MAYO CLINIC HEALTH SYSTEM - OWATONNA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC HEALTH SYSTEM - OWATONNA (EIN 41-1862132)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-27
IRS object ID
201212719349300121
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-09-27T13:12:14-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411862132EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM - OWATONNABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAYONameControl
Phone5075381297Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12200 26TH STREET NWAddressLine1
CityOWATONNACity
StateMNState
ZIP Code55060ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKRISTIN S JOHNSONName
TitleCFOTitle
Phone5075381297Phone
Date Signed2012-09-27DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnXInitialReturn
Name Of Principal Officer PersonBRIAN E BUNKERS MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12200 26TH STREET NWAddressLine1
CityOWATONNACity
StateMNState
ZIP Code55060ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65534508GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MAYOCLINICHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF A MEDICAL CLINICActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees516TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI11351TotalGrossUBI
Net Unrelated Business Txbl Income8388NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year84936ContributionsGrantsCurrentYear
Program Service Revenue CY64816791ProgramServiceRevenueCY
Investment Income Current Year100055InvestmentIncomeCurrentYear
Other Revenue Current Year338217OtherRevenueCurrentYear
Total Revenue Current Year65339999TotalRevenueCurrentYear
Grants And Similar Amnts CY98353GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year40528945SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year20662594OtherExpensesCurrentYear
Total Expenses Current Year61289892TotalExpensesCurrentYear
Revenues Less Expenses CY4050107RevenuesLessExpensesCY
Total Assets BOY42772664TotalAssetsBOY
Total Assets EOY48829418TotalAssetsEOY
Total Liabilities BOY4832769TotalLiabilitiesBOY
Total Liabilities EOY6863652TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37939895NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41965766NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense51443505Expense
Grants0Grants
Revenue65088069Revenue
DescriptionPATIENT CARE (SEE SCHEDULE O):MAYO CLINIC HEALTH SYSTEM - OWATONNA (MCHS-OWATONNA) 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 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 CLINIC HEALTH SYSTEM, MCHS-OWATONNA IS ORGANIZED AND OPERATED AS A NONPROFIT MULTI-SPECIALTY CLINIC PROVIDING HEALTH CARE SERVICES AT ITS MAIN CLINIC FACILITY IN THE CITY OF OWATONNA, MINNESOTA AND OUTREACH AT OTHER CLINIC FACILITIES LOCATED IN THE AREA SURROUNDING OWATONNA. MCHS-OWATONNA STAFF INCLUDES PHYSICIANS IN A VARIETY OF SPECIALTY FIELDS INCLUDING; FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, OBSTETRICIAN/GYNECOLOGY, DERMATOLOGY, OTOLARYNGOLOGY, OPHTHALMOLOGY, ORTHOPEDICS, PEDIATRICS, PLASTIC & RECONSTRUCTIVE SURGERY, UROLOGY, URGENT CARE AND EMERGENCY MEDICINE. MCHS-OWATONNA OFFERS COMPREHENSIVE LABORATORY, DIAGNOSTIC, PAIN MANAGEMENT AND INFUSION THERAPY SERVICES LIKE CHEMOTHERAPY FOR AREA CANCER PATIENTS. SPECIALTY PHYSICIANS IN GENERAL SURGERY, OBSTETRICS, OTOLARYNGOLOGY AND ORTHOPEDIC SURGERY SEE PATIENTS AT OTHER AREA CLINICS AND HOSPITALS PROVIDING SPECIALTY CARE AND CRITICAL ON-CALL SUPPORT. THE HOSPITALS THAT BENEFIT FROM THIS CARE AND ON-CALL SUPPORT ARE EXEMPT UNDER SECTION 501(C)(3) OF THE CODE, AND MANY ARE RELATED HOSPITALS IN THE MAYO CLINIC HEALTH SYSTEM. WHILE PHYSICIANS AT MCHS-OWATONNA MEET THE VAST MAJORITY OF PATIENTS' HEALTHCARE NEEDS IN OWATONNA, A TEAM OF VISITING