MAYO CLINIC GROUP RETURN: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC GROUP RETURN (EIN 38-3952644)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202113169349309051
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-12T14:09:10-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	383952644	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MAYO	BusinessNameControlTxt
Phone	5075381297	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET SW ATTN TAX	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55905	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DENNIS E DAHLEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5075381297	PhoneNum
Signature	2021-11-12	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DENNIS	PersonFirstNm
Person Last	DAHLEN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GIANRICO FARRUGIA MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET SW ATTN TAX	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55905	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$10,844,813,938	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	5983	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MAYOCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	PATIENT CARE, MEDICAL RESEARCH AND MEDICAL EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	203	VotingMembersGoverningBodyCnt
Voting Members Independent	50	VotingMembersIndependentCnt
Total Employee	54056	TotalEmployeeCnt
Total Volunteers	3488	TotalVolunteersCnt
Total Gross UBI	$57,630,412	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$11,839,919	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$561,850,022	PYContributionsGrantsAmt
CY Contributions Grants	$689,209,224	CYContributionsGrantsAmt
PY Program Service Revenue	$9,653,359,875	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,963,475,896	CYProgramServiceRevenueAmt
PY Investment Income	$114,665,715	PYInvestmentIncomeAmt
CY Investment Income	$67,068,982	CYInvestmentIncomeAmt
PY Other Revenue	$87,205,363	PYOtherRevenueAmt
CY Other Revenue	$100,790,508	CYOtherRevenueAmt
PY Total Revenue	$10,417,080,975	PYTotalRevenueAmt
CY Total Revenue	$10,820,544,610	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,262,842,692	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,312,243,972	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,653,249,190	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,008,846,386	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,702,813	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,035,621,709	PYOtherExpensesAmt
CY Other Expenses	$4,334,021,646	CYOtherExpensesAmt
PY Total Expenses	$9,951,713,591	PYTotalExpensesAmt
CY Total Expenses	$10,655,112,004	CYTotalExpensesAmt
PY Revenues Less Expenses	$465,367,384	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$165,432,606	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,521,559,796	TotalAssetsBOYAmt
Total Assets EOY	$13,950,857,094	TotalAssetsEOYAmt
Total Liabilities BOY	$5,476,584,053	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,683,952,020	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,044,975,743	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,266,905,074	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$8,280,795,422	ExpenseAmt
Grant	$1,293,575,589	GrantAmt
Revenue	$9,202,351,353	RevenueAmt
Desc	PATIENT CARE (SEE SCHEDULE O)PATIENT CAREMAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS AN INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE AND HAS SITES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; JACKSONVILLE, FLORIDA AND ALSO SERVES MORE THAN 60 COMMUNITIES IN THE UPPER MIDWEST THROUGH THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC IS DRIVEN BY ITS MISSION OF PROVIDING THE BEST PATIENT CARE TO EVERY PATIENT EVERY DAY THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS AND ARE JOINED BY COMMON SYSTEMS AND A PHILOSOPHY THAT THE NEEDS OF THE PATIENT COME FIRST. THERE ARE 17 SUBORDINATE ORGANIZATIONS FROM THE MAYO CLINIC AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDE 22 HOSPITAL FACILITIES (20 LICENSED HOSPITALS), NUMEROUS CLINICAL FACILITIES, 1 NURSING HOME, 5 ELDERLY/ASSISTED LIVING FACILITIES AND 7 CHEMICAL DEPENDENCY TREATMENT CENTERS, AN AMBULANCE SERVICE ORGANIZATION, 1 FOUNDATION-TYPE ORGANIZATION AND 1 ORGANIZATION THAT PROVIDE SUPPORT SERVICES (SHARED SERVICES) TO MAYO CLINIC, ITS AFFILIATES AND PATIENTS.GEOGRAPHICALLY, THE SUBORDINATES ARE LOCATED IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA; SOUTHERN MINNESOTA; AND WESTERN WISCONSIN. FOR PURPOSES OF THIS STATEMENT, PATIENT CARE ENCOMPASSES PATIENT SERVICES (HOSPITALS, CLINICS & AMBULANCES), HOUSING FOR THE ELDERLY (NURSING HOMES & ELDERLY HOUSING FACILITIES) AND THE SALE OF MEDICAL PRODUCTS AND HEALTH INFORMATION. ON AN AGGREGATE BASIS, THE HOSPITAL SUBORDINATES HAD 4,124 LICENSED BEDS AT YEAR-END. FOR THE SUBORDINATE HOSPITAL AND CLINICAL PRACTICES, THE ANNUAL PATIENT COUNT (A DISTINCT COUNT OF THE MEDICAL RECORD NUMBERS THAT RECEIVED BILLABLE MEDICAL SERVICES) IN 2020 WAS APPROXIMATELY 906,000 PATIENTS. IN ADDITION, HOUSING FOR THE ELDERLY IS PROVIDED THROUGH THE OPERATION OF 6 FACILITIES THAT PROVIDE INDEPENDENT LIVING, ASSISTED LIVING AND/OR LONG-TERM CARE. THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. FOR 2020, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $297,002,000. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,206,141,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2020 ON A COMBINED BASIS WAS APPROXIMATELY $63,491,000.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 3,488 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 156,013 HOURS OF SERVICE IN 2020, VALUED AT APPROXIMATELY $4,243,554 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$702,713,310	ExpenseAmt
Revenue	$702,713,310	RevenueAmt
Desc	SHARED SERVICES (SEE SCHEDULE O)SHARED SERVICESAS PART OF ITS EXEMPT FUNCTION, ONE OF THE SUBORDINATE ORGANIZATIONS (MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH) FACILITATES EFFORTS AND SHARED SERVICES ON BEHALF OF AND FOR THE BENEFIT OF MAYO CLINIC AND ITS AFFILIATES. CERTAIN SERVICES ARE CENTRALIZED WITHIN THE SUBORDINATE ORGANIZATION AND INCLUDE FINANCE, HUMAN RESOURCES, LEGAL, PUBLIC AFFAIRS, SUPPLY CHAIN, INFORMATION TECHNOLOGY AND VARIOUS OTHER SERVICES. CERTAIN COSTS RELATED TO PROVIDING THESE SHARED SERVICES ARE ALLOCATED OUT OR CHARGED TO THE AFFILIATES. FACILITATING THESE EFFORTS AND SERVICES ALLOWS MAYO CLINIC AND ITS AFFILIATES TO BETTER CARRY OUT THEIR EXEMPT FUNCTIONS BY REDUCING COSTS, HAVING STANDARDIZED PRACTICES AND PROCEDURES, AND CREATING ECONOMIES OF SCALE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$195,103,569	ExpenseAmt
Grant	$14,373,534	GrantAmt
Revenue	$1,705,368	RevenueAmt
Desc	MEDICAL RESEARCH (SEE SCHEDULE O)MEDICAL RESEARCHMAYO CLINIC, AS AN AFFILIATED GROUP, CONDUCTS BASIC, TRANSLATIONAL, CLINICAL, AND EPIDEMIOLOGICAL RESEARCH AT ITS CAMPUSES IN MINNESOTA, ARIZONA, AND FLORIDA AND THROUGHOUT THE MAYO CLINIC HEALTH SYSTEM. THE NEEDS OF PATIENTS IS WHAT DRIVES RESEARCH AT MAYO CLINIC. AS DOCTORS TREAT PATIENTS AND SEE OPPORTUNITIES FOR ADVANCING PATIENT CARE, THEY WORK TOGETHER WITH MAYO SCIENTISTS AND RESEARCH TEAMS TO DEVELOP NEW AND IMPROVED DIAGNOSTIC TOOLS, MEDICATIONS, DEVICES, TREATMENT PROTOCOLS AND MORE.MAYO CLINIC'S UNIQUE CULTURE OF COLLABORATION AND TEAMWORK, AND ITS EXTENSIVE FACILITIES AND RESOURCES, MAKE IT POSSIBLE FOR RESEARCHERS TO UNRAVEL AND SOLVE COMPLEX RESEARCH QUESTIONS. ANSWERING THESE QUESTIONS REQUIRES A TEAM OF PHYSICIANS WHO CARE FOR PATIENTS WITH A DISEASE, BASIC SCIENTISTS WHO INVESTIGATE THE CONDITION'S MOLECULAR BASIS AND EPIDEMIOLOGISTS WHO STUDY ITS EFFECT ON POPULATIONS. THIS CLOSE INTEGRATION MAKES IT POSSIBLE TO QUICKLY BRING PROVEN DIAGNOSTICS AND THERAPEUTICS TO PATIENTS AND SHARE THIS KNOWLEDGE WITH THE NEXT GENERATION OF DOCTORS AND SCIENTISTS.THE RESEARCH ACTIVITIES CONDUCTED BY THE SUBORDINATES ARE CONDUCTED AT THE ARIZONA AND FLORIDA LOCATIONS AND AT SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. RESEARCH IS CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, NEURODEGENERATIVE DISEASES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$114,773,506	ExpenseAmt
Grant	$4,294,849	GrantAmt
Revenue	$125,126,478	RevenueAmt
Desc	HEALTH PROFESSIONAL EDUCATIONMAYO CLINIC'S INVESTMENTS IN EDUCATION INFORM AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS, AND COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING, ALONG WITH PREPARING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO PROVIDE OUTSTANDING, COMPASSIONATE CARE TO PATIENTS WORLDWIDE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE WHICH CONSISTS OF FIVE SCHOOLS:- MAYO CLINIC ALIX SCHOOL OF MEDICINE- MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION- MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES- MAYO CLINIC SCHOOL OF HEALTH SCIENCES- MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENTMAYO CLINIC, AS AN AFFILIATED GROUP, OFFERS EDUCATIONAL PROGRAMS AND TRAINING OPPORTUNITIES ON ITS CAMPUSES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; AND JACKSONVILLE, FLORIDA AND SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. IN AFFILIATION WITH THE MAYO CLINIC COLLEGE OF MEDICINE, THE SUBORDINATES OFFER PHYSICIAN RESIDENCY PROGRAMS AND FELLOWSHIPS IN MANY MEDICAL AND SURGICAL SPECIALTIES, TRAINING PROGRAMS FOR ALLIED HEALTH PERSONNEL AND ON-GOING EDUCATION FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.MANY OF THE STUDENTS EDUCATED THROUGH THE MAYO CLINIC COLLEGE OF MEDICINE TO SUSTAIN MAYO'S UNIQUE STYLE OF CARE AND PREPARE THE NEXT GENERATION OF CAREGIVERS WOULD HAVE RECEIVED SOME OF THEIR EDUCATION AT THE SUBORDINATE'S LOCATIONS IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA AND THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN.IN ADDITION, MANY OF THE SUBORDINATES HAVE AGREEMENTS WITH UNIVERSITIES, COLLEGES, AND OTHER EDUCATIONAL ORGANIZATIONS TO PROVIDE FORMAL EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTH CARE PROFESSIONALS.ROYALTIES SOME SUBORDINATES WITHIN THE GROUP MAKE THE RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. IN EXCHANGE FOR THESE LICENSES, THE SUBORDINATES RECEIVE ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$114,773,506	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$4,294,849	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$125,126,478	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$9,293,385,807	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	Yes (1)	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6967	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	54056	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	MX	ForeignCountryCd
Foreign Country	GM	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	203	GoverningBodyVotingMembersCnt
Independent Voting Member	50	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE TAX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5075381297	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET SW	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55905	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (295 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
FARRUGIA MD GIANRICO
DIR/CEO/PRES/FORMER OFFICER	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$2,638,370	$0	$103,692
GOSTOUT MD BOBBIE S
DIR/VICE CHAIR/VP OPS/INTERIM REG VP-SEMN	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$1,873,308	$0	$105,862
BOLTON JEFFREY W
DIRECTOR/CAO	40.00	0.00	Yes (X)		Yes (X)	$1,598,992	$0	$94,206
HARPER JR MD CHARLES M
DIR/FORMER OFFICER/FORMER KEY	1.00	40.00	Yes (X)			$0	$1,473,519	$36,424
THIELEN MD KENT R
DIR/CEO/CHAIR/VP OPERATIONS	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$1,383,196	$0	$99,201
QUINONES-HINOJOSA MD ALFREDO
DIRECTOR	40.00	0.00	Yes (X)			$1,338,117	$0	$90,795
GRAY MD RICHARD J
DIRECTOR/VP OPERATIONS	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$1,327,097	$0	$83,863
DAHLEN DENNIS E
DIRECTOR/VP/TREASURER	40.00	0.00	Yes (X)	Yes (X)		$1,262,423	$0	$107,568
MEYER MD FREDRIC B
DIR/PHYSICIAN	40.00	0.00	Yes (X)		Yes (X)	$1,310,667	$0	$50,081
PICHELMANN MD MARK A
FORMER HIGHEST PAID	0.00	40.00				$0	$1,268,295	$79,638	Yes (X)
BENDOK MD BERNARD R
PHYSICIAN	40.00	0.00				$1,257,086	$0	$86,931		Yes (X)
WIECHMANN MD ROBERT J
PHYSICIAN	40.00	0.00				$1,256,025	$0	$84,057		Yes (X)
NOTTMEIER MD ERIC W
PHYSICIAN	40.00	0.00				$1,250,502	$0	$84,872		Yes (X)
LYONS MD MARK K
PHYSICIAN	40.00	0.00				$1,248,412	$0	$77,316		Yes (X)
ZIMMERMAN MD RICHARD S
DIRECTOR	40.00	0.00	Yes (X)			$1,272,723	$0	$35,834
DEEN JR MD HUGH G
PHYSICIAN	40.00	0.00				$1,224,163	$0	$35,821		Yes (X)
MURPHY JOSHUA B
SECY/ASST SECY	40.00	0.00		Yes (X)		$1,158,473	$0	$93,961
HOFFMAN III HARRY N
TREASURER	40.00	0.00		Yes (X)		$1,200,125	$0	$33,578
GORES MD GREGORY J
DIRECTOR	1.00	40.00	Yes (X)			$0	$1,182,079	$38,426
GORMAN PAUL A
CHIEF INVESTMENT OFFICER	40.00	0.00			Yes (X)	$1,039,906	$0	$103,321
OTLEY MD CLARK C
DIRECTOR/PRESIDENT	1.00	40.00	Yes (X)	Yes (X)		$0	$1,017,848	$99,321
WILLIAMSON MARY J
DIR/SECY/ASST SECY/CAO MCHS	1.00	40.00	Yes (X)	Yes (X)		$0	$963,652	$99,886
SHARMA MBBS MANISH S
DIRECTOR	40.00	0.00	Yes (X)			$968,346	$0	$79,743
CIOTA MD MARK R
DIRECTOR	40.00	0.00	Yes (X)			$918,346	$0	$87,654
MENKOSKY PAULA E
DIR/SECY/ASST TREAS	40.00	0.00	Yes (X)	Yes (X)		$882,404	$0	$100,568
FRASER CATHRYN H
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00			Yes (X)	$847,355	$0	$95,327
WILLIAMS MD AMY W
DIR/VICE CHAIR/PHYSICIAN	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$845,050	$0	$84,307
HALAMKA MD JOHN D
PRES-MAYO CLINIC PLATFORM	40.00	0.00			Yes (X)	$845,152	$0	$78,508
STEWART MD MICHAEL W
FORMER KEY EMPLOYEE	40.00	0.00				$817,761	$0	$95,096	Yes (X)
DECKER MBBCH GUSTAV A
PRESIDENT INTERNATIONAL	40.00	0.00			Yes (X)	$842,921	$0	$69,238
ROSS CHRISTOPHER J
CHIEF INFORMATION OFFICER	40.00	0.00			Yes (X)	$825,220	$0	$84,932
HEBL MD JAMES R
DIR/PRES/CHAIR/REG VP-SWMN	1.00	40.00	Yes (X)	Yes (X)		$0	$823,154	$86,068
RADEMACHER MD DANA E
FORMER KEY EMPLOYEE	40.00	0.00				$813,168	$0	$89,905	Yes (X)
ORTIZ MD JOSE A
DIRECTOR	40.00	0.00	Yes (X)			$792,103	$0	$107,274
GILLIGAN SHERRI W
CHIEF MARKETING OFFICER	40.00	0.00			Yes (X)	$817,897	$0	$80,534
RIHAL MD CHARANJIT S
DIRECTOR	1.00	40.00	Yes (X)			$0	$792,951	$101,850
NOLTE DO CHARLES P
FORMER KEY EMPLOYEE	40.00	0.00				$811,661	$0	$80,679	Yes (X)
ZORN CHRISTINA K
DIR/SECY/ASST TREAS	40.00	0.00	Yes (X)	Yes (X)		$797,976	$0	$81,633
CHONG MD BRIAN W
DIRECTOR	40.00	0.00	Yes (X)			$770,825	$0	$96,161
FONSECA MD RAFAEL
DIRECTOR	40.00	0.00	Yes (X)			$760,832	$0	$94,863
WALD MD JOHN T
DIRECTOR	1.00	40.00	Yes (X)			$0	$751,873	$102,136
DEVAULT MD KENNETH R
DIRECTOR	40.00	0.00	Yes (X)			$771,537	$0	$69,920
HARA MD AMY K
DIRECTOR	40.00	0.00	Yes (X)			$749,870	$0	$89,889
HELMERS MD RICHARD A
DIR/CHAIR/PRES/REG VP-NWWI	1.00	40.00	Yes (X)	Yes (X)		$0	$801,505	$36,455
MUELLER MD PAUL S
DIR/CHAIR/REG VP-SWWI	1.00	40.00	Yes (X)	Yes (X)		$0	$735,829	$95,427
ANDREWS MD PAUL E
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$723,041	$0	$104,531
COOPER MD LESLIE T
DIRECTOR	40.00	0.00	Yes (X)			$727,862	$0	$95,174
MCKINNEY MD J MARK
PHYSICIAN	40.00	0.00			Yes (X)	$726,431	$0	$92,983
PETERSON MD JEFFREY J
FORMER KEY EMPLOYEE	40.00	0.00				$735,546	$0	$82,858	Yes (X)
TERKONDA MD SARVAM P
FORMER KEY EMPLOYEE	40.00	0.00				$714,242	$0	$92,212	Yes (X)
STONE MD WILLIAM M
FORMER OFFICER	40.00	0.00				$768,670	$0	$31,063	Yes (X)
PATEL MB TUSHAR C
DIRECTOR	40.00	0.00	Yes (X)			$711,782	$0	$87,918
CROSS III MD WILLIAM W
DIRECTOR	1.00	40.00	Yes (X)			$0	$710,375	$81,167
DOUGLAS MD DAVID D
FORMER KEY EMPLOYEE	40.00	0.00				$711,395	$0	$78,296	Yes (X)
PEARSON MD SUSAN E
FORMER OFFICER	40.00	0.00				$696,386	$0	$93,201	Yes (X)
HAKAIM MD ALBERT G
DIRECTOR	40.00	0.00	Yes (X)			$687,230	$0	$92,826
MOSS MD ADYR A
PHYSICIAN	40.00	0.00			Yes (X)	$684,137	$0	$95,852
SADOSTY MD ANNIE T
DIR/CHAIR/REG VP-SEMN/FORMER OFFICER	1.00	40.00	Yes (X)	Yes (X)		$0	$687,635	$90,485
TANER MD BURCIN C
DIRECTOR	40.00	0.00	Yes (X)			$693,015	$0	$82,162
LEIGHTON MD JONATHAN A
PHYSICIAN	40.00	0.00			Yes (X)	$732,461	$0	$38,823
BUSKIRK MD STEVEN J
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$713,056	$0	$37,196
TING MD HENRY H
DIRECTOR	40.00	0.00	Yes (X)			$661,092	$0	$81,686
LEIBOVICH MD BRADLEY C
DIRECTOR	1.00	40.00	Yes (X)			$0	$653,271	$85,135
KENDRICK MD MICHAEL L
DIRECTOR	1.00	40.00	Yes (X)			$0	$652,453	$85,237
UY MD JONATHAN J
FORMER KEY EMPLOYEE	40.00	0.00				$650,034	$0	$80,527	Yes (X)
MORICE MD WILLIAM G
DIRECTOR	1.00	40.00	Yes (X)			$0	$636,966	$88,540
ANIL MD GOKHAN
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$639,700	$0	$79,236
DOWDY MD SEAN C
DIRECTOR	1.00	40.00	Yes (X)			$0	$629,150	$83,579
CASLER MD JOHN D
DIRECTOR	40.00	0.00	Yes (X)			$613,930	$0	$91,193
CIMA MD ROBERT R
DIRECTOR/CHAIR	1.00	40.00	Yes (X)	Yes (X)		$0	$614,379	$83,658
JOHNSON MD DANIEL J
FORMER KEY EMPLOYEE	40.00	0.00				$587,814	$0	$100,391	Yes (X)
WHITED MD BRIAN L
DIRECTOR/CHAIR	1.00	40.00	Yes (X)	Yes (X)		$0	$600,632	$87,002
BRUCE MD CHARLES J
DIRECTOR	40.00	0.00	Yes (X)			$641,074	$0	$41,475
TRENTMAN MD TERRENCE L
PHYSICIAN	40.00	0.00			Yes (X)	$583,948	$0	$96,822
BAKKUM-GAMEZ MD JAMIE N
DIRECTOR	1.00	40.00	Yes (X)			$0	$603,126	$74,944
THIEL MD DAVID D
DIRECTOR	40.00	0.00	Yes (X)			$601,294	$0	$76,028
CHAPITAL MD ALYSSA B
DIRECTOR	40.00	0.00	Yes (X)			$594,502	$0	$78,501
KEENAN MD LAWRENCE R
DIRECTOR	1.00	40.00	Yes (X)			$0	$587,052	$81,936
ETZIONI MD DAVID A
PHYSICIAN	40.00	0.00			Yes (X)	$585,138	$0	$82,962
MUELLER MD JEFF T
FORMER KEY EMPLOYEE	40.00	0.00				$575,069	$0	$85,956	Yes (X)
BROWN MD MICHAEL J
DIRECTOR	1.00	40.00	Yes (X)			$0	$567,034	$87,922
ZIETLOW MD SCOTT P
DIRECTOR/CHAIR	1.00	40.00	Yes (X)	Yes (X)		$0	$608,427	$35,592
BARTLETT MD BRIAN N
PHYSICIAN	40.00	0.00			Yes (X)	$561,197	$0	$77,765
MCLAUGHLIN MD SARAH A
DIRECTOR	40.00	0.00	Yes (X)			$584,838	$0	$53,982
ROGERS JAMES A
DIRECTOR/ASST SECY	40.00	0.00	Yes (X)	Yes (X)		$548,077	$0	$86,666
PASCUAL MD JORGE M
DIRECTOR	40.00	0.00	Yes (X)			$519,470	$0	$97,708
RYAN MICHAEL J
FORMER KEY EMPLOYEE	40.00	0.00				$573,745	$0	$36,829	Yes (X)
NASSAR MD AZIZA
PHYSICIAN	40.00	0.00			Yes (X)	$524,126	$0	$86,270
DRONCA MD ROXANA S
DIRECTOR	40.00	0.00	Yes (X)			$520,802	$0	$84,389
KHOOR MD ANDRAS
FORMER KEY EMPLOYEE	40.00	0.00				$529,313	$0	$74,552	Yes (X)
FREDERICK RYANNON K
DIR/FORMER KEY EMPLOYEE	40.00	0.00	Yes (X)			$531,233	$0	$70,975
FRANCIS JAMES R
DIRECTOR/ASST TREASURER	40.00	0.00	Yes (X)	Yes (X)		$501,254	$0	$98,968
TAZELAAR MD HENRY D
PHYSICIAN	40.00	0.00			Yes (X)	$562,606	$0	$35,655
KROSCH MD TARA C
PHYSICIAN	40.00	0.00			Yes (X)	$519,061	$0	$74,953
ABENSTEIN MD JOHN P
DIRECTOR	1.00	40.00	Yes (X)			$0	$555,916	$35,797
KRAHN MD LOIS E
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$481,655	$0	$106,005
HELLMICH MD THOMAS R
DIRECTOR/CHAIR	1.00	40.00	Yes (X)			$0	$481,846	$90,087
KIM MD HYUN I
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$479,465	$0	$90,954
CHO LAWRENCE H
COO - INTERNATIONAL	40.00	0.00			Yes (X)	$520,812	$0	$49,060
JOHNSON MD MARGARET M
DIRECTOR	40.00	0.00	Yes (X)			$470,830	$0	$91,313
LIMPER MD ANDREW H
DIRECTOR	1.00	40.00	Yes (X)			$0	$522,648	$38,091
ALBRIGHT JR DO ROBERT C
REGIONAL VP SEMN	1.00	40.00		Yes (X)		$0	$465,677	$90,789
CULLINAN MD SUSAN M
DIR/CHAIR/FORMER KEY EMPLOYEE	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$456,045	$0	$99,856
GOYAL MD DEEPI G
DIRECTOR	1.00	40.00	Yes (X)			$0	$485,381	$66,348
DEWITT MD JASON J
FORMER KEY EMPLOYEE	40.00	0.00				$478,229	$0	$73,436	Yes (X)
KELLEY SHARON M
CFO MCHS	40.00	0.00		Yes (X)		$461,235	$0	$77,964
SANTRACH MD PAULA J
DIRECTOR/VICE CHAIR	1.00	40.00	Yes (X)	Yes (X)		$0	$516,918	$18,327
NARR MD BRADLY J
DIRECTOR	1.00	40.00	Yes (X)			$0	$498,081	$33,925
BUNKERS MD BRIAN E
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$438,664	$0	$91,888
PECK MD ROBERT C
DIRECTOR	40.00	0.00	Yes (X)			$434,595	$0	$85,384
MCNEILL STEVEN L
CHIEF PLANNING OFFICER	40.00	0.00			Yes (X)	$478,252	$0	$37,327
SILVERS MD SCOTT M
PHYSICIAN	40.00	0.00			Yes (X)	$427,111	$0	$87,260
RIGDON ALICE W
DIRECTOR/TREASURER	40.00	0.00	Yes (X)	Yes (X)		$489,489	$0	$15,897
COSTAKOS MD DENNIS T
DIRECTOR	40.00	0.00	Yes (X)			$410,760	$0	$85,542
MCALPINE MD DAVID A
DIRECTOR	40.00	0.00	Yes (X)			$426,776	$0	$68,200
HORST ADAM M
DIRECTOR	40.00	0.00	Yes (X)			$459,716	$0	$24,571
SOUSOU MD COSTA H
PHYSICIAN	40.00	0.00			Yes (X)	$389,776	$0	$93,616
HORVATH MD PAUL R
PHYSICIAN	40.00	0.00			Yes (X)	$395,777	$0	$86,857
URUMOV MD ANDREJ
PHYSICIAN	40.00	0.00			Yes (X)	$410,518	$0	$72,103
OTTE KIMBERLY K
ASST SECY	40.00	0.00		Yes (X)		$393,986	$0	$86,453
PRESUTTI DO RICHARD J
FORMER KEY EMPLOYEE	40.00	0.00				$386,294	$0	$91,543	Yes (X)
SEINOLA SCOTT A
DIR/CEO/PRES/CHAIR/DIV CHAIR	40.00	0.00	Yes (X)	Yes (X)	Yes (X)	$445,154	$0	$32,440
FAUBION MD STEPHANIE S
DIRECTOR	40.00	1.00	Yes (X)			$278,464	$119,763	$75,143
DEXTER MD DONN D
PHYSICIAN	40.00	0.00			Yes (X)	$383,830	$0	$87,776
MESCHIA MD JAMES F
FORMER KEY EMPLOYEE	40.00	0.00				$371,734	$0	$91,257	Yes (X)
YOUNG MD TIMOTHY J
PHYSICIAN	40.00	0.00			Yes (X)	$356,258	$0	$99,420
KRIEN MD JOSEPH S
PHYSICIAN	40.00	0.00			Yes (X)	$370,252	$0	$83,977
MORREY MICHAEL A
DIR/REG CHAIR-ADMIN SWWI/FORMER OFFICER	1.00	40.00	Yes (X)	Yes (X)		$0	$367,146	$86,735
NOE MD KATHERINE H
DIRECTOR	40.00	0.00	Yes (X)			$368,509	$0	$82,554
EZENAGU MD LEONARD C
DIRECTOR/SECY	40.00	0.00	Yes (X)	Yes (X)		$360,560	$0	$89,538
LITCHY MD WILLIAM J
FORMER OFFICER	0.00	40.00				$0	$394,720	$54,352	Yes (X)
SHERRILL TODD E
TREAS/FORMER OFFICER	40.00	0.00		Yes (X)		$352,596	$0	$95,436
PIGNOLO MD PHD ROBERT J
DIRECTOR/VICE CHAIR	1.00	40.00	Yes (X)	Yes (X)		$0	$350,053	$93,188
CRANE MD SARAH J
DIRECTOR	1.00	40.00	Yes (X)			$0	$357,461	$78,072
YUN MD BLENDA
PHYSICIAN	40.00	0.00			Yes (X)	$355,156	$0	$80,341
HOLTAN DOUGLAS J
DIRECTOR	1.00	40.00	Yes (X)	Yes (X)		$0	$397,194	$31,312
KNUDSON STEVE L
DIRECTOR	40.00	0.00	Yes (X)			$387,103	$0	$32,084
CHUKWUDELUNZU SR MD FELIX E
PHYSICIAN	40.00	0.00			Yes (X)	$327,514	$0	$91,192
SIMPSON MD HENRY J
PHYSICIAN	40.00	0.00			Yes (X)	$338,055	$0	$80,369
HIRISAVE KRISHNA MD BIPINCHANDRA
PHYSICIAN	40.00	0.00			Yes (X)	$336,275	$0	$79,346
WEBER JOAN A
DIRECTOR	40.00	0.00	Yes (X)			$401,205	$0	$13,840
CAVINESS MD JOHN N
DIRECTOR	40.00	0.00	Yes (X)			$376,508	$0	$37,844
GADE CHRIS W
CHIEF PUBLIC AFFAIRS OFFICER	40.00	0.00			Yes (X)	$375,510	$0	$37,296
FOSS MD RANDY M
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$335,129	$0	$76,590
HERRMANN MD MARTIN J
DIRECTOR	40.00	0.00	Yes (X)			$324,257	$0	$85,475
LANGBEHN DO JENNIFER M
DIRECTOR	40.00	0.00	Yes (X)			$323,056	$0	$85,950
DIETER HEIDI L
DIRECTOR	1.00	40.00	Yes (X)			$0	$345,558	$61,713
AGERTER MD DAVID C
FORMER OFFICER	0.00	40.00				$0	$375,065	$31,004	Yes (X)
MERFELD MD JOHN
PHYSICIAN	40.00	0.00			Yes (X)	$321,764	$0	$82,550
CONNOLLY TERESA L
DIRECTOR	40.00	1.00	Yes (X)			$229,883	$86,120	$86,109
HUBERT SHERRY L
ASST SECY	40.00	0.00		Yes (X)		$300,966	$0	$99,693
BRANDT TERRY L
DIR/SECY/REG CHAIR-ADMIN SWMN	1.00	40.00	Yes (X)	Yes (X)		$0	$370,206	$30,261
MYHRE MD KAREN K
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$308,357	$0	$91,560
HORECKI MD RICHARD J
PHYSICIAN	40.00	0.00			Yes (X)	$315,241	$0	$83,809
KOWAL DO GERALD K
PHYSICIAN	40.00	0.00			Yes (X)	$311,484	$0	$87,513
KORDUCKI MD JANE M
PHYSICIAN	40.00	0.00			Yes (X)	$301,742	$0	$95,214
ACKERMAN FRANKLIN K
DIR/ASSOCIATE ADMIN	40.00	0.00	Yes (X)		Yes (X)	$308,978	$0	$86,908
MORRIS MD MARIE E
DIRECTOR/CHAIR	40.00	0.00	Yes (X)	Yes (X)		$306,593	$0	$88,951
VIRAMONTES ALLISON L
DIRECTOR/TREASURER	40.00	0.00	Yes (X)	Yes (X)		$376,223	$0	$19,238
POWELL III MD RALPH
DIRECTOR	40.00	0.00	Yes (X)			$316,253	$0	$78,264
FITZGERALD MD KEVIN
PHYSICIAN	40.00	0.00			Yes (X)	$314,512	$0	$79,781
MATHEWS HILARY G
FORMER OFFICER	0.00	40.00				$0	$354,321	$37,945	Yes (X)
STEVENS MD MARK K
FORMER KEY EMPLOYEE	40.00	0.00				$318,469	$0	$4	Yes (X)
MOLLING DO PAUL E
DIR/VICE CHAIR/VP MCHS - FMC	40.00	0.00	Yes (X)	Yes (X)		$309,342	$0	$80,812
BLAIR MD DAVID
FORMER OFFICER	40.00	0.00				$292,539	$0	$97,186	Yes (X)
LINDAHL ROGER A
DIR/ASST SECY/ASST TREAS	40.00	0.00	Yes (X)	Yes (X)		$297,080	$0	$90,632
LENHART MD JILL
PHYSICIAN	40.00	0.00			Yes (X)	$288,968	$0	$96,006
ROBELIA MD PAUL M
DIRECTOR	1.00	40.00	Yes (X)			$0	$297,684	$84,658
GREEN MD JEFFREY P
FORMER OFFICER	40.00	0.00				$293,021	$0	$88,174	Yes (X)
HOLMES TINA E
CHIEF OF STAFF	40.00	0.00			Yes (X)	$300,406	$0	$78,837
GOYAL MANEESH
COO-MAYO CLINIC PLATFORM	40.00	0.00			Yes (X)	$333,962	$0	$43,863
CRAIG JASON E
REGIONAL CHAIR-ADMIN NWWI	40.00	0.00		Yes (X)		$305,672	$0	$64,643
MEYERS ANN M
DIR/FORMER OFFICER	1.00	40.00	Yes (X)			$0	$334,738	$31,303
GOLDMAN DANIEL S
ASST SECY	40.00	0.00		Yes (X)		$287,125	$0	$77,260
LOCKETT KEVIN M
DIRECTOR/TREASURER	40.00	0.00	Yes (X)	Yes (X)		$269,538	$0	$89,426
MONEY MD SAMUEL R
FORMER KEY EMPLOYEE	40.00	0.00				$285,350	$0	$72,175	Yes (X)
JELINEK DIANE F
DIRECTOR	40.00	0.00	Yes (X)			$341,446	$0	$14,611
SKAAR MD PHILLIP J
DIRECTOR	40.00	0.00	Yes (X)			$266,848	$0	$88,115
NORBY MARK L
FORMER KEY EMPLOYEE	40.00	0.00				$281,666	$0	$65,905	Yes (X)
BERG DAVID W
ADMIN - MCHS SEMN	40.00	0.00			Yes (X)	$266,450	$0	$79,441
MEKALA PRAVEEN
TREAS/ASST TREAS/CFO MN	1.00	40.00		Yes (X)		$266,592	$57,692	$20,176
CROCKETT ERIC D
DIR/SECY/REG CHAIR-ADMIN SEMN	1.00	40.00	Yes (X)	Yes (X)		$0	$265,830	$77,271
GLENN SEAN W
DIRECTOR/ASST SECY	40.00	0.00	Yes (X)	Yes (X)		$264,364	$0	$78,152
POE JOHN D
DIRECTOR	1.00	40.00	Yes (X)			$0	$266,574	$74,637
ADLEMAN BREEANN M
DIRECTOR/ASST SECY	40.00	0.00	Yes (X)	Yes (X)		$261,050	$0	$79,176
WHITE PAMELA K
CHIEF NURSING OFFICER	40.00	0.00			Yes (X)	$253,250	$0	$86,210
THIEMANN KAY M
FORMER KEY EMPLOYEE	0.00	40.00				$0	$301,702	$36,036	Yes (X)
TIGGELAAR THOMAS H
FORMER OFFICER	40.00	0.00				$262,882	$0	$73,374	Yes (X)
LINDBERG STEVEN J
DIR/VICE PRES/SECY/FORMER OFFICER	40.00	0.00	Yes (X)	Yes (X)		$259,799	$0	$76,223
MURPHY MARIALENA
ASSOC ADMIN	40.00	0.00			Yes (X)	$263,598	$0	$72,293
DILLON KEVIN R
FORMER KEY EMPLOYEE	0.00	40.00				$0	$257,617	$77,296	Yes (X)
NORDRUM CHARLOTTE J
FORMER OFFICER	40.00	0.00				$251,752	$0	$82,872	Yes (X)
GROSS TERA L
DIRECTOR	40.00	0.00	Yes (X)			$285,154	$0	$48,515
HOLTZ MD CAROL P
FORMER OFFICER	0.00	40.00				$0	$268,481	$59,163	Yes (X)
GALINDEZ JR PETER
ASST SECY/FORMER OFFICER	40.00	0.00		Yes (X)		$241,666	$0	$78,621
GRENISEN MD MARGARET M
PHYSICIAN	40.00	0.00			Yes (X)	$238,381	$0	$80,326
GABRIELSON SHARON R
FORMER OFFICER	40.00	0.00				$243,001	$0	$75,219	Yes (X)
HANSEN JULIE S
DIRECTOR/TREASURER/CFO WI	40.00	0.00	Yes (X)	Yes (X)		$281,227	$0	$35,679
THORESON SCOTT D
DIR/FORMER KEY EMPLOYEE	40.00	0.00	Yes (X)			$260,756	$0	$55,588
DEGEN SUSANNE C
FORMER KEY EMPLOYEE	40.00	0.00				$251,183	$0	$64,776	Yes (X)
ROTTY BRIAN W
FORMER KEY EMPLOYEE	0.00	40.00				$0	$239,338	$67,002	Yes (X)
PARKS DOUGLAS A
FORMER OFFICER	0.00	40.00				$0	$270,652	$34,960	Yes (X)
MELVIN KEVIN B
ASST SECY	1.00	40.00		Yes (X)		$0	$227,361	$77,557
BYRD MD JANE D
DIRECTOR/VICE CHAIR	40.00	0.00	Yes (X)	Yes (X)		$217,695	$0	$86,878
BROWN MICHAEL E
FORMER OFFICER	40.00	0.00				$230,666	$0	$66,925	Yes (X)
TRAUB MD STEPHEN J
FORMER KEY EMPLOYEE	40.00	0.00				$222,498	$0	$68,812	Yes (X)
HANSON VICTORIA M
VICE CHAIR-ADMINISTRATION	40.00	0.00			Yes (X)	$223,137	$0	$66,338
LEBRASSEUR NATHAN K
DIRECTOR	1.00	40.00	Yes (X)			$0	$218,164	$66,285
CAPLAN SHERRY M
VICE CHAIR-ADMINISTRATION	40.00	0.00			Yes (X)	$225,346	$0	$50,417
FALLER MD ANNETTE
PHYSICIAN	40.00	0.00			Yes (X)	$226,623	$0	$48,676
BROWN WILLIAM A
ASST TREASURER	40.00	0.00		Yes (X)		$244,561	$0	$29,906
JOHNSON RYAN R
DIRECTOR	1.00	40.00	Yes (X)			$0	$216,505	$56,048
GUDGELL STEPHEN F
TREASURER/SECY	1.00	40.00		Yes (X)		$0	$242,228	$29,347
COGNETTA-RIEKE CHERISTI M
CHIEF NURSING OFFICER	40.00	1.00			Yes (X)	$141,786	$76,311	$53,073
MARTIN DAVID L
FORMER KEY EMPLOYEE	40.00	0.00				$207,780	$0	$62,749	Yes (X)
HANSEN GAYLE B
FORMER KEY EMPLOYEE	40.00	0.00				$194,316	$0	$75,574	Yes (X)
DAVIS AMY L
SECRETARY	40.00	0.00		Yes (X)		$203,003	$0	$65,082
EBERLE MICHELE R
FORMER KEY EMPLOYEE	40.00	0.00				$216,450	$0	$51,182	Yes (X)
EIDE DEAN B
DIR/FORMER KEY EMPLOYEE	40.00	0.00	Yes (X)			$220,812	$0	$45,609
SLEGH KERI A
FORMER KEY EMPLOYEE	40.00	0.00				$195,177	$0	$69,517	Yes (X)
JOHNSON CARLA J
ASST SECY	40.00	0.00		Yes (X)		$212,755	$0	$51,813
MATTHIAS MARK A
FORMER OFFICER	40.00	0.00				$177,542	$0	$82,429	Yes (X)
FROISLAND JEFFREY R
DIR/TREAS/FORMER OFFICER	40.00	0.00	Yes (X)	Yes (X)		$236,749	$0	$20,745
SANDGREN KENT A
DIRECTOR	1.00	40.00	Yes (X)			$0	$227,558	$27,677
DRUCKER PAUL E
DIRECTOR/VICE PRESIDENT	1.00	40.00	Yes (X)	Yes (X)		$0	$184,332	$64,543
MCCONNELL LISA A
DIRECTOR	40.00	0.00	Yes (X)			$193,707	$0	$50,186
DALBELLO JR ALBERT
DIRECTOR/SECRETARY	1.00	40.00	Yes (X)	Yes (X)		$0	$179,004	$63,284
LOHKAMP CHRISTIE A
ASST TREASURER	40.00	0.00		Yes (X)		$199,438	$0	$41,305
LONG AMY K
DIRECTOR	40.00	0.00	Yes (X)			$177,253	$0	$46,572
ENQUIST MARK A
DIR/SECY/TREASURER	1.00	40.00	Yes (X)	Yes (X)		$0	$195,165	$26,812
WILKER MD CAROLINE G
PHYSICIAN	40.00	0.00			Yes (X)	$184,873	$0	$35,445
LANZ APRIL D
VICE CHAIR-ADMINISTRATION	40.00	0.00			Yes (X)	$169,576	$0	$50,019
KUEHL MD MARY J
DIRECTOR	40.00	0.00	Yes (X)			$146,378	$0	$71,563
RUSTAD CHRISTOPHER D
DIR/SECY/TREASURER	1.00	40.00	Yes (X)	Yes (X)		$0	$176,869	$33,306
LANZEL TRICIA G
DIRECTOR/CHAIR	40.00	0.00	Yes (X)	Yes (X)		$143,505	$0	$51,028
EVENSON LAURA K
DIRECTOR	40.00	0.00	Yes (X)			$150,001	$0	$39,192
JOHNSON KIRBY A
FORMER KEY EMPLOYEE	40.00	0.00				$150,551	$0	$36,708	Yes (X)
NESSE MD ROBERT E
FORMER KEY EMPLOYEE	40.00	0.00				$174,693	$0	$1,032	Yes (X)
FENNELL THOMAS J
ASST SECY	40.00	0.00		Yes (X)		$134,774	$0	$38,169
FEHMI RASHID A
TREASURER	40.00	0.00		Yes (X)		$130,476	$0	$32,082
KRUMM TARA L
DIRECTOR	40.00	0.00	Yes (X)			$118,512	$0	$42,858
SMOLDT CRAIG A
DIR/FORMER KEY EMPLOYEE	40.00	0.00	Yes (X)			$124,620	$0	$8,695
FISCHER DEBORAH R
FORMER KEY EMPLOYEE	40.00	0.00				$104,404	$0	$11,332	Yes (X)
PRIEST WILLIAM F
SECY	40.00	0.00		Yes (X)		$59,082	$0	$43,972
