2011-08-04T09:20:54-05:00 2010-12-31 990 2010-01-01 391735831 MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE CLINIC INC MAYO 5075381297 733 WEST CLAIREMONT AVENUE EAU CLAIRE WI 54701 Paul Bammel 5075381297 2011-08-04 2010 2016-02-24 21:20:13Z X FKA MIDELFORT CLINIC LTD PAUL BAMMEL 733 WEST CLAIREMONT AVENUE EAU CLAIRE WI 54701 179634816 0 X WWW.LUTHERMIDELFORT.ORG X 1992 WI OPERATION OF A MEDICAL CLINIC. 9 7 1465 35 31650 17928 51065 72582 177670891 178705292 302181 293341 507967 477316 178532104 179548531 264887 219702 0 0 140930010 137273034 0 0 0 43378556 46137442 184573453 183630178 -6041349 -4081647 86609495 88714194 63672543 69230374 22936952 19483820 X 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. 0 0 142777246 179061756 PATIENT CARE & MEDICAL EDUCATION - SEE SCHEDULE O:THE FILING ORGANIZATION (MIDELFORT CLINIC) CHANGED ITS LEGAL NAME TO MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE CLINIC, INC. EFFECTIVE MAY 23, 2011.MIDELFORT CLINIC, LTD. - MAYO HEALTH SYSTEM (MIDELFORT) IS A MEMBER OF THE MAYO HEALTH SYSTEM. MAYO 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 HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS' HEALTH CARE NEEDS LOCALLY. MAYO HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.MAYO HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 800 PHYSICIANS AND 13,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT THE MAYO HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN 70 COMMUNITIES, THE SYSTEM INCLUDES 17 OWNED HOSPITALS, SEVEN OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH THREE ADDITIONAL HOSPITALS, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO HEALTH SYSTEM HAS GROWN FROM A NEW IDEA TO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN AMERICA. MAYO 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 HEALTH SYSTEM THREE TIMES FOR ITS PERFORMANCE EXCELLENCE EFFORTS. INDIVIDUAL MAYO 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 HEALTH SYSTEM AND MAYO CLINIC PARTNER TO ENSURE HEALTHIER LIVES IN THE REGION.MIDELFORT, IN AFFILIATION WITH LUTHER HOSPITAL (A RELATED HOSPITAL EXEMPT UNDER SECTION 501(C)(3) OF THE CODE), IS ONE OF THE MAIN PROVIDERS OF HEALTH CARE SERVICES IN THE SURROUNDING AREA. MIDELFORT IS LOCATED ADJACENT TO LUTHER HOSPITAL (LUTHER) IN EAU CLAIRE, WISCONSIN. THE AFFILIATED ORGANIZATIONS ARE LOCALLY REFERRED TO AS "LUTHER-MIDELFORT". IN ADDITION TO SERVING THE RESIDENTS OF EAU CLAIRE, LUTHER-MIDELFORT HAS EVOLVED INTO REGIONAL REFERRAL CENTERS WHICH OFFER A FULL RANGE OF MEDICAL SERVICES THROUGH A NETWORK OF RURAL COMMUNITY-BASED HEALTHCARE PROVIDERS IN SEVERAL LOCATIONS THROUGHOUT WEST-CENTRAL WISCONSIN, INCLUDING BARRON, BLOOMER, CAMERON, CHETEK, CHIPPEWA FALLS, COLFAX, MENOMONIE, MONDOVI, OSSEO AND PRAIRIE FARM. THE FACILITIES IN THESE OUTLYING RURAL COMMUNITIES ARE SMALL NONPROFIT CLINICS AND HOSPITALS OWNED BY ORGANIZATIONS THAT ARE CONTROLLED BY LUTHER HOSPITAL AND ARE LIKEWISE EXEMPT UNDER SECTION 501(C)(3) OF THE CODE. MIDELFORT STAFF VISIT THESE LOCATIONS ON A REGULAR BASIS TO PROVIDE HEALTH CARE SERVICES TO RESIDENTS OF THESE SMALL COMMUNITIES AND RURAL AREAS. MIDELFORT RECORDED 818,343 PATIENT VISITS DURING 2010.MIDELFORT 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 ADDITION, SERVICES ARE PROVIDED TO PATIENTS UNDER OTHER MEANS TESTED GOVERNMENT PROGRAMS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2010, MIDELFORT