SPECIALISTS FROM MAYO CLINIC SEE PATIENTS LOCALLY, PROVIDING CONVENIENT CONSULTATION AND CARE IN CARDIOLOGY, ONCOLOGY, NEUROLOGY, NEPHROLOGY, AND DIALYSIS.MCHS-OWATONNA RECORDED 163,192 PRIMARY CARE VISITS AND 293,526 RADIOLOGY AND LAB TESTS FOR 2011. MCHS-OWATONNA 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 BOTH MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2011, MCHS-OWATONNA PROVIDED APPROXIMATELY $178,110 IN FINANCIAL ASSISTANCE (AT COST) TO PATIENTS. THE UNREIMBURSED COST OF SERVICES TO MEDICAID PATIENTS WAS APPROXIMATELY $5,619,742 AND THE UNREIMBURSED COST OF SERVICES TO MEDICARE PATIENTS WAS APPROXIMATELY $8,041,326.MCHS-OWATONNA ALSO PAID $1,047,443 OF MINNESOTACARE TAX, WHICH IS USED TO FUND A STATE PROGRAM FOR PROVIDING MEDICAL CARE TO THE LOW INCOME POPULATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense368793Expense
Grants98353Grants
Revenue14506Revenue
DescriptionCOMMUNITY INVOLVEMENT & EDUCATION (SEE SCHEDULE O):MCHS-OWATONNA'S COMMUNITY INVOLVEMENT AND CHARITABLE CONTRIBUTIONS FOCUS ON:- IMPROVING QUALITY OF LIFE;- PROMOTING YOUTH POTENTIAL; - IMPROVING COMMUNITY HEALTH AND WELLNESS; AND- PARTNERING FOR COMMUNITY GROWTH AND DEVELOPMENT.IN 2011, MCHS-OWATONNA PROVIDED VARIOUS COMMUNITY SERVICES AND EDUCATIONAL OPPORTUNITIES TO AREA RESIDENTS. SOME OF THESE ACTIVITIES ARE DESCRIBED BELOW. OVER 180 WOMEN ATTENDED THE ANNUAL "WOMEN'S HEALTH DAY EDUCATIONAL EVENT". THE EVENT EXISTS TO EDUCATE THE WOMEN OF OWATONNA AND THE SURROUNDING AREA ON HEALTHCARE TOPICS RELATED TO WOMEN. NEARLY 500 LOCAL RESIDENTS ATTENDED THE ANNUAL "HAVE A SAFE SUMMER CHILDREN'S SAFETY FAIR". THE FAIR IS A COMMUNITY PROGRAM THAT IS DESIGNED TO EDUCATE YOUTH ABOUT HEALTH AND SAFETY. THE FAIR IS A PARTNERSHIP WITH THE MEDICAL PROFESSION, LAW ENFORCEMENT, SCHOOLS, PUBLIC SERVICE ORGANIZATIONS, THE CITY OF OWATONNA, STEELE COUNTY PUBLIC HEALTH, AND OTHER COMMUNITY ORGANIZATIONS THAT PROVIDE SAFETY TRAINING AND HEALTHY SUMMER ACTIVITIES FOR YOUTH. THE ANNUAL COMMUNITY WALKING PROGRAM IS DESIGNED TO INCREASE THE PHYSICAL ACTIVITY LEVEL OF STEELE COUNTY RESIDENTS MEASURED BY THE NUMBER OF STEPS THEY WALK IN A DAY. THE PROGRAM IS IN COLLABORATION WITH THE OWATONNA HOSPITAL AND THE CITY OF OWATONNA. OVER 750 PARTICIPATED IN THE 2011 WALKING PROGRAM.MCHS-OWATONNA HELD AN ANNUAL FLU SHOT CLINIC FOR THE COMMUNITY AND WENT ON-SITE TO LOCAL BUSINESSES TO ADMINISTER FLU SHOTS FOR EMPLOYEES. ALSO OFFERED WERE FREE DIABETES AND CANCER SUPPORT GROUP SESSIONS, FREE COLORECTAL SCREENINGS AND EDUCATIONAL SEMINARS.MCHS-OWATONNA PHYSICIANS PROVIDED MEDICAL COVERAGE AT VARIOUS LOCAL HIGH SCHOOL SPORTING EVENTS. IN ADDITION, SPORTS SCREENINGS WERE OFFERED TO LOCAL AND SURROUNDING AREA STUDENTS AT NO CHARGE. MCHS-OWATONNA SPONSORED HAND WASHING STATIONS AT THE STEELE COUNTY FREE FAIR AND STAFF VOLUNTEERED THEIR TIME TO REPRESENT THE CLINIC AT THE FAIR.MCHS-OWATONNA STAFF SPOKE AT SEVERAL EVENTS DURING THE YEAR AND SERVED ON THE BOARDS OF VARIOUS AGENCIES IN THE COMMUNITY.MCHS-OWATONNA DISTRIBUTES A QUARTERLY NEWSLETTER "HOMETOWN HEALTH" TO ALL MAILBOXES IN ITS SERVICE AREA TO KEEP EVERYONE INFORMED OF NEW SERVICES, NEW PROVIDERS, EDUCATION/PREVENTION AND PATIENT CARE RELATED INFORMATION. MCHS-OWATONNA PROVIDED CLINICAL EXPERIENCE FOR NURSING AND HEALTH RELATED CAREERS WHICH WERE OFFERED THROUGH A LOCAL COMMUNITY COLLEGE. DURING 2011, STUDENTS WERE PROVIDED THE OPPORTUNITY FOR JOB SHADOWING. MCHS-OWATONNA ALSO PROVIDED CLINICALS FOR RESIDENTS.IN ADDITION TO THE ABOVE ACTIVITIES, MCHS-OWATONNA GAVE $98,353 IN GRANTS TO CHARITIES AND COMMUNITY ORGANIZATIONS. OF THIS AMOUNT, $66,222 WAS THE BOOK VALUE OF LAND DONATED FOR THE CONSTRUCTION OF A LONG-TERM CARE FACILITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense51812298TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees516NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAYO CORPORATE TAX UNITBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075381297TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 FIRST STREET SWAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55905ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