AKKERMAN ROBIN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
BAKER SALLY CHASE
DIRECTOR/PRESIDENT	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
BECKER JOHN
DIRECTOR/TREAS/CHAIR	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
BENTS IAN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
BERGERON-BOWE MELISSA
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
BOE RUSSELL
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
BOHL HEIDI
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
BORSHEIM PAUL
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
BROLSMA GREG
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
CADMAN BERWYN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
CARPENTER MARK
DIRECTOR/TREASURER	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
CHRISTENSEN SISTER GEORGIA
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
CLARK DIANE
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
CRANDALL DAVID
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
ELSBERND SISTER HELEN
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
FLANNERY BRENDA
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
FLORES JAZMINE
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
FOOT III SILAS B
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
GRUBER JOHN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
HALOM MARTIN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
HERRICK DDS JAMES V
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
JACOBSON ROSEMARY
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
KASPER JOHN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
LANZER LORI
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
LARDY TRACI
DIRECTOR/SECY/TREASURER	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
LEGARE GREG
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
LUETH MELISSA M
DIRECTOR/VICE CHAIR/SECY	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
MAHN DAVID
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
MARTIN DOUG
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
MASON SHARI
DIR/SECY/TREASURER	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
MATHY SCOTT
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
MCGRAW COLLEEN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
MCHUGH JOHN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
MOUW JEROMY J
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
OLIVER TRACY
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
OLSON BENJAMIN D
DIRECTOR/TREASURER	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
PATSCHE WANDA
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
PERRY MICHAEL
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
RIEBE DANIEL
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
ROSERA MIKE
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
SCHAUFENBUEL KIM
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
SCHMIDT JAMES
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
SCHOENBAUER BRAD
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
SNEE TAMMY
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
TONN BECKY
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
TYDRICH SISTER JULIE
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
WALTER DALE
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
WALTER KEVIN
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
WILSON MELISSA
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0
YOUNG DDS RICHARD B
DIRECTOR/VICE PRESIDENT	1.00	0.00	Yes (X)	Yes (X)		$0	$0	$0
ZELMS ALISON
DIRECTOR	1.00	0.00	Yes (X)			$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$96,102,962	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$28,909,084	TotReportableCompRltdOrgAmt
Total Other Compensation	$17,084,593	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8677	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RIGHT SOURCING INC
2 EXECUTIVE CIRCLE STE 210	IRVINE	CA	92614	WORKFORCE SUPPORT SERVICES	$80,973,931
MORRISON MANAGEMENT SPECIALISTS
400 NORTHRIDGE RD STE 600	SANDY SPRINGS	GA	30350	FOOD SERVICES	$62,762,848
MCCARTHY BUILDING COMPANIES INC
1341 N ROCK HILL RD	ST LOUIS	MO	63124	CONSTRUCTION SERVICES	$54,361,823
MAYO CLINIC
200 1ST ST SW	ROCHESTER	MN	55905	MEDICAL & SUPPORT SERVICES	$39,822,272
DPR CONSTRUCTION
222 N 44TH ST	PHOENIX	AZ	85034	CONSTRUCTION SERVICES	$37,233,350

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1172	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$149,331	FederatedCampaignsAmt
Membership Dues	$1,555	MembershipDuesAmt
Related Organizations	$451,969,083	RelatedOrganizationsAmt
Government Grants	$192,112,780	GovernmentGrantsAmt
All Other Contributions	$44,976,475	AllOtherContributionsAmt
Noncash Contributions	$170,585	NoncashContributionsAmt
Total Contributions	$689,209,224	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	620000	$9,133,930,740	$9,103,787,461	$30,143,279
SHARED SERVICES	561000	$702,713,310	$702,713,310
ROYALTY REVENUE	541900	$110,948,022	$110,948,022
EDUCATION REVENUE	611600	$14,178,456	$14,178,456
RESEARCH REVENUE	541700	$1,705,368	$1,500,274	$205,094

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,963,475,896	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,895,429	TotalRevenueColumnAmt
Exclusion	$70,895,429	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,648,643	RealAmt
Personal	$553,329	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$205,551	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,443,092	RealAmt
Personal	$553,329	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,996,421	TotalRevenueColumnAmt
Unrelated Business Revenue	$553,329	UnrelatedBusinessRevenueAmt
Exclusion	$3,443,092	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,319,090	SecuritiesAmt
Other	$12,666,155	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,842,624	SecuritiesAmt
Other	$16,969,068	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$476,466	SecuritiesAmt
Other	-$4,302,913	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,826,447	TotalRevenueColumnAmt
Exclusion	-$3,826,447	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,535,984	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,252,085	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,283,899	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,360,296	UnrelatedBusinessRevenueAmt
Exclusion	$923,603	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MISC. REVENUE	900099	$53,445,077	$43,998,169	$9,323,951	$122,957
CAFETERIA/VENDING	722310	$22,123,042	$22,123,042
MISC. CONSULTING	541610	$16,715,080	$1,096,381	$15,356,959	$261,740

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,226,989	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,203,021	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$687,504	UnrelatedBusinessRevenueAmt
Exclusion	$336,464	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$94,510,188	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,820,544,610	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,001,548,136	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$57,630,412	UnrelatedBusinessRevenueAmt
Exclusion	$72,156,838	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,306,711,283	TotalAmt
Program Services	$1,306,711,283	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,678,299	TotalAmt
Program Services	$4,678,299	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$854,390	TotalAmt
Program Services	$854,390	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$85,864,965	TotalAmt
Program Services	$48,356,945	ProgramServicesAmt
Management And General	$37,484,303	ManagementAndGeneralAmt
Fundraising	$23,717	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$28,525,575	TotalAmt
Program Services	$23,642,899	ProgramServicesAmt
Management And General	$4,882,676	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,609,415,508	TotalAmt
Program Services	$3,046,736,876	ProgramServicesAmt
Management And General	$560,699,488	ManagementAndGeneralAmt
Fundraising	$1,979,144	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$394,871,151	TotalAmt
Program Services	$333,896,597	ProgramServicesAmt
Management And General	$60,795,450	ManagementAndGeneralAmt
Fundraising	$179,104	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$649,509,361	TotalAmt
Program Services	$535,902,314	ProgramServicesAmt
Management And General	$113,341,237	ManagementAndGeneralAmt
Fundraising	$265,810	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$240,659,826	TotalAmt
Program Services	$200,752,661	ProgramServicesAmt
Management And General	$39,793,192	ManagementAndGeneralAmt
Fundraising	$113,973	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,510,020	TotalAmt
Program Services	$1,168,463	ProgramServicesAmt
Management And General	$9,341,557	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,887,274	TotalAmt
Program Services	$375,438	ProgramServicesAmt
Management And General	$10,511,836	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,734,122	TotalAmt
Program Services	$1,599,397	ProgramServicesAmt
Management And General	$134,725	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$53,261	TotalAmt
Program Services	$12,772	ProgramServicesAmt
Management And General	$40,489	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$918,298,196	TotalAmt
Program Services	$736,184,900	ProgramServicesAmt
Management And General	$182,109,352	ManagementAndGeneralAmt
Fundraising	$3,944	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,521,969	TotalAmt
Program Services	$998,348	ProgramServicesAmt
Management And General	$6,523,621	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$672,791,272	TotalAmt
Program Services	$625,524,754	ProgramServicesAmt
Management And General	$47,142,509	ManagementAndGeneralAmt
Fundraising	$124,009	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$97,734,594	TotalAmt
Program Services	$15,569,585	ProgramServicesAmt
Management And General	$82,165,009	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$35,256,347	TotalAmt
Program Services	$271,218	ProgramServicesAmt
Management And General	$34,985,129	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$133,181,645	TotalAmt
Program Services	$79,487,299	ProgramServicesAmt
Management And General	$53,692,992	ManagementAndGeneralAmt
Fundraising	$1,354	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$13,603,469	TotalAmt
Program Services	$11,645,618	ProgramServicesAmt
Management And General	$1,957,322	ManagementAndGeneralAmt
Fundraising	$529	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,693,858	TotalAmt
Program Services	$1,519,097	ProgramServicesAmt
Management And General	$174,761	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$78,364,895	TotalAmt
Program Services	$75,982,939	ProgramServicesAmt
Management And General	$2,381,956	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$422,494,913	TotalAmt
Program Services	$333,224,778	ProgramServicesAmt
Management And General	$89,270,135	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$24,030,288	TotalAmt
Program Services	$23,199,924	ProgramServicesAmt
Management And General	$830,364	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,558,142,941	$1,558,142,941
BAD DEBT EXPENSE	$176,876,776	$176,865,481	$11,295
UNRELATED BUSINESS TAX	$2,405,116	$2,404,898	$218
MEDICAID SURCHARGE	$63,883,750	$63,883,750

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$104,556,940	TotalAmt
Program Services	$83,791,943	ProgramServicesAmt
Management And General	$20,753,768	ManagementAndGeneralAmt
Fundraising	$11,229	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,655,112,004	TotalAmt
Program Services	$9,293,385,807	ProgramServicesAmt
Management And General	$1,359,023,384	ManagementAndGeneralAmt
Fundraising	$2,702,813	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$470,179,317	BOYAmt
EOY	$1,499,257,153	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,422,080	BOYAmt
EOY	$2,012,678	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$146,293,208	BOYAmt
EOY	$196,246,181	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,710,105,310	BOYAmt
EOY	$1,452,039,721	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$200,714,905	BOYAmt
EOY	$213,657,344	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$138,266,503	BOYAmt
EOY	$177,580,772	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$61,188,886	BOYAmt
EOY	$71,513,323	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,745,301,709	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,288,825,491	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,355,125,516	BOYAmt
EOY	$3,456,476,218	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$278,781,133	BOYAmt
EOY	$343,296,860	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$921,343,460	BOYAmt
EOY	$1,018,695,602	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,031,775	BOYAmt
EOY	$8,031,775	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$551,894	BOYAmt
EOY	$613,334	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,228,555,809	BOYAmt
EOY	$5,511,436,133	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,521,559,796	BOYAmt
EOY	$13,950,857,094	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,880,846,278	BOYAmt
EOY	$2,339,002,640	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$36,425,601	BOYAmt
EOY	$43,392,083	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$304,227,899	BOYAmt
EOY	$304,296,389	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$31,985,385	BOYAmt
EOY	$30,957,457	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$12,827,139	BOYAmt
EOY	$65,549,556	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,210,271,751	BOYAmt
EOY	$3,900,753,895	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,476,584,053	BOYAmt
EOY	$6,683,952,020	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,413,414,380	BOYAmt
EOY	$6,476,674,010	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$631,561,363	BOYAmt
EOY	$790,231,064	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,044,975,743	BOYAmt
EOY	$7,266,905,074	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,521,559,796	BOYAmt
EOY	$13,950,857,094	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$165,432,606	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$68,609,629	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,112,904	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MCHS-SOUTHEAST MINNESOTA REGION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	411404075	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$241,997	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$241,997	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$104,491,407	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$531,689,057	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$334,410,090	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$222,673,897	CurrentTaxYearMinus1YearAmt
Current Tax Year	$206,236,779	CurrentTaxYearAmt
Total	$1,399,501,230	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$104,491,407	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$531,689,057	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$334,410,090	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$222,673,897	CurrentTaxYearMinus1YearAmt
Current Tax Year	$206,236,779	CurrentTaxYearAmt
Total	$1,399,501,230	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$65,665,477	SubstantialContributorsTotAmt
Public Support Total170	$1,333,835,753	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,137,486	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,317,703	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,186,742	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$23,447,811	CurrentTaxYearMinus1YearAmt
Current Tax Year	$20,219,184	CurrentTaxYearAmt
Total	$81,308,926	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$351,384	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$621,091	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$526,062	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$212,410	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,079,355	CurrentTaxYearAmt
Total	$4,790,302	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,485,600,458	TotalSupportAmt
Gross Receipts Rltd Activities	$3,384,129,542	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.89780	PublicSupportCY170Pct
Public Support PY170	0.90750	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I:	BOX 3 OF PART I IS CHECKED AS TEN OF THE SEVENTEEN SUBORDINATES ARE CLASSIFIED AS HOSPITALS. TWO OF THE REMAINING SUBORDINATES ARE CLASSIFIED AS ORGANIZATIONS THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF THEIR SUPPORT FROM GOVERNMENT UNITS OR THE GENERAL PUBLIC. PART II, SECTION A (PUBLIC SUPPORT SCHEDULE) WAS COMPLETED FOR THESE SUBORDINATES. FOUR OF THE REMAINING SUBORDINATES ARE CLASSIFIED AS ORGANIZATIONS THAT NORMALLY RECEIVE: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (SEE SECTION 509(A) (2)). ONE OF THE REMAINING SUBORDINATES IS CLASSIFIED AS A TYPE I SUPPORTING ORGANIZATIONS. A SUPPORTING ORGANIZATION OPERATED, SUPERVISED, OR CONTROLLED BY ITS SUPPORTED ORGANIZATION(S), TYPICALLY BY GIVING THE SUPPORTED ORGANIZATION(S) THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE DIRECTORS OR TRUSTEES OF THE SUPPORTING ORGANIZATION. TAX SOFTWARE DOES NOT ALLOW PART II, PART III AND PART IV TO ALL BE COMPLETED, AND THUS PART III SECTION A (PUBLIC SUPPORT SCHEDULE) AND PART IV SECTION A AND B (SUPPORTING ORGANIZATIONS) ARE PROVIDED BELOW FOR THE FOUR SUBORDINATES REQUIRED TO COMPLETE PART III AND THE ONE SUBORDINATE REQUIRED TO COMPLETE PART IV.
PART II: SUPPORT SCHEDULE	BLOOMER LAKEVIEW, INC. IS A SUBORDINATE ORGANIZATION INCLUDED IN THE MAYO CLINIC GROUP RETURN BEGINNING TAX YEAR 2020 AND IS A PUBLIC CHARITY AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC. BLOOMER LAKEVIEW, INC. CHANGED THEIR ACCOUNTING PERIOD FROM A SEPTEMBER YEAR-END TO A DECEMBER YEAR-END BY FILING A SHORT-PERIOD RETURN FOR THE PERIOD OCTOBER 1, 2019 TO DECEMBER 31, 2019. AS SUCH, THEIR 5-YEAR COMPUTATION PERIOD FOR THEIR PART II SUPPORT SCHEDULE INCLUDES A SHORT YEAR.
PART III: SUPPORT SCHEDULE FOR 509(A)(2)	PART III: SUPPORT SCHEDULE SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 2016 LINE 1: 3,204,612 LINE 2: 1,487,141,956 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,490,346,568 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,490,346,568 SECTION B. TOTAL SUPPORT CALENDAR YEAR (A) 2016 LINE 9: 1,490,346,568 LINE 10A: 7,748,216 LINE 10B: 1,405,524 LINE 10C: 9,153,740 LINE 11: 0 LINE 12: 400,974 LINE 13: 1,499,901,282 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 2017 LINE 1: 2,488,807 LINE 2: 1,617,722,959 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,620,211,766 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,620,211,766 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2017 LINE 9: 1,620,211,766 LINE 10A: 14,052,339 LINE 10B: 1,063,806 LINE 10C: 15,116,145 LINE 11: 0 LINE 12: 280,898 LINE 13: 1,635,608,809 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 2018 LINE 1: 1,401,923 LINE 2: 1,762,801,375 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,764,203,298 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,764,203,298 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 2018 LINE 9: 1,764,203,298 LINE 10A: 22,864,636 LINE 10B: 2,338,364 LINE 10C: 25,203,000 LINE 11: 0 LINE 12: 285,943 LINE 13: 1,789,692,241 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (D) 2019 LINE 1: 2,202,933 LINE 2: 2,029,169,779 LINE 3: 127,489 LINE 4: 0 LINE 5: 0 LINE 6: 2,031,500,201 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,031,500,201 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2019 LINE 9: 2,031,500,201 LINE 10A: 33,736,144 LINE 10B: 2,398,473 LINE 10C: 36,134,617 LINE 11: 0 LINE 12: 0 LINE 13: 2,067,634,818 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2020 LINE 1: 3,177,838 LINE 2: 2,002,811,664 LINE 3: 30,906 LINE 4: 0 LINE 5: 0 LINE 6: 2,006,020,408 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,006,020,408 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2020 LINE 9: 2,006,020,408 LINE 10A: 12,186,475 LINE 10B: 3,299,978 LINE 10C: 15,486,453 LINE 11: 0 LINE 12: 0 LINE 13: 2,021,506,861 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1: 12,476,113 LINE 2: 8,899,647,733 LINE 3: 158,395 LINE 4: 0 LINE 5: 0 LINE 6: 8,912,282,241 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 8,912,282,241 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 8,912,282,241 LINE 10A: 90,587,810 LINE 10B: 10,506,145 LINE 10C: 101,093,955 LINE 11: 0 LINE 12: 967,815 LINE 13: 9,014,344,011 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2020: 98.87% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2019: 98.81% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2020: 1.12% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2019: 1.18% LINE 19A X
PART IV, SUPPORTING ORGANIZATIONS:	PART IV, SECTION A - ALL SUPPORTING ORGANIZATIONS YES NO 1 X 2 X 3A X 4A X 5A X 6 X 7 X 8 X 9A X 9B X 9C X 10A X 11A X 11B X 11C X PART IV, SECTION B - TYPE I SUPPORTING ORGANIZATIONS YES NO 1 X 2 X

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,327,121	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$407,000	OtherActivitiesAmt
Total Lobbying Expenditures	$1,734,121	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	DURING 2020, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS ISSUES RELATED TO PANDEMIC RESPONSE AS WELL AS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. MANY DISCUSSIONS WERE HELD VIRTUALLY TO ENSURE SAFETY IN THE PANDEMIC ENVIRONMENT. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES 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 2020, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH AS WELL AS MAYO'S SUPPORT FOR THE RESPONSE TO THE COVID-19 PANDEMIC. IN ADDITION TO CORRESPONDENCE, MAYO EXPRESSES ITS PERSPECTIVE ON POLICY ISSUES VIA EDITORIALS AND IN RESPONSES TO MEDIA INQUIRIES. ON OCCASION, MAYO'S POLICY PERSPECTIVE MAY BE INCLUDED IN THE SPEECH CONTENT OF MAYO LEADERS. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2020, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $1,087,466. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Collection Used Preservation	Yes (X)	CollectionUsedPreservationInd
Solicited Assets Sale	0	SolicitedAssetsSaleInd
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Beginning Balance	$2,846	BeginningBalanceAmt
Additions During Year	$853	AdditionsDuringYearAmt
Distributions During Year	$2,476	DistributionsDuringYearAmt
Ending Balance	$1,223	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$581,677,751	BeginningYearBalanceAmt
Contributions	$15,205,665	ContributionsAmt
Investment Earnings Or Losses	$88,044,445	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,109,580	OtherExpendituresAmt
End Year Balance	$668,818,281	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$643,594,273	BeginningYearBalanceAmt
Contributions	$24,924,499	ContributionsAmt
Investment Earnings Or Losses	$78,187,578	InvestmentEarningsOrLossesAmt
Other Expenditures	$165,028,599	OtherExpendituresAmt
End Year Balance	$581,677,751	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$675,799,917	BeginningYearBalanceAmt
Contributions	$22,664,654	ContributionsAmt
Investment Earnings Or Losses	$15,430,166	InvestmentEarningsOrLossesAmt
Other Expenditures	$70,300,464	OtherExpendituresAmt
End Year Balance	$643,594,273	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$563,023,595	BeginningYearBalanceAmt
Contributions	$26,381,268	ContributionsAmt
Investment Earnings Or Losses	$112,420,743	InvestmentEarningsOrLossesAmt
Other Expenditures	$26,025,689	OtherExpendituresAmt
End Year Balance	$675,799,917	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$439,084,796	BeginningYearBalanceAmt
Contributions	$201,427,649	ContributionsAmt
Investment Earnings Or Losses	$23,873,232	InvestmentEarningsOrLossesAmt
Other Expenditures	$101,362,082	OtherExpendituresAmt
End Year Balance	$563,023,595	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.39260	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.41690	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.19050	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,677,877	OtherCostOrOtherBasisAmt
Book Value	$136,677,877	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,595,453,534	OtherCostOrOtherBasisAmt
Depreciation	$2,446,666,392	DepreciationAmt
Book Value	$2,148,787,142	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,251,119	OtherCostOrOtherBasisAmt
Depreciation	$7,724,860	DepreciationAmt
Book Value	$3,526,259	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,594,558,562	OtherCostOrOtherBasisAmt
Depreciation	$1,834,434,239	DepreciationAmt
Book Value	$760,124,323	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$407,360,617	OtherCostOrOtherBasisAmt
Book Value	$407,360,617	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,456,476,218	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	MAYO POOLED INVESTMENTS	Desc
Book Value	$1,018,695,602	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,018,695,602	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$5,231,721,455
ART	$420,000
CONTRIBUTED ASSETS PENDING DISPOSAL	$1,423,097
GIFT ANNUITIES	$136,360,142
RELOCATION HOUSES	$917,231
OTHER LONG TERM ASSETS	$49,666,061
TRUSTS	$9,019,844
DEFERRED INCOME TAX ASSET	$401,801
TECH BASED VENTURES	$81,452,131
BOND RELATED INVESTMENTS	$124
ASSETS HELD BY TRUSTEES	$54,247

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,511,436,133	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$126,562	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$3,900,627,333	Amt

Field	Value	IRS element (for citing)
Total Liability	$3,900,753,895	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 1A:	MAYO CLINIC AND ITS AFFILIATES PERIODICALLY RECEIVE WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF MAYO'S PATIENTS. IT IS MAYO'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART, NOR RECORD THE RELATED CONTRIBUTION REVENUE. IN THE RARE OCCURRENCE THAT MAYO CLINIC AND ITS AFFILIATES COMMISSION ART; IT IS REFLECTED AS AN EXPENSE OR ON THE BALANCE SHEET.
PART III, LINE 4:	SINCE ITS INCEPTION, MAYO HAS USED ART, ARCHITECTURE AND BEAUTY IN ITS SURROUNDINGS TO ADDRESS THE SPIRITUAL ASPECTS OF MEDICAL CARE. BENEFACTOR GIFTS FROM PATIENTS, FRIENDS, EMPLOYEES OR ALUMNI HELP MAYO SUPPORT THE ACQUISITION OF ART USED TO HUMANIZE THE MEDICAL ENVIRONMENT AND COMPLEMENT THE BELIEF THAT RESTORING THE MIND AND SPIRIT IS AN IMPORTANT PART OF MAKING THE BODY WELL. WORKS OF ART DISPLAYED ACROSS THE MAYO CAMPUSES PROVIDE BEAUTY, PRESERVATION OF HERITAGE AND RESPECT FOR THE DIVERSITY OF PATIENTS, VISITORS AND STAFF.
PART IV, LINE 1B:	NURSING HOME RESIDENT FUNDS
PART IV, LINE 2B:	RESIDENT SECURITY DEPOSITS
PART V, LINE 4:	THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR PATIENT, RESEARCH, AND EDUCATION PROGRAMS.
PART X, LINE 2:	AT DECEMBER 31, 2020 AND 2019, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE SUBORDINATE ORGANIZATIONS WITHIN THE GROUP RETURN FILING.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (24 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	0	56	TRAVEL	$85,865
EAST ASIA AND THE PACIFIC	0	37	TRAVEL	$29,407
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	173	TRAVEL	$223,385
MIDDLE EAST AND NORTH AFRICA	0	178	TRAVEL	$1,133,848
NORTH AMERICA	0	96	TRAVEL	$84,625
RUSSIA AND THE NEIGHBORING STATES	0	0	TRAVEL
SOUTH AMERICA	0	30	TRAVEL	$39,191
SOUTH ASIA	0	10	TRAVEL	$11,306
SUB-SAHARAN AFRICA	0	18	TRAVEL	$29,768
CENTRAL AMERICA AND THE CARIBBEAN	1	4	PROGRAM SERVICES	$159,737	ARRANGE APPOINTMENTS, TRAVEL, ETC
NORTH AMERICA	2	2	PROGRAM SERVICES	$279,674	ARRANGE APPOINTMENTS, TRAVEL, ETC
SOUTH AMERICA	2	3	PROGRAM SERVICES	$127,208	ARRANGE APPOINTMENTS, TRAVEL, ETC
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	1	PROGRAM SERVICES	$15,200	PATIENT CARE
MIDDLE EAST AND NORTH AFRICA	0	15	PROGRAM SERVICES	$199,165	PATIENT CARE
NORTH AMERICA	0	1	PROGRAM SERVICES	$360	CONSULTING
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$900,000
EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS	$13,634,000
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS	$2,202,000
CENTRAL AMERICA AND THE CARIBBEAN	0	2	SERVICES PURCHASED	$375,655	MARKETING
EAST ASIA AND THE PACIFIC	0	9	SERVICES PURCHASED	$420,547	MARKETING
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	2	SERVICES PURCHASED	$36,160	MARKETING
MIDDLE EAST AND NORTH AFRICA	0	5	SERVICES PURCHASED	$1,211,558	MARKETING
NORTH AMERICA	0	3	SERVICES PURCHASED	$195,668	MARKETING
SOUTH AMERICA	0	0	SERVICES PURCHASED		MARKETING

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	580	SubtotalEmployeesCnt
Continuation Total Office	5	ContinuationTotalOfficeCnt
Continuation Total Employee	65	ContinuationTotalEmployeeCnt
Total Office	5	TotalOfficeCnt
Total Employee	645	TotalEmployeeCnt
Subtotal Spent	$1,607,627	SubtotalSpentAmt
Continuation Spent	$19,786,700	ContinuationSpentAmt
Total Spent	$21,394,327	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (9 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARDS	$89,851	CHECK, ELECTRONIC	$0
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	$106,970	CHECK, ELECTRONIC	$0
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	$196,157	CHECK, ELECTRONIC	$0
NORTH AMERICA	RESEARCH SUBAWARDS	$336,416	CHECK, ELECTRONIC	$0
NORTH AMERICA	RESEARCH SUBAWARDS	$24,370	CHECK, ELECTRONIC	$0
NORTH AMERICA	RESEARCH SUBAWARDS	$30,730	CHECK, ELECTRONIC	$0
NORTH AMERICA	RESEARCH SUBAWARDS	$19,170	CHECK, ELECTRONIC	$0
NORTH AMERICA	RESEARCH SUBAWARDS	$38,590	CHECK, ELECTRONIC	$0
NORTH AMERICA	RESEARCH SUBAWARDS	$9,300	CHECK, ELECTRONIC	$0

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	9	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	Yes (1)	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE REGULARLY MONITORED BY THE FILING ORGANIZATION FOR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS AND/OR THE CONTRACT PROVISIONS. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE.
