MAYO CLINIC AND ITS AFFILIATES, MCHS-RED CEDAR IS ABLE TO PROVIDE EMERGENCY MEDICAL HELICOPTER SERVICE THROUGHOUT THE REGION. THE HELICOPTER PROVIDES RAPID PATIENT TRANSPORT TO THE APPROPRIATE HEALTHCARE FACILITY ALONG WITH DELIVERING HIGH-LEVEL CRITICAL CARE.MCHS-RED CEDAR ALSO OPERATES LIFELINE (A 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 RCMC MONITOR RESPONDS, ASSESSES THE SITUATION AND SUMMONS APPROPRIATE HELP. THERE WERE 456 SUBSCRIBERS TO THE PROGRAM DURING 2011.MCHS-RED CEDAR PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE ALSO PROVIDED TO MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2011, MCHS-RED CEDAR PROVIDED APPROXIMATELY $1,380,698 IN FINANCIAL ASSISTANCE TO PATIENTS. THE UNREIMBURSED COST OF MEDICAID PATIENTS WAS APPROXIMATELY $5,849,708.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	186275	Expense
Grants	8371	Grants
Revenue	31982	Revenue
Description	OTHER COMMUNITY PROGRAMS (SEE SCHEDULE O):IN 2011, MCHS-RED CEDAR PROVIDED VARIOUS COMMUNITY SERVICES AND EDUCATIONAL OFFERINGS TO AREA RESIDENTS. SOME OF THESE ACTIVITIES ARE DESCRIBED BELOW. A FREE CLINIC PROVIDING HEALTH CARE TO THE UNDERPRIVILEGED OF THE COMMUNITY IS HOUSED AT MCHS-RED CEDAR. OFFICE SPACE, STORAGE AND SERVICES ARE PROVIDED TO THE FREE CLINIC AT OR BELOW COST OR FREE OF CHARGE. MCHS-RED CEDAR ALSO CONDUCTED FOUR BLOOD DRIVES TO BENEFIT THE AMERICAN RED CROSS, DONATING STAFF TIME, FACILITIES AND SUPPORT. THE VALUE OF THE STAFF TIME, FACILITIES AND SUPPORT FOR THESE ACTIVITIES IS APPROXIMATELY $9,355. MCHS-RED CEDAR ALSO PROVIDED SPORTS PHYSICALS TO 246 STUDENTS AT DISCOUNTED RATES. MCHS-RED CEDAR DONATED $4,571 TO LOCAL CHARITES/COMMUNITY GROUPS AND PROVIDED $3,800 IN SCHOLARSHIPS TO GRADUATING HIGH SCHOOL SENIORS WHO ARE ENTERING COLLEGE OR A VOCATIONAL PROGRAM FOR A HEALTH-RELATED FIELD OF STUDY. IN ADDITION, MCHS-RED CEDAR EXPENSED OVER $61,000 IN SPONSORING NUMEROUS EVENTS AND PROGRAMS (CHARITABLE GOLF OUTINGS, FUNDRAISING DINNERS, ETC.) CONDUCTED OR CARRIED OUT BY LOCAL CHARITIES AND CIVIC GROUPS.IN ADDITION TO THE ABOVE, MCHS-RED CEDAR SERVED OVER 13,263 PEOPLE BY SPONSORING THE FOLLOWING PROGRAMS IN 2011:- 450 AQUACISE CLASSES- 10 DIABETES SUPPORT GROUP SESSIONS- 14 DIABETES PREVENTION CLASSES- 22 CAREGIVER SUPPORT GROUP SESSIONS- 4 HEART DISEASE SUPPORT GROUP SESSIONS- 4 CELIAC DISEASE PRESENTATIONS- 46 CPR / FIRST AID PROGRAMS- 38 FAMILY / PARENTING / PRENATAL EDUCATION PROGRAMS- 4 HEALTH FAIRS- 2 SLEEP APNEA / DEPRIVATION PROGRAMS- 36 BLOOD PRESSURE / BLOOD SUGAR SCREENINGS- 2 WOMEN'S HEALTH EDUCATION PROGRAMS- 8 SENIOR EDUCATION & OUTREACH PROGRAMS- 6 CHOLESTEROL SCREENING EVENTS- 1 CHILDREN'S HEALTH & SAFETY EVENT- 32 WELLNESS ROCKS EVENTS- 5 MOTIVATION TO MOVE EVENTS- 1 TOBACCO CESSATION EVENT- 19 OTHER COMMUNITY EVENTSMCSH-RED CEDAR ALSO RECEIVES DONATED SERVICES FROM VOLUNTEERS CONSISTING OF INDIVIDUALS AND ORGANIZATIONS THAT HELP ORGANIZE AND MANAGE ACTIVITIES FOR THE BENEFIT OF MCHS-RED CEDAR'S PATIENTS, PATIENT'S FAMILIES, VISITORS AND STAFF. THE VOLUNTEERS OPERATE A GIFT SHOP, ASSIST PATIENTS AND GREET VISITORS. DURING 2011, VOLUNTEERS DONATED APPROXIMATELY 15,577 HOURS OF SERVICE. BASED ON 2011 INDEPENDENT SECTOR STATISTICS, THE APPROXIMATE VALUE OF THESE SERVICES WERE $339,423.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	69918177	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	0	CreditCounseling
Term Or Permanent Endowments	1	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	0	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	79	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	743	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	1	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	1	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	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CHRISTIE LOHKAMP	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
IMSANDE KRISTIN
DIRECTOR	1.00	X	0	0	0
JACOBSON ROSEMARY
DIRECTOR	1.00	X	0	0	0
JOHNSON ELNA
DIRECTOR	1.00	X	0	0	0
KRYSHAK WILLIAM
TREASURER	1.00	X	0	0	0	X
LINTON MD RANDALL L
DIRECTOR	40.00	X	0	535571	62753
NELSON MD CARRIE J
VICE CHAIR/PHYSICIAN	40.00	X	219542	0	31407	X
NESSE MD ROBERT E
DIRECTOR	40.00	X	0	750263	15004
O'NEILL JAN
DIRECTOR	40.00	X	4748	0	142
QUILLING CINDY
DIRECTOR	1.00	X	0	0	0
RUSTAD CHRISTOPHER D
SECRETARY	1.00	X	0	131001	21602	X