AGERTER MD DAVID C
DIRECTOR/REGIONAL CEO1.00XX043928746318
BERG DAVID W
DIRECTOR/SECRETARY/SITE CAO40.00XX201363015222
BUNKERS MD BRIAN E
DIRECTOR/CHAIR/SITE CEO40.00XX32493104710
CROCKETT ERIC D
DIRECTOR1.00X012720925195
GROFF STAN
DIRECTOR1.00X000
HERZOG JAMES
DIRECTOR1.00X000
HOWELL MD THOMAS G
DIRECTOR1.00X044231247690
MCGRAW COLLEEN
DIRECTOR1.00X000
PALEY MD KEITH H
DIRECTOR/TREASURER40.00XX452756017356
PLATE MD REINOLD H
DIRECTOR/VICE CHAIR40.00XX32375008899
JOHNSON KRISTIN S
SITE CFO40.00X159793010280
PARKS DOUGLAS A
REGIONAL CAO1.00X017459936434
PILOT DAVID L
REGIONAL CFO1.00X018766033075
ANDERSON-BECKMAN MD JANET M
PHYSICIAN40.0024096208179X
BLOMQUIST MD KARL L
PHYSICIAN40.00270699027202X
MULET MD MIGUEL E
PHYSICIAN40.00523586011007X
PALEY MD DANIEL S
PHYSICIAN40.00310560011058X
SANDHOFER MD CHARLES R
PHYSICIAN40.0027413506855X
WRAY-RAABOLLE MD JASON T
PHYSICIAN40.00317774011848X
BEYER MD DEREK A
PHYSICIAN40.00510485014802X
IVANCE MD DAVID W
PHYSICIAN40.00657409011195X
OLSEN MD KENNETH D
PHYSICIAN40.00712721012212X
PENN MD DAVID M
PHYSICIAN40.00656859025852X
STEINLE MD JASON W
PHYSICIAN40.0067340309186X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6611186TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1371067TotalReportableCompFrmRltdOrgs
Total Other Compensation394575TotalOtherCompensation
Number Individuals GT100 K61NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SHARED HEALTH SERVICES LLC
134 SOUTHVIEWOWATONNAMN55060MEDICAL SERVICES1964546
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905MEDICAL & SUPPORT SERVICES1842468
TOP-NOTCH CLEANING
785 22ND STREET SEOWATONNAMN55060JANITORIAL SERVICES538121
MAYO CLINIC HEALTH SYSTEM - FARIBAULT
300 STATE AVENUEFARIBAULTMN55021MEDICAL SERVICES473020
MAYO COLLABOTATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905LAB SERVICES348048
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants84936GovernmentGrants
Total Contributions84936TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6200006339882463398824
SHARED SERVICES56100011641191164119
RENT FROM AFFILIATES531120239342239342
EDUCATION REVENUE6116001450614506
FieldValueIRS element (for citing)
Total Program Service Revenue64816791TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column95112TotalRevenueColumn
Exclusion$95,112ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real98987Real
Personal34873Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real91044Real
Personal23522Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7943Real
Personal11351Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column19294TotalRevenueColumn
Unrelated Business Revenue11351UnrelatedBusinessRevenue
Exclusion$7,943ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other84886Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other79943Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4943Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4943TotalRevenueColumn
Exclusion$4,943ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISC. CONSULTING541610270238270238
MISC. REVENUE9000994868515546$33,139
FieldValueIRS element (for citing)
Total Other Revenue318923TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65339999TotalRevenueColumn
Related Or Exempt Function Income65102575RelatedOrExemptFunctionIncome
Unrelated Business Revenue11351UnrelatedBusinessRevenue
Exclusion$141,137ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total98353Total
Program Services98353ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3532925Total