PART I, LINE 3:	ACCRUAL METHOD
PART III ACCOUNTING METHOD:
PART IV - FILING OF CERTAIN FOREIGN FORMS	DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 1C, 4, AND 5C FILER WITH RESPECT TO THE SPECIFIED FOREIGN CORPORATIONS (SFCS) AND CONTROLLED FOREIGN CORPORATIONS (CFCS) LISTED BELOW. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE SFCS AND CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. ADDITIONAL SFCS AND CFCS REQUIRING THE FILING OF FORMS 5471 MAY BE IDENTIFIED BY THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW AFTER THE TAXPAYER'S FILING DATE. THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW WILL SATISFY THE FILING REQUIREMENTS OF FORMS 5471 FOR ANY ADDITIONAL SFCS AND CFCS NOT IDENTIFIED BELOW. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT SPECIFIED FOREIGN CORPORATIONS AND CONTROLLED FOREIGN CORPORATIONS REQUIRING THE FILING OF FORM 5471: ATRIAN MEDICAL LTD UNIT 204, BUSINESS INNOVATION CENTRE, NATIONAL UNIVERSITY OF IRELAND GALWAY, H91 TK33, IRELAND BAIN CAPITAL CREDIT CLO 2017-2, LTD C/O MAPLESFS, LTD, PO BOX 1903, BOUNDARY HALL, CRICKET SQUARE GRAND CAYMAN, KY1-1102, CAYMAN ISLANDS REF#: BAINCAPITALCREDITCLO20172LTD EBA MED SA AVENUE DE SECHERON 15, CH-1202 GENEVA, SWITZERLAND REF#: EBAMEDSA ENERGY CAPITAL PARTNERS MEZZANINE OPPORTUNITIES FUND OFFSHORE FEEDER AIV, LP 40 BEECHWOOD ROAD SUMMIT, NJ 07901 EIN: 98-1278544 MAYO CLINIC (UK) LTD 3 MORE LONDON RIVERSIDE LONDON, SE1 2AQ, UNITED KINGDOM REF#: MCMCUKL MAYO INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN, KY1-1102, CAYMAND ISLANDS REF#: MCMICL MC ALLIANCE LTD C/O SERVICES CAYMAN LIMITED, PO BOX 10008 WILLOW HOUSE, CRICKET SQUARE, GRAND CAYMAN CJ KY EIN: 98-1527769 SIT ALPHA II BOND FUND, LTD C/O APPLEBY TRUST (CAYMAN) LTD, CLIFTON HOUSE 75 FORT STREET, PO BOX 1350 GRAND CAYMAN, CAYMAN ISLANDS EIN: 98-0648163 WUXI DIAGNOSTICS LAB (SHIJIAZHUANG) CO, LTD RM 1245, BUILDING 5, 319 CHANGJIANG AVE, GAOXIN DISTRICT, SHIJIAZHUANG, CHINA REF#: WUXISHIJIAZHUANG WUXI DIAGNOSTICS LAB (WUXI) CO, LTD ROOM 306, NO 88 MEILIANG ROAD, BINHU DISTRICT, WUXI CITY, JIANGSU PROVINCE, CHINA REF#: WUXIDIAGNOSTICSLAB WUXI DIAGNOSTICS MEDICAL TESTING INSTITUTE (SHANGHAI) CO, LTD SECTION A 1ST FLOOR BUILDING 104, NO 1-30 LANE 88 MIN BEI ROAD MINHANG DISTRICT, SHANGHAI, CHINA REF#: WUXIDIAGNOSTICSSHANGHAI DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS (CFPS), AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. ADDITIONAL CFPS REQUIRING THE FILING OF FORMS 8865 MAY BE IDENTIFIED BY THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW AFTER THE TAXPAYER'S FILING DATE. THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW WILL SATISFY THE FILING REQUIREMENTS OF FORMS 8865 FOR ANY ADDITIONAL CFPS NOT IDENTIFIED BELOW. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH FORMS 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT APPIAN NATURAL RESOURCES FUND (HG AIV) L.P. 47 ESPLANADE ST. HELIER, JERSEY JE1 0BD APPIAN NATURAL RESOURCES FUND (NV) L.P. 47 ESPLANADE ST. HELIER, JERSEY JE1 0BD ABINGWORTH BIOVENTURES VII LP 38 JERMYN ST. LONDON, UNITED KINGDOM, W1Y 6DN ANRH COOPERATIEF U.A. ZUIDPLEIN 126, WTC, TOWER H, 15TH FL. AMSTERDAM, THE NETHERLANDS, 1077 XV ARVO, LLC C/O WALKERS CORP. LTD, CAYMAN CORPORATE CENTRE, 27 HOSPITAL ROAD GEORGE TOWN, CAYMAN ISLANDS, KY1-9008 BAIN CAPITAL ASIA FUND II, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL ASIA FUND III, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL EUROPE FUND IV, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL EUROPE FUND V, SCSP 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL FUND XII, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL SPECIAL SITUATIONS ASIA, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BLACK RIVER FOOD FUND 2 LP 33 S. 6TH ST., SUITE 4100 MINNEAPOLIS, MN, UNITED STATES, 55402 BLACKSTONE REAL ESTATE PARTNERS (OFFSHORE) VIII-NQ L.P. C/O THE BLACKSTONE GROUP, 345 PARK AVE. NEW YORK, NY, UNITED STATES, 10154 BLACKSTONE REAL ESTATE PARTNERS EUROPE V L.P. C/O THE BLACKSTONE GROUP, 345 PARK AVE. NEW YORK, NY, UNITED STATES, 10154 BLACKSTONE REAL ESTATE PARTNERS EUROPE V-NQ L.P. C/O THE BLACKSTONE GROUP, 345 PARK AVE. NEW YORK, NY, UNITED STATES, 10154 BVCF III, L.P. 190 ELGIN AVE. GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9005 BVCF IV, L.P. C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9008 BVCF REALIZATION FUND, L.P., C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9008 CANAAN X L.P 285 RIVERSIDE AVE., STE 250 WESTPORT, CT UNITED STATES, 06880 CANAAN XI L.P 285 RIVERSIDE AVE., STE 250 WESTPORT, CT UNITED STATES, 06880 CREDIT SOLUTIONS INDIA HOLDCO PTE LTD 77 ROBINSON RD #13-00 SINGAPORE, SINGAPORE, SN 068896 CVC CAPITAL PARTNERS VI (A) L.P. 27 ESPLANADE ST. HELIER, JERSEY, JE1 1SG CVC CAPITAL PARTNERS VII (A) L.P. 27 ESPLANADE ST. HELIER, JERSEY, JE1 1SG EAGLE HOLDINGS LIMITED FIRST FLOOR, JUBILEE BUILDINGS, VICTORIA STREET DOUGLAS, ISLE OF MAN, IM1 2SH EQT CAMERA SIDE CAR (NO.2) SCSP 26A BLVD ROYAL LUXEMBOURG, LUXEMBOURG, L-2449 EQT VIII (NO.2) SCSP 26A BLVD ROYAL LUXEMBOURG, LUXEMBOURG, L-2449 EVOLUTION FUND I, L.P. C/O MSVC GP LTD, STE 905-6, 9/F ICBC TOWER, 3 GARDEN RD HONG KONG, HONG KONG GREAT HILL EQUITY PARTNERS VI-A, LP C/O CO SERVICES CAYMAN LTD, P.O. BOX 10008, WILLOW HOUSE, CRICKET SQUARE GRAND CAYMAN, CAYMAN ISLANDS, KY1-1001 GREENSTONE RESOURCES II L.P. PO BOX 656, E. WING, TRAFALGAR COURT, LES BANQUES ST PETER PORT, GUERNSEY, GY1 3PP IDG CHINA CAPITAL FUND III LP UNIT 5505, 55/F, THE CENTER, 99 QUEEN'S RD CENTRAL HONG KONG, HONG KONG IDG CHINA VENTURE CAPITAL FUND V L.P. UNIT 5505, 55/F, THE CENTER, 99 QUEEN'S RD CENTRAL HONG KONG, HONG KONG INCE CAPITAL PARTNERS, L.P. CAYMAN CORP. CENTRE, 27 HOSPITAL RD GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, CJ KY1-9008 KEROGEN DIGITAL SOLUTIONS, L.P. C/O INTERTRUST CORP. SERVICES (CAYMAN) LTD, 190 ELGIN AVE. GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9005 KEROGEN FUND II INVESTMENTS HOLDING LIMITED C/O INTERTRUST CORP. SERVICES (CAYMAN) LTD, 190 ELGIN AVE. GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9005 KILDARE EUROPEAN PARTNERS II, LP CLARENDON HOUSE, 2 CHURCH ST. HAMILTON, BERMUDA, HM 11 KKR ASIAN FUND III L.P. C/O KOHLBERG KRAVIS ROBERTS & CO., 9 W. 57TH ST. NEW YORK, NY UNITED STATES, 10019 MARIETTE HOLDINGS LIMITED 13-14 ESPLANADE ST. HELIER, JERSEY, JE1 1BD MORNINGSIDE CHINA TMT FUND IV, L.P. C/O MORNINGSIDE CHINA TMT GP IV, L.P., STE 905-6, 9/F ICBC TOWER, THREE GARDEN RD HONG KONG MORNINGSIDE CHINA TMT SPECIAL OPPORTUNITY FUND II, L.P. C/O MORNINGSIDE CHINA TMT GP IV, L.P., STE 905-6, 9/F ICBC TOWER, THREE GARDEN RD HONG KONG OAKTREE OPPORTUNITIES FUND IX AIF CAYMAN, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE OPPORTUNITIES FUND IX, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE OPPORTUNITIES FUND X AIF CAYMAN, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE PRINCIPAL FUND V RESTRUCTURING AIV (CAYMAN), L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE PRINCIPAL FUND V, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 PLUTUS ENERGY INVESTMENTS HOLDING LIMITED 28 ESPLANADE ST HELIER, JERSEY, JE1 8S
PART IV - FILING OF CERTAIN FOREIGN FORMS	PMI CANADA HOLDINGS LP 1055 W. GEORGIA ST. VANCOUVER, CANADA, BC V6E 4N7 PMI HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 PMI INTERMEDIATE HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 PROVIDENCE EQUITY PARTNERS VII LP 50 KENNEDY PLAZA, 18TH FL. PROVIDENCE, RI UNITED STATES, 02903 SAIF PARTNERS INDIA V LIMITED IFS COURT, BANK ST., TWENTYEIGHT, CYBERCITY EBENE, REPUBLIC OF MAURITIUS, 72201 SAIF PARTNERS INDIA VI LIMITED IFS COURT, BANK ST., TWENTYEIGHT, CYBERCITY EBENE, REPUBLIC OF MAURITIUS, 72201 SEQUOIA CAPITAL CHINA GROWTH FUND IV, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL CHINA GROWTH FUND V, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL CHINA GROWTH FUND VI, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL CHINA VENTURE FUND VII, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL GLOBAL GROWTH FUND III ENDURANCE PARTNERS, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL INDIA IV, LTD 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL INDIA V, LTD 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL INDIA VI, LTD 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US GROWTH FUND VII, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US GROWTH FUND VIII, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US VENTURE FUND XV, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US VENTURE FUND XVI, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SHORELINE CHINA VALUE III, L.P. FOLIO CHAMBERS, P.O. BOX 800, RD TOWN TORTOLA, BRITISH VIRGIN ISLANDS SHUBH HOLDINGS PTE LTD 77 ROBINSON RD #13-00 SINGAPORE, SINGAPORE, SN 068896 TCV IX (A), L.P. 250 MIDDLEFIELD RD MENLO PARK, CA UNITED STATES, 94025 TCV X, L.P. 250 MIDDLEFIELD RD MENLO PARK, CA UNITED STATES, 94025 THE SOCIAL+CAPITAL PARTNERSHIP III, L.P. 317 UNIVERSITY AVE., #200 PALO ALTO, CA UNITED STATES, 94301 THE VARDE FUND XIII (B) (FEEDER), L.P. C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, CAYMAN ISLANDS, KY1-9008 THE VARDE FUND XIII, L.P. C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, CAYMAN ISLANDS, KY1-9008 TPC CANADA HOLDINGS LIMITED PARTNERSHIP 1055 W. GEORGIA ST. VANCOUVER, CANADA, BC V6E 4N7 TPC HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 TPC INTERMEDIATE HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 VARDE HOLDINGS PTE LTD 77 ROBINSON RD #13-00 SINGAPORE, SINGAPORE, SN 068896 WIND POINT PARTNERS IX-A, LP 676 N. MICHIGAN AVE., STE 3700 CHICAGO, IL UNITED STATES, 60611 WIND POINT PARTNERS VIII-A GLOBAL LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,491,014	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63,491,014	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$612,842,913	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$315,840,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$297,002,493	NetCommunityBenefitExpnsAmt
Total Expense	0.02830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$676,333,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$315,840,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$360,493,507	NetCommunityBenefitExpnsAmt
Total Expense	0.03440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,388,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,005	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,387,377	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,452,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,111,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,341,109	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$477,040,343	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$293,187,560	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$183,852,783	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$195,103,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$127,027,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,075,986	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,061,669	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,061,669	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$794,046,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$438,327,626	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$355,718,924	NetCommunityBenefitExpnsAmt
Total Expense	0.03390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,470,380,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$754,168,046	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$716,212,431	NetCommunityBenefitExpnsAmt
Total Expense	0.06830	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$453,244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$453,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$193	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,223	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$187,223	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$166,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$807,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$807,286	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$176,876,776	BadDebtExpenseAmt
Reimbursed By Medicare	$1,566,645,017	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,860,635,712	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$293,990,695	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	20	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (20 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room OtherEmergencyRoomOtherInd
MAYO CLINIC HOSPITAL IN ROCHESTER
1	1216 2ND STREET SW	ROCHESTER	MN	55905	WWW.MAYOCLINIC.ORG	00428	MAYO CLINIC HOSPITAL ROCHESTER	410944601	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	E
MCHS IN LA CROSSE
2	700 WEST AVENUE SOUTH	LA CROSSE	WI	546014796	WWW.MAYOCLINIC.ORG	24	MCHS FRANCISCAN MEDICAL CENTER	390806374	Yes (X)	Yes (X)		Yes (X)		Yes (X)	D	CANCER & SURGERY CENTER
MAYO CLINIC HOSPITAL IN FLORIDA
3	4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	WWW.MAYOCLINIC.ORG	4493	MAYO CLINIC FLORIDA	590714831	Yes (X)	Yes (X)		Yes (X)		Yes (X)	E
MCHS IN EAU CLAIRE
4	1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	WWW.MAYOCLINIC.ORG	48	MCHS NW WISCONSIN REGION	390813418	Yes (X)	Yes (X)				Yes (X)	A
MCHS IN MANKATO
5	1025 MARSH STREET	MANKATO	MN	56001	WWW.MAYOCLINIC.ORG	00033	MCHS SW MINNESOTA REGION	411236756	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A	CLINIC
MAYO CLINIC HOSPITAL IN ARIZONA
6	5777 EAST MAYO BOULEVARD	PHOENIX	AZ	85054	WWW.MAYOCLINIC.ORG	H2027	MAYO CLINIC ARIZONA	860800150	Yes (X)	Yes (X)		Yes (X)		Yes (X)	E	CLINIC, RESEARCH
MCHS IN ALBERT LEA AND AUSTIN
7	1000 FIRST DRIVE NORTHWEST	AUSTIN	MN	55912	WWW.MAYOCLINIC.ORG	00920	MCHS SE MINNESOTA REGION	411404075	Yes (X)	Yes (X)				Yes (X)	B	CLINIC
MCHS IN FAIRMONT
8	800 MEDICAL CENTER DRIVE	FAIRMONT	MN	56031	WWW.MAYOCLINIC.ORG	00359	MCHS FAIRMONT	410760836	Yes (X)	Yes (X)				Yes (X)	A	CLINIC
MCHS IN RED WING
9	701 HEWITT BOULEVARD	RED WING	MN	55066	WWW.MAYOCLINIC.ORG	21423	MCHS SE MINNESOTA REGION	411404075	Yes (X)	Yes (X)				Yes (X)	C	CLINIC
MCHS IN NEW PRAGUE
10	301 2ND STREET NORTHEAST	NEW PRAGUE	MN	56071	WWW.MAYOCLINIC.ORG	00607	MCHS SW MINNESOTA REGION	411236756	Yes (X)	Yes (X)				Yes (X)	A		Yes (X)
MCHS IN WASECA
11	501 NORTH STATE STREET	WASECA	MN	56093	WWW.MAYOCLINIC.ORG	00908	MCHS SW MINNESOTA REGION	411236756	Yes (X)	Yes (X)				Yes (X)	A	CLINIC	Yes (X)
MCHS IN BARRON
12	1222 EAST WOODLAND	BARRON	WI	54812	WWW.MAYOCLINIC.ORG	1018	MCHS NW WISCONSIN REGION	390813418	Yes (X)	Yes (X)				Yes (X)	A	CLINIC	Yes (X)
MCHS IN BLOOMER
13	1501 THOMPSON STREET	BLOOMER	WI	54724	WWW.MAYOCLINIC.ORG	1017	MCHS NW WISCONSIN REGION	390813418	Yes (X)	Yes (X)				Yes (X)	A	CLINIC	Yes (X)
MCHS IN MENOMONIE
14	2321 STOUT ROAD	MENOMONIE	WI	54751	WWW.MAYOCLINIC.ORG	1044	MCHS NW WISCONSIN REGION	390813418	Yes (X)	Yes (X)				Yes (X)	B	CLINIC	Yes (X)
MCHS IN SPARTA
15	310 WEST MAIN STREET	SPARTA	WI	546562142	WWW.MAYOCLINIC.ORG	1009	MCHS FRANCISCAN MEDICAL CENTER	390806374	Yes (X)	Yes (X)					D	CLINIC	Yes (X)	Yes (X)
MCHS IN ST JAMES
16	1101 MOULTON PARSONS DRIVE	ST JAMES	MN	56081	WWW.MAYOCLINIC.ORG	00698	MCHS ST JAMES	410797368	Yes (X)	Yes (X)				Yes (X)	A	CLINIC	Yes (X)
MCHS IN SPRINGFIELD
17	625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	WWW.MAYOCLINIC.ORG	00044	MCHS SW MINNESOTA REGION	411236756	Yes (X)	Yes (X)				Yes (X)	A	CLINIC	Yes (X)
MCHS IN OSSEO
18	13025 8TH STREET	OSSEO	WI	54758	WWW.MAYOCLINIC.ORG	1003	MCHS NW WISCONSIN REGION	390813418	Yes (X)	Yes (X)				Yes (X)	A	CLINIC	Yes (X)
MCHS IN LAKE CITY
19	500 WEST GRANT STREET	LAKE CITY	MN	55041	WWW.MAYOCLINIC.ORG	20693	MCHS LAKE CITY	411906820	Yes (X)	Yes (X)				Yes (X)	C	CLINIC, CARE CENTER	Yes (X)
MCHS IN CANNON FALLS
20	32021 COUNTY ROAD 24 BOULEVARD	CANNON FALLS	MN	55009	WWW.MAYOCLINIC.ORG	140	MCHS SE MINNESOTA REGION	411404075	Yes (X)	Yes (X)				Yes (X)	C	CLINIC	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
REPORTING GROUP A
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
REPORTING GROUP B
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
REPORTING GROUP C
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
REPORTING GROUP D
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	MAYOCLINICHEALTHSYSTEM.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
REPORTING GROUP E
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	MAYOCLINIC.ORG	Yes (X)	Yes (1)	19	0	Yes (1)	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	MAYOCLINIC.ORG	Yes (X)	MAYOCLINIC.ORG	Yes (X)	MAYOCLINIC.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (113 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN SPRINGFIELD, - FACILITY 18: MCHS IN OSSEO
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN MANKATO (MCHS-MANKATO), NICOLLET COUNTY PUBLIC HEALTH AND BLUE EARTH COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE PROJECT COMMUNITY CONNECT, COMMUNITY FIESTA IN ST. PETER, VINE FAITH IN ACTION, NICOLLET COUNTY WIC AND MORE. 453 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 9 BLUE EARTH AND NICOLLET COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 8, 2018 - MAY 8, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS, A BLUE EARTH AND NICOLLET COUNTY DATA REVIEW AND VISIONING SESSION ON OCTOBER 24, 2018 AND A LE SUEUR COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6A:	MCHS-FAIRMONTMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6B:	BLUE EARTH COUNTY PUBLIC HEALTH DEPARTMENTNICOLLET COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-MANKATO: HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED LOCAL EXPERT TO SPEAK ON RESILIENCY TO OVER 35 MEMBERS OF THE CHAMBER'S YOUNG PROFESSIONALS GROUP.PROVIDED $16,500 IN FUNDING FOR 6 ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR STAFF DURING THE PANDEMIC.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED.RECORDED PRESENTATION ON MENTAL WELL-BEING FOR VINE FAITH IN ACTION. 42 VIDEO VIEWS.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MANKATO:CO-HOSTED THE OPIOID FIX VIEWING AND PANEL DISCUSSION ON JAN. 29 WITH MINNESOTA STATE UNIVERSITY, MANKATO WITH OVER 375 ATTENDEES.PARTICIPATED IN THE AMERICAN LUNG ASSOCIATION TOBACCO WORKGROUP, STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM MEETINGS AND THE NICOLLET COUNTY CHEMICAL WELLNESS ADVOCATE COALITION.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC)CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MANKATO:PROVIDED A COMMUNITY GARDEN AT EASTRIDGE CLINIC AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS.PARTNERED WITH MANKATO AREA PUBLIC SCHOOLS TO OFFER A MONTH-LONG WELLNESS CHALLENGE FOR THEIR EMPLOYEES, INCLUDING WEEKLY WELLNESS WEBINAR. 190 EMPLOYEES ACTIVELY PARTICIPATED WITH INFORMATION SENT TO 1,200 EMPLOYEES. ALSO PROVIDED MANKATO AREA PUBLIC SCHOOLS 1,200 MAYO CLINIC ROAD TO BETTER HEALTH CALENDARS FOCUSING ON A MONTHLY HEALTH TIP.PROVIDED $20,000 FINANCIAL SUPPORT AND OVER $2,500 IN-KIND SUPPORT TO THE CHILDREN'S MUSEUM FOR WELLNESS CONTENT PROVIDED TO MUSEUM MEMBERS AND GUESTS; PROVIDED GUEST EXPERTS AT MUSEUM PROGRAMMING SUCH AS TODDLER WEDNESDAY AND PROVIDED WEEKLY WELLNESS WEDNESDAY SOCIAL MEDIA POSTS. MUCH MORE WAS PLANNED, BUT MUSEUM WAS CLOSED MUCH OF THE YEAR DUE TO PANDEMIC.PROVIDED INDOOR WALKING ROUTES AT RIVER HILLS MALL AND MAYO CLINIC HEALTH SYSTEM EVENT CENTER.PROVIDED $160,000 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, YMCA AND FEEDING OUR COMMUNITIES PARTNERS.SUPPORTED LOCAL ORGANIZATIONS WITH VOLUNTEERS SUCH AS FEEDING OUR COMMUNITIES PARTNERS WITH 50 VOLUNTEER HOURS AND ECHO FOOD SHELF WITH 78 VOLUNTEER HOURS.HOSTED OCTOBER'S SECOND HARVEST COVID-19 FOOD ASSISTANCE PROGRAM DISTRIBUTION AND PROVIDED OVER 20 MAYO CLINIC HEALTH SYSTEM VOLUNTEERS, SPACE AND STAFF TIME TO COORDINATE. OVER 700 FOOD BOXES WERE DISTRIBUTED.PARTICIPATED IN THE FOLLOWING COMMUNITY COALITIONS TO COLLABORATE AND IMPROVE HEALTH: BLUE EARTH AND NICOLLET COUNTY STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM (COMMUNITY LEADERSHIP TEAM THAT ADVISES ON HEALTH IMPROVEMENT WORK AND PROJECTS) AND MANKATO AREA CARE NETWORK.LAUNCHED THE MAYO MILE AND COLON CANCER PREVENTION EVENT ON MARCH 4 AT MAYO CLINIC EVENT CENTER WITH APPROXIMATELY 100 ATTENDEES.HIRED COMMUNITY HEALTH WORKER TO FOCUS ON SOMALI COMMUNITY AND IMPROVING HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. HELD NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS ON MAYOCLINICHEALTHSYSTEM.ORG'S HOMETOWN HEALTH BLOG. HELD VIRTUAL PRESENTATION FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT ON CHRONIC PAIN FOR VINE FAITH IN ACTION MEMBERS. 10 PARTICIPANTS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-MANKATO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-MANKATO) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-MANKATO'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN FAIRMONT (MCHS-FAIRMONT) AND FARIBAULT-MARTIN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE MARTIN COUNTY FAIR, SCHOOL ORIENTATIONS, VETERANS PARK BLOCK PARTY AND MORE. OVER 1,000 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 14 MARTIN AND FARIBAULT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 18, 2018 - MAY 22, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A MARTIN & FARIBAULT COUNTY DATA REVIEW AND VISIONING SESSION ON MARCH 19, 2019.
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6A:	UNITED DISTRICT HOSPITALMCHS-MANKATOMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6B:	FARIBAULT - MARTIN COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO-DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-FAIRMONT TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-FAIRMONT: INSTALLED A PRAYER WALL IN CHAPEL FOR USE BY EMPLOYEES AND THE PUBLIC.PROVIDED $5,000 IN FUNDING FOR A FAIRMONT SCHOOL COUNSELOR AND A GRANDA-HUNTLEY-EAST CHAIN SCHOOL COUNSELOR TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.ASSEMBLED JONATHAN ZIERDT CANCER FUND CARING BOXES TO BENEFIT ONCOLOGY PATIENTS. HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.PARTICIPATED IN THE MARTIN COUNTY STRONGER TOGETHER COALITION ADDRESSING ACES (ADVERSE CHILDHOOD EXPERIENCES) AND RESILIENCY.HOSTED A RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT SPEAKING ON GRIEF DURING THE HOLIDAYS.PROVIDED MEDIA RELEASES ON MANAGING DAYLIGHT SAVINGS TIME, STRESS-RELATED SLEEP DISRUPTION, SEASONAL AFFECTIVE DISORDER AND PREPARING FOR THE LONG WINTER.SUBMITTED A SENTINEL NEWSPAPER STORY ON STUDENT MENTAL HEALTH FOCUSED ON CHANGES RELATED TO COVID-19.DEVELOPED A POD CAST FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT SPEAKING ON MENTAL HEALTH & WELL-BEING. MADE A PRESENTATION TO LOCAL AG COMMUNITY FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT ENTITLED - I GET BY WITH A LITTLE HELP FROM MY FRIENDS. 175 PEOPLE ATTENDED.CONDUCTED 5 CANCER SUPPORT GROUP MEETINGS (2 STAFF - 11 PEOPLE).HAD AN ARTICLE IN FAIRMONT CHAMBER NEWSLETTER ON COPING FOR KIDS DURING COVID-19 PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-FAIRMONT:WAS A TEAM MEMBER OF THE MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION COALITION.DONATED TO THE NORTH UNION SCHOOL FOR AFTER PROM EVENT TO PROVIDE SAFE ENVIRONMENT FOR STUDENTS.CO-HOSTED THE OPIOID FIX VIEWING AND PANEL DISCUSSION ON JAN. 29 WITH MINNESOTA STATE UNIVERSITY, MANKATO WITH OVER 375 ATTENDEES.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC)CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-FAIRMONT:EMPLOYEES DELIVERED MEALS TO HOMEBOUND THROUGH MEALS ON WHEELS FOR 15 DAYS (35 CLIENTS). WAS A TEAM MEMBER OF THE MARTIN COUNTY STRONGER TOGETHER COALITION ADDRESSING ACCESS TO CARE, CHRONIC DISEASE AND RESILIENCY. HELD EDUCATIONAL DISPLAY ON HEART HEALTH AT CARDIAC REHAB OPEN HOUSE (130 PEOPLE), COLON CANCER AWARENESS IN CLINIC LOBBY FOR 1 MONTH AND BREAST CANCER AT BOOMGARS LADIES NIGHT OUT (50 PEOPLE).WAS A BOARD MEMBER OF STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM.WAS A TEAM MEMBER OF PROJECT 1590 FOCUSED ON DEVELOPMENT OF YMCA IN FAIRMONT.PROVIDED PRESENTATIONS BY A MAYO CLINIC HEALTH SYSTEM EXPERT TO SERVICE GROUPS ON DISEASES OF THE EYE (20 PEOPLE), DRY EYE DISEASE IMPACT ON CHRONIC DISEASE (20 PEOPLE) AND CONNECTED CARE (20 PEOPLE).WAS A TEAM MEMBER OF MARTIN COUNTY COVID-19 FOOD RESPONSE TEAM.EMPLOYEES VOLUNTEERED AT KIDS AGAINST HUNGER FOOD PACK (10 EMPLOYEES) AND SECOND HARVEST FRUIT TRUCK (3 EMPLOYEES).CREATED SECOND BREAST FEEDING/LACTATION ROOM IN FACILITY TO BENEFIT THE PUBLIC AND EMPLOYEES.CONDUCTED MONTH LONG COMMUNITY WELLNESS CHALLENGE, INCLUDING WEEKLY WELLNESS WEBINAR - 50 PARTICIPANTS.EMPLOYEES CONDUCTED A FOOD DRIVE TO DONATE HEALTHY SNACKS TO ALATEEN.HOSTED A RADIO PROGRAM ON THE IMPORTANCE OF SCREENING & PREVENTION AND COVID-19 IMPACT ON OVER-ALL HEALTH.DONATED $1,000 TO KIDS AGAINST HUNGER, $5,000 TO APPLE TREE DENTAL TO IMPROVE ACCESS TO DENTAL CARE AND $1,143 TO YMCA FOR BLOOD PRESSURE SELF-MONITORING PROGRAM FOR 25 PEOPLE.COORDINATED $5,000 TO HEAVENS TABLE FOOD SHELF THROUGH MANKATO UNITED WAY COVID-19 FUND.CONDUCTED STEPPING ON: A SERIES OF 6 CLASSES ADDRESSING FALL PREVENTION FOR 13 PARTICIPANTS.PROVIDED MEDIA RELEASES ON COLORECTAL CANCER SCREENING, ADVANCED DIRECTIVES, IMPORTANCE OF SEEKING TREATMENT FOR MINOR INJURIES AND ILLNESS DURING COVID-19 PANDEMIC AND BREAST CANCER SCREENING.PROVIDED WEEKLY STAFF TO SUPPORT BABY CAFE WITH A LPN NURSE TRAINED IN LACTATION (IN PERSON AND VIRTUAL).CONDUCTED COOKING FOR ONE CLASS - 5 PEOPLE.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-FAIRMONT BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-FAIRMONT) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-FAIRMONT'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE), LE SUEUR COUNTY PUBLIC HEALTH AND SCOTT COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE LE SUEUR COUNTY FAIR, CZECH OUT NEW PRAGUE, TCU UNITED 4 HEALTHY YOUTH AND MORE. 513 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT SIX LE SUEUR AND SCOTT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 17, 2018 - MAY 21, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND SCOTT COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 7, 2019.
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6A:	MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6B:	SCOTT COUNTY PUBLIC HEALTHLE SUEUR COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-NEW PRAGUE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-NEW PRAGUE: IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC).CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-NEW PRAGUE:OFFERED A MONTH-LONG WELLNESS CHALLENGE FOR AREA BUSINESSES, ORGANIZATIONS, COMMUNITY MEMBERS AND OUR EMPLOYEES, WHICH INCLUDED A WEEKLY WELLNESS WEBINAR. 494 PEOPLE ACTIVELY PARTICIPATED ACROSS THE REGION. PROVIDED $4,500 SPONSORSHIP TO SUPPORT TO NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE VIRTUAL EVENT. ADDITIONAL HEALTH EXPERTISE AND SUPPORT PLAN WAS SIDELINED DUE TO COVID-19.PARTNERED WITH THE FITNESS & AQUATIC CENTER ON THEIR MEMBER SCALE BACK CHALLENGE BY PROVIDING NUTRITION EXPERTISE IN PERSON AND VIA SOCIAL MEDIA. PROVIDED INDOOR WALKING ROUTE AT THE FITNESS & AQUATIC CENTER.CONDUCTED PRESENTATIONS FEATURING A CLINICAL NUTRITION DIETITIAN TO SENIORS IN OUR COMMUNITY ON EATING SMART FOR HEALTHY AGING, TO NEW PRAGUE AREA SCHOOL HEALTH SPECIALISTS ON NUTRITION MYTHS AND FAD DIETS, TO NEW PRAGUE AREA SCHOOL STUDENTS ON THE IMPORTANCE OF GOOD NUTRITION AND VARIOUS OTHER COMMUNITY PRESENTATIONS ON NUTRITION/EATING HEALTHY.PROVIDED PRESENTATIONS FEATURING CARDIAC REHABILITATION NURSES ON THE RISK FACTORS AND CARE FOR HEART DISEASE.INCREASED OPERATIONAL SUPPORT OF PEACE CENTER FOOD SHELF DURING COVID-19 PANDEMIC WITH FULL TIME STAFFING FOR SIX MONTHS, ENSURING THE COMMUNITY HAD ACCESS TO THE FOOD SUPPORT NEEDED.PROVIDED $3,500 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS THE JONATHAN ZIERDT CANCER FUND AND IRIS (INFANTS REMEMBERED IN SILENCE).INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW PRAGUE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-NEW PRAGUE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-NEW PRAGUE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN WASECA (MCHS-WASECA) AND WASECA COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THESE EVENTS WERE THE WASECA STAKEHOLDER BREAKFAST, WASECA COUNTY FAIR AND WASECA INTERMEDIATE SCHOOL OPEN HOUSE. 240 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE THREE WASECA COUNTY EVENTS IN 2018.INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 25, 2018 - MAY 15, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND WASECA COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6A:	MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-NEW PRAGUE
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6B:	WASECA COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-WASECA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-WASECA:BEGAN WORKING WITH WASECA PUBLIC SCHOOLS TO FIND STAFF TO ATTEND THE STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC). CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-WASECA:OFFERED A MONTH-LONG WELLNESS CHALLENGE FOR AREA BUSINESSES, ORGANIZATIONS, COMMUNITY MEMBERS AND OUR EMPLOYEES, WHICH INCLUDED A WEEKLY WELLNESS WEBINAR. 494 PEOPLE ACTIVELY PARTICIPATED ACROSS THE REGION. PROVIDED $3,150 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS THE JONATHAN ZIERDT CANCER FUND, JUNIOR ACHIEVEMENT VIRTUAL RUN AND THE FEMALE ATHLETE EMPOWERMENT SYMPOSIUM.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-WASECA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-WASECA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-WASECA'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN ST. JAMES (MCHS-ST. JAMES) AND WATONWAN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE ST. JAMES COMMUNITY STAKEHOLDER BREAKFAST AND THE MULTICULTURAL FIESTA. 93 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THREE WATONWAN COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 8, 2018 - JUNE 10, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND ENGAGING AS A MEMBER OF THE WATONWAN COUNTY COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE WHICH MEETS ON A BI-MONTHLY BASIS AND IS ONGOING.
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6A:	MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-WASECAMCHS-NEW PRAGUE
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6B:	WATONWAN COUNTY HEALTH DEPARTMENT MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-ST. JAMES TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-ST. JAMES:PROVIDED $5,500 IN FUNDING FOR TWO ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-ST. JAMES:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC).WAS A MEMBER OF WATONWAN COUNTY COMMUNITY HEALTH NEEDS ADVISORY BOARD - DUE TO COVID-19 PANDEMIC THESE MEETINGS HAVE BEEN PUT ON HOLD.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-ST. JAMES:OFFERED FREE WEIGHT MEASUREMENT AND BLOOD PRESSURE CHECKS.OFFERED MONTH LONG WELLNESS CHALLENGE TO COMMUNITY MEMBERS, INCLUDING WEEKLY WEBINAR, WITH 56 PARTICIPANTS.HIRED COMMUNITY HEALTHCARE WORKER POSITION TO START FOCUSING ON CHRONIC DISEASES IN TARGETED HISPANIC POPULATION.PARTICIPATED IN COMMUNITY MEETING HEALTHY FAMILIES/HEALTHY FUTURES.PROVIDED GROCERY STORE TOURS WITH DIETICIAN.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW ST. JAMES BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-ST. JAMES) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-ST. JAMES'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) AND BROWN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AND COMMUNITY CONVERSATIONS. COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. 230 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES. INPUT ALSO WAS RECEIVED DURING A STAKEHOLDER GATHERING. BROWN COUNTY PUBLIC HEALTH, NEW ULM MEDICAL CENTER-ALLINA AND MCHS-SPRINGFIELD COLLABORATED TO BRING TOGETHER STAKEHOLDERS FOR THE BROWN COUNTY VISIONING SESSION IN MAY 2018.