SIMPSON MD HENRY J
CHAIR/CEO/PHYSICIAN	40.00	X	274871	0	45611	X
THOMPSON RALPH
DIRECTOR	1.00	X	0	0	0
WITT MD THOMAS J
DIRECTOR	1.00	X	0	394277	48709
LINDBERG STEVEN J
CAO	40.00		203311	0	42298	X
LUBINSKY JEANENNE M
CFO	40.00		153779	0	15422	X
DEYO-SVENDSEN MD MARK E
MEDICAL DIRECTOR/PHYSICIAN	40.00		265520	0	25939		X
EITRHEIM MD DAVID C
PHYSICIAN	40.00		342998	0	48007			X
MCNALLY DO PAUL D
PHYSICIAN	40.00		790649	0	56871			X
RICH MD NATHAN L
PHYSICIAN	40.00		340368	0	45909			X
THIRUMALAI MD SRIDHAR
PHYSICIAN	40.00		569899	0	52518			X
WAHLGREN MD VAN E
PHYSICIAN	40.00		437551	0	25581			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3603236	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1811112	TotalReportableCompFrmRltdOrgs
Total Other Compensation	537773	TotalOtherCompensation
Number Individuals GT100 K	55	NumberIndividualsGT100K
Formers Listed	0	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 C
733 W CLAIREMEONT AVE	EAU CLAIRE	WI	54701	MEDICAL SERVICES	3232373
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	MEDICAL SERVICES	1290863
MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE H
1221 WHIPPLE STREET	EAU CLAIRE	WI	54702	MEDICAL SERVICES	985808
COMPUTERIZED MEDICAL IMAGING INC
719 W HAMILTON AVE STE B	EAU CLAIRE	WI	54701	MEDICAL SERVICES	619461
WEATHERBY LOCUMS
PO BOX 972633	DALLAS	TX	75397	MEDICAL SERVICES	159350

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	9	NumberOfContractorsGT100K
Federated Campaigns	3649	FederatedCampaigns
Related Organizations	15940	RelatedOrganizations
Government Grants	601369	GovernmentGrants
All Other Contributions	20579	AllOtherContributions
Total Contributions	641537	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	620000	86091446	86091446
LIFELINE REVENUE	621990	122178	122178
RENT FROM AFFILIATES	531120	74459	74459

Field	Value	IRS element (for citing)
Total Program Service Revenue	86288083	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	828398	TotalRevenueColumn
Exclusion	$828,398	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	30117	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	32067	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-1950	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1950	TotalRevenueColumn
Exclusion	-$1,950	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	23153	GrossSalesOfInventory
Cost Of Goods Sold	10030	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	13123	TotalRevenueColumn
Exclusion	$13,123	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
CAFETERIA/VENDING	722210	273797	273797
CONSULTING SERVICES	541610	209638	189764	19874
MISC. REVENUE	900099	98977	72139		$26,838

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	34782	TotalRevenueColumn
Related Or Exempt Function Income	34782	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	617194	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	88386385	TotalRevenueColumn
Related Or Exempt Function Income	86858565	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	19874	UnrelatedBusinessRevenue
Exclusion	$866,409	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4571	Total
Program Services	4571	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3800	Total
Program Services	3800	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1282590	Total
Program Services	675490	ProgramServices
Management And General	607100	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	36285459	Total
Program Services	33605360	ProgramServices
Management And General	2658300	ManagementAndGeneral
Fundraising	21799	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3053120	Total
Program Services	2799677	ProgramServices
Management And General	250864	ManagementAndGeneral
Fundraising	2579	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5849908	Total
Program Services	5408190	ProgramServices
Management And General	423420	ManagementAndGeneral
Fundraising	18298	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2404083	Total
Program Services	2184118	ProgramServices
Management And General	217879	ManagementAndGeneral
Fundraising	2086	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	204056	Total
Management And General	204056	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8877004	Total
Program Services	7672001	ProgramServices
Management And General	1190726	ManagementAndGeneral