Program Services2798791ProgramServices
Management And General734134ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total235373Total
Program Services235373ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28236547Total
Program Services24882404ProgramServices
Management And General3354143ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2466467Total
Program Services2194409ProgramServices
Management And General272058ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4314768Total
Program Services3657130ProgramServices
Management And General657638ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1742865Total
Program Services1519255ProgramServices
Management And General223610ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total286800Total
Management And General286800ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33245Total
Management And General33245ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5768191Total
Program Services4527723ProgramServices
Management And General1240468ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total102235Total
Program Services575ProgramServices
Management And General101660ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1027551Total
Program Services318905ProgramServices
Management And General708646ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1093594Total
Program Services3642ProgramServices
Management And General1089952ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1051786Total
Program Services983692ProgramServices
Management And General68094ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total7916Total
Program Services7916ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total406328Total
Program Services282523ProgramServices
Management And General123805ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1674040Total
Program Services1306573ProgramServices
Management And General367467ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total391437Total
Program Services388154ProgramServices
Management And General3283ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES511837751156022775
BAD DEBT EXPENSE22006572200657
MN CARE TAX10474431047443
EMPLOYEE EXPENSES23956261622177940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total213432Total
Program Services181556ProgramServices
Management And General31876ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total61289892Total
Program Services51812298ProgramServices
Management And General9477594ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16712BOY
EOY-11880EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1350BOY
EOY4714EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8955072BOY
EOY8751596EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY54845BOY
EOY99693EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY406227BOY
EOY434714EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1182177BOY
EOY937373EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32168871LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11401236LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21973232BOY
EOY20767635EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY135307EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9334840BOY
EOY16849367EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY790393BOY
EOY731430EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY57816BOY
EOY129469EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42772664BOY
EOY48829418EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4721204BOY
EOY6590216EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY43471BOY
EOY58335EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY68094BOY
EOY215101EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4832769BOY
EOY6863652EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37939895BOY