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 6A:	ALLINA HEALTHMCHS-MANKATOMCHS-FAIRMONTMCHS-WASECAMCHS-ST. JAMESMCHS-NEW PRAGUE
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 6B:	BROWN COUNTY PUBLIC HEALTH MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEMCHS-SPRINGFIELD WILL NOT BE ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 CHNA REPORT DUE TO THE HOSPITAL CLOSURE EFFECTIVE MARCH 1, 2020.
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE). THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, THE EAU CLAIRE CITY/COUNTY PUBLIC HEALTH DEPARTMENT, THE UNITED WAY OF EAU CLAIRE AND THE EAU CLAIRE HEALTHY COMMUNITIES COUNCIL. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF EAU CLAIRE COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,876 EAU CLAIRE COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) WAS HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN RURAL (AUGUSTA) AND URBAN (EAU CLAIRE) AREAS OF THE COUNTY IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6A:	HSHS SACRED HEART HOSPITAL
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6B:	EAU CLAIRE CITY COUNTY HEALTH DEPARTMENTUNITED WAY OF THE GREATER CHIPPEWA VALLEYMARSHFIELD CLINICEAU CLAIRE HEALTHY COMMUNITIES COUNCIL
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-EAU CLAIRE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-EAU CLAIRE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AZURA MEMORY CARE - $400 (AZURA DEMENTIA)BIG BROTHERS BIG SISTERS - $1,400 (ANNUAL GALA)BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $5,500 (OPERATIONAL) BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $6,000 (EAU CLAIRE VIRTUAL LEARNING)CHIPPEWA VALLEY MUSEUM - $500 (HOW THE OTHER SIDE LIVES EXHIBIT)INCLUSA, INC. - $11,000 (EVERYBODYIN GRANT)JONAH -$500LGBT COMMUNITY CENTER OF THE CHIPPEWA VALLEY - $4,000 (EVERYBODYIN)LITERACY CHIPPEWA VALLEY - $350 (SCRABBLE BEE TEAM)PREVENT SUICIDE CHIPPEWA VALLEY - $1,000 (SHARING HOPE WALK)UNIVERSITY OF WISCONSIN CHIPPEWA VALLEY - $1,000 (DAY OF CARING)YMCA SPORTS CENTER - $2,000 (KIDS EXPO)PROVIDED A GRANT TO EAU CLAIRE COMMUNITY FOUNDATION - $75,000 (L.E. PHILLIPS PUBLIC LIBRARY STORY BUILDER CAMPAIGN)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. LAUNCHED A MASK MADE BY ME CAMPAIGN, A COLORING CONTEST FOR KIDS TO DESIGN THEIR OWN COVID-19 FACE MASK, WITH 123 PARTICIPANTS. IN ADDITION, RESOURCES WERE AVAILABLE FOR PARENTS TO PROMOTE MASK-WEARING FOR KIDS.HOSTED AN EVENT (STORIES FROM THE HEART) WHERE HEART PATIENTS SHARED THEIR STORIES TO PROVIDE PERSPECTIVE ON HEART CARE AND TREATMENTS RELATED TO HEART DISEASE.PROVIDED TWO CLASSES ATTENDED BY 10 PEOPLE RELATED TO UNDERSTANDING ALZHEIMER'S AND DEMENTIA.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BEACON HOUSE (VOLUNTEER)CHIPPEWA VALLEY FREE CLINIC (VOLUNTEERS)CHIPPEWA VALLEY TECHNICAL COLLEGE (COMMITTEE MEMBER)DOWNTOWN EAU CLAIRE, INC. (COMMITTEE MEMBER)EAU CLAIRE CHAMBER OF COMMERCE (COMMITTEE MEMBER) EAU CLAIRE HEALTHY COMMUNITIES (MENTAL ACTION TEAM MEMBERSHIP)FOOD PANTRY (COMMUNITY TABLE VOLUNTEER) HOARDING TASK FORCE (COMMITTEE MEMBER) HOMELESSNESS STRATEGIC PLANNING (MEMBERSHIP)HOMETOWN HEROES OUTDOORS (VOLUNTEER) JUNIOR ACHIEVEMENT (VOLUNTEER)L.E. PHILLIPS MEMORIAL PUBLIC LIBRARY (COMMITTEE MEMBER)MENTAL HEALTH MATTERS (YOUTH MENTAL HEALTH EDUCATION, MINDFULNESS TRAINING) NATIONAL ALLIANCE OF MENTAL ILLNESS (VOLUNTEER AND BOARD MEMBER) PROJECT SEARCH (MENTORING PROJECT)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBERS AND VOLUNTEERS)WISCONSIN DEPARTMENT OF WORKFORCE (COMMITTEE MEMBER)WORK EAU CLAIRE ACT WORK READY COMMUNITIES (COMMITTEE MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT - $1,500 (ALLIANCE VAPING METH CAMPAIGN)RCU FOUNDATION - $1,500 (ROCK THE RIVERFRONT)HOPE GOSPEL MISSION - $2,500 (HARVEST HOPE FUNDRAISER) SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PROVIDED A GRANT TO EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT - $15,000 (ALLIANCE FOR ALCOHOL & OTHER DRUG ABUSE PREVENTION)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:BRAIN TEAM (COMMITTEE MEMBER)CHIPPEWA VALLEY CHILD ADVOCACY CENTER MULTI-DISCIPLINARY TEAM (COMMITTEE MEMBER)EAU CLAIRE COUNTY SEXUAL ASSAULT RESPONSE TEAM (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES (COMMITTEE MEMBER)HOUSING AND HOMELESSNESS (VOLUNTEER)SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION - $5,000 (HEART WALK)BIG BROTHERS BIG SISTERS - $1,200 (BOWL FOR KIDS SAKE) BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $1,950 (LIVE SAFE APP FOR COVID-19 SAFETY)CHIPPEWA OFF ROAD BIKE ASSOCIATION - $300 (SNOWSHOE AND BIKE EVENT)EAU CLAIRE AREA SCHOOL DISTRICT LONGFELLOW - $250 (PUDDLE JUMP) EAU CLAIRE CHILDREN'S MUSEUM - $2,500 (LET'S GET COOKING) + $1,000 (SCHOOLS OUT)FAMILY RESOURCE CENTER - $3,000 (PATT HOME VISITING SERVICES)FEED MY PEOPLE FOOD BANK - $1,000 (EMPTY BOWLS)GIRLS ON THE RUN OF CHIPPEWA VALLEY - $1,500 MIDWEST POWER SOCCER ASSOCIATION - $833.34 NATIONAL MULTIPLE SCLEROSIS SOCIETY - $750 (AWARENESS WALK) NORTHERN WISCONSIN BREASTFEEDING NETWORK - $750PROVIDED GRANTS TO THE CHIPPEWA VALLEY FREE CLINIC ($25,000 OPERATING GRANT) AND THE WELLNESS SHACK ($4,000 OPERATIONAL SUPPORT).HELD THE FOLLOWING CLASSES TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODY CLASS (16 CLASSES WERE HELD WITH 40 INDIVIDUALS ATTENDING)BASIC STRONG BODY CLASS (16 CLASSES WERE HELD IN EAU CLAIRE WITH 32 INDIVIDUALS ATTENDING AND 20 CLASSES HELD WITH 20 PEOPLE ATTENDING IN FALL CREEK) COMMUNITY HEALTH NEEDS ASSESSMENT PRESENTATION (ONE CLASS WAS HELD WITH 10 PEOPLE IN ATTENDANCE)LIVING AGAIN CANCER SUPPORT GROUP (TWO CLASSES WERE HELD WITH 9 PEOPLE IN ATTENDANCE)LYMPHEDEMA: LAUGH & LEARN SUPPORT GROUP (ONE CLASS WAS HELD WITH 7 PEOPLE IN ATTENDANCE) MYELOMA SUPPORT GROUP (3 CLASSES WERE HELD WITH AN AVERAGE OF 14 PEOPLE ATTENDING AT EACH SESSION)UW - EXTENSION (PRESENTATION ON STROKE CARE)UW-EAU CLAIRE (PRESENTATION ON NUTRITION)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)AMERICAN CANCER SOCIETY (VOLUNTEER)AMERICAN HEART ASSOCIATION BIG BROTHER BIG SISTER (VOLUNTEER)BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (BOARD MEMBER, VOLUNTEERS, $30,000 LAB AND X-RAY) CHIPPEWA VALLEY TECHNICAL COLLEGE (BOARD MEMBER)CHIPPEWA VALLEY YMCA (BOARD MEMBER AND VOLUNTEER)CITY OF EAU CLAIRE (OVER $72,000 TOWARD SUPPORT OF REGIONAL AMBULANCE SERVICE) COMMUNITY TABLE (VOLUNTEER)EAU CLAIRE COUNTY AGING AND DISABILITY RESOURCE CENTER (VOLUNTEER AND PRESENTATIONS)EAU CLAIRE HEALTH DEPARTMENT (COMMITTEE DEPARTMENT)EAU CLAIRE HEALTH WATCH (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES CHRONIC DISEASE PREVENTION ACTION TEAM ISLAMIC SOCIETY OF NORTHERN WISCONSIN (BOARD MEMBER AND VOLUNTEER)LIVE STRONG AT THE Y (41 CLASSES WITH 15 ATTENDEES)TRINITY LUTHERAN FOOD PANTRY (VOLUNTEER)UW-MADISON MSW CLASS (CHNA PRESENTATION)VISUAL IMPAIRED PERSONS (PRESENTATION)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-EAU CLAIRE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN EAU CLAIRE COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-EAU CLAIRE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THE RESPONSE AND EFFORTS IN ADDRESSING COVID-19, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-EAU CLAIRE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN SERVES AS THE BASIS FOR MCHS IN BARRON'S (MCHS-BARRON) COMMUNITY HEALTH NEEDS ASSESSMENT. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF BARRON COUNTY.PAPER AND ELECTRONIC SURVEYS WERE DISTRIBUTED TO LIBRARIES, HOSPITALS, CLINICS, THE FREE CLINIC, FOOD PANTRIES, SENIOR CENTERS, BARRON COUNTY JAIL, MEALS ON WHEELS, SPANISH COMMUNITY LEADERS AND THE INTERNATIONAL CENTER. A PRESS RELEASE WAS SENT TO AREA NEWSPAPERS ANNOUNCING THE INITIATIVE AND ASKING FOR COMMUNITY PARTICIPATION. IN ADDITION, IT WAS PROMOTED AT SEVERAL COMMUNITY EVENTS, INCLUDING BARRON COUNTY FAIR AND NATIONAL NIGHT OUT. THE SURVEY ALSO WAS FORWARDED TO PUBLIC HEALTH CONTACTS AT THE ST. CROIX TRIBAL HEALTH CLINIC IN HERTEL, WISCONSIN, TO REACH THE NATIVE AMERICAN POPULATION IN THE COUNTY. THE SURVEY WAS TRANSLATED INTO SPANISH AND SOMALI (PREVALENT POPULATIONS IN BARRON COUNTY) TO ENSURE THE OPINIONS OF THOSE POPULATIONS WERE INCLUDED. A TOTAL OF 838 PAPER AND ONLINE SURVEYS WERE COMPLETED. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE HELD WITH THE RICE LAKE AREA FREE CLINIC CLIENTS, PARTICIPANTS OF DRUG COURT, AND OLDER ADULTS/ADULTS WITH DISABILITIES. INTERVIEWS WERE ALSO CONDUCTED WITH SOMALI, SPANISH, FILIPINO, NATIVE AMERICAN, AMISH, AND MENTAL HEALTH AND EMERGENCY ROOM REPRESENTATIVES.THE COMMITTEE HOSTED A COMMUNITY PLANNING DAY ON SEPTEMBER 26, 2018, AND INVITED BUSINESS LEADERS, HEALTH EXPERTS AND THE GENERAL COMMUNITY TO REVIEW ASSESSMENT DATA REGARDING PRIORITIES FOR BARRON COUNTY. A TOTAL OF 102 COMMUNITY LEADERS, HEALTH EXPERTS AND COMMUNITY MEMBERS FROM BARRON COUNTY ATTENDED. TWO SESSIONS WERE OFFERED TO ACCOMMODATE SCHEDULES. IN ADDITION, INPUT FROM BARRON COUNTY PUBLIC HEALTH, BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES AND THE WISCONSIN DIVISION OF PUBLIC HEALTH WAS TAKEN INTO ACCOUNT.
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6A:	CUMBERLAND HEALTHCAREMARSHFIELD MEDICAL CENTER - RICE LAKE
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6B:	BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN BARRON (MCHS-BARRON) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-BARRON TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BARRON: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON PUBLIC LIBRARY - $2,000 (FALL WELLNESS PROGRAMMING)BOYS AND GIRLS CLUB OF BARRON COUNTY - $12,000 (2020 COVID-19 OPERATIONS)BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (ADVOCATE FOR CHANGE)HUNT HILL - $2,000 (ACTIVE OUTDOOR SPONSORSHIP)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PROVIDED CAR SEAT TRAINING CHECKS IN BARRON COUNTY (50 PEOPLE ATTENDED) PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BARRON CHAMBER OF COMMERCE (BOARD OF DIRECTOR AND COMMITTEE MEMBER) CAREER PRESENTATIONS TO CAMERON HIGH SCHOOL (A TOTAL OF 10 PEOPLE ATTENDED).CHETEK AND DALLAS AMBULANCE SERVICE/EMS COMMUNITY RESPONSE TO POVERTY SUMMIT (COMMITTEE MEMBER) FREE CLINIC - LAB OVERSITE, COMPLIANCE AND ASSIST WITH POINT OF CARE. (VOLUNTEER)KIWANIS (PRESENTATION ON COVID-19)RICE LAKE FARM DAYS (400 PEOPLE WERE IN ATTENDANCE). SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT TO BARRON HIGH SCHOOL - $50 (POST PROM SPONSOR) SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH SCHOOL DISTRICT OF TURTLE LAKE - WELLNESS COMMITTEE (VOLUNTEER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON AREA COMMUNITY CENTER - $3,000 (TRIATHLON) CHETEK-WEYERHAUSER SCHOLARSHIP - $2,000 (2020 FISHY FOUR 4K COMMUNITY RACE)MIDWEST POWER SOCCER - $833.34 (CHIPPEWA VALLEY HOOLIGANS - WHEELCHAIR POWERED SOCCER FOR DISABLED) RICE LAKE AREA SCHOOL DISTRICT - $1,000 (SNACKS FOR SUCCESS) HELD THE FOLLOWING CLASSES/EVENTS TO PROMOTE HEALTH AND WELLNESS:BLOOD PRESSURE SCREENINGS - TO PROVIDE PARTICIPANTS THEIR NUMBERS TO MAINTAIN THEIR HEALTH AND TO PROMOTE REGULAR BLOOD PRESSURE CHECKS. MORNING YOGA - THIS CLASS COMBINES FLOW MOVEMENTS AND HOLDING POSTURES TO IMPROVE STRENGTH, FLEXIBILITY AND BALANCE. (4 SESSIONS HELD WITH 30 PEOPLE IN ATTENDANCE).ROCK 'N' ROLLER SKATING - LACE UP YOUR ROLLER SKATES AND GATHER YOUR FRIENDS FOR SOME FAST-PACED FUN AND EXERCISE. (166 PEOPLE PARTICIPATED).SNOWSHOE AND WINTER HIKE - BUNDLE YOUR FAMILY FOR A FREE WINTER WONDERLAND HIKE. (25 PEOPLE ATTENDED).PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS - BOARD MEMBER AND ATTEND MEETINGS ON A REGULAR BASIS, HOST AND CHAMPION LOCAL BLOOD DRIVES.BARRON COUNTY HEALTH DEPARTMENT - COUNTY HEALTH COALITION MEMBER.HEALTHCARE EMERGENCY READINESS COALITION - MEMBER (COVID-19 PREPAREDNESS, OTHER STATE DISCUSSIONS). SCHOOL DISTRICT OF TURTLE LAKE (COMMITTEE MEMBER OF WELLNESS COMMITTEE).HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BARRON BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN BARRON COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-BARRON) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-BARRON'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR MCHS IN OSSEO'S (MCHS-OSSEO) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE.THE COMPASS NOW 2018 PROCESS USED A VARIETY OF DATA COLLECTION METHODS TO CREATE AN OVERALL DEPICTION OF THE ISSUES FACING OUR COMMUNITIES. THESE METHODS INCLUDED A RANDOM HOUSEHOLD SURVEY, CONVENIENCE SURVEY, COMMUNITY CONVERSATIONS AND AN EXTENSIVE REVIEW OF SOCIOECONOMIC INDICATORS, WHICH PROVIDED AN INVENTORY OF COMMUNITY RESOURCES.THE RANDOM HOUSEHOLD SURVEY WAS THE KEY DATA SOURCE AND WAS CREATED TO INCREASE UNDERSTANDING OF THE COMMUNITY'S NEEDS AND PERCEPTIONS OF THE MAIN CHALLENGES FACING THE REGION. RESULTS FROM THIS SURVEY WERE EXAMINED BY RESPONDENT CHARACTERISTICS, AS WELL AS COMPARED TO THE PREVIOUS SURVEY RESULTS. OF THE 5,450 HOUSEHOLDS THAT RECEIVED THE SURVEY, 672 WERE RETURNED AND THEIR RESPONSES ANALYZED. TREMPEALEAU COUNTY RECEIVED A 14.2% RESPONSE RATE, SO IT WAS DETERMINED THAT ADDITIONAL VOICES WERE NEEDED.IN ADDITION TO THE RANDOM HOUSEHOLD SURVEY, THE COMPASS NOW 2018 COMMUNITY NEEDS ASSESSMENT ALSO INCLUDED A CONVENIENCE SAMPLE THAT FOCUSED ON SPECIFIC SUBGROUPS IN THE GREAT RIVERS REGION. THE OBJECTIVE OF THIS SAMPLING WAS TO COLLECT FEEDBACK FROM POPULATIONS WITHIN THE COMMUNITY THAT WERE POTENTIALLY UNDERREPRESENTED IN THE SURVEY DUE TO THEIR SMALL NUMBERS. THESE SMALLER POPULATIONS INCLUDED, BUT WERE NOT LIMITED TO, AFRICAN-AMERICANS, HISPANICS, LGBT YOUTH, AT-RISK YOUTH, LOW-INCOME ADULTS AND SENIOR CITIZENS. RESULTS FROM THIS SAMPLING WERE COMPARED TO THE RESPONSES OF THE RANDOM HOUSEHOLD SURVEY RESPONDENTS IN AN ATTEMPT TO DETERMINE ANY SIGNIFICANT DIFFERENCES THAT EXISTED BETWEEN THE GENERAL POPULATION AND THOSE IN SMALLER SUBGROUPS WITHIN THE COMMUNITY. ANOTHER WAY COMMUNITY FEEDBACK WAS GATHERED WAS THROUGH COUNTY-BASED FOCUS GROUPS. THESE SMALL-GROUP GATHERINGS WERE A SAFE SPACE IN WHICH COMMUNITY MEMBERS COULD SHARE THEIR THOUGHTS AND EXPERIENCES ABOUT LIVING IN TREMPEALEAU COUNTY.IN ADDITION, PARTICIPATING ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE EXPERTISE WITH OTHER UNDERREPRESENTED POPULATIONS.THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6A:	MCHS-FRANCISCAN MEDICAL CENTER LA CROSSEMCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6B:	GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN OSSEO (MCHS-OSSEO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-OSSEO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-OSSEO: PROVIDED MONETARY SUPPORT TO MONDOVI PUBLIC LIBRARY FOR ITS SUMMER READING PROGRAM.HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PARTNERED WITH MONDOVI PUBLIC LIBRARY ON THEIR CAPITAL CAMPAIGN PROJECT.SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-OSSEO:PROVIDED MONETARY SUPPORT TO GILMANTON HIGH SCHOOL FOR ITS POST PROM AFTER PARTY.SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-OSSEO:GRANTED $10,000 FOR COMPREHENSIVE ADVANCED LIFE SUPPORT EQUIPMENT (ADULT MANNEQUIN AND CRASH CART) IN SUPPORT OF RURAL EMERGENCY MEDICINE PROVIDERS.HELD STRONG BODIES-BASIC CLASS, A MULTIWEEK EVIDENCE-BASED STRENGTH TRAINING PROGRAM DESIGNED FOR MIDDLE-AGED AND OLDER ADULTS. EACH CLASS IN THE PROGRAM INCLUDES PROGRESSIVE WEIGHT TRAINING, FLEXIBILITY AND BALANCE ACTIVITIES. OPTIONAL FLOOR EXERCISES ARE INCLUDED. BENEFITS INCLUDE IMPROVED MOOD, ENERGY AND SLEEP. (14 CLASSES WERE ATTENDED WITH 20 PEOPLE IN ATTENDANCE).PARTNERED WITH THE OSSEO FAIRCHILD SCHOOL DISTRICT TO SUPPORT 13 ATHLETIC PROGRAMS WITH APPROXIMATELY 105 STUDENT ATHLETES AT SIGNIFICANTLY REDUCED FEES, INCLUDING BOYS AND GIRLS CROSS COUNTRY, FOOTBALL, BOYS AND GIRLS GOLF, GIRLS VOLLEYBALL, BOYS AND GIRLS BASKETBALL, WRESTLING, BOYS AND GIRLS TRACK/FIELD, AND SOFTBALL AND BASEBALL.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-OSSEO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN TREMPEALEAU COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-OSSEO) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-OSSEO'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR MCHS IN BLOOMER'S (MCHS-BLOOMER) COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY AND THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF CHIPPEWA COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,225 CHIPPEWA COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT WAS COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ORGANIZATIONS THAT RECEIVED SURVEYS INCLUDE AREA SCHOOLS, RIVER SOURCE FAMILY CENTER, FAITH-BASED ORGANIZATIONS AND OTHERS. IN ADDITION, LISTENING SESSIONS WITH UNDERREPRESENTED GROUPS WERE HELD AT THE CHIPPEWA VALLEY CORRECTIONAL TREATMENT FACILITY AND AGNES' TABLE (CHIPPEWA FALLS) IN ORDER TO GATHER ADDITIONAL PRIMARY DATA ON PERCEIVED COMMUNITY HEALTH NEEDS AND ASSETS. OVERALL, 127 SURVEYS WERE COMPLETED THROUGH THE TARGETED OUTREACH SESSIONS.MCHS-BLOOMER STAFF WERE HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN THE CITIES OF CHIPPEWA FALLS AND CORNELL IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6A:	HSHS ST. JOSEPH'S HOSPITAL
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6B:	CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIPCHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHMARSHFIELD CLINICUNITED WAY OF THE GREATER CHIPPEWA VALLEY
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN BLOOMER (MCHS-BLOOMER) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-BLOOMER TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BLOOMER: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $12,000 (VIRTUAL LEARNING)BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $5,000 (PROGRAMMING)BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $5,500 (OPERATIONAL)CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $1,000 (HAND SANITIZER)CHIPPEWA FALLS PUBLIC LIBRARY - $1,000 (EVERYBODYIN FUND FOR CHANGE)CHIPPEWA VALLEY FAMILY YMCA - 100 (FREE FISHING) CHIPPEWA VALLEY FAMILY YMCA - $200 (HEALTHY KIDS DAY) UNITED WAY OF CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRAILS)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BLOOMER FOOD PANTRY - STAFF ASSISTED WITH EDUCATION FOR HEALTHY FOOD OPTIONS FOR INDIVIDUALS WHO HAVE DIABETES AND/OR CONGESTIVE HEART FAILURE.CHIPPEWA FALLS LIBRARY - REACHED 100 CHILDREN/TEENS WITH DONATION OF PATIENT EDUCATION MATERIALS RELATED TO SELF-CARE AND MENTAL HEALTH.MENTAL HEALTH MATTER COALITION - AN ACTIVE PARTNER IN THE COALITION WITH EFFORT AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS. TRAINING HELD WITH STAFF AT BLOOMER SCHOOL DISTRICT.YMCA HEALTHY KIDS DAY - REACHED 300 YOUTH VIA A HANDWASHING DEMONSTRATION AND HEALTH EDUCATION BOOTH. SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT TO CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $2,000 (FINANCIAL SUPPORT OF STRENGTHENING FAMILIES PROGRAM TO HELP FAMILIES DEAL WITH ISSUES LIKE SUBSTANCE ABUSE AND ALCOHOL MISUSE). SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:BLOOMER ROPE JUMP - ANNUAL EVENT THAT PROMOTES PHYSICAL ACTIVITY WITH YOUTH AND FAMILIES AND HOW TO MAINTAIN HEALTHY COPING MECHANISMS. 75 PEOPLE ATTENDEES. CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP - THROUGH THE VOICES IN PREVENTION ACTION TEAM, CONTRIBUTED TO IMPROVE COPING MECHANISMS AMONG AREA YOUTH. ACTION TEAM EFFORTS INCLUDED OUTREACH TO AREA SCHOOLS ABOUT VAPING AND HIGH-RISK DRINKING PREVENTION EDUCATION. NEW AUBURN SCHOOL DISTRICT - DISCUSSED THE IMPACT THAT SMOKING/VAPING HAS ON LUNGS AND WAYS THAT STUDENTS CAN MAINTAIN A HEALTHY LIFESTYLE. 140 STUDENT ATTENDEES.SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:ALZHEIMER ASSOCIATION - $1,500 (WALK - CANCELED DUE TO COVID-19)BLOOMER CHAMBER OF COMMERCE - $500 (COMMUNITY PICNIC CHILDREN'S GAMES - CANCELED DUE TO COVID-19)CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $500 (NUTRITION EDUCATION)CHIPPEWA VALLEY FAMILY YMCA - $500 (ANNUAL STRONG KIDS - CANCELED DUE TO COVID-19)CHIPPEWA VALLEY FAMILY YMCA - $750 (PURE WATER DAY RACES - CANCELED DUE TO COVID-19)HELD THE FOLLOWING CLASSES TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODY CLASS (40 CLASSES WERE OFFERED WITH 49 PEOPLE IN ATTENDANCE)BASIC STRONG BODY CLASS (16 CLASSES WERE HELD IN CHIPPEWA FALLS WITH 27 ATTENDING AND 20 CLASSES WERE HELD IN BLOOMER WITH 20 PEOPLE ATTENDING)CHIPPEWA VALLEY BREAST CANCER SUPPORT GROUP (3 CLASSES WERE HELD AVERAGING 10 PEOPLE IN ATTENDANCE) FOOD IS MEDICINE PROGRAM WITH BLOOMER FOOD PANTRY (1 CLASS WITH 15 PEOPLE ATTENDED)HEALTHY LIVING WITH CHRONIC PAIN (TWO SESSIONS WERE HELD AND 10 PEOPLE ATTENDED) MUSIC AND MOVEMENT PRESCHOOLERS (FOUR SESSIONS WERE HELD AND 25 PEOPLE ATTENDED)SNOWSHOE AND WINTER HIKE (HELD ONE EVENT WITH 25 ATTENDEES)MCHS-BLOOMER ALSO PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)BLOOMER AQUATIC CENTER - COMMUNITY WELLNESS EVENT; BROCHURES AND WELLNESS INFORMATION AVAILABLE AND CONDUCTED STRONG BODIES CLASS DEMONSTRATION (50 PEOPLE) BLOOMER LIBRARY - HEALTHY AFTER SCHOOL SNACK AND ACTIVITY (2 EVENTS HELD, 40 CHILDREN ATTENDING)BLOOMER CHAMBER OF COMMERCE (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (1 VOLUNTEER WITH 50 HOURS)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (VOLUNTEER AND REPRESENTATIVES ON THE BOARD)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BLOOMER BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN CHIPPEWA COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-BLOOMER) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-BLOOMER'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE
GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE 2019 DUNN COUNTY CHNA SERVES AS THE BASIS FOR THE MCHS-MENOMONIE COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 DUNN COUNTY CHNA WAS CONDUCTED BY THE DUNN COUNTY CHNA STEERING COMMITTEE. THE COMMITTEE IS A COLLABORATIVE MADE UP OF NINE COMMUNITY ORGANIZATIONS FROM DUNN COUNTY: ARBOR PLACE, COMMUNITY FOUNDATION OF DUNN COUNTY, DUNN COUNTY HEALTH DEPARTMENT, EXTENSION-DUNN COUNTY, MCHS IN MENOMONIE (MCHS-MENOMONIE), MARSHFIELD CLINIC-DENTAL CLINIC, PREVEA HEALTH, UNITED WAY OF DUNN COUNTY AND UW-STOUT.THE CHNA PROCESS INCLUDED A VARIETY OF COMMUNITY ENGAGEMENT METHODS IN ORDER TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING THE DUNN COUNTY RESIDENTS. THESE METHODS INCLUDED PRIMARY QUALITATIVE DATA COLLECTION THROUGH AN ONLINE AND HARDCOPY COMMUNITY HEALTH SURVEY, SURVEY OUTREACH WITH UNDERREPRESENTED DEMOGRAPHICS GROUPS, AND STAKEHOLDER CONVERSATIONS WITH UNDERREPRESENTED GROUPS TO VALIDATE RESPONSES.AT THE OUTSET OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, STEERING COMMITTEE PARTNERS CONDUCTED LISTENING SESSIONS WITH THE LOCAL AGRICULTURAL COMMUNITY. THIS PROCESS INFORMED THE NEED TO INCLUDE NEW QUESTIONS AROUND SOCIAL HEALTH FACTORS INCLUDING FAMILY HEALTH, SOCIAL ISOLATION/SUPPORT. IT ALSO AFFIRMED THE NEED TO INCLUDE QUESTIONS REGARDING ACCESS TO CLINICAL MENTAL AND PHYSICAL HEALTH CARE AND HEALTH BEHAVIORS AROUND ALCOHOL AND OTHER DRUGS. THE COMMUNITY HEALTH SURVEY WAS DISTRIBUTED TO RESIDENTS THROUGHOUT DUNN COUNTY IN MARCH AND APRIL OF 2019. THE LINK TO THE WEB SURVEY WAS WIDELY DISTRIBUTED THROUGH THE NETWORKS OF EACH OF THE PARTNER ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. COMMUNITY ORGANIZATIONS INCLUDED: AGING AND DISABILITY RESOURCE CENTER-SENIOR NUTRITION SITES, LOCAL CHURCHES AND FOOD PANTRIES, EXTENSION-DUNN COUNTY, EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION, THE BRIDGE TO HOPE, THE DUNN COUNTY JAIL, THE DUNN COUNTY CRIMINAL JUSTICE COLLABORATING COUNCIL, EL CENTRO, TOWN/VILLAGE CLERKS AND OTHERS. THE SURVEY LAUNCH WAS ANNOUNCED BY A PRESS RELEASE AND WAS WIDELY ADVERTISED IN LOCAL NEWSPAPERS, SOCIAL MEDIA, AND FLYERS THROUGHOUT THE COUNTY. SPECIAL EFFORT WAS MADE TO ENSURE THE SURVEY WAS AVAILABLE TO UNDERREPRESENTED GROUPS WHO CAN BE AT THE HIGHEST RISK OF SUFFERING FROM HEALTH DISPARITIES. HARDCOPY AND LARGE PRINT SURVEYS WERE ALSO MADE AVAILABLE THROUGHOUT THE COUNTY. COMMITTEE MEMBERS COMPLETED A MAPPING EXERCISE TO MAKE SURE THE SURVEY WAS DISTRIBUTED TO A BROAD LIST OF COMMUNITY MEMBERS. A TOTAL OF 978 DUNN COUNTY RESIDENTS COMPLETED THE SURVEY.IN ADDITION, QUANTITATIVE COMMUNITY HEALTH DATA WAS COLLECTED BASED ON THE MEASURES RECOMMENDED IN THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS & BOARDS CORE DATASET AND THE STATE HEALTH PLAN. SOURCES INCLUDED: COUNTY HEALTH RANKINGS, US CENSUS, GOVERNMENT REPORTS, CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY DEPARTMENT REPORTS, WISCONSIN DEPARTMENT OF HEALTH SERVICES STATISTICS, SCHOOLS, AND OTHER PUBLICLY AVAILABLE SOURCES.
GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 6B:	ARBOR PLACECOMMUNITY FOUNDATION OF DUNN COUNTYDUNN COUNTY HEALTH DEPARTMENTEXTENSION-DUNN COUNTYMARSHFIELD CLINIC-DENTAL CLINICPREVEA HEALTHUNITED WAY OF DUNN COUNTYUNIVERSITY OF WISCONSIN-STOUT
GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MENOMONIE (MCHS-MENOMONIE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-MENOMONIE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-MENOMONIE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB - $5,500 (OPERATIONAL)BRIDGE TO HOPE - $1,000 (QUILT TOUR) MABEL TAINTER - $5,000 (2020 GENERAL SUPPORT)MENOMONIE PUBLIC LIBRARY - $1,800 (2021 YOGA AND MEDITATION PROGRAM)MENOMONIE PUBLIC LIBRARY - $1475 (MUSIC OVER MENOMONIE JR). MENOMONIE THEATER GUILD - $1,500 (BLACK FRIDAY)SCHOOL DISTRICT OF MENOMONIE - $300 (FIELD AND TRACK DAY)STEPPING STONES OF DUNN COUNTY - $500 (GARDEN TOUR)UNITED WAY OF MENOMONIE - $1375 (EVENT CANCELLED - DONATION)UW STOUT DISCOVERY CENTER - $3,000 (EARLY CHILDCARE EDUCATION CONFERENCE) HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. REACH OUT AND READ - CHILDHOOD LITERACY PROGRAM. 1,000 PEOPLE IMPACTED.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB (COMMITTEE MEMBER)COLFAX SCHOOL BOARD (BOARD MEMBER)COMMUNITY FOUNDATION OF DUNN COUNTY (BOARD MEMBER AND COMMITTEE MEMBER)DUNN COUNTY COALITION FOR MENTAL HEALTH SERVICES (COMMITTEE MEMBER)INDIANHEAD ENTERPRISES (BOARD MEMBER)MENOMONIE CHAMBER OF COMMERCE - FACILITATION OF HEALTH AND HUMAN SERVICE DAY (VOLUNTEER)UNITED WAY OF DUNN COUNTY (BOARD MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB - $5,000 (OPERATIONAL AND PROGRAMMING COSTS)MENOMONIE LIONS CLUB - $500 (CHECKER FLAG WELLNESS SPONSOR)SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:DUNN COUNTY PARTNERSHIP FOR YOUTH (COMMITTEE MEMBER)DUNN COUNTY COVID-19 COMMUNITY RECOVERY ACTION TEAM (COMMITTEE MEMBERS) HEALTH DUNN RIGHT "ALCOHOL, NICOTINE AND DRUGS ACTION TEAM" (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN CANCER SOCIETY - $1,500 (RELAY FOR LIFE)FRIENDS OF THE RED CEDAR STATE TRAIL - $250 (BUSINESS MEETING)MIDWEST POWER SOCCER ASSOCIATION - $833.33 (CHIPPEWA VALLEY HOOLIGANS - WHEELCHAIR POWERED SOCCER FOR DISABLED YOUTH) SCHOOL DISTRICT OF MENOMONIE - $200 (MENOMONIE IN ACTION)STEPPING STONES OF DUNN COUNTY - $1,000 (EMPTY BOWLS)STEPPING STONES OF DUNN COUNTY - $500 (STEP UP TO HUNGER)PROVIDED A GRANT TO ELMWOOD AREA AMBULANCE - $27,000 (ZOLL X-SERIES CARDIAC MONITOR)HELD THE FOLLOWING CLASSES/EVENTS TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODIES CLASSES - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND METAL HEALTH. (A TOTAL OF 14 CLASSES WERE HELD WITH 42 PEOPLE IN ATTENDANCE). ADVANCED STRONG BODIES CLASSES II - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND MENTAL HEALTH. (A TOTAL OF 14 CLASSES WERE HELD WITH 25 PEOPLE IN ATTENDANCE). BASIC STRONG BODIES - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND MENTAL HEALTH (14 CLASSES WERE HELD WITH 45 PEOPLE IN ATTENDANCE). H2O CLASSES - THIS CLASS FOCUSED ON BALANCE, RANGE OF MOTION AND COORDINATION. (A TOTAL OF 16 CLASSES WERE HELD WITH 23 PEOPLE IN ATTENDANCE). MIND OVER MATTER: HEALTHY BOWELS, HEALTHY BLADDER - IS A WISCONSIN INSTITUTE FOR HEALTHY AGING PROGRAM DESIGNED TO HELP WOMAN DEVELOP SKILLS, LEARN EXERCISES AND ADOPT STRATEGIES TO PREVENT OR IMPROVE INCONTINENCE SYMPTOMS. (A TOTAL OF 3 CLASSES WERE HELD WITH 13 PEOPLE IN ATTENDANCE). MUSIC AND MOVEMENT PRESCHOOLERS - PROGRAM FOR TODDLERS AND THEIR PARENTS/CAREGIVERS TO EXPLORE MUSIC, SOUNDS AND MOVEMENT. (A TOTAL OF 8 CLASSES WERE HELD WITH 199 PEOPLE IN ATTENDANCE).ROCK 'N' ROLLER SKATING - YOUTH AND FAMILY ROLLER SKATING EVENT TO PROMOTE PHYSICAL ACTIVITY. (THE FREE EVENT WAS HELD WITH 111 PEOPLE IN ATTENDANCE).SNOWSHOE AND WINTER HIKE - RECREATION EVENT WAS OFFERED FOR PARTICIPANTS OF ALL AGES TO ENJOY A FREE WINTER WONDERLAND HIKE. SNOWSHOES WERE PROVIDED TO PARTICIPANTS IN NEED. (AN EVENT WAS HELD WITH 500 PEOPLE IN ATTENDANCE).TYPE 1 DIABETES SUPPORT GROUP HELD AT MCHS-MENOMONIE. (A TOTAL OF 1 HOUR WITH 2 PEOPLE ATTENDING).YOGA - THIS CLASS FOCUSED ON MEDITATION, BALANCE, STRENGTH, RANGE OF MOTION AND MENTAL HEALTH - (A TOTAL OF 8 CLASSES WERE HELD WITH 18 PEOPLE IN ATTENDANCE). PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION (TEACHING OF PEDIATRIC ADVANCED LIFE SUPPORT) ELMWOOD SCHOOL DISTRICT (MEDICAL DIRECTOR)ELMWOOD SCHOOLS ELEMENTARY, MIDDLE, AND HIGH (MEDICAL DIRECTOR OF ELMWOOD SCHOOL DISTRICT, PLUM CITY DISTRICT) HEALTH DUNN RIGHT (COMMITTEE MEMBER)MENOMONIE FREE CLINIC (BOARD MEMBER AND VOLUNTEERS)MENOMONIE SENIOR CENTER (BOARD MEMBER)UW - STOUT (CAREER PRESENTATION TO HEALTH, WELLNESS AND FITNESS COURSES) STEPPING STONES OF DUNN COUNTY - MCHS-MENOMONIE IS A KEY SUPPORTER OF STEPPING STONES SERVING AS A BOARD MEMBER AND VOLUNTEER. THIS PROGRAM HELPS WITH ACCESS TO HEALTHY, AFFORDABLE FOOD WHICH REDUCES OBESITY AND CHRONIC DISEASE. PROVIDES ACCESS TO NUTRITIOUS FOOD FOR LOW-INCOME RESIDENTS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED HEALTHY GROWTH AND DEVELOPMENT, ACCESS TO HEALTH CARE, AND REPRODUCTIVE/SEXUAL HEALTH. THESE NEEDS WILL BE ADDRESSED BY MCHS-MENOMONIE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN DUNN COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-MENOMONIE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-CHIPPEWA VALLEY'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 5:	COMMUNITY INPUT:FREEBORN COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH COMMUNITY HEALTH CARE COLLABORATIVE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF FREEBORN COUNTY.FOCUS GROUPS WITH COMMUNITY HEALTH CARE COLLABORATIVE GROUP, SUBGROUPS OF THE COMMUNITY HEALTH CARE COLLABORATIVE INCLUDING SENIOR, FAMILIES AND CHILDREN, MENTAL HEALTH COMMITTEES AND FREEBORN COUNTY WORKSITE WELLNESS COMMITTEE.1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING FREEBORN COUNTY PUBLIC HEALTH, CHIEF OF POLICE, FREEBORN COUNTY SHERIFF, ALBERT LEA AREA SCHOOLS, CHAMBER OF COMMERCE, UNITED WAY, SENIOR RESOURCES, ALBERT LEA FAMILY YMCA, PARKS AND RECREATION, ALBERT LEA FIRE, BLUE ZONES VITALITY PROJECT, ALBERT LEA CHILDREN'S CENTER AND AMBULANCE SERVICES.TWO COMMUNITY LISTENING SESSIONS OPEN TO COMMUNITY MEMBERS AND AGENCIES.SURVEYS WITH COMMUNITY MEMBERS VISITING THE FREEBORN COUNTY HEALTH OFFICE, MAYO CLINIC HEALTH SYSTEM LANGUAGE SERVICES DEPARTMENT AND ALBERT LEA SCHOOL DISTRICT'S ADULT BASIC EDUCATION STUDENTS. MOWER COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH MOWER REFRESHED STEERING COMMITTEE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF MOWER COUNTY.FOCUS GROUPS WITH LOCAL COMMUNITY COLLEGE STUDENTS, SOUTHERN MINNESOTA EDUCATION CONSORTIUM SCHOOL SOCIAL WORKERS, AND MOWER COUNTY PUBLIC HEALTH NURSES.ENGLISH AS A SECOND LANGUAGE ADULT LEARNERS1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING MOWER COUNTY SENIOR CENTER, ST. MARK'S LUTHERAN HOME, CHIEF OF POLICE, MOWER COUNTY SHERIFF, UNITED WAY, CITY OF AUSTIN PORT AUTHORITY, AUSTIN YMCA, FAITH COMMUNITIES, MOWER COUNTY HHS, AFRICAN-ASIAN REFUGEE SERVICES, WELCOME CENTER, AMBULANCE SERVICE.SURVEYS SENT THROUGHOUT THE COUNTY.SURVEYS WITH COMMUNITY MEMBERS VISITING THE COUNTY HEALTH AND HUMAN SERVICES OFFICE.
GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 6B:	FREEBORN COUNTY PUBLIC HEALTHMOWER COUNTY PUBLIC HEALTH
GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ALBERT LEA AND AUSTIN (MCHS-AL/AUS) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT WITHIN THEIR COMMUNITY WHICH INCLUDES FREEBORN AND MOWER COUNTIES:ACCESS TO CAREMENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONIN 2020, MCHS-AL/AUS TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO REDUCE COMMUNITY-IDENTIFIED BARRIERS TO ACCESSING HEALTH CARE FOR ALL POPULATIONS, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT ACCESS TO HEALTHCARE AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:EMPLOYER ROUNDTABLE SESSIONS - HOSTED TWO DISCUSSION GROUPS, LED BY MAYO CLINIC HEALTH SYSTEM LEADERSHIP, WITH LOCAL BUSINESS LEADERS/EMPLOYERS TO PROVIDE UPDATES ON INTEGRATION BETWEEN THE ALBERT LEA AND AUSTIN CAMPUSES AND ANSWER QUESTIONS RELATED TO HEALTH CARE ACCESS. TOPICS INCLUDED WAYS TO ACCESS HEALTH CARE SERVICES, TRANSPORTATION OPTIONS FOR MEDICAL APPOINTMENTS, UTILIZING THE MCHS WEBSITE FOR HEALTH CARE RESOURCES, AND ACCESSING PATIENT ONLINE SERVICES.LEADERSHIP AUSTIN - HOSTED 32 MOWER COUNTY LEADERS TO INFORM AND DISCUSS LOCAL HEALTH CARE OPTIONS AND PROVIDE UPDATES ON CARE ACCESS IMPROVEMENTS. DISCUSSIONS AND Q&A WERE LED BY MAYO CLINIC HEALTH SYSTEM LEADERS. ANNUAL INFLUENZA COMMUNICATION - COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE INFLUENZA VACCINE AND HOW TO OBTAIN AN INFLUENZA VACCINATION. COMMUNICATION SPANNED FROM AUGUST THROUGH DECEMBER. SPORTS PHYSICALS - ASSISTED THE CLINICAL PRACTICE WITH COMMUNICATING ABOUT AND HOSTING ANNUAL SPORTS PHYSICALS FOR AREA TEENS, A REQUIREMENT FOR MINNESOTA HIGH SCHOOL SPORTS.COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.PRESENTATIONS TO COMMUNITY/CIVIC ORGANIZATIONS - SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FAQ FROM COMMUNITY MEMBERS AT ROTARY. COMMUNITY HEALTH & WELLNESS FAIR - EMPLOYEES VOLUNTEERED TO PROMOTE THE PATIENT PORTAL, MATERIALS ON WHERE TO SEEK CARE, INCLUDING EXPRESS CARE, EXPRESS CARE ONLINE, NURSE LINE, SAME DAY CLINIC, AND PATIENT ONLINE SERVICES. ALBERT LEA LEADERSHIP HEALTHY LIVING DAY - HOSTED BY MCHS-AL/AUS ON CAMPUS TO INTRODUCE HEALTHY LIFESTYLE CHOICES IN THE ALBERT LEA COMMUNITY AND TO EXPLORE OTHER WELLNESS INITIATIVES.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT MENTAL WELL-BEING AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:COMMUNITY HEALTH & WELLNESS FAIR - MCHS PROVIDERS, JOINED A PANEL DISCUSSION WITH OTHER FREEBORN COUNTY MENTAL HEALTH PROFESSIONALS ON A LIVE RADIO BROADCAST ON DEPRESSION.ROAD TO RESILIENCE VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE ROAD TO RESILIENCE VIRTUAL PROGRAM TO AREA SCHOOLS. THIS PROGRAM HELPS BUILD AND STRENGTHEN RESILIENCE AND COPING SKILLS FOR CHILDREN. WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PROGRAM WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE AND TO EDUCATE WOMEN OF THE IMPORTANCE OF EMOTIONAL WELL-BEING, PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND FEELING SAFE IN A MEDICAL SETTING.CANCER WEBINAR - COMMUNITY CANCER PATIENTS, CAREGIVERS AND THE BROADER COMMUNITY LEARNED HOW TO STAY FOCUSED DURING A TIME OF CHANGE IN AN ENVIRONMENT OF UNKNOWNS, FATIGUE AND CHANGE. HEALTH TALK: SOCIAL ISOLATION WEBINAR - PARTNERED WITH THORNE CREST SENIOR LIVING COMMUNITY TO DISCUSS HOW TO MAINTAIN SOCIAL DISTANCE WITHOUT INCREASING RISKS OF SOCIAL ISOLATION AND TO SHARE LOW & HIGH-TECH ACTIVITIES THAT CAN IMPROVE INDIVIDUAL WELL-BEING.COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. COMMUNITY HEALTH CARE COLLABORATIVE & COUNCIL OF SOCIAL SERVICE AGENCIES MEETINGS - ATTENDED MONTHLY MEETINGS OF COMMUNITY LEADERS REPRESENTING LOCAL AGENCIES TO SHARE PROGRAMMING AND IDENTIFY GAPS IN REACHING DIVERSE AUDIENCES WITH MENTAL HEALTH, ACCESS TO CARE, AND MENTAL WELL-BEING RESOURCES.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY LIVING TO PROMOTE DISEASE PREVENTION, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT CHRONIC DISEASE AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:COMMUNITY HEALTH & WELLNESS FAIR - EMPLOYEES VOLUNTEERED TO PROVIDE INFORMATION TO PROMOTE ACTIVE AND HEALTHY LIFESTYLES. INFORMATION WAS DISTRIBUTED TO ACHIEVE BETTER HEALTH AND PREVENT CHRONIC DISEASE AND ATTENDEES WERE INVITED TO JOIN THE ONLINE PASSPORT TO HEART HEALTH CHALLENGE. A DIETICIAN DEMONSTRATED HEALTHY SNACK OPTION RECIPES.COLON CANCER AWARENESS AND PREVENTION EVENT - COMMUNITY INVITED TO EXPLORE AN EDUCATIONAL 20-FOOT-LONG INFLATABLE COLON AND A MCHS EXPERT PRESENTED AN OVERVIEW ON COLON HEALTH INCLUDING THE IMPORTANCE OF REGULAR TESTING, HEALTHY DIET, EXERCISE AND AVOIDING ALCOHOL & TOBACCO.WORKSITE WELLNESS COMMITTEE - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO CONNECT AREA BUSINESSES AND EMPLOYEES WITH COMMUNITY EVENTS AND RESOURCES WHILE MOTIVATING THEM TO LIVE A HEALTHY LIFESTYLE TO IMPROVE THEMSELVES, THEIR WORKSITES, AND THE COMMUNITY. COMMUNITY HEALTH CARE COLLABORATIVE - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF FREEBORN COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.EARLY LEARNING NATION - PROVIDED HEALTH CARE REPRESENTATION ON THIS COLLABORATION WITH AUSTIN ASPIRES, UNITED WAY OF MOWER COUNTY, AUSTIN PUBLIC SCHOOLS AND MOWER COUNTY PUBLIC HEALTH. THE PROGRAM EMPHASIZES BUILDING A COLLECTIVE NETWORK OF RESOURCES FOR EARLY CHILDHOOD GROWTH. HEALTH CARE INPUT INCLUDED INFORMATION ON PRENATAL CARE, IMMUNIZATIONS, WELL-BABY/WELL-CHILD AND CHILDHOOD DEVELOPMENT. PRESCHOOL SHOWCASE - PROVIDED INFORMATION TO YOUNG FAMILIES ON EARLY CHILDHOOD NUTRITION AND HEALTH, IMMUNIZATIONS, DEVELOPMENTAL MILESTONES AND WELL-BEING.COMMUNITY CONNECT - PARTICIPATED IN THIS EVENT THAT BRINGS TOGETHER MULTIPLE LOCAL RESOURCES FOR COMMUNITY MEMBERS TO ACCESS. PROVIDED A VARIETY OF HEALTH CARE INFORMATION ON CHRONIC DISEASE PREVENTION AND WELL-BEING. AUSTIN POSITIVE ACTION COALITION - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO REDUCE ALCOHOL, TOBACCO AND OTHER DRUG USE AMONG TEENS. MOWER REFRESHED STEERING COMMITTEE - HOSTED BI-MONTHLY MEETINGS WITH APPROXIMATELY 25 KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF MOWER COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED SOCIO-ECONOMIC FACTORS AND PREVENTION. THESE NEEDS WILL BE ADDRESSED BY MCHS-AL/AUS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: WITH THE UNEXPECTED COVID-19 PANDEMIC EMERGING AS A CRISIS IN FEBRUARY 2020, CHNA EFFORTS QUICKLY PIVOTED FROM PLANNED PROJECTS TO IMMEDIATE NEEDS RELATED TO THE PANDEMIC. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE CANCELLED TO SUPPORT COMMUNITY SAFETY RELATED TO COVID-19. COMMUNITY EFFORTS SHIFTED TO EDUCATING AND COMMUNICATING ABOUT COVID-19.
PART V, SECTION B	FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF:	- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN LA CROSSE (MCHS-LA CROSSE). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6A:	MCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6B:	GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:INCREASED ACCESS TO MENTAL HEALTH CAREREDUCED DRUG & ALCOHOL USE & MISUSEINCREASED WELL-BEING OF CHILDREN & YOUTHIN 2020, MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.OFFERED AT NO COST THREE ONE-HOUR PRESENTATIONS TO HELP AREA PARENTS WITH A RANGE OF TOPICS, INCLUDING: CHILDHOOD IN A DIGITAL AGE; BACK-TO-SCHOOL TIPS FOR MENTAL HEALTH - WHATEVER THE SETTING; AND STAYING SAFE AND EMOTIONALLY SOUND DURING A COVID-19 WINTER. PRESENTERS INCLUDED A FAMILY PHYSICIAN, CHILD AND ADOLESCENT PSYCHOLOGIST, AND A PEDIATRICIAN.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS. EXAMPLES INCLUDE LA CROSSE COUNTY PREVENTION NETWORK, ALLIANCE TO HEAL, LA CROSSE AREA SUICIDE PREVENTION INITIATIVE, LA CROSSE MENTAL HEALTH COALITION, THE CAMPAIGN TO CHANGE DIRECTION, GREAT RIVERS HUB AND THE BETTER TOGETHER COLLABORATIVE.PROVIDED FINANCIAL SUPPORT FOR COMMUNITY PROGRAMS SEEKING TO RAISE AWARENESS OF MENTAL ILLNESS AND EXPAND ACCESS TO MENTAL HEALTH CARE, INCLUDING: SUICIDE PREVENTION SUMMIT, SALVATION ARMY PSYCHIATRIC SERVICES, CAMPAIGN TO CHANGE DIRECTION, COULEECAP SOAR PROGRAM AND TELLURIAN LA CROSSE CARE CENTER (ADDICTION AND MENTAL HEALTH TREATMENT).PROVIDED OFFICE SPACE ON THE HOSPITAL'S CAMPUS AT NO COST FOR TWO LA CROSSE COUNTY SOCIAL WORKERS SERVING THE RESIDENTS IN THE WASHBURN AND POWELL-POAGE-HAMILTON NEIGHBORHOODS. THE HOSPITAL CONTINUED TO PROVIDE FULL-TIME BEHAVIORAL HEALTH SPECIALISTS FOR THE MATHY CENTER AND ERICKSON BOYS & GIRLS CLUBS. THE HOSPITAL EMPLOYS BOTH SPECIALISTS AND ABSORBS WAGES AND BENEFITS FOR ONE.CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. FREQUENT EMERGENCY DEPARTMENT USERS, INCLUDING MANY WITH CHRONIC MENTAL HEALTH CONCERNS, WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE COULEE COUNCIL ON ADDICTIONS BOARD OF DIRECTORS, LA CROSSE COUNTY PREVENTION NETWORK, GREAT RIVERS HUB COMMITTEES AND THE ALLIANCE TO HEAL COMMITTEES. PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING PROGRAMS AND ORGANIZATIONS SEEKING TO REDUCE DRUG AND ALCOHOL USE/MISUSE: LA CROSSE POLICE DARE PROGRAM (SUBSTANCE ABUSE PREVENTION); COULEE COUNCIL ON ADDICTIONS (PREVENTION/RECOVERY) AND TELLURIAN LA CROSSE CARE CENTER (ADDICTION AND MENTAL HEALTH TREATMENT).CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.CONTINUED ITS COLLABORATION WITH HAMILTON COMMUNITY SCHOOL BY PROVIDING ONSITE GROUP AND 1:1 BEHAVIORAL HEALTH SERVICES FOR CHILDREN IMPACTED BY TRAUMA. THE PROGRAM WAS PAUSED DUE TO COVID-19 AND SCHOOL CLOSURES.CONTINUED TO PROVIDE SPACE ON ITS CAMPUS FOR THE COULEE RECOVERY CENTER, CHARGING RENT OF $1/YEAR. THE COULEE RECOVERY CENTER PROVIDES ADDICTION PREVENTION AND RECOVERY SERVICES.INCREASED WELL-BEING OF CHILDREN & YOUTH: TO INCREASE COMMUNITY RESOURCES TO PREVENT CHILDHOOD TRAUMA, REDUCE THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES AND ADDRESS THE NEEDS OF CHILDREN LIVING IN POVERTY, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON CHILDREN & YOUTH WELL-BEING AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING THE WELL-BEING OF CHILDREN AND YOUTH. EXAMPLES INCLUDE THE PARENTING PLACE, BOYS & GIRLS CLUB OF GREATER LA CROSSE, BIG BROTHERS BIG SISTERS OF THE 7 RIVERS REGION, FAMILY & CHILDREN'S CENTER, LA CROSSE SCHOOL DISTRICT, LA CROSSE PUBLIC EDUCATION FOUNDATION, APTIV (DISABILITY SERVICES), GATEWAY AREA BOY SCOUTS, CHILEDA (BEHAVIORAL CHALLENGES) AND RTIC (RESILIENCY AND TRAUMA-INFORMED COMMUNITY). PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING COLLABORATIVE COMMUNITY ORGANIZATIONS SEEKING TO INCREASE THE WELL-BEING OF CHILDREN AND YOUTH: LA CROSSE POLICE DARE PROGRAM, LINCOLN MIDDLE SCHOOL, BIG BROTHERS BIG SISTERS, APTIV, FAMILY & CHILDREN'S CENTER, THE PARENTING PLACE AND THE GOOD FIGHT COMMUNITY CENTER. PROVIDED FINANCIAL SUPPORT FOR MUSCLES IN MOTION, A PROGRAM OF THE PARENTING PLACE. THIS FREE PARENT-CHILD PROGRAM SUPPORTS THE WELLBEING OF YOUNG CHILDREN AND THE ADULTS WHO CARE FOR THEM. INTERACTIONS DURING MUSCLES IN MOTION (ADULT TO ADULT, ADULT TO CHILD AND CHILD TO CHILD) FALL WITHIN THE PROTECTIVE FACTORS FRAMEWORK, A RESEARCH-BASED APPROACH TO CREATING STRONG FAMILIES THAT CONTRIBUTE TO OPTIMAL CHILD WELLBEING WHILE PREVENTING CHILD MALTREATMENT. THROUGH ITS ONGOING ADOPT-A-SCHOOL PARTNERSHIP WITH LINCOLN MIDDLE SCHOOL, PROVIDED FINANCIAL SUPPORT AND RESOURCES TO EXPAND OPPORTUNITIES FOR STUDENTS AND FAMILIES. SUPPORTS INCLUDED PRESENTATIONS TO PARENTS AND STAFF BY MAYO EXPERTS IN CHILD PSYCHOLOGY AND PEDIATRICS. THE HOSPITAL ALSO PROVIDED A FREE BABYSITTING CLASS FOR STUDENTS. FINANCIAL SUPPORT WAS PROVIDED FOR THE PURCHASE OF COVID-19 CLASSROOM SANITIZING SUPPLIES. THE HOSPITAL HOSTED A FOOD DRIVE AND PROVIDED FINANCIAL SUPPORT FOR A SCHOOL PROGRAM THAT PROVIDES THANKSGIVING MEALS TO SCHOOL FAMILIES IN NEED. CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-LA CROSSE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN WISCONSIN. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-LA CROSSE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THE RESPONSE AND EFFORTS IN ADDRESSING COVID-19, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-LA CROSSE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN SPARTA (MCHS-SPARTA). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6A:	GUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSMCHS-FRANCISCAN MEDICAL CENTER LA CROSSETOMAH MEMORIAL HOSPITALVERNON MEMORIAL HEALTHCARE
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6B:	GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:REDUCED DRUG & ALCOHOL USE & MISUSEINCREASED ACCESS TO MENTAL HEALTH CAREINCREASED FOOD-SECURITYIN 2020, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE THE MONROE COUNTY SAFE COMMUNITIES COALITION AND NEXT STEPS FOR CHANGE.PROVIDED FINANCIAL SUPPORT FOR SOJOURNER'S JOURNEY, A NON-DENOMINATIONAL, NONPROFIT ORGANIZATION ASSISTING THOSE WHO ARE HOMELESS AND STRUGGLING WITH SUBSTANCE ABUSE IN MONROE COUNTY. THE PROGRAM IS DESIGNED TO ESTABLISH MEANINGFUL COMMUNITY AND LASTING RELATIONSHIPS, WHILE PROVIDING RESOURCES, EDUCATION AND DEVELOPMENTAL OPPORTUNITIES TO EMPOWER THE MEN AND WOMEN TO BECOME ACTIVE, VITAL ASSETS TO OUR COMMUNITY, NOW AND FOR GENERATIONS TO COME. FUNDING WAS PROVIDED IN SUPPORT OF A NEW MEN'S HOME (RESIDENTIAL PROGRAM).INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS, SUCH AS THE MONROE COUNTY HEALTH COALITION.CONTINUED TO ENHANCE ACCESS TO MENTAL HEALTH SERVICES THROUGH INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE TEAMS. IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITAL SIGNIFICANTLY EXPANDED ACCESS TO MENTAL HEALTH SERVICES VIA TELEHEALTH. INCREASED FOOD SECURITY: TO INCREASE AWARENESS OF FOOD INSECURITY IN MONROE COUNTY AND INCREASE COMMUNITY RESOURCES AVAILABLE FOR INDIVIDUALS AND FAMILIES IMPACTED BY FOOD INSECURITY, MCHS-SPARTA:SHARED MAYO CLINIC EXPERTISE ON NUTRITION AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING FOOD INSECURITY AND NUTRITION, SUCH AS THE MONROE COUNTY NUTRITION COALITION.PROVIDED FINANCIAL SUPPORT TO THE NEIGHBOR FOR NEIGHBOR AND THE COULEECAP MONROE COUNTY FOOD PANTRIES. FUNDING WAS ALSO PROVIDED TO THE BOYS & GIRLS CLUB OF WEST CENTRAL WISCONSIN (TOMAH) TO ASSIST IN PROVIDING MEALS TO CHILDREN DURING THE COVID-19 PANDEMIC. PROVIDED A FINANCIAL CONTRIBUTION TO THE MONROE COUNTY EMERGENCY RESOURCE FUND FOLLOWING THE ONSET OF THE COVID-19 PANDEMIC TO HELP RESIDENTS WITH URGENT NEEDS INCLUDING SHELTER AND FOOD.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-SPARTA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN WISCONSIN. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-SPARTA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-SPARTA'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 1: MAYO CLINIC HOSPITAL IN ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE CHNA FOR MARICOPA COUNTY WAS A JOINT EFFORT. ORGANIZATIONS INCLUDED IN THE COLLABORATION WERE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, MAYO CLINIC HOSPITAL IN ARIZONA (MCA), ADELANTE HEALTHCARE, BANNER HEALTH, DIGNITY HEALTH, NATIVE HEALTH, AND PHOENIX CHILDREN'S HOSPITAL.THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH THREE MEANS. FIRST, DATA WAS COLLECTED THROUGH FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE PRIMARY SERVICE AREA OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. MEMBERS OF THE COMMUNITY HEALTH INFORMATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK (ACCN) PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE ABOVE-MENTIONED COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY.A SERIES OF 36 FOCUS GROUPS WITH MEDICALLY UNDERSERVED POPULATIONS ACROSS MARICOPA COUNTY WERE CONDUCTED BETWEEN SEPTEMBER 2017 AND JUNE 2018. FOCUS GROUPS HELPED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE WITHIN MARICOPA COUNTY. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF AN AREA IN MARICOPA COUNTY), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A COMMUNITY HEALTH SURVEY WAS ALSO ADMINISTERED TO KEY INFORMANTS. KEY INFORMANTS WERE IDENTIFIED AS HEALTH OR COMMUNITY EXPERTS FAMILIAR WITH TARGET POPULATIONS AND GEOGRAPHIC AREAS WITHIN MARICOPA COUNTY. THE SURVEY INSTRUMENT WAS CREATED BY MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH BASED ON RECOMMENDATIONS FROM THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND MAYO CLINIC LEADERSHIP. THE SURVEY WAS ADMINISTERED TO 152 KEY INFORMANTS WHO PROVIDE SERVICES THROUGHOUT MARICOPA COUNTY. IN ADDITION TO THE ABOVE, COMMUNITY INPUT FOR THE CHNA INCLUDED ENGAGEMENT FROM MCA'S COMMUNITY ENGAGEMENT COMMITTEE, MCA'S COMMUNITY ADVISORY BOARD AND MCA'S EXECUTIVE OFFICE TEAM.
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6A:	BANNER HEALTHDIGNITY HEALTHPHOENIX CHILDRENS HOSPITAL
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6B:	MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHNATIVE HEALTHADELANTE HEALTHCARE
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 11:	MAYO CLINIC ARIZONA (MCA), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CARECANCER/BREAST CANCERSOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS)IN 2020, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO PROVIDE NON-MAYO CLINIC PATIENTS' ACCESS TO CARE FOR CONDITIONS THAT MAY OTHERWISE GO UNTREATED, OR CONDITIONS THAT REQUIRE SPECIFIC EXPERTISE, MCA:WAS FORCED TO PIVOT DUE TO COVID-19 AND PROVIDE ACCESS TO PATIENTS THROUGH VERY DIFFERENT PLATFORMS. VIRTUAL HEALTHCARE APPOINTMENTS WERE IMPLEMENTED AND PROVIDED OPPORTUNITIES FOR MCA PHYSICIAN STAFF TO PROVIDE E-CONSULT APPOINTMENTS TO COMMUNITY HEALTHCARE PROVIDERS THAT MAY WORK IN A FEDERALLY QUALIFIED CLINIC (FQHC) LIKE ADELANTE HEALTHCARE, MOUNTAIN PARK HEALTH CENTER AND PHOENIX INDIAN MEDICAL CENTER. THESE CONSULTATIONS WERE OFFERED TO BOTH PHYSICIANS THAT WORK IN THE FEDERALLY QUALIFIED CLINICS, AS WELL AS TO THE EXTERNAL PHYSICIAN OR CAREGIVER IN THE PATIENT'S PRESENCE. MCA PROVIDED PERSONAL PROTECTIVE EQUIPMENT TO ADELANTE HEALTHCARE, MOUNTAIN PARK HEALTH CENTER, ST. VINCENT DE PAUL AND CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS TO ASSIST THESE HOMELESS COMMUNITY CARE ORGANIZATIONS. MORE THAN 15,000 MASK AND OTHER PERSONAL PROTECTION EQUIPMENT WERE DISTRIBUTED TO THESE ORGANIZATIONS.ASSISTED THE NAVAJO RESERVATION IN NORTHERN ARIZONA BY PROVIDING THREE SEMI-TRUCK LOADS OF PERSONAL PROTECTIVE EQUIPMENT, WATER, GLOVES, GOWNS AND OTHER NEEDED ITEMS TO MEET THE NEEDS OF RESIDENTS OF THE NAVAJO INDIAN RESERVATION.CANCER/BREAST CANCER: TO PROVIDE BREAST CANCER CARE AND TO ASSIST IN REDUCING DISPARATE HEALTH OUTCOMES TO MINORITY, POOR, AND OTHER VULNERABLE DISPARATE POPULATIONS, MCA:CONTINUED TO SPONSOR THE COALITION OF BLACKS AGAINST BREAST CANCER IN 2020. MCA PROVIDED THE ZOOM PLATFORM, THE EDUCATION FACULTY AND THE MONETARY INVESTMENT FOR EXPANSION OF THE MONTHLY VIRTUAL MEETINGS. AS A RESULT, THE COALITION HAS REACHED A NATIONAL AUDIENCE AND TO A MORE LIMITED EXTENT, HAS SOME INTERNATIONAL REACH.PARTNERED WITH THE COALITION OF BLACKS AGAINST BREAST CANCER AND SCIENTIFIC INVESTIGATORS TO BETTER UNDERSTAND THE EXPERIENCE OF WOMEN, THEIR DIRECT DESCENDANTS AND THEIR MATERNAL FIRST LINE RELATIVE'S KNOWLEDGE, EXPERIENCES AND UNDERSTANDING OF BREAST CANCER, THE TREATMENT PROCESS, TREATMENT OPTIONS AND BARRIERS THAT CONTRIBUTE TO SEVERE DISPARATE HEALTH OUTCOME OF THE POPULATION.SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): TO SUPPORT COMMUNITY-BASED ORGANIZATIONS WORKING IN THE HOMELESSNESS/HOUSING SPACE, MCA:ASSISTED THE MESA MEN'S SHELTER IN THE PROCUREMENT, PREPARATION, AND SERVING OF MEALS TO THE MEN WHO FIND THEMSELVES IN A STATE OF TEMPORARY HOMELESSNESS.PROVIDED STAFF VOLUNTEERS TO THE CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS. VOLUNTEERISM INCLUDED SERVING AS BOARD OF TRUSTEE MEMBERS, CLINICAL TREATMENT TO THE FACILITY'S PATIENT POPULATION, PROVISION FOR TOILETRY DRIVES, PERSONAL PROTECTIVE EQUIPMENT DURING THE PANDEMIC, SURPLUS MEDICAL EQUIPMENT, FURNITURE AND SUPPLIES. CONTINUED TO VOLUNTEER AT ST. MARY'S FOOD BANK TO PACK AND DISTRIBUTE BOXES OF NON-PERISHABLE FOOD ITEMS TO INDIVIDUALS LIVING IN FOOD DESERTS, TO UNDERSERVED, POOR AND HOMELESS POPULATIONS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH PRIORITIES IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED BY MCA INCLUDE MENTAL/BEHAVIORAL HEALTH, INJURY PREVENTION, OVERWEIGHT/OBESITY AND CHRONIC DISEASE. MCA PARTICIPATES IN A COLLABORATIVE EFFORT WITH SEVERAL MARICOPA COUNTY BASED COMMUNITY HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED NOT-FOR-PROFIT HEALTHCARE PROVIDERS. THE COLLABORATIVE IS AN EFFORT THAT WORKS IN PARTNERSHIP WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH. ALL THE COLLABORATIVE MEMBERS ARE MADE AWARE OF THE COMPREHENSIVE HEALTH NEEDS OF THE ENTIRE COUNTY. AS A COLLECTIVE, THE MEMBERS ASSURE ALL THE IDENTIFIED/PRIORITY HEALTH NEEDS ARE MET THROUGH MEMBERS OF THE COLLABORATION. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND MARICOPA COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE EFFORTS COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN STRATEGIES. DESPITE THE PANDEMIC, MCA WAS ABLE TO SUCCESSFULLY ACQUIRE A $1 MILLION GRANT FROM THE NATIONAL INSTITUTES OF HEALTH AIMED AT BUILDING A PLATFORM FOR BUILDING COMMUNITY TRUST ACROSS MEDICALLY UNDERSERVED RACIAL/ETHNIC MINORITY GROUPS WITH DISPROPORTIONATE BURDEN OF COVID-19 DISEASE AT THE STATE AND/OR SPECIFIC COMMUNITY LEVELS. THIS INITIATIVE INCLUDED COMMUNITY COLLABORATIONS AND PARTNERSHIPS TO SUPPORT RESEARCH ON AWARENESS, EDUCATION, AND MISTRUST AROUND COVID-19. THE GRANT IS IN PARTNERSHIP WITH THREE MAJOR ARIZONA UNIVERSITIES - ARIZONA STATE UNIVERSITY, NORTHERN ARIZONA UNIVERSITY AND UNIVERSITY OF ARIZONA. THIS INITIATIVE WILL SERVE AS ONE ALLIANCE OF INTERLINKED COMMUNITY-ENGAGED RESEARCH PROJECTS ACROSS THE UNITED STATES TO UNDERSTAND FACTORS ASSOCIATED WITH ENGAGEMENT IN COVID-19 RESEARCH, AND TO DEVELOP AN EVIDENCE BASE FOR DEPLOYMENT OF EFFECTIVE STRATEGIES TO ENHANCE AWARENESS AND UPTAKE OF PREVENTIVE HEALTH MEASURES TO MITIGATE THE PANDEMIC, AND IMPROVE THE OUTREACH AND INCLUSION IN COVID-19 RESEARCH AMONG COMMUNITY-ENGAGED PARTNERS IN UNDERSERVED COMMUNITIES. MCA HELD FOUR TOWN HALLS, FOCUSED ON COVID-19, TARGETING VULNERABLE AND UNDERSERVED COMMUNITIES, OPEN TO THESE POPULATIONS IN THE MARICOPA COUNTY COMMUNITY CATCHMENT AREA. THE TOWN HALLS WERE SUPPORTED BY MEDIA AND SOCIAL MEDIA ORGANIZATIONS, AND THE REACH WAS EXPANSIVE. (200K+ PARTICIPANTS LIVE AND RECORDED)
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMMUNITY HEALTH NEEDS IDENTIFIED FOR MAYO CLINIC HOSPITAL IN FLORIDA (MCF) WERE BASED ON THE CHNA CONDUCTED BY THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP (THE PARTNERSHIP). THE PARTNERSHIP IS A COALITION OF NON-PROFIT HOSPITALS WHOSE VISION IS TO CONTRIBUTE TO IMPROVEMENTS IN POPULATION HEALTH ACROSS THE NORTHEAST FLORIDA REGION BY ADDRESSING GAPS THAT PREVENT ACCESS TO QUALITY, INTEGRATING HEALTH CARE, AND IMPROVING ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE. THE PARTNERSHIPS MEMBERS ARE BAPTIST HEALTH, BROOKS REHABILITATION, MAYO CLINIC HOSPITAL IN FLORIDA (MCF), UF HEALTH JACKSONVILLE, ST. VINCENT'S HEALTHCARE AND WOLFSON CHILDREN'S HOSPITAL. THE PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS CONDUCTED BY PHONE, FOCUS GROUP DISCUSSIONS AND A COMMUNITY SURVEY DISTRIBUTED THROUGHOUT THE SERVICE AREA THROUGH ONLINE AND PAPER SUBMISSIONS. OVER 1,034 COMMUNITY MEMBERS CONTRIBUTED THEIR INPUT ON THE COMMUNITY'S HEALTH AND HEALTH-RELATED NEEDS, BARRIERS, AND OPPORTUNITIES FOR DUVAL AND ST. JOHNS COUNTIES, WITH SPECIAL FOCUS ON NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS. THIRTY-TWO KEY INFORMANT INTERVIEWS WERE CONDUCTED BY PHONE FROM MARCH 13, 2018 THROUGH APRIL 23, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS, BARRIERS, STRENGTHS, AND OPPORTUNITIES (INCLUDING THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS AS REQUIRED BY IRS REGULATIONS). PEOPLE WITH PUBLIC HEALTH EXPERTISE; THE ABILITY TO SPEAK ON THE NEEDS OF LOW-INCOME, UNDERSERVED, OR MINORITY POPULATIONS; AND THE ABILITY TO SPEAK ON THE BROAD INTERESTS OF THE COMMUNITY WERE ASKED TO PARTICIPATE IN KEY INFORMANT INTERVIEWS. OF THE 32 KEY INFORMANT INTERVIEWS CONDUCTED, 24 INTERVIEWS WERE WITH COMMUNITY EXPERTS WHO EITHER SERVED OR REPRESENTED UNDERSERVED COMMUNITIES.22 FOCUS GROUPS WITH 212 PARTICIPANTS WERE CONDUCTED FROM MARCH 28, 2018 THROUGH APRIL 25, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS AND BARRIERS. THE FOCUS GROUPS WERE SPLIT ALMOST EVENLY INTO TWO CATEGORIES: (1) FOCUS GROUPS OF HOSPITAL STAFF ASSOCIATED WITH MCF, AND (2) FOCUS GROUPS OF COMMUNITY MEMBERS WITH WIDE BACKGROUNDS, INCLUDING PERSONS WITH DISABILITIES, VETERANS, PERSONS OF LIMITED INCOME, COMMUNITIES OF COLOR, FAITH COMMUNITIES, AND MORE. OF THE 22 FOCUS GROUPS CONDUCTED, 10 OF THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS OF UNDERSERVED COMMUNITIES OR COMMUNITY ADVOCATES FOR UNDERSERVED COMMUNITIES.THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED ONLINE FROM MARCH 26, 2018 THROUGH APRIL 16, 2018. THE SURVEY WAS ALSO MADE AVAILABLE ON PAPER, THOUGH PAPER DISTRIBUTION WAS LIMITED. THE SURVEY ELICITED RESPONSES FROM 790 COMMUNITY MEMBERS IN DUVAL AND ST. JOHNS COUNTIES.