PROVIDED APPROXIMATELY $2,498,774 IN FINANCIAL ASSISTANCE TO PATIENTS. THE UNREIMBURSED COST OF SERVICES TO MEDICAID PATIENTS WAS APPROXIMATELY $9,607,851; THE UNREIMBURSED COST OF SERVICES TO MEDICARE PATIENTS WAS APPROXIMATELY $33,866,409; AND THE UNREIMBURSED COST OF SERVICES TO PATIENTS UNDER OTHER MEANS TESTED GOVERNMENT PROGRAMS WAS APPROXIMATELY $2,685,490.MIDELFORT, ALONG WITH LUTHER, VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE WISCONSIN ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET LUTHER-MIDELFORT'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO PATIENTS REGARDING THE CHARITY CARE PROGRAM. ADDITIONALLY, THE WISCONSIN ATTORNEY GENERAL REVIEWED AND APPROVED LUTHER-MIDELFORT'S BILLING AND COLLECTION POLICIES AND PRACTICES.MIDELFORT, IN AFFILIATION WITH LUTHER HOSPITAL, HAS NUMEROUS AGREEMENTS WITH EDUCATIONAL ORGANIZATIONS TO PROVIDE FORMAL EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTHCARE PROFESSIONALS. CURRENTLY THESE AGREEMENTS ARE WITH THE FOLLOWING ORGANIZATIONS:- UNIVERSITY OF WISCONSIN MEDICAL SCHOOL- UNIVERSITY OF WISCONSIN-MADISON- UNIVERSITY OF WISCONSIN-EAU CLAIRE - CHIPPEWA VALLEY TECHNICAL COLLEGE - UNIVERSITY OF WISCONSIN-LACROSSE- WESTERN WISCONSIN TECHNICAL COLLEGE OF LACROSSE- UNIVERSITY OF MINNESOTA-MINNEAPOLIS- LAKESHORE TECHNICAL COLLEGE (CLEVELAND, WI) - UNIVERSITY OF CINCINNATI - UNIVERSITY OF NEW ENGLAND (PORTLAND, MA)- UNIVERSITY OF MINNESOTA-DULUTH - COLLEGE OF ST. CATHERINE'S - COLLEGE OF ST. SCHOLASTICA - WINONA STATE UNIVERSITY - UNIVERSITY OF WISCONSIN-MILWAUKEE - UNIVERSITY OF MIAMI-OHIO - UNIVERSITY OF WISCONSIN-STOUT - WI TECHNICAL COLLEGE-RICE LAKE - WI TECHNICAL COLLEGE-NEW RICHMOND - MAYO CLINIC SCHOOL OF HEALTH RELATED SCIENCES- CONCORDIA UNIVERSITY - LAKE SUPERIOR COLLEGE - UNIVERSITY OF IOWA - UNIVERSITY OF KANSAS - UNIVERSITY OF WISCONSIN - OSHKOSH - UNIVERSITY OF WISCONSIN - WHITEWATER - WASHINGTON UNIVERSITY - WESTERN MICHIGAN UNIVERSITY- ARGOSY UNIVERSITY- DES MOINES UNIVERSITY- FINLANDIA UNIVERSITYMIDELFORT ALSO ACTIVELY PROVIDES A CONTINUING EDUCATION PROGRAM FOR ITS MEDICAL STAFF. 1209829 219702 18867 COMMUNITY BENEFIT - SEE SCHEDULE O:MIDELFORT, OFTEN IN CONJUNCTION WITH LUTHER HOSPITAL, PROVIDES COMMUNITY CLASSES, EDUCATIONAL OPPORTUNITIES AND SERVICES. THESE PROGRAMS AND CLASSES INCLUDE SEVERAL HEALTH RELATED TOPICS. ADDITIONAL INFORMATION REGARDING SOME OF THE SPECIFIC EVENTS ARE LISTED BELOW:EMPLOYEE HEALTHCARE PROFESSIONALS OFFER PRESENTATIONS ON A VARIETY OF HEALTHCARE TOPICS AT THE LOCAL BORDER BOOKSTORE DRAWING ANYWHERE FROM 15-45 PARTICIPANTS. IT'S AN INFORMAL, INFORMATIONAL DISCUSSION ON TOPICS IMPORTANT TO COMMUNITY MEMBERS.LUTHER-MIDELFORT SPONSORS A PERMANENT KIOSK IN THE MACY'S WING OF OAKWOOD MALL (A MAJOR SHOPPING CENTER) SINCE 1998. THE KIOSK IS STAFFED AT VARIOUS TIMES BY CLINICIANS AND EMPLOYEES WHO ARE AVAILABLE TO ANSWER CONSUMER QUESTIONS AND DISTRIBUTE HEALTH RELATED INFORMATION. THIS BOOTH DISPLAYS HEALTHCARE INFORMATION AND ANSWERS HEALTH-RELATED QUESTIONS THROUGH AN INTERACTIVE TOUCH-SCREEN COMPUTER AND BY THE PROFESSIONALS STAFFING THE BOOTH. FREE BLOOD PRESSURE SCREENING COMBINED WITH INFORMAL EDUCATION IS OFFERED EVERY THURSDAY TO AREA RESIDENTS. IN 2010, OVER 2,500 SCREENINGS WERE CONDUCTED FREE OF CHARGE. HEALTH FAIRS AND OTHER SPECIAL EVENTS ARE HELD SEVERAL TIMES THROUGHOUT THE YEAR TO OFFER COMMUNITY MEMBERS THE OPPORTUNITY