EOY41965766EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37939895BOY
EOY41965766EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42772664BOY
EOY48829418EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4050107ReconcilationRevenueExpenses
Reconcilation Other Changes-24236ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1562494OtherCostOrOtherBasis
Book Value1562494BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23909624OtherCostOrOtherBasis
Depreciation6770513Depreciation
Book Value17139111BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6690528OtherCostOrOtherBasis
Depreciation4630723Depreciation
Book Value2059805BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6225OtherCostOrOtherBasis
Book Value6225BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20767635TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMAYO POOLED INVESTMENTSDescription
Book Value16849367BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities16849367TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$79,794
DEFERRED COMPENSATION LIABILITY$135,307
FieldValueIRS element (for citing)
Total Of Amounts215101TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationAT DECEMBER 31, 2011 AND 2010 THERE WAS NO SIGNIFICANT LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1STEELE COUNTY COMMUNITIES FOR A LIFETIME INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11409 SOUTH CEDAR AVENUEAddressLine1
CityOWATONNACity
StateMNState
ZIP Code55060ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient270705237EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Non Cash Assistance66222AmountOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistanceLANDDescriptionOfNonCashAssistance
Purpose Of GrantLAND FOR THE CONSTRUCTION OF A LONG-TERM CARE FACILITY.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. 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

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AGERTER MD DAVID C
0341092000981950321940141240485605094907
BERG DAVID W
19966505300116806241089810216585000
BUNKERS MD BRIAN E
2047100001202210731039790329641000
CROCKETT ERIC D
012684200036706423018772015240400
HOWELL MD THOMAS G
0410064000322480231540245360490002026156
PALEY MD KEITH H
27673400017602209203081530470112000
PLATE MD REINOLD H
15321400017053604296046030332649000
JOHNSON KRISTIN S
15936904240004930053500170073000
PARKS DOUGLAS A
01731830001416013141023293021103300
PILOT DAVID L
01876600000013374019701022073500
ANDERSON-BECKMAN MD JANET M
2146040002635807173010060249141000
BLOMQUIST MD KARL L
19931500071384044280227740297901000
MULET MD MIGUEL E
27695200024663405269057380534593000
PALEY MD DANIEL S
2954540001510605780052780321618000
SANDHOFER MD CHARLES R
1206460001534890620906460280990000
WRAY-RAABOLLE MD JASON T
2603520005742207077047710329622000
BEYER MD DEREK A
33855000017193507350074520525287000
IVANCE MD DAVID W
43997900021743005082061130668604000
OLSEN MD KENNETH D
46559700024712407350048620724933000
PENN MD DAVID M
545071000111788017957078950682711000
STEINLE MD JASON W
55122800012217507350018360682589000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ADR. DANIEL PALEY WAS TRAVELING BETWEEN MEDICAL CONFERENCES ON A MULTI-DESTINATION TRIP. DURING THE TRIP, TWO OF THE FLIGHTS WERE FIRST CLASS. HE WAS ABLE TO PURCHASE THE FIRST CLASS TICKETS AT DISCOUNTED RATES FROM A TRAVEL WEBSITE. THE COST OF THE DISCOUNTED FIRST CLASS TICKETS WERE COMPAREABLE TO COACH CLASS TICKETS NORMALLY PURCHASED THROUGH THE AIRLINE OR TRAVEL AGENT. IN DECEMBER, CERTAIN EMPLOYEES OF THE FILING ORGANIZATION (ALLIED STAFF AND 1ST YEAR PHYSICIANS) RECEIVED A SMALL BONUS ($500 OR LESS DEPENDING ON THE LEVEL OF THE EMPLOYEE). THESE BONUSES WERE GROSSED-UP. DAVID BERG AND KRISTIN JOHNSON RECEIVED THESE GROSSED-UP BONUSES DURING 2011.