Fundraising	14277	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	179380	Total
Program Services	6973	ProgramServices
Management And General	171917	ManagementAndGeneral
Fundraising	490	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3066247	Total
Program Services	2632119	ProgramServices
Management And General	425851	ManagementAndGeneral
Fundraising	8277	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	232052	Total
Program Services	3521	ProgramServices
Management And General	228531	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1280469	Total
Program Services	1280469	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	337215	Total
Program Services	307386	ProgramServices
Management And General	29612	ManagementAndGeneral
Fundraising	217	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	27245	Total
Program Services	27245	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2543957	Total
Program Services	2380060	ProgramServices
Management And General	162798	ManagementAndGeneral
Fundraising	1099	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	710722	Total
Program Services	710722	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	7432695	7432695
BAD DEBT EXPENSE	2340438	2340438
MEDICAID SURCHARGE	237204	237204
DUES, LICENSES, ETC.	198095	158088	39876	131

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	144348	Total
Program Services	48050	ProgramServices
Management And General	96298	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	76694658	Total
Program Services	69918177	ProgramServices
Management And General	6707228	ManagementAndGeneral
Fundraising	69253	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3230	BOY
EOY	4268	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	412070	BOY
EOY	401910	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	10720	BOY
EOY	135	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	10207491	BOY
EOY	10754000	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	25000	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	174500	BOY
EOY	150500	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1615290	BOY
EOY	1592782	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1215713	BOY
EOY	1360435	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	51282917	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	23654479	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	28385364	BOY
EOY	27628438	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	48683068	BOY
EOY	61146309	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1012680	BOY
EOY	1222142	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	91745126	BOY
EOY	104260919	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	8325906	BOY
EOY	8971408	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	141534	BOY
EOY	108037	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	933396	BOY
EOY	1141646	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	9400836	BOY
EOY	10221091	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	82333570	BOY
EOY	94039693	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10720	BOY
EOY	135	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	82344290	BOY
EOY	94039828	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	91745126	BOY
EOY	104260919	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11691727	ReconcilationRevenueExpenses
Reconcilation Other Changes	3811	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2419724	BeginningOfYearBalance
Investment Earnings Or Losses	82094	InvestmentEarningsOrLosses
End Of Year Balance	2501818	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2230745	BeginningOfYearBalance
Investment Earnings Or Losses	304769	InvestmentEarningsOrLosses
Grants Or Scholarships	111659	GrantsOrScholarships
Administrative Expenses	4131	AdministrativeExpenses
End Of Year Balance	2419724	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1730538	BeginningOfYearBalance
Investment Earnings Or Losses	516013	InvestmentEarningsOrLosses
Administrative Expenses	15806	AdministrativeExpenses
End Of Year Balance	2230745	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2748041	BeginningOfYearBalance
Investment Earnings Or Losses	-863469	InvestmentEarningsOrLosses
Grants Or Scholarships	137402	GrantsOrScholarships
Administrative Expenses	16632	AdministrativeExpenses
