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

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC HEALTH SYSTEM-SPRINGFIELD (EIN 41-1893827)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-06
IRS object ID: 201223119349301357
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 C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-06T12:57:10-06:00	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	411893827	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM-SPRINGFIELD	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	625 NORTH JACKSON AVENUE	AddressLine1
City	SPRINGFIELD	City
State	MN	State
ZIP Code	56087	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES J TARASOVITCH	Name
Title	CFO	Title
Phone	5073856449	Phone
Date Signed	2012-11-06	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 SPRINGFIELD MEDICAL CENTER - MAYO HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREGORY KUTCHER MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	625 NORTH JACKSON AVENUE	AddressLine1
City	SPRINGFIELD	City
State	MN	State
ZIP Code	56087	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	17062356	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAYOCLINICHEALTHSYSTEM.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	MEDICAL CLINIC, HOSPITAL, EMERGENCY ROOM AND DENTAL CLINIC	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	90	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	61692	ContributionsGrantsPriorYear
Contributions Grants Current Year	49030	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	16553062	ProgramServiceRevenuePriorYear
Program Service Revenue CY	16559866	ProgramServiceRevenueCY
Investment Income Prior Year	85657	InvestmentIncomePriorYear
Investment Income Current Year	97572	InvestmentIncomeCurrentYear
Other Revenue Prior Year	11151	OtherRevenuePriorYear
Other Revenue Current Year	333316	OtherRevenueCurrentYear
Total Revenue Prior Year	16711562	TotalRevenuePriorYear
Total Revenue Current Year	17039784	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	32305	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	7713	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8510311	SalariesEtcPriorYear
Salaries Etc Current Year	9030364	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5732078	OtherExpensePriorYear
Other Expenses Current Year	7067786	OtherExpensesCurrentYear
Total Expenses Prior Year	14274694	TotalExpensesPriorYear
Total Expenses Current Year	16105863	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2436868	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	933921	RevenuesLessExpensesCY
Total Assets BOY	22894107	TotalAssetsBOY
Total Assets EOY	23898807	TotalAssetsEOY
Total Liabilities BOY	1402713	TotalLiabilitiesBOY
Total Liabilities EOY	1473492	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	21491394	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	22425315	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	14768036	Expense
Revenue	16862422	Revenue
Description	PATIENT CARE (SCHEDULE O)PATIENT CARE: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.MAYO CLINIC HEALTH SYSTEM - SPRINGFIELD (MCHS-SPRINGFIELD)PROVIDES HEALTH, MEDICAL AND DENTAL SERVICES TO THE SPRINGFIELD, MINNESOTA, COMMUNITY AS WELL AS SURROUNDING COMMUNITIES. SERVICES ARE OFFERED THROUGH ITS HOSPITAL AND CLINICS IN SPRINGFIELD, MINNESOTA, AS WELL AS A BRANCH MEDICAL CLINIC AT LAMBERTON, MINNESOTA. THERE WERE 1,737 PATIENTS TREATED IN THE EMERGENCY ROOM IN 2011, WHICH IS OPEN 24 HOURS A DAY. THERE WERE 554 ACUTE PATIENTS DISCHARGED FROM INPATIENT CARE DURING 2011, AND 16,410 PATIENT OFFICE VISITS TOOK PLACE AT THE MEDICAL CLINICS IN 2011. THE DENTAL CLINIC HAD 3,005 PATIENT VISITS IN 2011. THE CLINIC IN LAMBERTON SAW 1,336 PATIENTS IN 2011. THIS CLINIC PROVIDES A NEEDED HEALTH CARE ACCESS POINT TO A COMMUNITY OF 900, INCLUDING MANY WHO ARE ELDERLY.UNCOMPENSATED CARE:MCHS-SPRINGFIELD PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. MCHS-SPRINGFIELD IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED BASED ON ITS COST OF PROVIDING SERVICES FOR HOSPITAL MEDICARE PATIENTS.CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2011 WAS APPROXIMATELY $28,000. THE COST OF UNCOMPENSATED CARE IN 2011 PROVIDED TO OTHER GOVERNMENTAL AND LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $581,900. THIS AMOUNT INCLUDES THE MEDICAID SURCHARGE AND PAYMENT TO MINNESOTACARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS). THE AMOUNT OF THE MEDICAID SURCHARGE AND MINNESOTACARE TAX PAID IN 2011 WAS APPROXIMATELY $238,000.MCHS-SPRINGFIELD ALSO PROVIDES DISCOUNTS TO UNINSURED PATIENTS. THE TOTAL DISCOUNTS GIVEN IN 2011 WERE $34,000.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4000	Expense
Revenue	8304	Revenue
Description	EDUCATION (SCHEDULE O)EDUCATION:AS AN IMPORTANT COMPONENT OF THE AREAS' INFRASTRUCTURE, MCHS-SPRINGFIELD IS INVOLVED IN SEVERAL DIFFERENT WAYS IN PROVIDING AND/OR SUPPORTING HEALTH CARE RELATED EDUCATION IN SPRINGFIELD AND THE SURROUNDING AREA. MCHS-SPRINGFIELD HAS A TUITION ASSISTANCE PROGRAM THAT PROVIDES FUNDING FOR INDIVIDUALS TO ENHANCE THEIR EDUCATION IN A HEALTH CARE RELATED FIELD. FIVE PEOPLE WERE PROVIDED A TOTAL OF $16,000 IN 2011 UNDER THIS PROGRAM WHICH IS ONE OF THE BEST IDENTIFIED WAYS TO HELP PROVIDE STAFFING FOR OUR RURAL MEDICAL CENTER. UNFORTUNATELY, THIS PARTICULAR BENEFIT ONLY "COUNTS" IF IT IS MADE TO A PERSON WHO IS NOT YET OUR EMPLOYEE, THUS THE $16,000 IS NOT INCLUDED IN OUR OFFICIAL TALLY OF COMMUNITY BENEFITS SINCE ALL FIVE INDIVIDUALS ASSISTED WERE ALREADY MCHS-SPRINGFIELD EMPLOYEES.MCHS-SPRINGFIELD PROVIDES MANY DIFFERENT EDUCATIONAL SEMINARS REGARDING SPECIFIC TOPICS, INCLUDING DIABETES CLASSES, CHILDBIRTH CLASSES, AND SIBLING CLASSES. BEGINNING IN 2008, MCHS-SPRINGFIELD PIONEERED A COMMUNITY INITIATIVE TO ADDRESS CHILDHOOD OBESITY AND PARTNERED WITH LOCAL SCHOOLS, PUBLIC HEALTH AND THE LOCAL GROCERY STORE. INCLUDED IN THIS INITIATIVE WAS TO PROVIDE NUTRITION AND PHYSICAL ACTIVITY TALKS TO STUDENTS IN K-6TH GRADE. THERE HAVE ALSO BEEN OTHER AWARENESS ACTIVITIES SPONSORED BY MCHS-SPRINGFIELD, SUCH AS BREAST HEALTH AWARENESS AND OTHER TOPICS THAT HAVE BEEN SHARED IN SOME MANNER WITH THE COMMUNITY AT NO CHARGE. IT IS ESTIMATED THAT COSTS FOR STAFF TIME AND MATERIALS ASSOCIATED WITH THESE VARIOUS EDUCATIONAL EPISODES AMOUNTED TO APPROXIMATELY $4,000 IN 2011.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	34355	Expense
Grants	7713	Grants
Revenue	834	Revenue
Description	COMMUNITY BUILDING/COMMUNITY HEALTH IMPROVEMENT SERVICES (SCHEDULE O)COMMUNITY BUILDING:MCHS-SPRINGFIELD EMPLOYED 92 ALLIED HEALTH STAFF, 4 PHYSICIANS AND 1 DENTIST AT THE END OF 2011. IT IS IMPORTANT THAT EMPLOYEES OF MCHS-SPRINGFIELD CONTRIBUTE TO THE COMMUNITY BY MEANS OF PROVIDING THEIR TIME TO WORTHWHILE CIVIC PROJECTS THAT IMPROVE THE OVERALL COMMUNITY PROFILE. MANY TIMES THIS ACTIVITY OCCURS DURING TYPICAL WORK TIME WHILE BEING COMPENSATED BY MCHS-SPRINGFIELD. SOME OF THESE SETTINGS INCLUDE MCHS-SPRINGFIELD EMPLOYEES WHO SERVE IN LEADERSHIP POSITIONS SUCH AS WITH THE SPRINGFIELD AREA CHAMBER OF COMMERCE OR THE SPRINGFIELD AREA CONVENTION & VISITORS BUREAU. SOME OF THE PROJECTS WORKED ON AS PART OF THESE ORGANIZATIONS ARE TO INCREASE TOURISM BY THE DEVELOPMENT OF A RECREATIONAL TRAIL SYSTEM OR UTILIZING MCHS-SPRINGFIELD MECHANICAL EQUIPMENT AND MAINTENANCE PERSONNEL TO CLEAN THE LOCAL TRAILS. MCHS-SPRINGFIELD PARTICIPATES IN MANY WAYS AS A REGULAR BUSINESS MEMBER OF THE COMMUNITY. AS SUCH, OFTEN TIMES FINANCIAL CONTRIBUTIONS ARE MADE, FOR EXAMPLE, TO HELP SPONSOR THE DISTRIBUTION OF HEALTH AND SAFETY BOOKS TO SCHOOL CHILDREN OR PERHAPS PARTICIPATE IN A BUSINESS EVENT SUCH AS THE ANNUAL HOME & GARDEN SHOW.MCHS-SPRINGFIELD HAS INVESTED BOTH TIME AND RESOURCES ON EMERGENCY PREPAREDNESS FOR POSSIBLE BIO-TERRORISM IN CONJUNCTION WITH OTHER HOSPITALS AND PUBLIC