PART I, LINE 1BTHE FILING ORGANIZATION FOLLOWED AN UNWRITTEN POLICY THAT PROVIDED GROSS-UP ON THE ABOVE MENTIONED BONUSES PROVIDED TO EMPLOYEES. FOR FUTURE YEARS, THE ABOVE POLICY WILL BE EITHER DISCONTINUED OR BE WRITTEN AND STATE THE CONDITIONS, ELIGIBILITY AND TREATMENT OF ANY GROSS-UP PAYMENTS PROVIDED.
PART I, LINE 4BTHIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING 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. DAVID AGERTER, M.D. - $94,907 THOMAS HOWELL, M.D. - $26,156
PART I, LINE 7IN DECEMBER, CERTAIN EMPLOYEES OF THE FILING ORGANIZATION (ALLIED STAFF AND 1ST YEAR PHYSICIANS) RECEIVED A SMALL BONUS ($500 OR LESS DEPENDING ON THE LEVEL OF THE EMPLOYEE). DAVID BERG AND KRISTIN JOHNSON RECEIVED THESE "NON-FIXED" PAYMENTS DURING 2011.
PART IIIPART 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 IIIPART 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 (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MAYO CLINIC HEALTH SYSTEM - FARIBAULT
BUSINESS RELATIONSHIP - BOARD OVERLAP620176SERVICES0
KARI BUNKERS
FAMILY MEMBER OF BRIAN BUNKERS, OFFICER235373EMPLOYMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2PRIOR TO 2011, THE FILING ORGANIZATION WAS A TAXABLE CLINIC AND WAS GRANTED EXEMPTION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EFFECTIVE JANUARY 1, 2011. THE PROGRAM SERVICES CONDUCTED BY THE FILING ARE NOT NEW. HOWEVER, THIS IS THE FIRST TIME BEING REPORTED ON FORM 990.
FORM 990, PART VI, SECTION A, LINE 2DUE TO EMPLOYMENT BY A RELATED ORGANIZATION, DAVID PILOT HAS A BUSINESS RELATIONSHIP WITH DAVID AGERTER, M.D. AND DOUGLAS PARKS. DUE TO BOARD MEMBERSHIP ON A RELATED TAXABLE ENTITY, BRIAN BUNKERS, M.D. AND THOMAS HOWELL HAVE A BUSINESS RELATIONSHIP. KEITH PALEY, M.D. AND DANIEL PALEY, M.D. HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 4THE 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 6THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION IS MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS ARE ELECTED OR REMOVED BY THE SOLE CORPORATE MEMBER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMUNITY DIRECTORS ARE NOMINATED BY A NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN TRANSACTIONS REQUIRE APPROVAL BY THE MEMBER BEFORE ACTION CAN BE TAKEN SUCH AS AMENDMENT TO THE ARTICLES AND BYLAWS, MERGER OR OTHER RESTRUCTURING, AND INCURRENCE OF DEBT.
FORM 990, PART VI, SECTION B, LINE 11THE 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 U.S. 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 12CTHE 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.
FORM 990, PART VI, SECTION B, LINE 15THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE 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 FILING ORGANIZATION ALSO HAS ITS OWN COMPENSATION REVIEW PROCESS THAT INCLUDES REVIEW BY THE FILING ORGANIZATION'S COMPENSATION COMMITTEE, BENCHMARK/COMPARABILITY DATA AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. THE FILING ORGANIZATION'S REVIEW PROCESS COVERS BOTH A PHYSICIAN COMPENSATION PLAN AND AN ADMINISTRATOR COMPENSATION PLAN.
FORM 990, PART VI, SECTION C, LINE 19THE FILING ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE.