TO LEARN ABOUT NUTRITION, EXERCISE AND SEVERAL OTHER TOPICS. MORE THAN 150 WALKERS ARE PART OF THE "HEART 'N SOLE" WALKING CLUB AT THE MALL AND RECEIVE EXERCISE AND FITNESS TIPS IN A MONTHLY NEWSLETTER."WOMEN ROCK" IS AN EVENT THAT RAISES MONEY FOR THE FIGHT AGAINST BREAST CANCER. LUTHER-MIDELFORT SPONSORS THE EVENT. MONIES RAISED HELP SUPPORT PROGRAMS AND SERVICES OF THE AMERICAN CANCER SOCIETY THAT IMPROVE THE QUALITY OF LIFE FOR CANCER PATIENTS IN EAU CLAIRE COUNTY. THE EVENT INCLUDES A WALK, A WOMEN'S RETREAT FEATURING AREA BUSINESSES AND PROVIDERS, AND A CONCERT."KIDS HELPLINE" IS A RESOURCE FOR SCHOOLS AND PARENTS WHO WANT TO HELP STRUGGLING KIDS. THE HELPLINE IS OPEN MONDAY THROUGH FRIDAY FROM 8 A.M. TO 5 P.M. PEDIATRIC PROFESSIONALS ASSIST TEACHERS AND PARENTS OF CHILDREN AND ADOLESCENTS WHO ARE DEALING WITH ADD AND ADHD, ANXIETY, AUTISM, DEFIANT BEHAVIOR, DEPRESSION, EATING DISORDERS, FAMILY ISSUES, AND SELF-INJURY. IN ADDITION, OTHER TELEPHONE INFORMATION SERVICES (ASK A NURSE, POISON CONTROL, ETC.) WERE OFFERED. FOR 2010, THESE SERVICES ASSISTED 8,452 COMMUNITY MEMBERS. FREE CARDIOVASCULAR SCREENINGS ARE OFFERED TWICE EACH MONTH, ASSESSING RISK FOR CARDIOVASCULAR DISEASE. THE SCREENING INCLUDES A FULL LIPID PANEL (TRIGLYCERIDES, LDL, HDL, AND TOTAL CHOLESTEROL), BLOOD SUGAR, BLOOD PRESSURE, CIRCULATION TEST OF THE LEGS, BMI, WAIST/HIP RATIO AND AN EXERCISE EVALUATION. PACKETS OF EDUCATIONAL INFORMATION ARE DISTRIBUTED AND A NURSE MEETS WITH EVERY PARTICIPANT, SHARING RESULTS AND RECOMMENDATIONS. FOR 2010, 279 COMMUNITY MEMBERS PARTICIPATED IN THESE SCREENINGS. IN 2010, MIDELFORT AND LUTHER EMPLOYEES RAISED $27,368 FOR THE "RELAY FOR LIFE" EVENT HELD TO BENEFIT THE AMERICAN CANCER SOCIETY. LUTHER-MIDELFORT WAS A CORPORATE SPONSOR FOR THE EVENT.LUTHER-MIDELFORT WAS A CORPORATE SPONSOR FOR THE "AMERICAN HEART WALK" TO RAISE MONEY FOR THE AMERICAN HEART ASSOCIATION. MORE THAN 20 TEAMS, APPROXIMATELY 250 WALKERS, RAISED $19,000. LUTHER-MIDELFORT WAS CORPORATE SPONSORS FOR THE "EPILEPSY STROLL IN THE PARK" EVENT WHICH RAISED MORE THAN $21,000. LUTHER-MIDELFORT ALSO SPONSORED THE "SHARE THE FLAME" EVENT AND RAISED ANOTHER $16,000 FOR THE EPILEPSY FOUNDATION.A NUMBER OF SUPPORT GROUPS ARE OFFERED BY MIDELFORT. FOR 2010, THESE GROUPS PROVIDED SUPPORT TO 654 PEOPLE. THE SUPPORT GROUPS OFFERED INCLUDED:- APHASIA SUPPORT- STROKE SUPPORT- CANCER SUPPRT- DIABETES SUPPORT- WIND WALKERS - A GROUP FOR PATIENTS WITH LUNG DISEASE- AWAKE - A SUPPORT GROUP FOR PATIENTS WITH SLEEP DISORDERSTHE "HERS" WOMEN'S CENTER OFFERS HEALTH EDUCATION RESOURCE SERVICES, SUPPORT GROUPS AND SELF-REFERRED MAMMOGRAMS TO AREA WOMEN. THE HEALTH INFORMATION CENTER PROVIDES HEALTH-RELATED TAPES, FILMSTRIPS, MODELS, COMPUTER SOFTWARE, FREE PRINTED HEALTH INFORMATION, AND OTHER EDUCATIONAL MATERIALS FOR AREA RESIDENTS TO USE FREE OF CHARGE TO INCREASE HEALTH AWARENESS WITHIN THE COMMUNITY. THE "YOUR HEALTH, YOUR CHOICE" PROGRAM PARTNERS WITH BUSINESSES TO IMPROVE PRODUCTIVITY, ENHANCE WORKPLACE SAFETY AND DEAL WITH OTHER HEALTH-RELATED WORKPLACE CONCERNS.APPROXIMATELY 35 COMMUNITY VOLUNTEERS PROVIDED APPROXIMATELY 5,691 HOURS OF DONATED TIME TO MIDELFORT IN 2010. VOLUNTEER PROVIDE HOSPITALITY SERVICES TO PATIENTS, FAMILIES AND VISITORS. THE DONATED SERVICES PROVIDED BY THE VOLUNTEERS IN 2010 IS VALUED AT APPROXIMATELY $121,560 BASED ON STATISTICS FROM THE INDEPENDENT SECTOR. 