End Of Year Balance	1730538	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	610397	OtherCostOrOtherBasis
Book Value	610397	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35838921	OtherCostOrOtherBasis
Depreciation	12807097	Depreciation
Book Value	23031824	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14746234	OtherCostOrOtherBasis
Depreciation	10847382	Depreciation
Book Value	3898852	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	87365	OtherCostOrOtherBasis
Book Value	87365	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	27628438	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	MAYO CLINIC POOLED INVESTMENTS	Description
Book Value	61146309	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	61146309	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLES	$33,504
DEFERRED COMPENSATION LIABILITY	$1,108,142

Field	Value	IRS element (for citing)
Total Of Amounts	1141646	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO SUPPORT MEDICAL PROGRAMS AND RELATED SERVICES THAT BENEFIT THE COMMUNITY SERVED BY THE FILING ORGANIZATION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	AT DECEMBER 31, 2011 AND 2010 THERE WAS NO SIGNIFICANT LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.

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
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	1380698	TotalCommunityBenefitExpense
Net Community Benefit Expense	1380698	NetCommunityBenefitExpense
Percent Of Total Expense	0.01860	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10426336	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4576628	DirectOffsettingRevenue
Net Community Benefit Expense	5849708	NetCommunityBenefitExpense
Percent Of Total Expense	0.07870	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11807034	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4576628	DirectOffsettingRevenue
Net Community Benefit Expense	7230406	NetCommunityBenefitExpense
Percent Of Total Expense	0.09730	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	107102	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31982	DirectOffsettingRevenue
Net Community Benefit Expense	75120	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3800	TotalCommunityBenefitExpense
Net Community Benefit Expense	3800	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9915000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7297415	DirectOffsettingRevenue
Net Community Benefit Expense	2617585	NetCommunityBenefitExpense
Percent Of Total Expense	0.03520	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13906	TotalCommunityBenefitExpense
Net Community Benefit Expense	13906	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10039808	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7329397	DirectOffsettingRevenue
Net Community Benefit Expense	2710411	NetCommunityBenefitExpense
Percent Of Total Expense	0.03650	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21846842	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11906025	DirectOffsettingRevenue
Net Community Benefit Expense	9940817	NetCommunityBenefitExpense
Percent Of Total Expense	0.13380	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$2,340,438	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	13929911	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13416880	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	513031	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	MAYO CLINIC HEALTH SYSTEM - RED CEDAR	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2321 STOUT ROAD	AddressLine1
City	MENOMONIE	City
State	WI	State
ZIP Code	54751	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	MAYO CLINIC HEALTH SYSTEM - RED CEDAR	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	300.000000000000	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
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	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MCHS RED CEDAR - MENOMONIE CLINIC
2321 STOUT ROAD	MENOMONIE	WI	54751	CLINIC
MCHS RED CEDAR - GLENWOOD CITY CLINIC
219 EAST OAK AVENUE	GLENWOOD CITY	WI	54013	CLINIC
MCHS RED CEDAR - ELMWOOD CLINIC
236 EAST SPRINGER AVENUE	ELMWOOD	WI	54740	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier
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 PHYSICIAN CLINICS THAT WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES WERE $706,298.