HEALTH DEPARTMENTS WITHIN THE REGION. PART OF THIS TRAINING IS DONE WITH EMPLOYEES OF THE CITY OF SPRINGFIELD, INCLUDING REGULAR MEETINGS TO ORGANIZE DRILLS, HOLD DRILLS AND REVISE PLANS. COMMUNITY OUTREACH:MCHS-SPRINGFIELD PROVIDES A NUMBER OF SERVICES AND PROGRAMS THROUGHOUT THE YEAR THAT HAVE THE GOAL OF IMPROVING COMMUNITY HEALTH STATUS. THE VAST MAJORITY OF THESE SERVICES AND PROGRAMS ARE PROVIDED FREE OR AT A NOMINAL CHARGE. SOME OF THESE PROGRAMS, SUCH AS THE ANNUAL FUN-RUN/WALK, ARE DONE IN AN ATTEMPT TO ENCOURAGE AREA RESIDENTS TO BEGIN A HABIT OF REGULAR PHYSICAL FITNESS. APPROXIMATELY 100 ATTENDEES PER YEAR PARTICIPATE IN THIS EVENT AND BEGINNING IN 2011 A CHILDREN'S WALK WAS INITIATED FOLLOWING THE FUN/RUN EVENT.MCHS-SPRINGFIELD IS ALSO LOOKING TO PROMOTE SAFETY AS AN IMPORTANT COMPONENT OF PHYSICAL ACTIVITY. FOR MANY YEARS MCHS-SPRINGFIELD HAS CONDUCTED AN ANNUAL BIKE HELMET SAFETY PROGRAM TO APPROPRIATELY SIZE AND SELL APPROXIMATELY 50 BIKE HELMETS AND PROVIDED THESE AT A NOMINAL CHARGE, APPROXIMATELY $8 PER HELMET, UP TO 75% OFF THE RETAIL PRICE. THIS PROGRAM IS WIDELY ADVERTISED PRIOR TO THE EVENT AND MANY MCHS-SPRINGFIELD PERSONNEL PARTICIPATE DURING THE DISTRIBUTION EVENT. ROUTINELY ONE OF THE MOST VISIBLE EXAMPLES OF THIS COMMUNITY OUTREACH IS THE HEALTH FAIR THAT IS HELD EVERY OTHER YEAR DURING NATIONAL HOSPITAL WEEK. IT IS ESTIMATED THAT THE SUBTOTAL OF VARIOUS TYPES OF COMMUNITY OUTREACH ACTIVITIES AMOUNTED TO $21,000 OF EXPENSE DURING 2011.ALL TOTALED, CONSIDERING ACTUAL COSTS OF IN-KIND STAFF EXPENSES AND EXPENSES PAID BY MCHS-SPRINGFIELD, THE COMBINED TOTAL FOR PATIENT CARE, EDUCATION, COMMUNITY BUILDING, AND COMMUNITY OUTREACH WAS AT LEAST $33,000 AND PROBABLY MUCH MORE. MCHS-SPRINGFIELD CONTINUES TO GET BETTER AT TRACKING THIS TYPE OF INFORMATION THAT HISTORICALLY WAS NOT DOCUMENTED BECAUSE THE GOAL WAS TO PROVIDE ASSISTANCE AND SUPPORT WHERE IT WAS NEEDED AND NOT NECESSARILY TAKE CREDIT FOR BEING A GOOD CORPORATE CITIZEN.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	14806391	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	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	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	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	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	90	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	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	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
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	CORPORATE TAX UNIT	BusinessNameLine1

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

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (19 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	FormerFormer
CARDAMONE-RAYNER MD MARK
DIRECTOR	1.00	X	0	444814	40532
GRACE RICHARD W
DIRECTOR/CAO	5.00	X	0	296178	28627	X
LOOMIS TUCKER
DIRECTOR	1.00	X	0	0	0
OLSON KEITH
CHAIR	1.00	X	0	0	0	X
PIESCHEL SHARON
DIRECTOR/SECY	1.00	X	0	0	0	X
ROSCOE MD BRANDON
DIRECTOR/VICE CHAIR	40.00	X	446867	0	35819	X
SCHMIT-CLINE MD ANNETTE
DIRECTOR/FORMER CHAIR	40.00	X	340511	0	32414	X
WELLER PHIL
DIRECTOR/TREASURER	1.00	X	0	0	0	X
KUTCHER MD GREGORY R
CEO	5.00		0	423800	42574	X
OVIATT JONATHAN J
ASST SECY	1.00		0	597819	55898	X
TARASOVITCH JAMES J
CFO	5.00		0	230999	25645	X
THORESON SCOTT
ADMINISTRATOR	40.00		186871	0	38059		X
BEERS DDS ADAM
PHYSICIAN	40.00		189357	0	31404			X
DAVIS MD THOMAS
PHYSICIAN	40.00		318716	0	20556			X
DHAMI MD RANDEEP
PHYSICIAN	40.00		215068	0	25100			X
HOLMAN MD HERBERT
PHYSICIAN	40.00		192384	0	22075			X
ROSCOE MD NICO D
PHYSICIAN	40.00		170379	0	4928			X
RUPP MD WILLIAM C
FORMER PRESIDENT	1.00		0	740718	8205				X
SCHMITZ DO MICHAEL
FORMER DIRECTOR/CHAIR	40.00		147415	0	19011				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2207568	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2734328	TotalReportableCompFrmRltdOrgs
Total Other Compensation	430847	TotalOtherCompensation