143987075 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1465 1 1 1 0 0 0 0 0 0 0 0 0 X 9 7 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 WI X CHRISTIE LOHKAMP 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 X BISOGNANO MAUREEN 1.00 X 0 0 0 CLUMPNER DANIEL 1.00 X 0 0 0 GREWE MD BRADLEY 50.00 X X 454350 0 56124 LARSON THOMAS 1.00 X X 0 0 0 LINTON MD RANDALL L 25.00 X X 516417 0 58816 OLSON RICK 1.00 X 0 0 0 PEDERSON DUANE 1.00 X 0 0 0 SORENSEN CHARLES 1.00 X 0 0 0 WAHL BETTE 1.00 X X 0 0 0 BAMMEL PAUL M 25.00 X 267674 0 52432 DICKEY JOHN M 25.00 X 332295 0 52727 BORMAN MD TERRANCE 50.00 X 340446 0 59131 FISCHER DEBORAH R 50.00 X 172211 0 44051 FOSTER BRIAN L 50.00 X 207429 0 41089 GROSETH BRADLEY D 50.00 X 190213 0 45296 OLSON DENNIS A 50.00 X 175827 0 38994 RINALDI BLYTHE A 50.00 X 185399 0 40232 SKOLD COLLEEN M 50.00 X 161337 0 35703 PEREZ MD EDUARDO J 50.00 X 1036038 0 63588 RAMAGE MD JACK I 50.00 X 1028815 0 63717 SWANSON MD STEVEN E 50.00 X 1216111 0 70092 WIECHMANN MD ROBERT J 50.00 X 1123921 0 66799 WU MD WAYNE W 50.00 X 1346066 0 66058 8754549 0 854849 256 0 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT/SUPPORT SERVICES 9169136 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 MEDICAL/SUPPORT SERVICES 3187004 LUTHER HOSPITAL 1221 WHIPPLE STREET EAU CLAIRE WI 54703 MEDICAL/SUPPORT SERVICES 3047333 MAYO COLLABORATIVE SERVICES INC 200 FIRST STREET SW ROCHESTER MN 55905 LAB SERVCIES 585090 MMSI INC 200 FIRST STREET SW ROCHESTER MN 55905 CLAIMS PROCESSING 328427 5 66882 5700 72582 NET PATIENT REVENUE 621110 170971799 170971799 SHARED SERVICES 561000 7673673 7673673 RENT FROM AFFILIATES 531120 59820 59820 178705292 289118 289118 69140 82373 -13233 -13233 -13233 8135 3912 4223 4223 4223 MEDICAL RECORDS 541900 280942 280942 MISC. REVENUE 900099 96456 94389 2067 MEDICAL DIRECTOR FEES 541900 79151 79151 34000 31650 2350 490549 179548531 179080623 31650 363676 219702 219702 3528194 516070 3012124 116499417 95062855 21436562 7000445 5759230 1241215 4429622 3739511 690111 5815356 4648796 1166560 39061 34923 4138 20014 20014 179 161 18 7800348 3273029 4527319 12855 12855 20104337 17287906 2816431 1573022 133825 1439197 5512897 3294888 2218009 1037424 785460 251964 162198 32412 129786 165 165 2311046 1784874 526172 1238615 1227792 10823 BAD DEBT EXPENSE 5790035 5790035 DUES, LICENSES, ETC. 405519 367634 37885 EMPLOYEE EXPENSES 129677 15117 114560 OTHER TAXES 30 30 MISC. EXPENSE 20 20 183630178 143987075 39643103 0 115056 25544 21373922 22797630 50000 644500 595000 116333 126058 800024 3456677 45162423 28793024 17117285 16369399 17476857 20928096 23194700 19332571 5720818 5083219 86609495 88714194 35588015 37169370 28084528 32061004 63672543 69230374 X 22936952 19483820 22936952 19483820 86609495 88714194 X -4081647 628515 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1070226 1070226 20732505 11131520 9600985 23295831 17661504 5634327 63861 63861 16369399 MAYO CLINIC INVESTMENT POOL 19332571 F 19332571 DUE FROM AFFILIATES 5083219 5083219 DEFERRED COMPENSATION LIABILITY 21164624 DUE TO AFFILIATES 10896380 32061004 Description of Uncertain Tax Positions Under FIN 48: Part X: AT DECEMBER 31, 2010 AND 2009 THERE WAS NO MATERIAL LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION. 1 LUTHER MIDELFORT FOUNDATION 733 WEST CLAIREMEONT AVE EAU CLAIRE WI 54701 391633407 501(C)(3) 152207 COMMUNITY HEALTH 