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6A:	BAPTIST HEALTHBROOKS REHABILITATIONST. VINCENT'S HEALTHCAREUF HEALTH JACKSONVILLEWOLFSON CHILDREN'S HOSPITAL
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6B:	CLAY COUNTY HEALTH DEPARTMENTDUVAL COUNTY HEALTH DEPARTMENTNASSAU COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENT
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 11:	MAYO CLINIC FLORIDA, IN COLLABORATION WITH MAYO CLINIC JACKSONVILLE AND COLLECTIVELY REFERRED TO AS MAYO CLINIC IN FLORIDA (MCF), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY CANCERACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION)IN 2020, MCF TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MCF:STRATEGIZED TO INCREASE THE KNOWLEDGE AND AWARENESS OF OBESITY PREVENTION AND RISK REDUCTION THROUGH TARGETED COMMUNITY OUTREACH AND EDUCATION EFFORTS IN PREDOMINANTLY SPANISH-SPEAKING COMMUNITIES, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER) AND EMPLOYEE RESOURCE GROUPS.DEVELOPED HOPE PARA LA COMMUNIDAD WHICH IS A HEALTH EDUCATION, OUTREACH, AND RESEARCH INITIATIVE THAT PARTNERS WITH ORGANIZATIONS SERVING PREDOMINANTLY SPANISH-SPEAKING COMMUNITY MEMBERS IN JACKSONVILLE TO PROVIDE INFORMATION ABOUT VARIOUS WELLNESS TOPICS THAT IMPACT THE COMMUNITY. EFFORTS UNDER HOPE PARA LA COMMUNIDAD INCLUDED MCF HOSTING FOOD DISTRIBUTION WITHIN THE HISPANIC COMMUNITIES (230 FAMILIES SERVED) AND HOSTING ITS FIRST VIRTUAL HISPANIC CONFERENCE (200 REGISTERED COMMUNITY MEMBERS & 475 NON-UNIQUE LOG-ON'S WERE RECORDED). CONTINUED THE WELLNESS RX PROGRAM THAT WAS INITIATED IN 2017. WELLNESS RX IS A COMMUNITY LED WELLNESS PROGRAM AND IS MANAGED BY MCF TO EMPOWER AND EDUCATE NEW TOWN, FLORIDA RESIDENTS WITH INFORMATION TO IMPROVE THEIR OVERALL HEALTH. THROUGH CIVIC ENGAGEMENT, NEW TOWN SUCCESS ZONE HAS CREATED A MODEL OF ENGAGEMENT WHICH ENCOURAGES SELF-RESPONSIBILITY, ACCOUNTABILITY AND COMMUNITY DRIVEN ACTION AROUND HEALTH AND WELLNESS PRIORITIES. MCF PROVIDED OVER 350 FACEBOOK EDUCATIONAL VIDEOS AND HAVE CREATED WELLNESS RX BLOG EDUCATIONAL FLYERS AND VIDEOS. EACH MONTH WELLNESS RX HAD A SPECIFIC HEALTH TOPIC ASSIGNED WITH EDUCATIONAL MATERIAL PROVIDED. IN 2020 THE PROGRAM DISTRIBUTED 119,549 LBS. OF FOOD AND AT EACH EVENT WE HAD CONSISTENTLY OVER 100 PARTICIPANTS. CANCER: TO INCREASE KNOWLEDGE AND AWARENESS OF INFORMATION AND RESOURCES AVAILABLE ALONG THE ENTIRE CANCER CONTINUUM, MCF:PRESERVED LONG-STANDING RELATIONSHIPS WITH AND PROVIDED FINANCIAL RESOURCES TO CANCER ORGANIZATIONS IN SUPPORT OF THEIR MISSION TO FREE THE WORLD FROM CANCER.LAUNCHED CANCER BREAKTHROUGHS: A TOWN HALL SERIES COMPLETELY VIRTUAL. THIS PROGRAM FOCUSES ON PROVIDING INFORMATION TO COMMUNITIES VIA INTERACTIVE SESSIONS WITH CANCER PROVIDERS, RESEARCHERS, ADVOCATES, AND SURVIVORS, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER). THESE SESSIONS WILL DIRECTLY CONNECT COMMUNITY MEMBERS WITH INFORMATION AND RESOURCES. TOPICS COVERED IN THE SERIES WILL FOCUS ON UP TO DATE INFORMATION THROUGHOUT THE CANCER CONTINUUM FROM CANCER ETIOLOGY TO CANCER SURVIVORSHIP.THE FIRST TOWN HALL WAS IN JUNE OF 2020 AND THE PROGRAM TOPIC WAS MANAGING CANCER THROUGH COVID-19. THE SECOND TOWN HALL WAS IN OCTOBER OF 2020 AND THE PROGRAM TOPIC WAS SURVIVING BREAST CANCER. THE LATER WAS IN PARTNERSHIP WITH AGAPE FAMILY HEALTH (A FEDERALLY QUALIFIED HEALTH CENTER IN JACKSONVILLE) AND ASCENSION ST. VINCENT'S CANCER CENTER TO BRING TOGETHER BREAST CANCER SURVIVORS AND MEDICAL PROFESSIONALS TO SHARE LIFE LESSONS, INFORMATION ON HEALTHY LIFESTYLES, EARLY SCREENING, RESEARCH AND RESOURCES AVAILABLE.ACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION): TO INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO MEANS IN THE COMMUNITY, MCF: PROVIDED SUPPORT TO THE FOLLOWING NONPROFIT ORGANIZATIONS WITH MONETARY AND/OR IN-KIND SUPPORT:SULZBACHER CENTER: MCF CONTRIBUTED SUPPLEMENTAL CARE IN BEHAVIORAL HEALTH, CARDIOLOGY, FAMILY MEDICINE AND GASTROENTEROLOGY WHICH RESULTED IN 107 PATIENTS SEEN AND 119 MAYO STAFF VOLUNTEER HOURS.VOLUNTEERS IN MEDICINE (VIM): MCF CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS BY PROVIDING INOCULATION AND TESTING FOR HUMAN PAPILLOMAVIRUS (HPV) AT VIM AND SUPPLEMENTING VIM CLINIC STAFF WITH SERVICES INCLUDING CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY AND INTERNAL MEDICINE. MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINICS WITH STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING IN 26.5 HOURS AND 8 VISITS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY AND UROLOGICAL SURGERIES. AGAPE FAMILY HEALTH: MCF PARTNERED WITH AGAPE FAMILY HEALTH AND LOCAL AFRICAN AMERICAN AND HISPANIC FAITH BASED AND COMMUNITY ORGANIZATIONS TO PROVIDE COVID-19 TESTING TO OVER 400 UNDERSERVED AND UNDERREPRESENTED COMMUNITY MEMBERS. MCF ALSO PROVIDED FAMILY MEDICINE SERVICES TO AGAPE FAMILY HEALTH CLINIC.THE FOLLOWING DONATED SERVICES WHICH RESULTED IN A TOTAL OF 260 VOLUNTEER HOURS (6 NEW ADDITIONAL CLINICAL VOLUNTEERS) FROM OUR CLINICIANS AT VIM:IN ADDITION TO PROVIDING SUPPORT TO THE ABOVE NONPROFIT ORGANIZATIONS, MCF AS A MEMBER OF THE JACKSONVILLE HOSPITAL PARTNERSHIP, BELIEVES IT IS IMPORTANT TO LOOK AT WAYS THIS COMMUNITY AND OTHERS CAN OVERCOME BARRIERS AND PROVIDE AN EQUITABLE SYSTEM IN WHICH EVERY PERSON HAS ACCESS TO GOOD MEDICAL CARE TO HELP IMPROVE THEIR QUALITY OF LIFE. IN RESPONSE, THE PARTNERSHIP DEVELOPED A VIRTUAL 4 PART RACIAL HEALTH EQUITY CONFERENCE THAT LAUNCHED IN SEPTEMBER OF 2020. TOPICS INCLUDED ADVOCATING FOR YOUR HEALTH; HOW RACE IMPACTS HEALTH & WHAT CAN BE DONE TO BRING HEALTH EQUITY; BIAS IN HEALTH CARE; AND ACHIEVING HEALTH EQUITY. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED BEHAVIORAL HEALTH; MATERNAL, FETAL & INFANT HEALTH; AND POVERTY. THESE NEEDS WILL BE ADDRESSED BY MCF BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND NORTHEASTERN FLORIDA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCF) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.IN ADDITION TO THE COVID-19 ENTERPRISE RESPONSES MENTIONED ABOVE, MCF:THROUGH ITS CENTER FOR HEALTH EQUITY & COMMUNITY ENGAGEMENT RESEARCH GROUP, HELD COMMUNITY LEADERS COMMUNICATION MEETINGS (HISPANIC BOARD) REGARDING COVID-19 AS WELL AS DEVELOPED COVID-19 EDUCATIONAL FLYERS TO PROVIDE TO THE COMMUNITY.PROVIDED PERSONAL PROTECTION EQUIPMENT TO COMMUNITY HEALTH CLINICS, CHURCHES AND COMMUNITY ORGANIZATIONS.HOSTED RACE & PLACE: COVID-19 - DISPELLING MYTHS AND MISCONCEPTIONS OF COVID-19 IN THE AFRICAN AMERICAN COMMUNITY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCF'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE OLMSTED COUNTY HEALTH NEEDS ASSESSMENT REPORT SERVES AS THE BASIS FOR THE MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY COALITION ON THE PROJECT ENCOMPASSES THE CORE COLLABORATING ORGANIZATIONS OF OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT, OLMSTED COUNTY HEALTH, HOUSING AND HUMAN SERVICES ADMINISTRATION, OLMSTED MEDICAL CENTER, MCH-R AND MORE THAN 30 OTHER COMMUNITY ORGANIZATIONS THROUGHOUT OLMSTED COUNTY. THE PLANNING TEAM USED THE FOLLOWING PRIMARY MEANS OF DATA COLLECTION:OUTREACH TO ORGANIZATION AND PROGRAM LEADERS FROM HUMAN SERVICE/NON-PROFIT ORGANIZATIONS TO GATHER COMMENTS/IMPROVEMENT SUGGESTIONS FROM 2016 CHNA PROCESS.A RANDOM MAIL SURVEY OF 2,000 COMMUNITY MEMBERS WAS CONDUCTED IN JUNE 2018 AND RESULTED IN 569 RESPONSES.A CONVENIENCE SURVEY (SAME AS THE MAILED SURVEY WITH ADDITION OF 2 QUESTIONS REGARDING FREQUENCY OF MOVES WITHIN PAST MONTH) TO 1,089 INDIVIDUALS REPRESENTING DIVERSE AND UNDERREPRESENTED PERSPECTIVES IN THE RANDOM MAIL SURVEY.LISTENING SESSIONS WITH LOCAL STAKEHOLDER GROUPS, INCLUDING CITY AND COUNTY GOVERNMENT LEADERS AND PRIORITIZING MINORITY AND OTHER UNDERREPRESENTED DIVERSE GROUPS. THE LISTENING SESSIONS INCLUDED A BROAD RANGE OF COMMUNITY GROUPS, INCLUDING YOUTH, ELDERLY, RURAL, VETERANS, AND LGBTQ GROUPS. LISTENING SESSION GROUPS WERE SELECTED TO BROADEN INPUT FROM RESIDENTS NOT AS LIKELY TO PARTICIPATE IN THE MAIL SURVEY. THE GROUPS GATHERED REFLECTED THE OPINIONS OF 184 INDIVIDUALS.OVER 380 COMMUNITY RESIDENTS REPRESENTING BROAD (PRIVATE/BUSINESS, HUMAN SERVICE/NONPROFIT, GOVERNMENT AND PRIVATE COMMUNITY) PERSPECTIVES PARTICIPATED IN MULTIPLE PUBLIC PRIORITIZATION SESSIONS. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM JANUARY 2017 THROUGH JULY 2019.
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6A:	OLMSTED MEDICAL CENTER
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6B:	OLMSTED COUNTY PUBLIC HEALTH DEPARTMENTOLMSTED COUNTY HEALTH, HOUSING, AND HUMAN SERVICES ADMINISTRATION
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2019, MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHFINANCIAL STRESSSUBSTANCE USETHE ROLE OF MCH-R IS TO IDENTIFY STRATEGIES THAT CAN BE UNDERTAKEN WITHIN THE COMMUNITY TO ADDRESS THE ABOVE SIGNIFICANT HEALTH NEEDS AND TO COORDINATE WITH MAYO CLINIC (PARENT OF MCH-R) IN IMPLEMENTING THOSE STRATEGIES ON BEHALF OF MCH-R. MAYO CLINIC, WITH THE COORDINATION PROVIDED BY MCH-R, TOOK THE FOLLOWING ACTIONS IN 2020 TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE MAYO CLINIC'S AND THE LOCAL COMMUNITY'S CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENT, MAYO CLINIC SUPPORTED LOCAL MENTAL HEALTH NEEDS IN THE FOLLOWING WAYS:COLLABORATED WITH OLMSTED MEDICAL CENTER, OLMSTED COUNTY HEALTH DEPARTMENT, AND THE COLLABORATION FOR COMMUNITY HEALTH INTEGRATION TO PLAN A NEW LONG-TERM CARE SERVICE FOR POST-ACUTE BEHAVIORAL PATIENTS. IN 2020 THESE EFFORTS SECURED CONSTRUCTION AND ADMINISTRATIVE PARTNERS TO BUILD, OPEN AND OPERATE A NEW BEHAVIORAL HEALTH CRISIS CENTER TO SERVE OLMSTED AND ADJACENT COMMUNITIES IN SOUTHEAST MINNESOTA. MAYO WILL BE PROVIDING ONGOING OPERATIONAL AND IN-KIND SUPPORT TO RUN THE NEW CLINIC PLANNED TO OPEN IN 2021. PROVIDED SALARY AND ADMINISTRATIVE SUPPORT TO OLMSTED COUNTY COMMUNITY SERVICES PSYCHIATRIST TO SERVE LOCAL QUALIFYING RESIDENTS.PROVIDED SUPPORT TO LOCAL NON-PROFIT ORGANIZATIONS TO SUPPORT SERVICES TO COMMUNITY MEMBERS THAT FACILITATE MENTAL HEALTH.PAID FOR THREE POLICE OFFICERS TO BE PRESENT IN THE EMERGENCY DEPARTMENT AROUND THE CLOCK TO ASSIST WITH DE-ESCALATING CONFLICT WITH PATIENTS PRESENTING WITH BEHAVIORAL HEALTH AND ADDICTION CONDITIONS TO SAFEGUARD THE SERVICE ENVIRONMENT FOR ALL COMMUNITY PATIENTS SEEKING CARE.FINANCIAL STRESS: TO SUPPORT COMMUNITY EFFORTS THAT PROVIDE HUMAN SERVICES/SUPPORT FOR COMMUNITY MEMBERS EXPERIENCING FINANCIAL HARDSHIP, MAYO CLINIC IMPLEMENTED THE FOLLOWING EFFORTS TO ALLEVIATE THE HEALTH IMPACTS OF FINANCIAL STRESS: PROVIDED SUPPORT FOR COMMUNITY EFFORTS AND ORGANIZATIONS TO IMPROVE SERVICES AND SUPPORT TO FINANCIALLY-STRESSED COMMUNITY MEMBERS, INCLUDING EDUCATION, LITERACY, JOB TRAINING, AND BASIC NEEDS (HOUSING, FOOD, HEALTH CARE). IN 2020 THIS INCLUDED ADDITIONAL SUPPORT FOR COVID-19-RELATED NEEDS INCLUDING DISTANCE LEARNING AND CHILDCARE PROGRAMS.PARTICIPATED AS A CO-FOUNDER AND FUNDER OF THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION. IN 2020 THE COALITION AWARDED MORE THAN $1.5 MILLION IN FUNDING TO CREATE AFFORDABLE HOUSING INVENTORY IN OLMSTED COUNTY. PROVIDED MEDICAL DIRECTION AND STAFFING TO SALVATION ARMY GOOD SAMARITAN HEALTH AND DENTAL CLINICS THAT SERVE UNDER AND UNINSURED PATIENTS IN OLMSTED COUNTY. ALSO PROVIDED CHARITY CARE TO PATIENTS REFERRED TO MAYO CLINIC FROM THESE COMMUNITY CLINICS.PROVIDED MEDICAL DIRECTION AND NURSING LIAISON SERVICES FOR STUDENT HEALTH SERVICES AT ROCHESTER ALTERNATIVE LEARNING CENTER TO ASSURE HEALTH CARE ACCESS TO UNDER AND UNINSURED STUDENTS.PROVIDED FUNDING TO FREE EDUCATIONAL TRAINING PROGRAMS FOR PEOPLE OF COLOR TO TRAIN FOR HEALTH CARE CAREERS.PROVIDED FREE HEALTH CARE SERVICES FOR REFUGEES AS PART OF ITS PEDIATRIC AND ADULT REFUGEE PROGRAMS.SUPPORTED COMMUNITY HEALTH CARE WORKERS TO WORK WITH COMMUNITY PATIENTS TO IDENTIFY AND OBTAIN SOCIAL SUPPORT SERVICES IN THE COMMUNITY NECESSITY TO MAINTAIN HEALTH (FOOD, HOUSING, TRANSPORTATION, MEDICATIONS, ETC.)SUBSTANCE USE: TO INCREASE MAYO CLINIC'S AND OUR LOCAL COMMUNITY'S CAPACITY TO HELP PREVENT AND TREAT PATIENTS AND RESIDENTS WITH SUBSTANCE USE, MAYO CLINIC IMPLEMENTED THE FOLLOWING TO REDUCE SUBSTANCE USE AND ABUSE: EXPANDED LOCAL SUBSTANCE USE SERVICES THROUGH THE ESTABLISHMENT OF THE SOUTHEAST REGIONAL CRISIS CENTER (SEE ABOVE UNDER MENTAL HEALTH).SUPPORTED A FULL-TIME PEER SUPPORT SPECIALIST FROM A LOCAL SUBSTANCE USE COUNSELING SERVICE WITHIN ITS EMERGENCY DEPARTMENT TO ASSIST PATIENTS WITH ADDICTION-RELATED HEALTH NEEDS. THIS SPECIALIST PROVIDES 1:1 COUNSELLING AND REFERRAL SUPPORT TO HELP STABILIZE PATIENTS TO ENABLE LONG-TERM RECOVERY. THIS COUNSELING SERVED 244 PATIENTS IN 2020. DISTRIBUTED HEALTH INFORMATION ABOUT SUBSTANCE USE ACROSS ITS WEBSITES AND SOCIAL MEDIA PLATFORMS THROUGHOUT 2020 TO PROMOTE AWARENESS AND HELP DIRECT AUDIENCES TO AVAILABLE RESOURCES. IN ADDITION, TO THE ABOVE ACTIONS IMPLEMENTED, MCH-R PARTICIPATED IN AND FINANCIALLY SUPPORTED STAFFING OF THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS. THIS PROCESS ENGAGES NUMEROUS VOLUNTEERS AND ORGANIZATIONS IN COLLABORATIVE COMMUNITY HEALTH EFFORTS TO ADDRESS LOCAL HEALTH PRIORITIES. HEALTH NEEDS NOT ADDRESSED: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN OLMSTED COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCH-R) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCH-R'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA. MAYO CLINIC'S RESPONSES TO THE PANDEMIC INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES. SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN SPRINGFIELD, - FACILITY 18: MCHS IN OSSEO
REPORTING GROUP A PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP A PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP A PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP A PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP A PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE
REPORTING GROUP B PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP B PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP B PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP B PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP B PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 9: MCHS IN RED WING, - FACILITY 19: MCHS IN LAKE CITY, - FACILITY 20: MCHS IN CANNON FALLS
REPORTING GROUP C PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP C PART V, SECTION B, LINE 5:	COMMUNITY INPUT:MEETINGS WERE HELD THAT INVOLVED A DIVERSE GROUP OF COMMUNITY LEADERS IN GOODHUE COUNTY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE FROM SEPTEMBER 2018 TO JUNE 2019.FALL OF 2018 SURVEY DATA WAS OBTAINED THROUGH RANDOM MAILED SURVEYS IN GOODHUE COUNTY AND CONVENIENCE SAMPLE SURVEYS GATHERED IN THREE AREAS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS - FOOD SHELVES, THE CARE CLINIC (FREE CLINIC IN GOODHUE COUNTY) AND AT GOODHUE COUNTY HEALTH AND HUMAN SERVICES LOBBY. GOODHUE COUNTY HEALTHY COMMUNITIES SUPERVISOR AND UNITED WAY OF GOODHUE, WABASHA AND PIERCE COUNTIES EXECUTIVE DIRECTOR SERVED ON THE ADVISORY TEAM FOR THE CHNA. NOVEMBER 2018 THROUGH JANUARY 2019 1:1 INTERVIEWS WITH KEY INFORMANTS WERE HELD IN EACH COMMUNITY INCLUDING PUBLIC HEALTH, CHIEF OF POLICE, SHERIFF, SCHOOL SUPERINTENDENTS, CITY STAFF, AMBULANCE SERVICES, YMCA, CHAMBERS AND CITIZENS.COMMUNITY LISTENING SESSIONS WERE HELD WITH NATURAL FOCUS GROUPS, CAPSTONE PROJECT ON MENTAL HEALTH WAS COMPLETED IN THE RED WING AREA AND CHNA UPDATES WERE GIVEN IN ALL THREE COMMUNITIES.
REPORTING GROUP C PART V, SECTION B, LINE 6A:	MCHS-LAKE CITYMCHS-CANNON FALLSMCHS-RED WING
REPORTING GROUP C PART V, SECTION B, LINE 6B:	GOODHUE COUNTY PUBLIC HEALTHUNITED WAY OF GOODHUE, WABASHA, AND PIERCE COUNTY
REPORTING GROUP C PART V, SECTION B, LINE 11:	BASED ON THE JOINT CHNA CONDUCTED IN 2019, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MCHS IN LAKE CITY (MCHS-LAKE CITY), MCHS IN CANNON FALLS (MCHS-CANNON FALLS) AND MCHS IN RED WING (MCHS-RED WING): MENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONSUBSTANCE MISUSEMCHS-LAKE CITY, MCHS-CANNON FALLS AND MCHS-RED WING ARE CLOSELY AFFILIATED HOSPITAL ENTITIES LOCATED IN GOODHUE COUNTY (THEIR DEFINED COMMUNITY). THEIR ROLES IN CARRYING OUT THE STRATEGIES OUTLINED IN THEIR JOINT IMPLEMENTATION PLAN IS TO WORK COLLECTIVELY AND COLLIGATIVELY IN IMPLEMENTING THOSE STRATEGIES. AS SUCH, THE THREE HOSPITALS IN 2020 PARTICIPATED, EITHER DIRECTLY OR INDIRECTLY, IN THE BELOW ACTIONS UNDERTAKEN TO ADDRESS THE IDENTIFIED NEEDS:MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, THE THREE HOSPITALS: HOSTED A WOMEN & WELL-BEING WEBINAR DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PROGRAM WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE AND TO EDUCATE WOMEN OF THE IMPORTANCE OF EMOTIONAL WELL-BEING AND FEELING SAFE IN A MEDICAL SETTING.HELD A DISCOVER GRATITUDE PROGRAM. THIS PROGRAM INVITED EDUCATORS, SOCIAL SERVICE AGENCIES, AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. PARTICIPATED IN THE CANNON FALLS COMMUNITY HEALTH & WELLNESS FAIR. MCHS PROVIDERS JOINED COMMUNITY MEMBERS IN A COVID-19 SAFE OUTDOOR VENUE AND PROMOTED PRACTICES TO LESSEN ANXIETY AND DECREASE ISOLATION. 45 PARTICIPANTS PICKED UP EDUCATIONAL MATERIAL ON ANXIETY, AND THE SCHOOL CONTACTED US FOR ADDITIONAL INFORMATION.CONTINUED TO PROMOTE MENTAL WELL-BEING ACTIVITIES AND ACCESS TO CARE THROUGH ON-LINE AND PRINTED RESOURCE MATERIALS DISTRIBUTED TO SCHOOLS THROUGHOUT GOODHUE COUNTY.COORDINATED COMMUNITY MEETINGS FOR UNDERSERVED POPULATIONS. THESE MEETINGS WERE WITH HISPANIC OUTREACH AND THE CARE CLINIC (A FREE & INCOME BASED CLINIC) TO SHARE RESOURCES AND EXPLORE OBSTACLES FOR COMMUNITY MEMBERS WHO FOUND BARRIERS IN OBTAINING HEALTH CARE.PROMOTED PARTICIPATION IN A CANCER WEBINAR FOCUSING ON CARE FOR THE CAREGIVER DURING CANCER DIAGNOSIS.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY BEHAVIORS TO PROMOTE DISEASE PREVENTION, THE THREE HOSPITALS: HOSTED A VIRTUAL WELLNESS CAMPAIGN IN NOVEMBER OF 2020. COMMUNITY MEMBERS WERE INVITED THROUGH WELLBEING AT WORK, COUNTY (STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP) PARTNERS AND EDUCATORS TO PARTICIPATE IN THIS FREE WEEKLY WEBINAR WITH SELF-GUIDED PROGRAMMING TO IMPROVE MENTAL WELL-BEING AND EXERCISE. PROGRAMS FOCUSED ON DAILY CHALLENGES AND EXERCISE. 59 PARTICIPANTS FROM THE COUNTY RECEIVED WEEKLY WEBINAR LINKS AND REMINDERS. GRATITUDE JOURNALS AND CALENDARS WITH DAILY ACTIVITIES WERE AVAILABLE AS A FREE DOWNLOAD.PROMOTED FARMERS MARKETS IN THE COMMUNITIES OF CANNON FALLS, LAKE CITY, RED WING AND GOODHUE. THESE MARKETS RECEIVED FUNDING TO BUILD THEIR POWER OF PRODUCE PROGRAMS AND TO ENCOURAGE HEALTHY FOOD CHOICES FOR YOUTH. THE FUNDS WERE USED AS INCENTIVE FOR VEGETABLES AND FRUITS AT THE LOCAL STANDS. FARMERS MARKETS WERE CONDUCTED THROUGH PRE ORDER PICK UP AND SCHEDULED TIMES TO SHOP FOR COVID-19 SAFE SHOPPING IN 2020.PROMOTED THE GOODHUE & WABASHA COUNTY PUBLIC HEALTH FLU VACCINATION. PROMOTION WAS TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY AND COMMUNITY COLLABORATION. FLYERS WERE DISTRIBUTED IN SPANISH TO COUNTY AND COMMUNITY PARTNERS. SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, THE THREE HOSPITALS: HELD PRELIMINARY MEETINGS WITH RECOVERY CORPS TO EVALUATE CURRENT SERVICES IN THE COUNTY AND DETERMINE IF A SITE PARTNER, A RECOVERY NAVIGATOR OR AN OPIOID RESPONSE PROJECT COORDINATOR, WOULD BE APPROPRIATE IN GOODHUE COUNTY. SEVERAL LEADERS ATTENDED A RECOVERY CORPS PRESENTATION AND CONTINUE TO DEVELOP A LOCAL COMMITTEE TO EVALUATE SERVICES AND NEEDS RECOVERY CORPS COULD MEET. SUPPORTED HOPE AND HARBOR HOMELESS SHELTER. IN 2020 THE SHELTER MODIFIED PROGRAMMING TO MEET ADDITIONAL SUBSTANCE MISUSE PROGRAMMING, EDUCATION AND COUNSELING IN A SAFE SUSTAINABLE SHELTER. THE SHELTER CHANGED FROM AN OVERNIGHT SITE TO A 24 HOUR A DAY SITE. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED ACCESS TO CARE, HOUSING AND SOCIO-ECONOMIC FACTORS. THESE NEEDS WILL BE ADDRESSED BY THE THREE HOSPITALS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.IN ADDITION, THE THREE HOSPITALS WILL CONTINUE TO SUPPORT UNINSURED COMMUNITY MEMBERS IN PARTNERSHIP WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY. THE CARE CLINIC WORKS WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES AT NO CHARGE. SUPPORT PROVIDED TO THE CARE CLINIC INCLUDES BOARD LEADERSHIP AND LIABILITY COVERAGE FOR EMPLOYEES FROM ALL SITES WHO VOLUNTEER. THE CARE CLINIC IS CURRENTLY LOCATED, AT NO CHARGE, IN A MCHS-RED WING FACILITY.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHEASTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.IN ADDITION TO THE COVID-19 ENTERPRISE RESPONSES MENTIONED ABOVE, THE THREE HOSPITALS SHIFTED COMMUNITY ENGAGEMENT EFFORTS AT THE LOCAL LEVEL TO EDUCATING AND COMMUNICATING ABOUT COVID-19. THESE ACTIVITIES INCLUDED THE FOLLOWING:COMMUNITY LIAISON ROLE WITH PUBLIC HEALTH OFFICIALS AND COMMUNITY PARTNERS - COMMUNICATED FREQUENTLY, WEEKLY OR MORE, WITH ESTABLISHED COMMUNICATION NETWORKS TO SHARE ACCURATE AND TIMELY INFORMATION. STAFF SERVED AS A COMMUNITY CONTACT TO SHARE FEEDBACK, QUESTIONS AND CONCERNS WITH THE CLINICAL PRACTICE.MAYO CLINIC HEALTH SYSTEM LEADERSHIP PRESENTATIONS - PLACED MAYO CLINIC HEALTH SYSTEM LEADERS AT KEY COMMUNITY EVENTS (E.G. CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT) TO ANSWER COMMUNITY QUESTIONS RELATED TO COVID-19. COVID-19 COMMUNITY E-NEWS - SHARED UP-TO-DATE, ACCURATE, RELEVANT INFORMATION WITH MORE THAN 100 KEY COMMUNITY STAKEHOLDERS AND ESTABLISHED NETWORKS, OFTEN SEVERAL TIMES A WEEK, DEPENDING ON THE URGENCY OF THE COMMUNICATION. TARGETED OUTREACH TO PRIORITY POPULATIONS - WORKED WITH COMMUNITY PARTNERS TO COORDINATE EFFORTS TO MEET THE NEEDS OF LOW ENGLISH PROFICIENCY (LEP) POPULATIONS TO PROVIDE EDUCATIONAL RESOURCES IN TRANSLATED LANGUAGES. COVID-19 VIRTUAL COMMUNITY FORUMS - HOSTED A SERIES OF WEBINARS/VIRTUAL Q&A WITH MEDICAL PROFESSIONALS TO PROVIDE ACCURATE INFORMATION ON COVID-19 AND ANSWER QUESTIONS FROM THE COMMUNITY. OVER THE COURSE OF THREE EVENTS, MORE THAN 350 ATTENDED. THESE EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) STRATEGIES.