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 $ 2340438.
PART III, LINE 4: FOOTNOTE FROM MAYO CLINIC 2011 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES - ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.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.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 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 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). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SURPLUS OF $2,320,850.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SURPLUS REPORTED ON SCHEDULE H AND THE MEDICARE SURPLUS CALCULATED USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY 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 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 EVERY REASONABLE ATTEMPT 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. 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 13G: IN REGARDS TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.	MAYO CLINIC HEALTH SYSTEM - RED CEDAR
PART V, SECTION B, LINE 19D: THE POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 5% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN USING THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERICIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.	MAYO CLINIC HEALTH SYSTEM - RED CEDAR
PART VI, LINE 2: THE VISION STATEMENT FOR MAYO CLINIC HEALTH SYSTEM-RED CEDAR (MCHS-RED CEDAR) SPEAKS TO CREATING A HEALTHIER COMMUNITY BY PROVIDING EXCEPTIONAL CARE. WHILE MCHS-RED CEDAR'S PATIENT CARE EFFORTS FOCUS ON THOSE WHO UTILIZE ITS SERVICES, MCHS-RED CEDAR PROVIDES EDUCATION THAT EXTENDS TO THE COMMUNITY-BASED SETTING THAT IS OPEN TO THE ENTIRE POPULATION. IN ITS CURRENT STRATEGIC PLAN, MCHS-RED CEDAR IDENTIFIED UNMET COMMUNITY HEALTH NEEDS AS A STRATEGIC OBJECTIVE. AS PART OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT IS FACILITATED EVERY FIVE YEARS, MCHS-RED CEDAR COLLABORATES WITH REPRESENTATIVES FROM THE DUNN COUNTY HEALTH DEPARTMENT, LOCAL SCHOOL DISTRICTS, AND LOCAL NONPROFIT ORGANIZATIONS TO IDENTIFY, EVALUATE, AND PRIORITIZE UNMET COMMUNITY HEALTH NEEDS. THE MCHS-RED CEDAR EDUCATION DEPARTMENT UTILIZES DATA FROM THE CHIP TO MAKE RECOMMENDATIONS TO MCHS-RED CEDAR'S OPERATIONS COMMITTEE AND BOARD OF DIRECTORS ABOUT INTERVENTIONS THAT MCHS-RED CEDAR SHOULD CONSIDER FOR COMMUNITY EDUCATION AND HEALTH PROMOTION OUTREACH. MCHS-RED CEDAR'S EDUCATION DEPARTMENT HAS STRATIFIED HEALTH CARE NEED WITHIN OUR GEOGRAPHIC REGION BASED ON MULTIPLE INPUTS INCLUDING: 2006 AND 2011 DUNN COUNTY COMMUNITY HEALTH ASSESSMENT, FOCUS GROUPS, SURVEYS, AND REVIEW OF PERTINENT LITERATURE. THESE IDENTIFIED NEEDS ARE THEN FILTERED AND PRIORITIZED BASED ON CONSISTENCY WITH MCHS-RED CEDAR'S VISION/MISSION/VALUES, ABILITY OF MCHS-RED CEDAR TO IMPACT NEED IDENTIFIED, AND PATIENT COMMUNITY/BENEFIT. MCHS-RED CEDAR'S EDUCATION DEPARTMENT DEVELOPED A PROCESS TO DELIVER EDUCATIONAL PROGRAMMING AND FREE OR LOW-COST HEALTH SCREENINGS TO THE COMMUNITY AT LARGE, WITH A SUBSET OF PROGRAMMING TARGETING CHILDREN AND FAMILIES WITHIN THE SERVICE AREA THROUGH THE WELLNESS ROCKS PROGRAM. COMMUNITY EDUCATION OFFERINGS HAVE EXPANDED ANNUALLY AND CONTINUE TO ENGAGE MORE COMMUNITY ORGANIZATIONS AND PARTNERSHIPS.