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION, THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. TRANSFERS OR GRANTS TO AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. X X X X X X 0 0 0 0 0 0 0 1 0 GREWE MD BRADLEY 338036 0 16302 0 100012 0 25170 0 30954 0 510474 0 0 0 LINTON MD RANDALL L 461263 0 52400 0 2754 0 25170 0 33646 0 575233 0 0 0 BAMMEL PAUL M 245193 0 19719 0 2762 0 25170 0 27262 0 320106 0 0 0 DICKEY JOHN M 299227 0 29334 0 3734 0 25170 0 27557 0 385022 0 0 0 BORMAN MD TERRANCE 317011 0 20116 0 3319 0 25170 0 33961 0 399577 0 0 0 FISCHER DEBORAH R 158654 0 11410 0 2147 0 17362 0 26689 0 216262 0 0 0 FOSTER BRIAN L 192272 0 13180 0 1977 0 21082 0 20007 0 248518 0 0 0 GROSETH BRADLEY D 174637 0 12615 0 2961 0 19366 0 25930 0 235509 0 0 0 OLSON DENNIS A 162153 0 11603 0 2071 0 17684 0 21310 0 214821 0 0 0 RINALDI BLYTHE A 170926 0 12359 0 2114 0 18745 0 21487 0 225631 0 0 0 SKOLD COLLEEN M 159049 0 0 0 2288 0 16022 0 19681 0 197040 0 0 0 PEREZ MD EDUARDO J 959731 0 20515 0 55792 0 25170 0 38418 0 1099626 0 0 0 RAMAGE MD JACK I 973560 0 34172 0 21083 0 25170 0 38547 0 1092532 0 0 0 SWANSON MD STEVEN E 1164903 0 41107 0 10101 0 25170 0 44922 0 1286203 0 0 0 WIECHMANN MD ROBERT J 1070438 0 36497 0 16986 0 25170 0 41629 0 1190720 0 0 0 WU MD WAYNE W 616949 0 8500 0 720617 0 25170 0 40888 0 1412124 0 0 0 Part I, Line 7 A PORTION OF THE CEO'S COMPENSATION IS BASED ON A REVIEW BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AS TO WHETHER HE HAS ACHIEVED SPECIFIED FINANCIAL, OPERATIONAL AND STRATEGIC PERFORMANCE GOALS WHICH WERE ESTABLISHED IN THE PRIOR YEAR. Supplemental Information Part III Part I, Line 3: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990, PART VI, SECTION B, LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. Supplemental Information Part III Part II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. NORTHWEST HEALTH VENTURES INC BUSINESS RELATIONSHIP - BOARD OVERLAP 64460 LEASE 0 NORTHWEST HEALTH VENTURES INC BUSINESS RELATIONSHIP - BOARD OVERLAP 161725 SHARED EMPLOYEES 0 ERIN SKOLD FAMILY MEMBER OF COLLEEN SKOLD, KEY EMPLOYEE 165776 EMPLOYMENT 0 Form 990, Part VI, Section A, line 2 DR. RANDALL LINTON AND THOMAS LARSON HAVE A BUSINESS RELATIONSHIP AS BOTH SERVE ON THE BOARD OF NORTHWEST HEALTH VENTURES, INC. - A RELATED TAXABLE ENTITY. Form 990, Part VI, Section A, line 3 THE FILING ORGANIZATION IS AFFILIATED WITH MAYO CLINC. MAYO CLINIC AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES. Form 990, Part VI, Section A, line 6 THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION IS MAYO CLINIC. Form 990, Part VI, Section A, line 7a TWO DIRECTORS ARE VOTING PHYSICIANS (THE CEO AND ANOTHER CHOSEN BY THE PRACTICE COMMITTEE). FIVE DIRECTORS ARE THE FIVE COMMUNITY DIRECTORS OF LUTHER HOSPITAL, WHICH ARE SELF-PERPETUATING. TWO MORE COMMUNITY DIRECTORS ARE APPOINTED BY A SELECTION COMMITTEE. 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, DEBT, AMENDMENT OF THE ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS. Form 990, Part VI, Section B, line 11 THE FORM 990 FOR THE FILING ORGANIZATION IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA 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 12c THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. Form 990, Part VI, Section B, line 15 THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY. THE SALARY OF THE CEO, CAO, AND BOARD VICE CHAIR