Number Individuals GT100 K	13	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO CLINIC HEALTH SYSTEM - MANKATO
1025 MARSH STREET	MANKATO	MN	56001	PURCHASED SERVICES	1661967
ST JOHN LUTHERAN HOME
201 S COUNTY ROAD 5	SPRINGFIELD	MN	56087	PURCHASED SERVICES	234572
HEYMANN CONSTRUCTION COMPANY
210 3RD SOUTH STREET	NEW ULM	MN	560730606	CONSTRUCTION GENERAL	146449
VISTA STAFFING SOLUTIONS INC
275 EAST 200 SOUTH	SALT LAKE CITY	UT	84111	LOCUMS	135891
MAYO CLINIC HEALTH SYSTEM - WASECA
501 NORTH STATE STREET	WASECA	MN	56093	PURCHASED SERVICES	113004

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Related Organizations	32451	RelatedOrganizations
Government Grants	13579	GovernmentGrants
All Other Contributions	3000	AllOtherContributions
Total Contributions	49030	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	620000	16549462	16549462
EDUCATION REVENUE	611600	8304	8304
RENT FROM AFFILIATES	531120	2100	2100

Field	Value	IRS element (for citing)
Total Program Service Revenue	16559866	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	110219	TotalRevenueColumn
Exclusion	$110,219	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1850	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1850	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1850	TotalRevenueColumn
Exclusion	$1,850	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	9925	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	22572	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-12647	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-12647	TotalRevenueColumn
Exclusion	-$12,647	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	3557	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	0	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	3557	TotalRevenueColumn
Exclusion	$3,557	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
MISC. REVENUE	900099	312084	310844	$1,240
MEDICAL DIRECTOR FEES	541900	14975		$14,975
CAFETERIA/VENDING REVE	722210	791	791

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	59	TotalRevenueColumn
Related Or Exempt Function Income	59	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	327909	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	17039784	TotalRevenueColumn
Related Or Exempt Function Income	16871560	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$119,194	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	7713	Total
Program Services	7713	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1080540	Total
Program Services	855611	ProgramServices
Management And General	224929	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	556193	Total
Program Services	556193	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5679879	Total
Program Services	5373107	ProgramServices
Management And General	306772	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	247124	Total
Program Services	231143	ProgramServices
Management And General	15981	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1040311	Total
Program Services	997385	ProgramServices
Management And General	42926	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	426317	Total
Program Services	398063	ProgramServices
Management And General	28254	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	228720	Total
Management And General	228720	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2013427	Total
Program Services	1814525	ProgramServices
Management And General	198902	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	28542	Total
Program Services	5575	ProgramServices
Management And General	22967	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	877029	Total
Program Services	792043	ProgramServices
Management And General	84986	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	510000	Total
Program Services	510000	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	300855	Total
Program Services	258425	ProgramServices