PART VI, LINE 3: 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 WILL MAKE A COPY 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-RED CEDAR (MCHS-RED CEDAR) IS LOCATED IN MENOMONIE, WISCONSIN. ITS SERVICE AREA INCLUDES PORTIONS OF DUNN, ST. CROIX, PEPIN AND PIERCE COUNTIES IN WESTERN WISCONSIN. MCHS-RED CEDAR HAS THE ONLY ACUTE CARE HOSPITAL IN MENOMONIE, WHICH IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES. IT ALSO HAS A CLINIC IN MENOMONIE, ELMWOOD AND GLENWOOD CITY.ACCORDING TO 2010 CENSUS DATA, THE POPULATION OF DUNN COUNTY, WHICH COMPRISES MOST OF MCHS-RED CEDAR'S SERVICE AREA, IS APPROXIMATELY 44,000. ACCORDING TO 2010 CENSUS DATA, APPROXIMATELY 15.3% OF DUNN COUNTY INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. IN ADDITION, ACCORDING TO THE 2010 WISCONSIN FAMILY HEALTH SURVEY, APPROXIMATELY 10% OF THE DUNN COUNTY POPULATION WAS UNINSURED FOR ALL OR PART OF 2007 - 2009.DUNN COUNTY IS A FEDERALLY-DESIGNATED MEDICALLY-UNDERSERVED AREA (OR STATE-DESIGNED HEALTH PROFESSIONAL SHORTAGE AREA).
PART VI, LINE 5: THIS FILING ORGANIZATION IS AN AFFILIATE OF THE MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, 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 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.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. THE FILING ORGANIZATION'S STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.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 FILING 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.SPECIFICALLY, THE FILING ORGANIZATION PROVIDES HOSPITAL AND CLINIC SERVICES FOR MENOMONIE, WISCONSIN AND THE SURROUNDING AREA.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O).
PART VI, LINE 7: NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED ON THE MINNESOTA HOSPITAL ANNUAL REPORT OR TO THE WISCONSIN HOSPITAL ASSOCIATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	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	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

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
LINTON MD RANDALL L
0	472794	0	50000	0	12777	0	25170	0	37583	0	598324	0	0
NELSON MD CARRIE J
219142	0	400	0	0	0	13257	0	18150	0	250949	0	0	0
NESSE MD ROBERT E
0	546068	0	0	0	204195	0	0	0	15004	0	765267	0	193896
RUSTAD CHRISTOPHER D
0	130367	0	0	0	634	0	8130	0	13472	0	152603	0	0
SIMPSON MD HENRY J
274271	0	600	0	0	0	14700	0	30911	0	320482	0	0	0
WITT MD THOMAS J
0	341414	0	0	0	52863	0	33437	0	15272	0	442986	0	38224
LINDBERG STEVEN J
202711	0	600	0	0	0	12550	0	29748	0	245609	0	0	0
LUBINSKY JEANENNE M
153379	0	400	0	0	0	9227	0	6195	0	169201	0	0	0
DEYO-SVENDSEN MD MARK E
265120	0	400	0	0	0	14700	0	11239	0	291459	0	0	0
EITRHEIM MD DAVID C
342598	0	400	0	0	0	14700	0	33307	0	391005	0	0	0
MCNALLY DO PAUL D
790249	0	400	0	0	0	14700	0	42171	0	847520	0	0	0
RICH MD NATHAN L
339968	0	400	0	0	0	2160	0	43749	0	386277	0	0	0
THIRUMALAI MD SRIDHAR
569499	0	400	0	0	0	14700	0	37818	0	622417	0	0	0
WAHLGREN MD VAN E
437151	0	400	0	0	0	14700	0	10881	0	463132	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	GROUP TERM LIFE INSURANCE GROSSED UP FOR PHYSICIANS AND ADMINISTRATOR.