WERE REVIEWED BY THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO HEALTH SYSTEM PHYSICIANS. THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO 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 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 FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. PROCESS INCLUDES REVIEW OF COMPARABILITY DATA FOR SIMILAR SIZED ORGANIZATIONS BY AN INDEPENDENT COMMITTEE OF THE BOARD (PUBLIC MEMBERS ONLY). SALARY RANGES FOR THE PAST YEAR AND RANGES FOR THE NEXT YEAR ARE REVIEWED FOR REASONABLENESS. CONTEMPORANEOUS MEETING MINUTES OF THE COMPENSATION COMMITTEE ARE KEPT ON FILE. Form 990, Part VI, Section C, line 19 THE FILING ORGANIZATION'S GOVERNING DOCUMENTS 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: PAUL BAMMEL - 25 HOURS JOHN DICKEY - 25 HOURS RANDALL LINTON, M.D. - 25 HOURS Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: FASB 158 - ADDITIONAL POST RETIREMENT 628,515. Total to Form 990, Part XI, Line 5: 628,515. Form 990, Part XII, Line 2c: THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR. ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM 404 WEST FOUNTAIN STREET ALBERT LEA MN 56007 411404075 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 0 AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM 1000 FIRST DRIVE NW AUSTIN MN 55912 410695606 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 0 AUSTIN MEDICAL CENTER FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 FUNDRAISING FOUNDATION MN 501(c)(3) 7 AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM 0 BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM 1222 EAST WOODLAND AVE BARRON WI 54812 390920634 HOSPITAL AND CLINIC WI 501(c)(3) 3 LUTHER HOSPITAL 0 BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(c)(3) 7 BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM 0 BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM 1501 THOMPSON STREET BLOOMER WI 54724 390980343 HOSPITAL AND CLINIC WI 501(c)(3) 3 LUTHER HOSPITAL 0 CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM 1116 WEST MILL STREET CANNON FALLS MN 55009 204156428 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 0 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(c)(3) 9 MAYO CLINIC 0 FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT MN 56031 410760836 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 0 FOUNTAIN LAKE TREATMENT CENTER 404 WEST FOUNTAIN STREET ALBERT LEA MN 56007 411404076 CHEMICAL DEPENDENCY TREATMENT MN 501(c)(3) 3 ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM 0 FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC 464 SOUTH JOHNSON STREET ARCADIA WI 54612 391322480 FUNDRAISING FOUNDATION WI 501(c)(3) 9 FRANCISCAN SKEMP HEALTHCARE INC 0 FRANCISCAN SKEMP FOUNDATION OF SPARTA INC 310 WEST MAIN STREET SPARTA WI 54656 391423234 FUNDRAISING FOUNDATION WI 501(c)(3) 9 FRANCISCAN SKEMP HEALTHCARE INC 0 FRANCISCAN SKEMP FOUNDATION INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391186647 FUNDRAISING FOUNDATION WI 501(c)(3) 11-II FRANCISCAN SKEMP HEALTHCARE INC 0 FRANCISCAN SKEMP HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 HEALTHCARE SYSTEM PARENT WI 501(c)(3) 11-I MAYO CLINIC 0 FRANCISCAN SKEMP MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 HOSPITAL AND CLINIC WI 501(c)(3) 3 FRANCISCAN SKEMP HEALTHCARE INC 0 GCAS 200 FIRST STREET SW ROCHESTER MN 55905 411917517 