Management And General	42430	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	65799	Total
Program Services	54641	ProgramServices
Management And General	11158	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	46127	Total
Program Services	40244	ProgramServices
Management And General	5883	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1160690	Total
Program Services	1153075	ProgramServices
Management And General	7615	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	50506	Total
Management And General	50506	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	1012476	1018745	-6269
BAD DEBT EXPENSE	475638	475638
MN CARE TAX	153430	153430
MEDICAID SURCHARGE	84767	84767

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	59780	Total
Program Services	26068	ProgramServices
Management And General	33712	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	16105863	Total
Program Services	14806391	ProgramServices
Management And General	1299472	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	350	BOY
EOY	390	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	38197	BOY
EOY	73591	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	21641	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2322704	BOY
EOY	1565969	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	16676	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	95471	BOY
EOY	157615	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	47933	BOY
EOY	52045	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	17150319	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7570868	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	10691174	BOY
EOY	9579451	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	9310126	BOY
EOY	12365152	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	366511	BOY
EOY	87918	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	22894107	BOY
EOY	23898807	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	841268	BOY
EOY	887513	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	561445	BOY
EOY	585979	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1402713	BOY
EOY	1473492	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21491394	BOY
EOY	22182380	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	750	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	242185	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	21491394	BOY
EOY	22425315	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	22894107	BOY
EOY	23898807	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	933921	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$0	OtherActivitiesAmount
Total Lobbying Expenditures IIB	0	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	MAYO CLINIC HEALTH SYSTEM - MANKATO (MCHS-MANKATO), THE PARENT COMPANY OF THE FILING ORGANIZATION, PROVIDES SUPPORT SERVICES TO THE FILING ORGANIZATION THAT INCLUDES PROVIDING INFORMATION OR EXPRESSING ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2011, MCHS - MANKATO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	242185	Contributions
End Of Year Balance	242185	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
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	13284	OtherCostOrOtherBasis
Book Value	13284	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7671556	OtherCostOrOtherBasis
Depreciation	3216271	Depreciation
Book Value	4455285	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9465479	OtherCostOrOtherBasis
Depreciation	4354597	Depreciation
Book Value	5110882	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	9579451	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	MAYO POOLED INVESTMENTS	Description
Book Value	12365152	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	12365152	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$498,061
DEFERRED COMPENSATION LIABILITY	$87,918

Field	Value	IRS element (for citing)
Total Of Amounts	585979	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR HEALTHCARE IN THE COMMUNITY.