REPORTING GROUP C PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP C PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP C PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP C PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF:	- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA
REPORTING GROUP D PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP D PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP D PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP D PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP D PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 1: MAYO CLINIC HOSPITAL IN ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA
REPORTING GROUP E PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP E PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP E PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP E PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP E PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

Field	Value	IRS element (for citing)
Facility	87	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (87 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - MAYO CLINIC BUILDING - SCOTTSDALE
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	CLINIC, RESEARCH FACILITY, MEDICAL SCHOOL
2 - MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	CLINIC & RESEARCH FACILITY
3 - MAYO CLINIC BUILDING - PHOENIX
5881 EAST MAYO BOULEVARD	PHOENIX	AZ	85054	CANCER CENTER, RADIATION THERAPY, TRANSPLANT
4 - MAYO CLINIC DIALYSIS NORTHEAST
3041 STONEHEDGE DRIVE NORTHEAST	ROCHESTER	MN	55906	HOSPITAL BASED DIALYSIS FACILITY
5 - MAYO CLINIC SPECIALTY BUILDING
5779 EAST MAYO BOULEVARD	PHOENIX	AZ	85054	CLINIC
6 - JACOBY BUILDING
14225 ZUMBRO DRIVE	JACKSONVILLE	FL	32224	CLINIC
7 - MAYO CLINIC DIALYSIS CENTER
4658 WORRALL WAY	JACKSONVILLE	FL	32216	OUTPATIENT DIALYSIS
8 - MAYO CLINIC DIALYSIS EAU CLAIRE
3845 LONDON ROAD	EAU CLAIRE	WI	54701	DIALYSIS
9 - MCHS IN OWATONNA
2200 26TH STREET NORTHWEST	OWATONNA	MN	55060	CLINIC
10 - MCHS NW WISCONSIN REGION CLAIREMONT
733 W CLAIREMONT AVENUE	EAU CLAIRE	WI	54701	CLINIC
11 - MANGURIAN BUILDING
4500 MELLISH DRIVE	JACKSONVILLE	FL	32224	CLINIC
12 - MCHS NW WISCONSIN REGION LUTHER CAMPUS
1400 BELLINGER STREET	EAU CLAIRE	WI	54703	CLINIC
13 - GATE PARKWAY PRIMARY CARE CENTER
7826 OZARK DRIVE	JACKSONVILLE	FL	32256	CLINIC
14 - SPORTS MEDICINE BUILDING
63 SOUTH ROCKFORD DRIVE SUITE 130	TEMPE	AZ	85281	SPORTS MEDICINE
15 - MCHS FRANCISCAN HEALTHCARE ONALASKA
191 THEATER ROAD	ONALASKA	WI	54650	CLINIC, PHARMACY, DIALYSIS
16 - MAYO CLINIC DIALYSIS DECORAH
901 MONTGOMERY STREET	DECORAH	IA	52101	HOSPITAL BASED DIALYSIS FACILITY
17 - BASSO BUILDING
4634 WORRELL WAY	JACKSONVILLE	FL	32256	SLEEP DISORDER CENTER
18 - MAYO CLINIC DIALYSIS MENOMONIE
407 21ST STREET SOUTHEAST	MENOMONIE	WI	54751	DIALYSIS
19 - MCHS IN ALBERT LEAFOUNTAIN CENTERS
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	CLINIC, PHARMACY, CHEMICAL DEPENDENCY
20 - MCHS IN LA CROSSE - ST ANN BUILDING
620 11TH STREET SOUTH	LA CROSSE	WI	54601	HOSPICE
21 - FRANCISCAN FAMILY HEALTH CLINIC
815 TENTH STREET SOUTH	LA CROSSE	WI	54601	CLINIC
22 - MC FAMILY MEDICINE THUNDERBIRD
13737 NORTH 92ND STREET	SCOTTSDALE	AZ	85260	CLINIC
23 - MCHS MANKATO IN EASTRIDGE
101 MARTIN LUTHER KING JR DRIVE	MANKATO	MN	56001	CLINIC, CHEMICAL DEPENDENCY
24 - MAYO CLINIC DIALYSIS WABASHA
1200 5TH GRANT BOULEVARD WEST	WABASHA	MN	55981	HOSPITAL BASED DIALYSIS FACILITY
25 - MCHS FRANCISCAN HEALTHCARE TOMAH
325 BUTTS AVENUE	TOMAH	WI	54660	CLINIC
26 - MCHS IN LA CROSSE (CLINIC)
800 WEST AVENUE SOUTH	LA CROSSE	WI	54601	CLINIC
27 - BEACHES PRIMARY CARE CENTER
742 MARSH LANDING PARKWAY	JACKSONVILLE BEACH	FL	32250	CLINIC
28 - MCHS IN MENOMONIE ORTHOPEDIC & REHAB
2407 STOUT ROAD	MENOMONIE	WI	54751	REHABILITATION
29 - MCHS MANKATO IN NORTHRIDGE
1695 LOR RAY DRIVE	NORTH MANKATO	MN	56003	CLINIC
30 - ST AUGUSTINE PRIMARY CARE
110 SOUTHWOOD LAKE DRIVE	ST AUGUSTINE	FL	32086	CLINIC
31 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN
800 EAST BLACKHAWK AVENUE	PRAIRIE DU CHIEN	WI	53821	CLINIC
32 - MAYO CLINIC FAMILY MED ARROWHEAD
20199 NORTH 75TH AVENUE	GLENDALE	AZ	85308	CLINIC
33 - MCHS MANKATO IN MADISON EAST CENTER
1400 MADISON AVENUE SUITE 324A	MANKATO	MN	56001	CLINIC, HOSPICE
34 - MCHS NORTHLAND IN RICE LAKE
331 SOUTH MAIN STREET SUITE H	RICE LAKE	WI	54868	CLINIC
35 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS
611 1ST AVENUE	CHIPPEWA FALLS	WI	54729	CLINIC
36 - MCHS MANKATO IN ST PETER
1900 NORTH SUNRISE DRIVE SUITE 200	ST PETER	MN	56082	CLINIC
37 - MCHS IN FARIBAULT (OBGYN)
DISTRICT ONE HOSPITAL-200 STATE	FARIBAULT	MN	55021	WOMENS HEALTH CLINIC	AVENUE
38 - MCHS FRANCISCAN HEALTHCARE HOLMEN
1303 MAIN STREET SOUTH	HOLMEN	WI	54636	CLINIC, PHARMACY
39 - MAYO CLINIC ALBERT LEA HEALTH REACH
1705 SOUTHEAST BROADWAY	ALBERT LEA	MN	56007	DIALYSIS, HOSPICE, REHABILITATION
40 - MCHS IN NEW PRAGUE
212 10TH AVENUE NORTHEAST	NEW PRAGUE	MN	56071	CLINIC
41 - MCHS IN FARIBAULT
300 STATE AVENUE	FARIBAULT	MN	55021	CLINIC
42 - MAYO CLINIC PRIMARY CARE PHOENIX
5701 EAST MAYO BOULEVARD	PHOENIX	AZ	85054	CLINIC
43 - FRANCISCAN PROFESSIONAL BUILDING
212 11TH STREET SOUTH	LA CROSSE	WI	54601	BEHAVIORAL HEALTH
44 - MCHS IN NEW PRAGUE - REHABILITATION
504 6TH AVENUE NORTHWEST	NEW PRAGUE	MN	56071	REHABILITATION
45 - MCHS FRANCISCAN HEALTHCARE ARCADIA
895 SOUTH DETTLOFF DRIVE	ARCADIA	WI	54612	CLINIC
46 - SPARTA EYE CLINIC
400 JEFFERSON AVENUE	SPARTA	WI	54656	EYE CLINIC
47 - MAYO CLINIC PRIMARY CARE SAN TAN
1850 EAST NORTHROP BLVD SUITE 160	CHANDLER	AZ	85286	CLINIC
48 - MCHS OAKRIDGE IN MONDOVI
700 BUFFALO STREET	MONDOVI	WI	54755	CLINIC
49 - MCHS NEW PRAGUE IN MONTGOMERY
501 4TH STREET NORTHWEST	MONTGOMERY	MN	56069	CLINIC
50 - MCHS MANKATO IN LE SUEUR
625 SOUTH 4TH STREET	LE SUEUR	MN	56058	CLINIC
51 - MCHS FRANCISCAN HEALTHCARE CALEDONIA
701 NORTH SPRAGUE STREET	CALEDONIA	MN	55921	CLINIC
52 - MCHS RED WING IN ZUMBROTA
1350 JEFFERSON DRIVE	ZUMBROTA	MN	55992	CLINIC
53 - MCHS NORTHLAND IN CHETEK
220 DOUGLAS STREET	CHETEK	WI	54728	CLINIC
54 - FRANCISCAN OCCUPATIONAL HEALTH BUILDING
630 10TH STREET	LA CROSSE	WI	54601	OCCUPATIONAL HEALTH CLINIC
55 - MCHS LAKE CITY IN PLAINVIEW
275 1ST STREET SOUTHWEST	PLAINVIEW	MN	55964	CLINIC
56 - FOUNTAIN CENTERS IN FAIRMONT
828 N NORTH AVENUE	FAIRMONT	MN	56031	CHEMICAL DEPENDENCY
57 - MCHS RED WING IN ELLSWORTH
530 WEST CAIRNS STREET	ELLSWORTH	WI	54011	CLINIC
58 - FOUNTAIN CENTERS IN ROCHESTER
4122 18TH AVENUE NW	ROCHESTER	MN	55901	CHEMICAL DEPENDENCY
59 - FOUNTAIN CENTERS IN OWATONNA
134 SOUTHVIEW STREET	OWATONNA	MN	55060	CHEMICAL DEPENDENCY
60 - FOUNTAIN CENTERS IN FARIBAULT
2301 4TH STREET NORTHWEST	FARIBAULT	MN	55021	CHEMICAL DEPENDENCY
61 - MCHS NEW PRAGUE IN BELLE PLAINE
700 WEST PRAIRIE STREET	BELLE PLAINE	MN	56011	CLINIC
62 - MCHS AUSTIN HOSPICEFOUNTAIN CENTERS
101 14TH STREET NORTHWEST	AUSTIN	MN	55912	HOSPICE, CHEMICAL DEPENDENCY
63 - MCHS ALBERT LEA IN WELLS
301 SOUTH BROADWAY	WELLS	MN	56097	CLINIC
64 - MCHS RED CEDAR IN GLENWOOD CITY
219 EAST OAK STREET	GLENWOOD CITY	WI	54013	CLINIC
65 - MCHS ALBERT LEA IN LAKE MILLS
309 SOUTH 10TH AVENUE EAST	LAKE MILLS	IA	50450	CLINIC
66 - MCHS ALBERT LEA IN NEW RICHLAND
318 FIRST STREET SOUTHWEST	NEW RICHLAND	MN	56072	CLINIC
67 - MCHS WASECA IN WATERVILLE
212 EAST LAKE STREET	WATERVILLE	MN	56096	CLINIC
68 - MCHS WASECA IN JANESVILLE
312 NORTH MAIN STREET	JANESVILLE	MN	56048	CLINIC
69 - MCHS-EYE CARE CENTER
2409 STOUT ROAD	MENOMONIE	WI	54751	OPTOMETRY
70 - MCHS EXPRESS CARE IN EAU CLAIRE
2839 MALL DRIVE SUITE 5	EAU CLAIRE	WI	54701	EXPRESS CARE
71 - MCHS RED CEDAR IN ELMWOOD
236 EAST SPRINGER AVENUE	ELMWOOD	WI	54740	CLINIC
72 - MCHS EXPRESS CARE IN AUSTIN
1307 18TH AVENUE NW	AUSTIN	MN	55912	EXPRESS CARE
73 - MCHS EXPRESS CARE IN ALBERT LEA
2708 BRIDGE AVENUE	ALBERT LEA	MN	56007	EXPRESS CARE
74 - MCHS MANKATO IN LAKE CRYSTAL
200 EAST PRINCE STREET	LAKE CRYSTAL	MN	56055	CLINIC
75 - MCHS IN KENYON
225 HUSETH STREET	KENYON	MN	55946	CLINIC
76 - MCHS FAIRMONT IN SHERBURN
32 NORTH MAIN STREET	SHERBURN	MN	56171	CLINIC
77 - MCHS MANKATO EXPRESS CARE
2010 ADAMS STREET	MANKATO	MN	56001	EXPRESS CARE
78 - MCHS SPRINGFIELD IN LAMBERTON
310 SOUTH MAIN	LAMBERTON	MN	56152	CLINIC
79 - MCHS AUSTIN IN ADAMS
908 WEST MAIN STREET	ADAMS	MN	55909	CLINIC
80 - MCHS FAIRMONT IN ARMSTRONG
412 NORTH 6TH STREET	ARMSTRONG	IA	50514	CLINIC
81 - MCHS AUSTIN IN BLOOMING PRAIRIE
405 EAST MAIN	BLOOMING PRAIRIE	MN	55917	CLINIC, PHARMACY
82 - MCHS ST JAMES IN TRIMONT
437 MAIN STREET EAST	TRIMONT	MN	56176	CLINIC
83 - MCHS FAIRMONT IN TRUMAN
401 NORTH 4TH AVENUE EAST	TRUMAN	MN	56088	CLINIC
84 - MCHS IN LA CROSSE - BELLE SQUARE
232 3RD STREET NORTH SUITE 100	LA CROSSE	WI	54601	CLINIC
85 - PROFESSIONAL ARTS BUILDING
615 SOUTH 10TH STREET	LA CROSSE	WI	54601	BEHAVIORAL HEALTH
86 - MCHS FRANCISCAN HC LA CRESCENT
524 NORTH ELM STREET	LA CRESCENT	MN	55947	CLINIC
87 - MCHS BLUE EARTH CLINIC
411 SOUTH GROVE STREET SUITE 3	BLUE EARTH	MN	56013	PSYCHOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	MEDICAL INDIGENCY MAY BE USED TO DETERMINE ELIGIBILITY. IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE AGB IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR.
PART I, LINE 6A:	IN 2020, SOME, BUT NOT ALL, OF THE SUBORDINATES PRODUCED AN ANNUAL REPORT FOR THE COMMUNITY, WHICH WAS MADE AVAILABLE TO THE PUBLIC ON THE WEB.
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7G:	THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $39,298,976.
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 $ 176,876,776.
PART I, LINE 5A:	CHARITY CARE IS ESTIMATED FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE NOR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED.
PART III, LINE 1:	THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
PART II, COMMUNITY BUILDING ACTIVITIES:	DONATIONS AND GRANTS TO PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS ASSIST WITH SUSTAINING AND ENHANCING THE DETERMINANTS OF HEALTH OF THE COMMUNITIES SERVED.
PART III, LINE 2:	BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4:	FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 9 AND 12 OF MAYO CLINIC'S 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $739,524,000.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL BASED ON THE FINANCIAL STATEMENTS INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.THE MEDICARE SHORTFALL REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS REPORTS THE TOTAL MEDICARE SHORTFALL RELATED TO PATIENT CARE PROVIDED BY ALL SUBORDINATES IN THE GROUP RETURN AND IS THEREFORE NOT ADJUSTED FOR EDUCATION EXPENSE AND SUBSIDIZED HEALTH SERVICES.REASONS WHY THE MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:	MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION AND CONSIDER FINANCIAL ASSISTANCE PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY. MAYO CLINIC AND AFFILIATES ALSO MAKE REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS BEFORE REQUESTING PAYMENT FROM A PATIENT. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY 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 THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE.
PART VI, LINE 2:	MAYO CLINIC, THE CENTRAL ORGANIZATION FOR THE SUBORDINATES INCLUDED IN THIS GROUP RETURN, ATTRACTS PATIENTS FROM AREAS FAR BEYOND ITS IMMEDIATE COMMUNITIES. PATIENTS COME TO MAYO CLINIC FROM EVERY STATE AND MANY FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL CLINICAL AND HOSPITAL FACILITIES IN ROCHESTER, MINNESOTA, MAYO CLINIC HAS FACILITIES IN SCOTTSDALE AND PHOENIX, ARIZONA AS WELL AS JACKSONVILLE, FLORIDA. MAYO CLINIC ALSO HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN OVER 70 COMMUNITIES THROUGHOUT SOUTHERN MINNESOTA, NORTHERN IOWA, AND WEST CENTRAL WISCONSIN. IN ADDITION, MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING WITHIN EACH OF THE COMMUNITIES IT SERVES AS WELL AS CONDUCTING MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT A BROAD RANGE OF REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES.THE SUBORDINATES INCLUDED IN THIS GROUP RETURN WORK COLLABORATIVELY WITH THEIR INPATIENT AND OUTPATIENT PRACTICES TO MEET THE HEALTH CARE NEEDS OF THEIR RESPECTIVE LOCAL COMMUNITIES. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO CLINIC" FOR PURPOSES OF THIS DESCRIPTION.MAYO CLINIC'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE LOCAL COMMUNITIES REST ON FOUR GUIDING PRINCIPLES DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO CLINIC LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO CLINIC.2. "HEALTH" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH CATEGORIES OF FACTORS MUST BE ADDRESSED.3. MAYO CLINIC IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF LOCAL COUNTY RESIDENTS AND BEYOND.4. STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF "THE NEEDS OF THE PATIENT COME FIRST", MAYO CLINIC'S APPROACH TO ASSESS THE NEEDS OF THE COMMUNITY IS ORGANIZED INTO TWO MAIN FUNCTIONS: 1) MECHANISMS TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY AND 2) MECHANISMS TO SUPPORT AND COORDINATE INITIATIVES WITHIN MAYO CLINIC.WITHIN MAYO CLINIC, COORDINATION OF COMMUNITY ENGAGEMENT INITIATIVES IS ACCOMPLISHED THROUGH COMMUNITY GIVING COMMITTEES THAT EVALUATE FUNDING AND SPONSORSHIP REQUESTS FROM COMMUNITY AGENCIES AND GUIDES INSTITUTIONAL SUPPORT FOR VARIOUS COMMUNITY INITIATIVES. THE COMMITTEES ENSURE THE GUIDING PRINCIPLES ARE FOLLOWED AND FACILITATE COMMUNITY OUTREACH INITIATIVES.
PART VI, LINE 3:	MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE.MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE ON THEIR WEBPAGES, INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION 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 IN PERSON OR BY PHONE. THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE PLAIN LANGUAGE SUMMARY (PLS) EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND OUTLINES ELIGIBILITY CRITERIA AND PROVIDES INSTRUCTIONS TO SUBMIT AN APPLICATION. WITHIN EACH 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. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION. PATIENTS MAY ALSO BE MADE AWARE OF THE FAP VIA THEIR PROVIDER AND/OR OTHER MAYO CLINIC EMPLOYEES, WHO CAN PUT A PATIENT IN CONTACT WITH RESOURCES AVAILABLE TO ASSIST WITH THE APPLICATION PROCESS.
PART VI, LINE 4:	MAYO CLINIC HOSPITAL - ROCHESTER WORKS COLLABORATIVELY WITH MAYO CLINIC TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. TOGETHER, MAYO CLINIC AND MAYO CLINIC HOSPITAL - ROCHESTER SERVE THE POPULATION OF OLMSTED COUNTY IN MINNESOTA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES.DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 158,293, OF WHICH AN ESTIMATED 24.40% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 15.90% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $76,951 WITH APPROXIMATELY 6.7% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC ARIZONA (MCA) IS LOCATED IN THE GREATER PHOENIX METROPOLITAN AREA. MCA'S OUTPATIENT CLINIC IS IN THE NORTHEAST QUADRANT OF SCOTTSDALE, ARIZONA. MCA'S INPATIENT HOSPITAL IS LOCATED IN NORTH PHOENIX, APPROXIMATELY 13 MILES NORTHWEST OF THE SCOTTSDALE LOCATION. POPULATIONS SERVED ARE FROM THE PHOENIX/SCOTTSDALE AREA, THE SOUTHWESTERN UNITED STATES AND INTERNATIONALLY. BOTH PHOENIX AND SCOTTSDALE ARE MORE URBAN AND SUBURBAN COMMUNITIES. HOWEVER, MCA RESIDES IN MARICOPA COUNTY - THE LARGEST COUNTY IN THE STATE AND 4TH LARGEST IN THE UNITED STATES. IN ADDITION TO LARGE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES, IT ALSO HAS A LARGER SERVICE AREA OF RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2019, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,485,414, OF WHICH AN ESTIMATED 23.50% WAS UNDER THE AGE OF 18 AND 15.50% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $64,468 WITH APPROXIMATELY 12.20% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC FLORIDA (MCF) AND ITS AFFILIATED CLINIC, MAYO CLINIC JACKSONVILLE (MCJ), ARE LOCATED IN JACKSONVILLE, FLORIDA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF DUVAL AND ST. JOHNS COUNTIES IN NORTHEAST FLORIDA. POPULATIONS SERVED ARE FROM THE JACKSONVILLE AREA, THE SOUTHEASTERN UNITED STATES AND INTERNATIONALLY. THE SERVICE AREA WOULD INCLUDE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES. IN ADDITION, THE SERVICE AREA WOULD EXTEND TO AREAS WITH RURAL AND FARMING COMMUNITIES. MCF/MCJ DOES NOT HAVE PEDIATRIC OR OBSTETRIC PRACTICES, AND THIS LIMITS ACCESS TO MEDICAID PATIENTS SINCE FLORIDA'S MEDICAID BENEFITS ARE GENERALLY RESTRICTED TO CHILDREN AND PREGNANT WOMEN. HOWEVER, MCF/MCJ DOES HAVE AGREEMENTS WITH THE STATE OF FLORIDA TO PROVIDE A CERTAIN PERCENTAGE OF ORGAN TRANSPLANTS TO MEDICAID OR CHARITY PATIENTS (THE AMOUNT VARIES WITH EACH ORGAN).DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2019, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,222,427, OF WHICH AN ESTIMATED 22.05% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.55% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $69,030 WITH APPROXIMATELY 9.95% OF THE POPULATION BELOW THE POVERTY LEVEL. MCHS-ALBERT LEA AND AUSTIN, MCHS-CANNON FALLS, MCHS-LAKE CITY, AND MCHS-RED WING ARE LOCATED IN THE SOUTHEAST REGION OF MINNESOTA. MCHS-ALBERT LEA AND AUSTIN PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF MOWER, FREEBORN, STEELE AND RICE, WHEREAS MCHS-CANNON FALLS, LAKE CITY, AND RED WING PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF GOODHUE AND WABASHA. BOTH SERVICE AREAS INCLUDE URBAN, SUBURBAN, RURAL AND FARMING COMMUNITIES.DEMOGRAPHICS: BASED ON THE U.S. CENSUS BUREAU QUICKFACTS, AS OF JULY 1, 2019, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 173,964, OF WHICH AN ESTIMATED 23.30% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.78% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $60,353 WITH APPROXIMATELY 8.90% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 67,967, OF WHICH AN ESTIMATED 22.85% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 21.35% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $66,013 WITH APPROXIMATELY 7.75% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-MANKATO, MCHS-FAIRMONT, MCHS-SPRINGFIELD, MCHS-WASECA, MCHS-ST. JAMES AND MCHS-NEW PRAGUE ARE LOCATED IN THE SOUTHWEST REGION OF MINNESOTA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF BLUE EARTH, NICOLLET, MARTIN, BROWN, WASECA, WATONWAN, SCOTT AND LE SUEUR IN SOUTHERN MINNESOTA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN SOUTHERN MINNESOTA AND NORTHERN IOWA. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 354,027, OF WHICH AN ESTIMATED 23.00% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.05% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $65,351 WITH APPROXIMATELY 9.16% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-EAU CLAIRE, MCHS-RED CEDAR, MCHS-OAKRIDGE, MCHS-CHIPPEWA VALLEY AND MCHS-NORTHLAND ARE LOCATED IN WESTERN WISCONSIN. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF EAU CLAIRE, DUNN, TREMPEALEAU, BARRON AND CHIPPEWA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN WESTERN WISCONSIN. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 289,565, OF WHICH AN ESTIMATED 21.62% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 18.34% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $57,850 WITH APPROXIMATELY 9.78% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-FRANCISCAN MEDICAL CENTER, INC. (LA CROSSE AND SPARTA) SERVES THE RESIDENTS OF LA CROSSE, MONROE AND CRAWFORD COUNTIES IN WISCONSIN AND HOUSTON COUNTY IN MINNESOTA. THE CITY OF LA CROSSE REPRESENTS A SMALL URBAN AREA AND THE BALANCE OF THE SERVICE AREA IS EITHER RURAL OR SMALL TOWNS. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 199,000, OF WHICH AN ESTIMATED 21.68% WAS UNDER THE AGE OF 18 AND 20.10% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $57,112 WITH APPROXIMATELY 10.53% OF THE POPULATION BELOW THE POVERTY LEVEL.
PART VI, LINE 5:	THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE AFFILIATES 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. SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE.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, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, WHICH ARE CONTROLLED BY MAYO CLINIC, RELY ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, SEVERAL OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ALSO INVOLVE LOCAL COMMUNITY MEMBERS ON THEIR GOVERNING BODIES. OPEN V. CLOSED STAFF MODEL - SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THREE OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN OPERATE BASED ON THE CLOSED STAFF MODEL.EMERGENCY ROOM - THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN MAINTAIN EMERGENCY ROOMS WITHIN THEIR HOSPITAL FACILITIES 24 HOURS A DAY, 7 DAYS A WEEK, WHICH ARE OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6:	THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. 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." APPROXIMATELY 6,900 PHYSICIANS, SCIENTISTS AND RESIDENTS AND OVER 63,000 ADMINISTRATIVE AND ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, AND IOWA. COLLECTIVELY, MORE THAN 1.3 MILLION PEOPLE ARE TREATED EACH YEAR. SPECIFICALLY, THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ONE OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINIC SERVICES.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS (REPORTED IN SCHEDULE O).