AMBULANCE SERVICE MN 501(c)(3) 9 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 0 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 0 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 0 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 1025 MARSH STREET MANKATO MN 56002 411236756 HOSPITAL AND CLINIC MN 501(c)(3) 3 MAYO CLINIC 0 IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM 1025 MARSH STREET MANKATO MN 56002 411663357 FUNDRAISING FOUNDATION MN 501(c)(3) 7 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 0 LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 HOSPITAL MN 501(c)(3) 3 MAYO CLINIC 0 LUTHER HOSPITAL 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 HOSPITAL WI 501(c)(3) 3 MAYO CLINIC 0 LUTHER LAKESIDE APARTMENTS INC 714 SOUTH BARSTOW STREET EAU CLAIRE WI 54701 391409024 LOW INCOME HOUSING WI 501(c)(3) 9 LUTHER HOSPITAL 0 LUTHER MIDELFORT FOUNDATION INC 733 W CLAIREMONT AVE PO BOX 1510 EAU CLAIRE WI 54702 391633407 GRANTMAKING FOUNDATION WI 501(c)(3) PF MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM 1 MAYO CLINIC ARIZONA 13400 EAST SHEA BLVD SCOTTSDALE AZ 85259 860800150 HOSPITAL AND CLINIC AZ 501(c)(3) 3 MAYO CLINIC 0 MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 HOSPITAL FL 501(c)(3) 3 MAYO CLINIC JACKSONVILLE 0 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 PATIENT CARE - CLINIC FL 501(c)(3) 7 MAYO CLINIC 0 MAYO CLINIC -- METHODIST HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410739106 HOSPITAL MN 501(c)(3) 3 MAYO CLINIC 0 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(c)(3) 9 MAYO CLINIC 0 MAYO CLINIC -- SAINT MARYS HOSPITAL 200 FIRST STREET SW ROCHESTER MN 55905 410944601 HOSPITAL MN 501(c)(3) 3 MAYO CLINIC 0 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 0 MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM PO BOX 1510 EAU CLAIRE WI 54702 391735831 PATIENT CARE - CLINIC WI 501(c)(3) 3 MAYO CLINIC 1 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 0 NORTHWEST WISCONSIN HOMECARE INC PO BOX 2060 EAU CLAIRE WI 54702 391491516 HOME HEALTH AND HOSPICE CARE WI 501(c)(3) 9 LUTHER HOSPITAL 0 NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC PO BOX 2060 EAU CLAIRE WI 54702 391686673 HOME HEALTH CARE WI 501(c)(3) 9 LUTHER HOSPITAL 0 OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM PO BOX 70 / 13025 EIGHTH STREET OSSEO WI 54758 391029430 HOSPITAL AND CLINIC WI 501(c)(3) 3 LUTHER HOSPITAL 0 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 FUNDRAISING FOUNDATION MN 501(c)(3) 11-I MAYO CLINIC -- SAINT MARYS HOSPITAL 0 RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM 2321 STOUT ROAD MENOMONIE WI 54751 510190875 HOSPITAL AND CLINIC WI 501(c)(3) 3 MAYO CLINIC 0 SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM 625 NORTH JACKSON AVENUE SPRINGFIELD MN 56087 411893827 HOSPITAL AND CLINIC MN 501(c)(3) 3 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 0 ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 410797368 HOSPITAL AND CLINIC MN 501(c)(3) 3 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 0 ST JAMES MEDICAL CENTER FOUNDATION INC 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 411444129 FUNDRAISING FOUNDATION MN 501(c)(3) 7 ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM 0 WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM 501 NORTH STATE STREET WASECA MN 56093 363606405 HOSPITAL AND CLINIC MN 