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 F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	1	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	PROGRAM SERVICE	TypeOfActivitiesConducted
Specific Services Provided	MEDICAL SUPPLIES GIVEN TO SUPPORT ORGANIZATION PROVIDING MEDICAL SERVICES TO THOSE IN NEED.	SpecificServicesProvided
Total Expenditures	6809	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	6809	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	6809	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Purpose Of Grant	SUPPORT TO PROVIDE MEDICAL HELP TO THOSE IN NEED	PurposeOfGrant
Amount Of Non Cash Assistance	6809	AmountOfNonCashAssistance
Description Of Non Cash Assistance	MEDICAL SUPPLIES	DescriptionOfNonCashAssistance
Method Of Valuation	COST	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:	Identifier
Explanation	SCHEDULE F, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS THAT ADDRESS UNMET OR UNDER-FUNDED NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY.	Explanation

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
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	450.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
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	28128	TotalCommunityBenefitExpense
Net Community Benefit Expense	28128	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1575231	TotalCommunityBenefitExpense
Direct Offsetting Revenue	993341	DirectOffsettingRevenue
Net Community Benefit Expense	581890	NetCommunityBenefitExpense
Percent Of Total Expense	0.03720	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1603359	TotalCommunityBenefitExpense
Direct Offsetting Revenue	993341	DirectOffsettingRevenue
Net Community Benefit Expense	610018	NetCommunityBenefitExpense
Percent Of Total Expense	0.03900	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5985	TotalCommunityBenefitExpense
Direct Offsetting Revenue	834	DirectOffsettingRevenue
Net Community Benefit Expense	5151	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7532	TotalCommunityBenefitExpense
Net Community Benefit Expense	7532	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13517	TotalCommunityBenefitExpense
Direct Offsetting Revenue	834	DirectOffsettingRevenue
Net Community Benefit Expense	12683	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1616876	TotalCommunityBenefitExpense
Direct Offsetting Revenue	994175	DirectOffsettingRevenue
Net Community Benefit Expense	622701	NetCommunityBenefitExpense
Percent Of Total Expense	0.03980	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	20657	TotalCommunityBuildingExpense
Net Community Building Expense	20657	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	20657	TotalCommunityBuildingExpense
Net Community Building Expense	20657	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$475,638	BadDebtExpenseAmount
Amount Reimbursed By Medicare	5534919	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	5479264	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	55655	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-SPRINGFIELD	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	625 NORTH JACKSON AVENUE	AddressLine1
City	SPRINGFIELD	City
State	MN	State
ZIP Code	56087	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 - SPRINGFIELD	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	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	450.000000000000	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	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SPRINGFIELD DENTAL CLINIC
602 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	DENTAL CLINIC
LAMBERTON CLINIC
310 SOUTH MAIN	LAMBERTON	MN	56152	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 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 $ 475638.
PART II: MCHS-SPRINGFIELD PARTICIPATES IN MANY WAYS AS A REGULAR BUSINESS MEMBER OF THE COMMUNITY. AS SUCH, OFTEN TIMES FINANCIAL CONTRIBUTIONS ARE MADE, FOR EXAMPLE, TO HELP SPONSOR THE DISTRIBUTION OF HEALTH AND SAFETY BOOKS TO SCHOOL CHILDREN OR PERHAPS PARTICIPATE IN A BUSINESS EVENT SUCH AS THE ANNUAL HOME & GARDEN SHOW.
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.MCHS-SPRINGFIELD REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPALS (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).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 CHARITY CARE 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 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: WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.	MAYO CLINIC HEALTH SYSTEM - SPRINGFIELD
PART V, SECTION B, LINE 19D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 10% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.	MAYO CLINIC HEALTH SYSTEM - SPRINGFIELD
PART VI, LINE 2: ADMINISTRATION, ALONG WITH MEMBERS OF THE MAYO CLINIC HEALTH SYSTEM - SPRINGFIELD BOARD OF DIRECTORS, WORK WITH LOCAL BUSINESSES, COMMUNITY LEADERS, CHARITIES, AND HEALTH DEPARTMENTS TO ASSESS HEALTHCARE NEEDS. PROGRAMS AND SERVICES, MONETARY DONATIONS, EDUCATION, VOLUNTEERS AND GOODS ARE SUPPLIED ONCE THOSE NEEDS ARE ASSESSED. REQUESTS FOR ASSISTANCE ARE REVIEWED AND EVALUATED BY ADMINISTRATION AND THE MAYO CLINIC HEALTH SYSTEM - SPRINGFIELD BOARD OF DIRECTORS.
PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WILL WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES 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 - SPRINGFIELD (MCHS-SPRINGFIELD)IS LOCATED IN SPRINGFIELD, MINNESOTA. ITS SERVICE AREA INCLUDES BROWN COUNTY AND PORTIONS OF REDWOOD, WATONWAN, AND COTTONWOOD COUNTIES IN SOUTHWESTERN MINNESOTA. MCHS-SPRINGFIELD IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES AND IS ONE OF THREE HOSPITALS IN BROWN COUNTY. THE POPULATION OF BROWN COUNTY (WHICH COMPRISES MOST OF MCHS-SPRINGFIELD'S SERVICE AREA) IS APPROXIMATELY 26,000. ACCORDING TO 2008 CENSUS DATA, APPROXIMATELY 9% OF BROWN COUNTY INDIVIDUALS ARE LIVING BELOW THE POVERTY LEVEL. APPROXIMATELY 6% OF THE POPULATION IS UNINSURED. IN ADDITION, APPROXIMATELY 19% OF THE INDIVIDUALS LIVING IN BROWN COUNTY ARE OVER AGE 65.
PART VI, LINE 5: THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.COMMUNITY REPRESENTATION ON GOVERNING BODY:THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY. OPEN V. CLOSED STAFF MODEL:STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.EMERGENCY ROOM: THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6: THIS ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED
NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED ON THE MINNESOTA HOSPITAL ANNUAL REPORT OR TO THE WISCONSIN HOSPITAL ASSOCIATION.		PART VI LINE 7:

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	FRIENDS OF BATAHOLA	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 54821	AddressLine1
City	CINCINNATI	City
State	OH	State
ZIP Code	45254	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	721513873	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Non Cash Assistance	6809	AmountOfNonCashAssistance
Method Of Valuation	COST	MethodOfValuation
Description Of Non Cash Assistance	MEDICAL SUPPLIES	DescriptionOfNonCashAssistance
Purpose Of Grant	MEDICAL SUPPLIES TO HELP THOSE IN NEED IN A FOREIGN COUNTRY	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS THAT ADDRESS UNMET OR UNDER-FUNDED NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 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
CARDAMONE-RAYNER MD MARK
0	444814	0	0	0	0	0	12250	0	28282	0	485346	0	0
GRACE RICHARD W
0	263178	0	33000	0	0	0	12250	0	16377	0	324805	0	0
ROSCOE MD BRANDON
436867	0	0	0	10000	0	9800	0	26019	0	482686	0	0	0
SCHMIT-CLINE MD ANNETTE
340511	0	0	0	0	0	12250	0	20164	0	372925	0	0	0
KUTCHER MD GREGORY R
0	363800	0	60000	0	0	0	12250	0	30324	0	466374	0	0
OVIATT JONATHAN J
0	474858	0	0	0	122961	0	32930	0	22968	0	653717	0	115199
TARASOVITCH JAMES J
0	230999	0	0	0	0	0	9316	0	16329	0	256644	0	0
THORESON SCOTT
186871	0	0	0	0	0	9788	0	28271	0	224930	0	0	0
BEERS DDS ADAM
189357	0	0	0	0	0	7779	0	23625	0	220761	0	0	0
DAVIS MD THOMAS
318716	0	0	0	0	0	9800	0	10756	0	339272	0	0	0
DHAMI MD RANDEEP
215068	0	0	0	0	0	10778	0	14322	0	240168	0	0	0
HOLMAN MD HERBERT
192384	0	0	0	0	0	9592	0	12483	0	214459	0	0	0
ROSCOE MD NICO D
160379	0	0	0	10000	0	4928	0	0	0	175307	0	0	0
RUPP MD WILLIAM C
0	720745	0	0	0	19973	0	117	0	8088	0	748923	0	0
SCHMITZ DO MICHAEL
147415	0	0	0	0	0	6940	0	12071	0	166426	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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. JONATHAN OVIATT $115,199
PART III	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
BRANDON ROSCOE MD
RECRUITMENT	X	$30,000	6676	0	1	1
NICO ROSCOE MD