PART I, LINE 4B	THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). A PORTION OF THE AMOUNT MAY BE INCLUDED IN SCHEDULE J, PART II, COLUMN (F) IF DISCLOSED ON A PRIOR YEAR'S FORM 990. ROBERT NESSE, M.D. - $193,896 THOMAS WITT, M.D. - $38,224
PART I, LINE 7	ALL FULL-TIME EMPLOYEES OF THE FILING ORGANIZATION RECIEVED A $400 BONUS IN DECEMBER. SEVERAL OF THE PERSONS LISTED ON FORM 990, PART VII, SECTION A, WOULD HAVE RECEIVED THIS "NON-FIXED" PAYMENT.
PART III	PART I, LINE 3: IN ADDITION TO THE PROCESS FOLLOWED BY THE FILING ORGANIZTION, 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.	SUPPLEMENTAL INFORMATION
PART III	PART II: 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

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Relationship	BOARD OVERLAP	Relationship
Amount Of Transaction	9451542	AmountOfTransaction
Description Of Transaction	HEALTH INSURANCE PAYMENTS AND PREMIUMS.	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	DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT BY RELATED EXEMPT ENTITY, DR. ROBERT NESSE HAS A BUSINESS RELATIONSHIP WITH CHRISTOPHER RUSTAD.
FORM 990, PART VI, SECTION A, LINE 3	THE FILING ORGANIZATION IS AFFILIATED WITH MAYO CLINIC. MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 4	THE FILING ORGANIZATION CHANGED ITS GOVERNING DOCUMENTS IN 2011 TO REFLECT A NAME CHANGE. THIS NAME CHANGE WAS PREVIOUSLY COMMUNICATED TO AND APPROVED BY THE IRS DURING THE TAX YEAR.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION IS MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7A	MAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION SHALL ELECT THE THE COMMUNITY DIRECTORS, THE MAYO DIRECTORS, AND THE VOTING PHYSICIAN DIRECTORS. COMMUNITY MEMBERS ARE ELECTED FROM A SLATE OF NOMINEES RECOMMENDED BY A NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7B	THE ARTICLES AND BYLAWS OF THE FILING ORGANIZATION PROVIDE THE SOLE CORPORATE MEMBER, MAYO CLINIC, CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT, AMENDMENT OF ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 FOR THE FILING ORGANIZATION 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 ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. HIGHLIGHTS ARE PRESENTED TO BOARD MEMBERS, AND THE REVIEW IS DOCUMENTED IN MEETING MINUTES. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE FILING ORGANIZATION IS AFFILIATED WITH 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 THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY. THE SALARY OF THE CEO, CAO, AND BOARD VICE CHAIR WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO CLINIC HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. IN ADDITION TO THE ABOVE COORDINATED REVIEW PROCESSES CONDUCTED BY MAYO CLINIC AND ITS AFFILIATES, THE INTERNAL PROCESS USED AT THE LOCAL LEVEL FOR DETERMINING COMPENSATION FOR THE FILING ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT OFFICIALS INCLUDED REVIEW OF COMPARABILITY DATA FOR SIMILAR SIZED ORGANIZATIONS BY AN INDEPENDENT COMMITTEE OF THE BOARD (PUBLIC MEMBERS ONLY). SALARIES FOR THE PAST YEAR AND RANGES FOR THE NEXT YEAR WERE REVEIWED FOR REASONABLENESS. CONTEMPORANEOUS MEETING MINUTES OF THE COMPENSATION COMMITTEE ARE KEPT ON FILE.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
	FORM 990, PART VII, SECTION A, AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATIONS: RANDALL LINTON, M.D. - 40 HOURS ROBERT NESSE, M.D. - 40 HOURS THOMAS WITT, M.D. - 40 HOURS CHRISTOPHER RUSTAD - 40 HOURS
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -36,548. PRIOR PERIOD ADJUSTMENT 40,359. TOTAL TO FORM 990, PART XI, LINE 5: 3,811.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (46 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	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	MAYO CLINIC HEALTH SYSTEM--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
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404076	CHEMICAL DEPENDENCY TREATMENT	MN	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--ALBERT LEA	1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREET	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC	1
GCAS