501(c)(3) 3 IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM 0 MAYO KLINIK STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 0 FRANKLIN HEATING STATION 119 THIRD ST SW ROCHESTER MN 55902 410264830 UTILITY MN N/A CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM 635 FIRST STREET SE FARIBAULT MN 55021 411817179 PATIENT CARE - CLINIC MN N/A C DECORAH CLINIC -- MAYO HEALTH SYSTEM 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 CJ N/A C 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 NORTHWEST HEALTH VENTURES INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 391528920 PHARMACY SERVICES WI N/A C OWATONNA CLINIC -- MAYO HEALTH SYSTEM 134 SOUTHVIEW OWATONNA MN 55060 411862132 PATIENT CARE - CLINIC MN 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 0 1 1 0 0 0 1 0 1 1 1 1 0 1 0 1 1 1 BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM P 12654 GAAP BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM K 2163176 GAAP BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM N 3988763 GAAP BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM P 9363 GAAP BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM K 1029879 GAAP BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM N 3444066 GAAP FRANCISCAN SKEMP HEALTHCARE K 2023 GAAP LUTHER HOSPITAL R 58879 GAAP LUTHER HOSPITAL K 365765 GAAP LUTHER HOSPITAL N 5002505 GAAP LUTHER HOSPITAL I 37470 GAAP LUTHER HOSPITAL P 4702290 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH K 15300 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH C 29600 GAAP NORTHWEST HEALTH VENTURES INC N 1522 GAAP NORTHWEST HEALTH VENTURES INC I 64460 GAAP NORTHWEST WISCONSIN HOMECARE P 4247 GAAP NORTHWEST WISCONSIN HOMECARE K 21438 GAAP NORTHWEST WISCONSIN HOMECARE N 2782 GAAP OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM P 4136 GAAP OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM K 521696 GAAP OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM N 1803598 GAAP RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM K 2782935 GAAP MAYO CLINIC R 288502 GAAP MAYO CLINIC K 826080 GAAP MAYO CLINIC I 22350 GAAP NORTHWEST WISCONSIN SUPPORTIVE HOMECARE K 1200 GAAP NORTHWEST WISCONSIN SUPPORTIVE HOMECARE N 3874 GAAP BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM Q 249058 GAAP BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM L 23 GAAP BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM N 193668 GAAP BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM J 5488 GAAP BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM Q 226482 GAAP BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM N 264857 GAAP BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM J 3833 GAAP LUTHER HOSPITAL Q 372499 GAAP LUTHER HOSPITAL L 3047333 GAAP LUTHER HOSPITAL N 4986936 GAAP LUTHER HOSPITAL J 3100916 GAAP MAYO COLLABORATIVE SERVICES INC L 585090 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH G 41863836 GAAP MMSI INC L 328427 GAAP NORTHWEST HEALTH VENTURES INC N 160203 GAAP OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM Q 121016 GAAP OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM N 94978 GAAP RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM L 2923 GAAP RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM J 91860 GAAP MAYO CLINIC L 3187004 GAAP NORTHWEST WISCONSIN SUPPORTIVE HOMECARE N 220 GAAP LUTHER MIDELFORT FOUNDATION B 152207 GAAP