FORM 990, PART VII, SECTION A, AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATIONS: DAVID AGERTER, M.D. - 40 HOURS ERIC CROCKETT - 40 HOURS THOMAS HOWELL, M.D. - 40 HOURS DOUGLAS PARKS - 40 HOURS DAVID PILOT - 40 HOURS
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -24,236.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (46 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(C)(3)7MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC1
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(C)(3)9MAYO CLINIC1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404076CHEMICAL DEPENDENCY TREATMENTMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--ALBERT LEA1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREETARCADIAWI54612391322480FUNDRAISING FOUNDATIONWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
GCAS
200 FIRST STREET SWROCHESTERMN55905411917517AMBULANCE SERVICEMN501(C)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(C)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SWROCHESTERMN55905391942957AMBULANCE SERVICEMN501(C)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREETEAU CLAIREWI54701391409024LOW INCOME HOUSINGWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(C)(3)9MAYO CLINIC1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410739106HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(C)(3)3MAYO CLINIC1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(C)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404075HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NWAUSTINMN55912410695606HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HEALTH SYSTEM--AUSTIN1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(C)(3)3MAYO CLINIC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(C)(3)PFMAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(C)(3)11-IIMAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(C)(3)11-IMAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NORTHEASTNEW PRAGUEMN56071410723639HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVEBARRONWI54812390920634HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
PO BOX 70 / 13025 EIGHTH STREETOSSEOWI54758391029430HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEWOWATONNAMN55060411862132PATIENT CARE - CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HEALTH SYSTEM--ST JAMES1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(C)(3)7MAYO CLINIC1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(C)(3)9MAYO CLINIC1
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH160486 FRANKFURT AM MAINFRANKFURTGMGM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(C)(3)11-IMAYO CLINIC1
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(C)(3)11-IMAYO CLINIC -- SAINT MARYS HOSPITAL1
SOUTHERN METRO MEDICAL CLINICS INC
301 MAIN STREETNEW PRAGUEMN56071411623632FAMILY PRACTICE CLINICSMN501(C)(3)9MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FRANKLIN HEATING STATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1119 THIRD ST SWAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55902ZIPCode
FieldValueIRS element (for citing)
EIN410264830EIN
Primary ActivityUTILITYPrimaryActivity
Legal Domicile StateMNLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountryAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/Country
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SEFARIBAULTMN55021411817179PATIENT CARE - CLINICMNN/AC
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC
FIOS THERAPEUTICS INC
200 FIRST STREET SWROCHESTERMN55905711029189RESEARCHMNN/AC
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411346366REFERENCE LAB SERVICESMNN/AC
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/ACCJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREETWILMINGTONMA01887043323713LABORATORY SERVICESMAN/AC
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259061190278THIRD PARTY ADMINISTRATION SERVICESAZN/AC
MHS SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411282517EQUIPMENT & REAL ESTATE LEASINGMNN/AC
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROADJACKSONVILLEFL32224930926631HEALTH SERVICESFLN/AC
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC
MAYO CLINIC GBS MAURITIUS
HEALTHCARE MANAGEMENTN/ACMP2ND FLOOR EBENE MEWS 57EBENE CYBERCITYMP
CHARITABLE LEAD TRUST (1)
CHARITABLE TRUSTCAN/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTNDN/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTLAN/AT
PERPETUAL TRUST (2)
CHARITABLE TRUSTMAN/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTMON/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTAZN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTCON/AT
CHARITABLE REMAINDER TRUST (6)
CHARITABLE TRUSTFLN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTFLN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTILN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTLAN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTMIN/AT
CHARITABLE REMAINDER TRUST (66)
CHARITABLE TRUSTMNN/AT
CHARITABLE REMAINDER TRUST (82)
CHARITABLE TRUSTMNN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTNCN/AT
CHARITABLE REMAINDER TRUST (2)
CHARITABLE TRUSTTXN/AT
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAYO COLLABORATIVE SERVICES INC
L348048GAAP
MMSI INC
Q4526660GAAP
MAYO CLINIC HEALTH SYSTEM - FARIBAULT
L473020GAAP
MAYO CLINIC - METHODIST HOSPITAL
A52500GAAP
MMSI INC
R1924583GAAP
MAYO CLINIC HEALTH SYSTEM - FAIRBAULT
K146067GAAP
MAYO CLINIC HEALTH SYSTEM - AUSTIN
N119630GAAP

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