200 FIRST STREET SW	ROCHESTER	MN	55905	411917517	AMBULANCE SERVICE	MN	501(C)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SW	ROCHESTER	MN	55905	411917516	AMBULANCE SERVICE	MN	501(C)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	391942957	AMBULANCE SERVICE	MN	501(C)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREET	EAU CLAIRE	WI	54701	391409024	LOW INCOME HOUSING	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(C)(3)	9	MAYO CLINIC	1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410739106	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410944601	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVD	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--ALBERT LEA
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
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)	PF	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(C)(3)	11-II	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NORTHEAST	NEW PRAGUE	MN	56071	410723639	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
PO BOX 70 / 13025 EIGHTH STREET	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEW	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--SPRINGFIELD
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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	MAYO CLINIC HEALTH SYSTEM--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				MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	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)	11-I	MAYO CLINIC -- SAINT MARYS HOSPITAL	1
SOUTHERN METRO MEDICAL CLINICS INC
301 MAIN STREET	NEW PRAGUE	MN	56071	411623632	FAMILY PRACTICE CLINICS	MN	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE	1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FRANKLIN HEATING STATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	119 THIRD ST SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55902	ZIPCode

Field	Value	IRS element (for citing)
EIN	410264830	EIN
Primary Activity	UTILITY	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SE	FARIBAULT	MN	55021	411817179	PATIENT CARE - CLINIC	MN	N/A	C
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C
FIOS THERAPEUTICS INC
200 FIRST STREET SW	ROCHESTER	MN	55905	711029189	RESEARCH	MN	N/A	C
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	MEDICAL SERVICES COMPANY	WI	N/A	C
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	ADMINISTRATIVE SERVICES	MN	N/A	C
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411346366	REFERENCE LAB SERVICES	MN	N/A	C
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREET	WILMINGTON	MA	01887	043323713	LABORATORY SERVICES	MA	N/A	C
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	061190278	THIRD PARTY ADMINISTRATION SERVICES	AZ	N/A	C
MHS SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411282517	EQUIPMENT & REAL ESTATE LEASING	MN	N/A	C
MMSI INC
21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	930926631	HEALTH SERVICES	FL	N/A	C
ROCHESTER AIRPORT COMPANY
ROUTE 2	ROCHESTER	MN	55902	410506870	AIRPORT MANAGEMENT	MN	N/A	C
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C
MAYO CLINIC GBS MAURITIUS
					HEALTHCARE MANAGEMENT		N/A	C	MU	2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MU
CHARITABLE LEAD TRUST (1)
					CHARITABLE TRUST	CA	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	ND	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	LA	N/A	T
PERPETUAL TRUST (2)
					CHARITABLE TRUST	MA	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	MO	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	AZ	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	CO	N/A	T
CHARITABLE REMAINDER TRUST (6)
					CHARITABLE TRUST	FL	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	FL	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	IL	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	LA	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	MI	N/A	T
CHARITABLE REMAINDER TRUST (66)
					CHARITABLE TRUST	MN	N/A	T
CHARITABLE REMAINDER TRUST (82)
					CHARITABLE TRUST	MN	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	NC	N/A	T
CHARITABLE REMAINDER TRUST (2)
					CHARITABLE TRUST	TX	N/A	T

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	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	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	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 (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MMSI INC
R	3345610	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
L	985808	GAAP
MAYO COLLABORATIVE SERVICES INC
L	131476	GAAP
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
L	3232373	GAAP
MMSI INC
Q	6105932	GAAP