RECRUITMENT	X	$30,000	10000	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	16676	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: MARK CARDAMONE-RAYNER, M.D. RICHARD GRACE GREGORY KUTCHER, M.D. JAMES TARASOVITCH RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: RICHARD GRACE GREGORY KUTCHER M.D. SHARON PIESCHEL JAMES TARASOVITCH RICHARD GRACE IS EMPLOYED BY A RELATED ORGANIZATION RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: JONATHAN OVIATT WILLIAM RUPP, M.D. BOARD MEMBERS TUCKER LOOMIS AND SHARON PIESCHEL HAVE A BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 3	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 IS MAYO CLINIC HEALTH SYSTEM - MANKATO.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBER ELECTS THE MEMBER DIRECTORS. THE OTHER DIRECTORS ARE ELECTED BY THE MEMBER FROM NOMINEES APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE ARTICLES AND BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, AND DEBT, AMENDMENT OF THE ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE VICE PRESIDENT OF FINANCE, THE CFO AND THE ADMINISTRATOR. THE VICE PRESIDENT OF FINANCE, CFO AND/OR ADMINISTRATOR PRESENT HIGHLIGHTS OF THE 990 TO THE REGIONAL FINANCE COMMITTEE AND SITE BOARD PRIOR TO THE FILING OF THE RETURNS. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE 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	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE CEO AND CAO WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIANS. THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO CLINIC HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE THEN REVIEWS AND APPROVES THE COMPENSATION. FOR THOSE INDIVIDUALS FOR WHICH THE MAYO CLINIC HEALTH SYSTEM COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. IN ADDITION TO THE ABOVE REVIEWS, THE COMPENSATION COMMITTEE OF THE SOUTHWEST MINNESOTA REGION IS CHARGED WITH THE RESPONSIBILITY TO RECOMMEND TO THE SOUTHWEST MINNESOTA REGION BOARD OF DIRECTORS ON AN ANNUAL BASIS THE APPROPRIATE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER AND TOTAL COMPENSATION STRATEGY FOR THE ORGANIZATION. THE COMPENSATION COMMITTEE IS CREATED BY A BOARD RESOLUTION. CORE PURPOSE: A. REVIEW AND RECOMMEND TO THE BOARD THE TOTAL COMPENSATION STRATEGY OF THE SOUTHWEST MINNESOTA REGION, CONSISTENT WITH THE ORGANIZATION'S MISSION AND VALUES. B. REVIEW AND RECOMMEND TO THE BOARD THE TOTAL COMPENSATION PROPOSALS TO ENSURE SUPPORT OF ORGANIZATIONAL STRATEGY. C. REVIEW COMPENSATION AND BENEFITS DATA IN CONJUNCTION WITH MAYO CLINIC SHARED SERVICES GOALS IN MAKING RECOMMENDATIONS TO THE BOARD FOR TOTAL COMPENSATION PLANS. D. REVIEW AND RECOMMEND TO THE BOARD FOR APPROVAL EXECUTIVE COMPENSATION INCLUDING INCENTIVE PLANS FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER. E. REVIEW AND RECOMMEND TO THE BOARD ORGANIZATIONAL SEVERANCE GUIDELINES. F. MANAGEMENT MEMBERS OF THE COMMITTEE MAY NOT VOTE ON ACTIONS RELATED DIRECTLY TO MANAGEMENT COMPENSATION. G. ANNUALLY REVIEW THE PHYSICIAN COMPENSATION STRATEGY AND ITS EFFECTIVENESS. RECOMMEND TO THE BOARD THE STRATEGIES AND GUIDELINES FOR MERIT PAY, INCENTIVES, SEVERANCE PAY, CONTRACTUAL RELATIONSHIPS AND OTHER UNUSUAL COMPENSATION ARRANGEMENTS THAT MAY ARISE. H. PERFORM ANY OTHER DUTIES AND RESPONSIBILITIES AS THE BOARD MAY DEEM NECESSARY, ADVISABLE OR APPROPRIATE FOR THE COMMITTEE TO PERFORM. I. ANNUALLY REVIEW THE COMPENSATION COMMITTEE CHARTER AND RECOMMEND CHANGES TO THE BOARD.
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.
PART VII SECTION A	MARK CARDAMONE-RAYNER, M.D. 40 HOURS RICHARD GRACE 35 HOURS GREGORY KUTCHER, M.D. 35 HOURS JONATHAN OVIATT 40 HOURS WILLIAM RUPP, M.D. 40 HOURS JAMES TARASOVITCH 35 HOURS	AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION

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	MP	2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MP
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	1	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	1	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	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MMSI INC
R	703068	GAAP
MAYO CLINIC HEALTH SYSTEM - WASECA
L	113004	GAAP