PART VI, LINE 7:	NEITHER THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (209 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	501(C)(3)	$1,291,764,341	$0	SUPPORT CHARITABLE PROGRAMS
ARIZONA STATE UNIVERSITY
PO BOX 875812	TEMPE	AZ	85287	860196696	STATE OF AZ	$1,294,759	$0	SUPPORT RESEARCH PROGRAM
THE MEDICAL UNIVERSITY OF SOUTH CAROLINA
179 ASHLEY AVE	CHARLESTON	SC	29425	576000722	STATE OF SC	$1,188,624	$0	SUPPORT RESEARCH PROGRAM
REGENTS OF THE UNIVERSITY OF MINNESOTA
1300 S 2ND ST STE 206	MINNEAPOLIS	MN	55454	416007513	STATE OF MN	$782,297	$0	SUPPORT RESEARCH PROGRAM
SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE
10901 NORTH TORREY PINES ROAD	LA JOLLA	CA	92037	510197108	501(C)(3)	$773,623	$0	SUPPORT CHARITABLE PROGRAMS
ST JUDE CHILDREN'S RESEARCH HOSPITAL INC
262 DANNY THOMAS PLACE	MEMPHIS	TN	38105	620646012	501(C)(3)	$521,367	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF MARYLAND
620 W LEXINGTON STREET	BALTIMORE	MD	21201	526002033	STATE OF MD	$478,334	$0	SUPPORT RESEARCH PROGRAM
BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA
151 PREM S PAUL RESEARCH CENTER	LINCOLN	NE	68583	470049123	STATE OF NE	$457,717	$0	SUPPORT RESEARCH PROGRAM
JOHNS HOPKINS UNIVERSITY
3910 KESWICK ROAD NO N4327B	BALTIMORE	MD	21211	520595110	501(C)(3)	$404,520	$0	SUPPORT CHARITABLE PROGRAMS
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
3451 WALNUT STREET SUITE 305	PHILADELPHIA	PA	191046284	231352685	501(C)(3)	$336,520	$0	SUPPORT CHARITABLE PROGRAMS
THE JACKSON LABORATORY
600 MAIN STREET	BAR HARBOR	ME	04609	010211513	501(C)(3)	$316,750	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF CALIFORNIA LOS ANGELES
10889 WILSHIRE BOULEVARD STE 700	LOS ANGELES	CA	90095	956006143	STATE OF CA	$298,727	$0	SUPPORT RESEARCH PROGRAM
DUKE UNIVERSITY
324 BLACKWELL ST WASHIN BLDG NO 850	DURHAM	NC	27701	560532129	501(C)(3)	$271,653	$0	SUPPORT CHARITABLE PROGRAMS
MESO SCALE DIAGNOSTICS LLC
1601 RESEARCH BLVD	ROCKVILLE	MD	20850	521974952	-	$254,401	$0	SUPPORT RESEARCH PROGRAM
TERASAKI FAMILY FOUNDATION
1018 WESTWOOD BLVD	LOS ANGELES	CA	90024	954249502	501(C)(3)	$248,344	$0	SUPPORT CHARITABLE PURPOSE
MCHS--SOUTHEAST MINNESOTA REGION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	411404075	501(C)(3)	$241,997	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF CALIFORNIA IRVINE
160 ALDRICH HALL	IRVINE	CA	92697	952226406	STATE OF CA	$238,138	$0	SUPPORT RESEARCH PROGRAM
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
615 WEST 131ST STREET MC 8741	NEW YORK	NY	10027	135598093	501(C)(3)	$210,142	$0	SUPPORT CHARITABLE PROGRAMS
TRUSTEES OF DARTMOUTH COLLEGE
7 LEBANON STREET SUITE 302 6015	HANOVER	NH	03755	020222111	501(C)(3)	$208,979	$0	SUPPORT CHARITABLE PROGRAMS
ARIZONA BOARD OF REGENTS UNIVERSITY OF ARIZONA
888 NORTH EUCLID AVENUE ROOM 510	TUCSON	AZ	85719	742652689	STATE OF AZ	$203,206	$0	SUPPORT RESEARCH PROGRAM
UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
85 SOUTH PROSPECT STREET	BURLINGTON	VT	05405	030179440	STATE OF VT	$183,045	$0	SUPPORT RESEARCH PROGRAM
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
7703 FLOYD CURL DR	SAN ANTONIO	TX	782293900	741586031	STATE OF TX	$177,792	$0	SUPPORT RESEARCH PROGRAM
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BOULEVARD	LOS ANGELES	CA	90048	951644600	501(C)(3)	$166,399	$0	SUPPORT CHARITABLE PROGRAMS
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
1300 YORK AVENUE	NEW YORK	NY	10065	131623978	-	$164,573	$0	SUPPORT RESEARCH PROGRAM
BAPTIST HEALTHCARE SYSTEM INC
2701 EASTPOINT PARKWAY	LOUISVILLE	KY	40223	610444707	501(C)(3)	$135,051	$0	SUPPORT CHARITABLE PROGRAMS
THE CLEVELAND CLINIC FOUNDATION
6801 BRECKSVILLE RD RK1-85	INDEPENDENCE	OH	44131	340714585	501(C)(3)	$131,698	$0	SUPPORT CHARITABLE PROGRAMS
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15L	OAKLAND	CA	94612	941105628	501(C)(3)	$131,438	$0	SUPPORT CHARITABLE PROGRAMS
OREGON HEALTH & SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROAD	PORTLAND	OR	97239	931176109	STATE OF OR	$126,179	$0	SUPPORT RESEARCH PROGRAM
EMORY UNIVERSITY
1599 CLIFTON ROAD 3RD FLOOR 3101	ATLANTA	GA	30322	580566256	501(C)(3)	$121,197	$0	SUPPORT CHARITABLE PROGRAMS
GREATER MANKATO AREA UNITED WAY INC
127 S 2ND ST NO 190	MANKATO	MN	56001	416008819	501(C)(3)	$120,000	$0	SUPPORT CHARITABLE PROGRAMS
THE GENERAL HOSPITAL CORPORATION
399 REVOLUTION DRIVE NO 645	SOMERVILLE	MA	02145	042697983	501(C)(3)	$115,208	$0	SUPPORT CHARITABLE PROGRAMS
GREAT RIVERS UNITED WAY INC
1855 EAST MAIN STREET	ONALASKA	WI	54650	390848188	501(C)(3)	$114,750	$0	SUPPORT CHARITABLE PROGRAMS
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
1033 MASSACHUSETTS AVE 3RD FL	CAMBRIDGE	MA	02138	042103580	501(C)(3)	$108,601	$0	SUPPORT CHARITABLE PROGRAMS
NEW YORK UNIVERSITY
105 E 17TH STREET 2ND FLOOR	NEW YORK	NY	10003	135562309	501(C)(3)	$99,948	$0	SUPPORT CHARITABLE PURPOSE
NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION INC
4150 CLEMENT STREET 151NC	SAN FRANCISCO	CA	94121	943084159	501(C)(3)	$92,385	$0	SUPPORT CHARITABLE PROGRAMS
BANNER HEALTH
2901 N CENTRAL AVE SUITE 160	PHOENIX	AZ	85012	450233470	501(C)(3)	$91,298	$0	SUPPORT CHARITABLE PROGRAMS
FORSYTH MEMORIAL HOSPITAL INC
2085 FRONTIS PLAZA BLVD	WINSTON SALEM	NC	27103	560928089	501(C)(3)	$90,931	$0	SUPPORT CHARITABLE PROGRAMS
MEDVANTX INC
9276 SCRANTON ROAD SUITE 100	SAN DIEGO	CA	92121	330888232	-	$89,600	$0	SUPPORT RESEARCH PROGRAM
SAGE BIONETWORKS
2901 THIRD AVE STE 330	SEATTLE	WA	98121	264489946	501(C)(3)	$88,351	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF WASHINGTON
4333 BROOKLYN AVE NE	SEATTLE	WA	98195	916001537	STATE OF WA	$75,508	$0	SUPPORT RESEARCH PROGRAM
EAU CLAIRE COMMUNITY FOUNDATION
306 SOUTH BARSTOW ST NO 104	EAU CLAIRE	WI	54701	391891064	501(C)(3)	$75,250	$0	SUPPORT CHARITABLE PROGRAMS
OCHSNER CLINIC FOUNDATION
1514 JEFFERSON HIGHWAY BH 546	NEW ORLEANS	LA	70121	720502505	501(C)(3)	$72,535	$0	SUPPORT CHARITABLE PROGRAMS
DIGNITY HEALTH
185 BERRY STREET SUITE 300	SAN FRANCISCO	CA	94107	941196203	501(C)(3)	$71,723	$0	SUPPORT CHARITABLE PROGRAMS
INTERVENT INTERNATIONAL LLC
340 EISENHOWER DR	SAVANNAH	GA	31406	452954871	-	$68,826	$0	SUPPORT RESEARCH PROGRAM
MERCY HOSPITALS EAST COMMUNITIES
615 S NEW BALLAS ROAD	ST LOUIS	MO	63141	430653493	501(C)(3)	$62,325	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF ALABAMA AT BIRMINGHAM
701 S 20TH ST	BIRMINGHAM	AL	35294	636005396	STATE OF AL	$59,451	$0	SUPPORT RESEARCH PROGRAM
ADVENTIST HEALTHCARE INC
820 WEST DIAMOND AVE NO 600	GAITHERSBURG	MD	20878	521532556	501(C)(3)	$59,250	$0	SUPPORT CHARITABLE PROGRAMS
THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE
445 N 5TH STREET SUITE 600	PHOENIX	AZ	85004	753065445	501(C)(3)	$54,425	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF PITTSBURGH
116 ATWOOD STREET SUITE 201	PITTSBURGH	PA	15260	250965591	501(C)(3)	$51,770	$0	SUPPORT CHARITABLE PROGRAMS
METRO KNOXVILLE HMA LLC
4000 MERIDIAN BLVD	FRANKLIN	TN	37067	452535623	-	$51,204	$0	SUPPORT RESEARCH PROGRAM
THE MIRIAM HOSPITAL
164 SUMMIT AVENUE	PROVIDENCE	RI	02906	050258905	501(C)(3)	$48,846	$0	SUPPORT CHARITABLE PROGRAMS
PRAIRIE EDUCATION AND RESEARCH COOPERATIVE
800 E CARPENTER STREET 62	SPRINGFIELD	IL	62769	371157915	501(C)(3)	$48,604	$0	SUPPORT CHARITABLE PROGRAMS
FIRST COAST CARDIOVASCULAR INSTITUTE PA
7011 AC SKINNER PARKWAY	JACKSONVILLE	FL	32256	470854466	-	$48,070	$0	SUPPORT RESEARCH PROGRAM
YALE UNIVERSITY
PO BOX 208239	NEW HAVEN	CT	06520	060646973	501(C)(3)	$47,460	$0	SUPPORT CHARITABLE PROGRAMS
OHIO HEALTH RESEARCH INSTITUTE
3545 OLENTANGY RIVER ROAD STE 300	COLUMBUS	OH	43214	316059784	501(C)(3)	$46,655	$0	SUPPORT RESEARCH PROGRAM
THE UNIVERSITY OF IOWA
105 JESSUP HALL	IOWA CITY	IA	52242	426004813	STATE OF IA	$46,199	$0	SUPPORT RESEARCH PROGRAM
LIFE LINE SCREENING OF AMERICA
6150 OAK TREE BLVD SUITE 200	INDEPENDENCE	OH	44131	341839775	-	$44,500	$0	SUPPORT RESEARCH PROGRAM
UNIVERSITY OF FLORIDA
207 GRINTER HALL	GAINESVILLE	FL	32611	596002052	STATE OF FL	$43,337	$0	SUPPORT RESEARCH PROGRAM
ARIZONA VETERANS RESEARCH AND EDUCATION FOUNDATION
650 EAST INDIAN SCHOOL ROAD	PHOENIX	AZ	85012	860907729	501(C)(3)	$40,467	$0	SUPPORT CHARITABLE PROGRAMS
DEACONESS SPECIALTY PHYSICIANS INC
600 MARY STREET	EVANSVILLE	IN	47747	824503095	501(C)(3)	$39,140	$0	SUPPORT CHARITABLE PROGRAMS
AMERICAN LIVER FOUNDATION
39 BROADWAY SUITE 2700	NEW YORK	NY	10006	362883000	501(C)(3)	$38,960	$0	SUPPORT CHARITABLE PROGRAMS
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	223849199	501(C)(3)	$38,575	$0	SUPPORT CHARITABLE PROGRAMS
STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
736 CAMBRIDGE ST	BRIGHTON	MA	021352907	272473667	-	$38,340	$0	SUPPORT RESEARCH PROGRAM
MAINEHEALTH
22 BRAMHALL STREET	PORTLAND	ME	04102	010238552	501(C)(3)	$38,310	$0	SUPPORT CHARITABLE PROGRAMS
BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY INC
1005 OXFORD AVENUE	EAU CLAIRE	WI	54703	392032491	501(C)(3)	$35,550	$0	SUPPORT CHARITABLE PROGRAMS
CASE WESTERN RESERVE UNIVERSITY
10900 EUCLID AVENUE	CLEVELAND	OH	441067006	341018992	501(C)(3)	$34,455	$0	SUPPORT CHARITABLE PROGRAMS
THE PENNSYLVANIA STATE UNIVERSITY
500 UNIVERSITY DRIVE PO BOX 850	HERSHEY	PA	17033	246000376	STATE OF PA	$33,198	$0	SUPPORT RESEARCH PROGRAM
BOARD OF TRUSTEES OF THE MINNESOTA STATE COLLEGES AND UNIVERSITIES
30 EAST 7TH STREET	ST PAUL	MN	55101	411687554	STATE OF MN	$32,500	$0	SUPPORT RESEARCH PROGRAM
BW CARDIOLOGY LLC
3980 COLONNADE PKWY	BIRMINGHAM	AL	352432382	452697154	-	$32,415	$0	SUPPORT RESEARCH PROGRAM
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC
409 SOUTH SECOND STREET	HARRISBURG	PA	17104	320321362	-	$30,505	$0	SUPPORT RESEARCH PROGRAM
VETERANS EDUCATION AND RESEARCH ASSOCIATION OF MICHIGAN
2215 FULLER ROAD	ANN ARBOR	MI	48105	383060217	501(C)(3)	$30,470	$0	SUPPORT CHARITABLE PROGRAMS
CLEVELAND VA MEDICAL RESEARCH AND EDUCATION FOUNDATION
10701 EAST BOULEVARD	CLEVELAND	OH	44106	341710663	501(C)(3)	$30,250	$0	SUPPORT CHARITABLE PROGRAMS
SAINT ANDREW'S LIGHTHOUSE INC
4599 WORRALL WAY	JACKSONVILLE	FL	32224	311489868	501(C)(3)	$30,000	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
4301 WEST MARKHAM 812	LITTLE ROCK	AR	72201	716046242	STATE OF AR	$29,239	$0	SUPPORT RESEARCH PROGRAM
INOVA HEALTH CARE SERVICES
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	540620889	501(C)(3)	$28,914	$0	SUPPORT CHARITABLE PROGRAMS
H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC
12902 MAGNOLIA DRIVE	TAMPA	FL	33612	592451713	501(C)(3)	$28,866	$0	SUPPORT CHARITABLE PROGRAMS
NORTH CENTRAL CARDIAC RESEARCH INSTITUTE LTD
4520 W 69TH ST	SIOUX FALLS	SD	571088148	460445351	-	$28,780	$0	SUPPORT RESEARCH PROGRAM
VASCULAR SURGERY ASSOCIATES PC
1075 GOLDEN VALLEY DR	BETTENDORF	IA	52722	382237803	-	$27,485	$0	SUPPORT RESEARCH PROGRAM
ELMWOOD AREA AMBULANCE SERVICE INC
BOX 234 223 N WOODWORTH ST	ELMWOOD	WI	54740	391442689	501(C)(4)	$27,000	$0	SUPPORT EXEMPT PURPOSE
THE OHIO STATE UNIVERSITY
1960 KENNY RD	COLUMBUS	OH	43210	316025986	STATE OF OH	$26,930	$0	SUPPORT RESEARCH PROGRAM
THE MARFAN FOUNDATION INC
22 MANHASSET AVENUE	PORT WASHINGTON	NY	11050	521265361	501(C)(3)	$25,875	$0	SUPPORT CHARITABLE PROGRAMS
CHIPPEWA VALLEY HEALTH CLINIC INC (DBA) CHIPPEWA VALLEY FREE CLINIC
1030 OAKRIDGE DR	EAU CLAIRE	WI	54701	391840231	501(C)(3)	$25,400	$0	SUPPORT CHARITABLE PROGRAMS
UNITED WAY OF MOWER COUNTY INC
PO BOX 605	AUSTIN	MN	55912	410831896	501(C)(3)	$25,000	$0	SUPPORT CHARITABLE PROGRAMS
UNITED WAY OF FREEBORN COUNTY INC
PO BOX 686	ALBERT LEA	MN	56007	410956396	501(C)(3)	$25,000	$0	SUPPORT CHARITABLE PROGRAMS
NATIONAL VITALITY CENTER INC
2580 BRIDGE AVE	ALBERT LEA	MN	56007	454540205	501(C)(3)	$25,000	$0	SUPPORT CHARITABLE PROGRAMS
AUSTIN COMMUNITY GROWTH VENTURES
329 NORTH MAIN STREET SUITE 106L	AUSTIN	MN	55912	475042107	501(C)(3)	$25,000	$0	SUPPORT CHARITABLE PROGRAMS
UNITED WAY OF NORTHEAST FLORIDA INC
40 EAST ADAMS STREET NO 200	JACKSONVILLE	FL	32202	590637825	501(C)(3)	$25,000	$0	SUPPORT CHARITABLE PROGRAMS
HELP IN HEALING HOME FOUNDATION INC
5811 E MAYO BLVD	PHOENIX	AZ	85054	860936101	501(C)(3)	$25,000	$0	SUPPORT CHARITABLE PROGRAMS
SPARROW CLINICAL RESEARCH INSTITUTE
1200 E MICHIGAN AVENUE SUITE 550	LANSING	MI	48912	383075242	501(C)(3)	$23,995	$0	SUPPORT CHARITABLE PROGRAMS
THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA
1001 N EMMET STREET	CHARLOTTESVILLE	VA	22903	546001796	STATE OF VA	$23,860	$0	SUPPORT RESEARCH PROGRAM
NC HEART AND VASCULAR RESEARCH LLC
4414 LAKE BOONE TRL STE 409	RALEIGH	NC	27607	562001346	-	$23,560	$0	SUPPORT RESEARCH PROGRAM
VANDERBILT UNIVERSITY
PMB 406310 2301 VANDERBILT PLACE	NASHVILLE	TN	37240	620476822	501(C)(3)	$23,319	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF NORTH FLORIDA
1 UNF DRIVE	JACKSONVILLE	FL	32224	592976169	STATE OF FL	$23,250	$0	SUPPORT RESEARCH PROGRAM
OPEN DOOR HEALTH CENTER
309 HOLLY LANE	MANKATO	MN	56001	411461726	501(C)(3)	$22,500	$0	SUPPORT CHARITABLE PROGRAMS
VHS HARLINGEN HOSPITAL COMPANY LLC
14201 DALLAS PKWY	DALLAS	TX	752542916	452662980	-	$22,135	$0	SUPPORT RESEARCH PROGRAM
HARTFORD HOSPITAL
80 SEYMOUR STREET PO BOX 5037	HARTFORD	CT	06102	060646668	501(C)(3)	$21,610	$0	SUPPORT CHARITABLE PROGRAMS
MANKATO AREA FOUNDATION
212 E WALNUT ST NO 1	MANKATO	MN	56001	410011094	501(C)(3)	$21,000	$0	SUPPORT CHARITABLE PROGRAMS
MINNEAPOLIS CLINIC OF NEUROLOGY LTD
4225 GOLDEN VALLEY ROAD	GOLDEN VALLEY	MN	55422	410999094	-	$21,000	$0	SUPPORT RESEARCH PROGRAM
HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE INC
6720A ROCKLEDGE DRIVE 100	BETHESDA	MD	20817	521317896	501(C)(3)	$20,870	$0	SUPPORT CHARITABLE PROGRAMS
ASCENSION SETON
1345 PHILOMENA STREET	AUSTIN	TX	78723	741109643	501(C)(3)	$20,760	$0	SUPPORT CHARITABLE PROGRAMS
REGENTS OF THE UNIVERSITY OF MICHIGAN
503 THOMPSON ST	ANN ARBOR	MI	48109	386006309	STATE OF MI	$20,649	$0	SUPPORT RESEARCH PROGRAM
SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH
1660 SOUTH COLUMBIAN WAY NO S-151F	SEATTLE	WA	98108	911452438	501(C)(3)	$20,220	$0	SUPPORT CHARITABLE PROGRAMS
SOUTHERN ILLINOIS HOSPITAL SERVICES
PO BOX 3988	CARBONDALE	IL	62902	370618939	501(C)(3)	$20,005	$0	SUPPORT CHARITABLE PROGRAMS
CHILDRENS MUSEUM OF SOUTHERN MINNESOTA
224 LAMM STREET	MANKATO	MN	56001	204351801	501(C)(3)	$20,000	$0	SUPPORT CHARITABLE PROGRAMS
AUSTIN ASPIRES INC
301 MAIN STREET	AUSTIN	MN	55912	465424422	501(C)(3)	$20,000	$0	SUPPORT CHARITABLE PROGRAMS
DIOCESAN COUNCIL FOR THE SOCIETY OF ST VINCENT DE PAUL DIOCESE PHOENIX
PO BOX 13600	PHOENIX	AZ	85002	860096789	501(C)(3)	$20,000	$0	SUPPORT CHARITABLE PROGRAMS
HUNTSVILLE CARDIOVASCULAR CLINIC PA
4601 WHITESBURG DRIVE SUITE 201	PHILADELPHIA	PA	00000	631211664	-	$19,885	$0	SUPPORT RESEARCH PROGRAM
UNIVERSITY OF UTAH
201 PRESIDENTS CIRCLE RM 411	SALT LAKE CITY	UT	84112	876000525	STATE OF UT	$19,244	$0	SUPPORT RESEARCH PROGRAM
WILLIAM BEAUMONT HOSPITAL
26901 BEAUMONT BLVD	SOUTHFIELD	MI	48033	381459362	501(C)(3)	$18,990	$0	SUPPORT CHARITABLE PROGRAMS
YOUNG MEN'S CHRISTIAN ASSOCIATION OF ALBERT LEA MINNESOTA INC
2021 WEST MAIN ST	ALBERT LEA	MN	56007	411000679	501(C)(3)	$18,644	$0	SUPPORT CHARITABLE PROGRAMS
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9	ALBANY	NY	12201	141368361	501(C)(3)	$18,555	$0	SUPPORT CHARITABLE PROGRAMS
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE	NEW YORK	NY	10029	136171197	501(C)(3)	$17,700	$0	SUPPORT CHARITABLE PROGRAMS
PORT CITY OPERATING COMPANY LLC
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	465322209	501(C)(3)	$17,700	$0	SUPPORT CHARITABLE PROGRAMS
HENRY FORD HEALTH SYSTEM
ONE FORD PLACE-5F	DETROIT	MI	48202	381357020	501(C)(3)	$17,650	$0	SUPPORT CHARITABLE PROGRAMS
INDEPENDENT SCHOOL DISTRICT 77
PO BOX 8741	MANKATO	MN	56002	416000310	CITY OF MANKATO	$17,500	$0	SUPPORT RESEARCH PROGRAM
LA CROSSE PUBLIC EDUCATION FOUNDATION INC
PO BOX 1811	LA CROSSE	WI	54602	391610700	501(C)(3)	$17,410	$0	SUPPORT CHARITABLE PROGRAMS
BOYS AND GIRLS CLUBS OF BARRON COUNTY INC
PO BOX 734 426 N WILSON AVE	RICE LAKE	WI	54868	392025211	501(C)(3)	$17,200	$0	SUPPORT CHARITABLE PROGRAMS
BIOMEDICAL RESEARCH FOUNDATION
4300 WEST 7TH STREET	LITTLE ROCK	AR	72205	710675830	501(C)(3)	$17,110	$0	SUPPORT CHARITABLE PROGRAMS
MISSION CARDIOVASCULAR RESEARCH INSTITUTE
2333 MOWRY AVE STE 300	FREMONT	CA	945381626	271276137	-	$16,680	$0	SUPPORT RESEARCH PROGRAM
CITY OF EAU CLAIRE
720 2ND AVE	EAU CLAIRE	WI	54703	396005436	CITY OF EAU CLAIRE	$16,500	$0	SUPPORT RESEARCH PROGRAM
UNIVERSITY OF SOUTHERN CALIFORNIA
UNIVERSITY GARDENS UGB203	LOS ANGELES	CA	90089	951642394	501(C)(3)	$16,301	$0	SUPPORT CHARITABLE PROGRAMS
RHODE ISLAND HOSPITAL
593 EDDY STREET	PROVIDENCE	RI	02903	050258954	501(C)(3)	$16,064	$0	SUPPORT CHARITABLE PROGRAMS
UNITED WAY OF STEELE COUNTY
1850 AUSTIN RD SUITE 103	OWATONNA	MN	55060	237366680	501(C)(3)	$16,000	$0	SUPPORT CHARITABLE PROGRAMS
DOYLESTOWN HOSPITAL
595 WEST STATE STREET	DOYLESTOWN	PA	18901	231352174	501(C)(3)	$15,805	$0	SUPPORT CHARITABLE PROGRAMS
LA CROSSE SYMPHONY ORCHESTRA INC
201 MAIN STREET SUITE 230	LA CROSSE	WI	54601	391024330	501(C)(3)	$15,650	$0	SUPPORT CHARITABLE PROGRAMS
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	501(C)(3)	$15,135	$0	SUPPORT CHARITABLE PROGRAMS
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	860800150	501(C)(3)	$15,085	$0	SUPPORT CHARITABLE PROGRAMS
THE PARENTING PLACE INC
1500 GREEN BAY STREET	LA CROSSE	WI	54601	391676842	501(C)(3)	$15,000	$0	SUPPORT CHARITABLE PROGRAMS
INDEPENDENT SCHOOL DISTRICT 761
515 W BRIDGE STREET	OWATONNA	MN	55060	416004063	STATE OF MN	$15,000	$0	SUPPORT RESEARCH PROGRAM
MUSEUM OF SCIENCE AND HISTORY OF JACKSONVILLE INC
1025 MUSEUM CIRCLE	JACKSONVILLE	FL	32207	590651090	501(C)(3)	$15,000	$0	SUPPORT CHARITABLE PROGRAMS
VOLUNTEERS IN MEDICINE JACKSONVILLE INC
41 EAST DUVAL STREET	JACKSONVILLE	FL	32202	753002172	501(C)(3)	$15,000	$0	SUPPORT CHARITABLE PROGRAMS
FRANCISCAN ALLIANCE INC
1515 DRAGOON TRAIL	MISHAWAKA	IN	46544	350913537	501(C)(3)	$14,840	$0	SUPPORT CHARITABLE PURPOSE
VETERANS HEALTH FOUNDATION
UNIVERSITY DRIVE C BLDG 30	PITTSBURGH	PA	15240	251666090	501(C)(3)	$14,795	$0	SUPPORT CHARITABLE PROGRAMS
YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF MANKATO
127 S 2ND ST STE 200	MANKATO	MN	56001	410711619	501(C)(3)	$14,500	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF WISCONSIN-MILWAUKEE
3203 N DOWNER AVENUE	MILWAUKEE	WI	53211	391805963	STATE OF WI	$14,450	$0	SUPPORT RESEARCH PROGRAM
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
485 BROADWAY MAIL CODE 8838	REDWOOD CITY	CA	94063	941156365	501(C)(3)	$14,305	$0	SUPPORT CHARITABLE PROGRAMS
NORTHWESTERN UNIVERSITY
633 CLARK ST	EVANSTON	IL	60208	362167817	501(C)(3)	$13,910	$0	SUPPORT CHARITABLE PROGRAMS
MERCY HEALTH
1701 MERCY HEALTH PLACE	CINCINNATI	OH	45237	344428250	501(C)(3)	$13,735	$0	SUPPORT CHARITABLE PURPOSE
UPMC HAMOT
600 GRANT STREET 58TH FLOOR	PITTSBURGH	PA	15219	250965387	501(C)(3)	$13,480	$0	SUPPORT CHARITABLE PROGRAMS
PROVIDENCE HEALTH & SERVICES WASHINGTON
101 WEST 8TH AVE	SPOKANE	WA	99220	364640211	501(C)(3)	$13,215	$0	SUPPORT RESEARCH PROGRAM
BALTIMORE RESEARCH AND EDUCATION FOUNDATION INC
10 N GREEN ST	BALTIMORE	MD	21201	521705976	501(C)(3)	$12,750	$0	SUPPORT CHARITABLE PROGRAMS
AMERICAN CANCER SOCIETY INC
250 WILLIAMS STREET NW NO 400	ATLANTA	GA	30303	131788491	501(C)(3)	$12,625	$0	SUPPORT CHARITABLE PROGRAMS
WELLMONT CARDIOLOGY SERVICES
1021 W OAKLAND AVENUE SUITE 103	JOHNSON CITY	TN	37604	263557623	501(C)(3)	$12,530	$0	SUPPORT CHARITABLE PROGRAMS
LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM INC
1300 BADGER STREET OFFICE 3065	LA CROSSE	WI	54601	391804725	501(C)(3)	$12,500	$0	SUPPORT CHARITABLE PROGRAMS
THE UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER
1515 HOLCOMBE BOULEVARD	HOUSTON	TX	77030	746001118	STATE OF TX	$12,381	$0	SUPPORT RESEARCH PROGRAM
THE SALVATION ARMY
5550 PRAIRIE STONE PARKWAY	HOFFMAN ESTATES	IL	60192	362167910	501(C)(3)	$12,200	$0	SUPPORT CHARITABLE PROGRAMS
VETERANS RESEARCH AND EDUCATION FOUNDATION OF ST LOUIS
501 N GRAND BLVD SUITE 300	SAINT LOUIS	MO	63103	431624664	501(C)(3)	$12,140	$0	SUPPORT CHARITABLE PROGRAMS
SWEDISH HEALTH SERVICES
1801 LIND AVE SW	RENTON	WA	98057	910433740	501(C)(3)	$11,630	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
220 MONTGOMERY ST FL 5	SAN FRANCISCO	CA	94104	946036493	STATE OF CA	$11,405	$0	SUPPORT RESEARCH PROGRAM
INTERMOUNTAIN HEALTH CARE INC
36 S STATE STREET SUITE 2200	SALT LAKE CITY	UT	84111	870269232	501(C)(3)	$11,380	$0	SUPPORT CHARITABLE PROGRAMS
THE METHODIST HOSPITAL RESEARCH INSTITUTE
6565 FANNIN ST	HOUSTON	TX	77030	870721923	501(C)(3)	$11,090	$0	SUPPORT CHARITABLE PURPOSE
UNIVERSITY OF WISCONSIN - EAU CLAIRE FOUNDATION INC
105 GARFIELD AVENUE	EAU CLAIRE	WI	54701	390972350	501(C)(3)	$11,000	$0	SUPPORT CHARITABLE PROGRAMS
MORTON PLANT MEASE HEALTH CARE INC
300 PINELLAS ST	CLEARWATER	FL	33756	592374556	501(C)(3)	$10,925	$0	SUPPORT CHARITABLE PROGRAMS
ARIZONA ALZHEIMERS RESEARCH CENTER INC
4745 NORTH 7TH STREET	PHOENIX	AZ	85014	810594797	501(C)(3)	$10,888	$0	SUPPORT CHARITABLE PROGRAMS
HENNEPIN HEALTHCARE RESEARCH INSTITUTE
701 PARK AVENUE	MINNEAPOLIS	MN	55415	411677920	501(C)(3)	$10,705	$0	SUPPORT CHARITABLE PROGRAMS
THE LEUKEMIA & LYMPHOMA SOCIETY INC
3 INTERNATIONAL DRIVE	RYE BROOK	NY	10573	135644916	501(C)(3)	$10,300	$0	SUPPORT CHARITABLE PROGRAMS
COMPREHENSIVE ADVANCED LIFE SUPPORT PROGRAM
2600 FERNBROOK LN N NO 104	PLYMOUTH	MN	55447	201240867	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
HEALTHFINDERS COLLABORATIVE INC
PO BOX 731	NORTHFIELD	MN	55057	201805262	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
APPLE TREE DENTAL
2442 MOUNDS VIEW BLVD	MOUNDS VIEW	MN	55112	363411437	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
LA CROSSE COMMUNITY FOUNDATION
401 MAIN STREET RM/STE 205	LA CROSSE	WI	54601	396037996	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
THE YOUNG MENS CHRISTIAN ASSOC OF MANKA MANKATO INC
1401 SOUTH RIVERFRONT DRIVE	MANKATO	MN	56001	410739108	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
OWATONNA SOCCER ASSOCIATION
PO BOX 169	OWATONNA	MN	55060	411908332	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
INDEPENDENT SCHOOL DISTRICT 840
500 3RD AVE S	ST JAMES	MN	56081	416004625	STATE OF MN	$10,000	$0	SUPPORT RESEARCH PROGRAM
THE SAINT PAUL FOUNDATION
101 FIFTH STREET EAST SUITE 2400	SAINT PAUL	MN	55101	416031510	501(C)(3)	$10,000	$0	SUPPORT CHARITABLE PROGRAMS
CROHN'S & COLITIS FOUNDATION INC
733 THIRD AVENUE SUITE 510	NEW YORK	NY	10017	136193105	501(C)(3)	$9,775	$0	SUPPORT CHARITABLE PROGRAMS
BAPTIST HEALTH AMBULATORY SERVICES INC
1660 PRUDENTIAL DR 203	JACKSONVILLE	FL	32207	593410739	501(C)(3)	$9,385	$0	SUPPORT CHARITABLE PROGRAMS
BAPTIST CLINICAL RESEARCH INSTITUTE INC
350 N HUMPHREYS BLVD	MEMPHIS	TN	38120	453032246	501(C)(3)	$9,290	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE
3901 RAINBOW BLVD MAILSTOP 1039	KANSAS CITY	KS	66160	481108830	501(C)(3)	$9,015	$0	SUPPORT CHARITABLE PROGRAMS
GOOD SAMARITAN HEALTH CENTERS INC
268 HERBERT STREET	ST AUGUSTINE	FL	32084	522125419	501(C)(3)	$9,000	$0	SUPPORT CHARITABLE PROGRAMS
OVERLAKE HOSPITAL MEDICAL CENTER
1035 116TH AVENUE NE	BELLEVUE	WA	98004	910652651	501(C)(3)	$8,445	$0	SUPPORT CHARITABLE PROGRAMS
LYERLY BAPTIST INC
3563 PHILIPS HWY BLDG A SUITE 101	JACKSONVILLE	FL	32207	030571183	-	$8,180	$0	SUPPORT RESEARCH PROGRAM
PROVIDENCE HEALTH & SERVICES OREGON
1235 NE 47TH AVE STE 299	PORTLAND	OR	97213	930386929	501(C)(3)	$8,130	$0	SUPPORT RESEARCH PROGRAM
LEHIGH VALLEY HOSPITAL
2100 MACK BLVD	ALLENTOWN	PA	18103	231689692	501(C)(3)	$8,038	$0	SUPPORT CHARITABLE PROGRAMS
PACE CENTER FOR GIRLS INC
6745 PHILIPS INDUSTRIAL BLVD	JACKSONVILLE	FL	32256	592414492	501(C)(3)	$8,000	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF CINCINNATI
2600 CLIFTON AVE	CINCINNATI	OH	45220	316000989	STATE OF OH	$7,780	$0	SUPPORT RESEARCH PROGRAM
THE TOLEDO HOSPITAL
100 MADISON AVE	TOLEDO	OH	43604	344428256	501(C)(3)	$7,690	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF MIAMI
PO BOX 248106	CORAL GABLES	FL	33124	590624458	501(C)(3)	$7,550	$0	SUPPORT CHARITABLE PROGRAMS
FEEDING OUR COMMUNITIES PARTNERS
2120 HOWARD DR WEST	NORTH MANKATO	MN	56003	272374187	501(C)(3)	$7,500	$0	SUPPORT CHARITABLE PROGRAMS
GIFT OF LIFE INC
705 2ND STREET SW	ROCHESTER	MN	55902	411495845	501(C)(3)	$7,500	$0	SUPPORT CHARITABLE PROGRAMS
CARDIAC AND VASCULAR RESEARCH CENTER OF NORTHERN MICHIGAN
560 W MITCHELL ST STE 500	PETOSKEY	MI	49770	383576853	-	$7,380	$0	SUPPORT RESEARCH PROGRAM
HMH HOSPITALS CORPORATION
1350 CAMPUS PARKWAY	NEPTUNE	NJ	07753	221487576	501(C)(3)	$7,280	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
103 SOUTH BUILDING CAMPUS BOX 9100	CHAPEL HILL	NC	27599	566001393	STATE OF NC	$7,270	$0	SUPPORT RESEARCH PROGRAM
BAPTIST HOSPITAL OF MIAMI INC
8900 NORTH KENDALL DRIVE	MIAMI	FL	33176	590910342	501(C)(3)	$7,210	$0	SUPPORT CHARITABLE PROGRAMS
WOMEN'S FUND OF GREATER LA CROSSE
PO BOX 654	LA CROSSE	WI	54602	272394065	501(C)(3)	$7,000	$0	SUPPORT CHARITABLE PROGRAMS
EAU CLAIRE AREA CHAMBER OF COMMERCE
101 N FARWELL STREET SUITE 101	EAU CLAIRE	WI	54703	390255585	501(C)(6)	$6,939	$0	SUPPORT EXEMPT PURPOSE
NATIONAL KIDNEY FOUNDATION OF ARIZONA
360 E CORONADO RD NO 180	PHOENIX	AZ	85004	866052343	501(C)(3)	$6,650	$0	SUPPORT CHARITABLE PROGRAMS
LA CROSSE COUNTY
300 4TH ST N 2ND FLOOR	LA CROSSE	WI	54601	396005709	CTY OF LA CROSSE	$6,500	$0	SUPPORT RESEARCH PROGRAM
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVENUE	BOSTON	MA	02215	042103881	501(C)(3)	$6,435	$0	SUPPORT CHARITABLE PROGRAMS
ECONFINA CARDIOLOGY GROUP PA
625 W BALDWIN ROAD	PANAMA CITY	FL	32405	592005970	-	$6,332	$0	SUPPORT RESEARCH PROGRAM
ST FRANCIS HOSPITAL
100 PORT WASHINGTON BLVD	ROSLYN	NY	11576	112050523	501(C)(3)	$6,275	$0	SUPPORT CHARITABLE PROGRAMS
GENERATION W INC
2320 3RD STREET STE 5	JACKSONVILLE BEACH	FL	32250	464832199	501(C)(3)	$6,250	$0	SUPPORT CHARITABLE PROGRAMS
MINIMALLY INVASIVE PROCEDURE SPECIALISTS PLLC
8671 S QUEBEC ST STE 200	HIGHLANDS RANCH	CO	80130	812783079	-	$6,175	$0	SUPPORT RESEARCH PROGRAM
UNIVERSITY OF NORTH DAKOTA
264 CENTENNIAL DR	GRAND FORKS	ND	58202	456002491	STATE OF ND	$6,085	$0	SUPPORT RESEARCH PROGRAM
CAMP SWEET LIFE ADVENTURES INC
26486 SIOUX TRAIL	MADISON LAKE	MN	56063	273206536	501(C)(3)	$6,000	$0	SUPPORT CHARITABLE PROGRAMS
MINNESOTA STATE COLLEGE SOUTHEAST FOUNDATION
1250 HOMER ROAD	WINONA	MN	55987	411540247	501(C)(3)	$6,000	$0	SUPPORT CHARITABLE PROGRAMS
CITY OF NORTH MANKATO
1001 BELGRADE AVENUE	NORTH MANKATO	MN	56003	416005423	CITY OF N. MANKATO	$6,000	$0	SUPPORT RESEARCH PROGRAM
THE JONES FAMILY FOUNDATION
101 FIFTH STREET EAST SUITE 2400	SAINT PAUL	MN	55101	453069865	501(C)(3)	$6,000	$0	SUPPORT CHARITABLE PROGRAMS
DUVAL COUNTY MEDICAL SOCIETY
4150 BELFORT RD 551538	JACKSONVILLE	FL	32216	590613659	501(C)(6)	$6,000	$0	SUPPORT EXEMPT PURPOSE
SCHOOL DISTRICT OF LA CROSSE
807 EAST AVENUE SOUTH	LA CROSSE	WI	54601	396002841	STATE OF WI	$5,875	$0	SUPPORT RESEARCH PROGRAM
PALO ALTO VETERANS INSTITUTE FOR RESEARCH
3801 MIRANDA AVENUE	PALO ALTO	CA	94304	770207331	501(C)(3)	$5,660	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF PITTSBURGH PHYSICIANS
600 GRANT STREET 58TH FL	PITTSBURGH	PA	15219	232919472	501(C)(3)	$5,630	$0	SUPPORT CHARITABLE PROGRAMS
PROJECT 1590 INC
PO BOX 705	FAIRMONT	MN	56031	815410023	501(C)(3)	$5,600	$0	SUPPORT CHARITABLE PROGRAMS
MANKATO NORTH MANKATO YOUTH FOOTBALL
PO BOX 311	MANKATO	MN	56002	411315900	501(C)(3)	$5,550	$0	SUPPORT CHARITABLE PROGRAMS
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC
225 N MICHIGAN AVE 17TH FLOOR	CHICAGO	IL	60601	133039601	501(C)(3)	$5,500	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF WISCONSIN-MADISON
21 N PARK STREET SUITE 6401	MADISON	WI	53715	396006492	STATE OF WI	$5,490	$0	SUPPORT RESEARCH PROGRAM
COULEECAP INC
201 MELBY STREET	WESTBY	WI	54667	391077614	501(C)(3)	$5,200	$0	SUPPORT CHARITABLE PROGRAMS
UNIVERSITY OF CHICAGO
6054 S DREXEL AVENUE	CHICAGO	IL	60637	362177139	501(C)(3)	$5,170	$0	SUPPORT CHARITABLE PROGRAMS
GENESIS HEALTH INC
3599 UNIVERSITY BLVD SOUTH	JACKSONVILLE	FL	32216	592249370	501(C)(3)	$5,120	$0	SUPPORT CHARITABLE PROGRAMS
THE MEDICAL COLLEGE OF WISCONSIN INC
8701 WATERTOWN PLANK ROAD	MILWAUKEE	WI	53226	390806261	501(C)(3)	$5,015	$0	SUPPORT CHARITABLE PROGRAMS

Field	Value	IRS element (for citing)
Total501c3 Org	185	Total501c3OrgCnt
Total Other Org	24	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	575	$3,605,078
MEDICAL STUDENT STIPENDS	278	$689,772
RESEARCH GRANT SUBAWARDS	28	$82,093
CHARITABLE SUPPORT OF INDIVIDUALS	253	$301,355

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN CONSIDER REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION AND ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. IN ADDITION, THE SUBORDINATE ORGANIZATIONS MAY CONSIDER REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS WITHIN THE COMMUNITY WITH PROGRAMS THAT ARE NOT WITHIN THE FILING ORGANIZATION'S EXEMPT PURPOSE BUT ARE STILL CHARITABLE IN NATURE OR PROVIDE BENEFIT TO THE COMMUNITY. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR 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 SUBORDINATE ORGANIZATIONS AND THE GRANTEE ORGANIZATIONS MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO INDIVIDUALS AND OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE), SUBPART D-SUBRECIPIENT MONITORING AND MANAGEMENT 200.331 REQUIREMENTS FOR PASS-THROUGH ENTITIES. MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS ARE AWARDED TO INDIVIDUALS PURSUING A DEGREE IN A HEALTHCARE FIELD AND ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS. SHORT-TERM FINANCIAL ASSISTANCE AND SUPPORT IS PROVIDED TO EMPLOYEES AND INDIVIDUALS EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE PAID TO THE STUDENTS OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	Yes (1)	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (242 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FARRUGIA MD GIANRICO
DIR/CEO/PRES/FORMER OFFICER	$2,073,968	$0	$0	$0	$564,402	$0	$70,062	$0	$33,630	$0	$2,742,062	$0	$0	$0
GOSTOUT MD BOBBIE S
DIR/VICE CHAIR/VP OPS/INTERIM REG VP	$1,460,297	$0	$0	$0	$413,011	$0	$74,116	$0	$31,746	$0	$1,979,170	$0	$0	$0
BOLTON JEFFREY W
DIRECTOR/CAO	$1,290,136	$0	$0	$0	$308,856	$0	$68,638	$0	$25,568	$0	$1,693,198	$0	$0	$0
HARPER JR MD CHARLES M
DIR/FORMER OFFICER/FORMER KEY	$0	$1,054,104	$0	$0	$0	$419,415	$0	$11,400	$0	$25,024	$0	$1,509,943	$0	$0
THIELEN MD KENT R
DIR/CEO/CHAIR/VP OPERATIONS	$1,097,068	$0	$0	$0	$286,128	$0	$67,082	$0	$32,119	$0	$1,482,397	$0	$0	$0
QUINONES-HINOJOSA MD ALFREDO
DIRECTOR	$1,223,331	$0	$0	$0	$114,786	$0	$58,465	$0	$32,330	$0	$1,428,912	$0	$0	$0
GRAY MD RICHARD J
DIRECTOR/VP OPERATIONS	$1,098,098	$0	$0	$0	$228,999	$0	$54,746	$0	$29,117	$0	$1,410,960	$0	$0	$0
DAHLEN DENNIS E
DIRECTOR/VP/TREASURER	$1,097,066	$0	$0	$0	$165,357	$0	$75,459	$0	$32,109	$0	$1,369,991	$0	$0	$0
MEYER MD FREDRIC B
DIR/PHYSICIAN	$1,056,875	$0	$0	$0	$253,792	$0	$11,400	$0	$38,681	$0	$1,360,748	$0	$0	$0
PICHELMANN MD MARK A
FORMER HIGHEST PAID	$0	$1,126,634	$0	$0	$0	$141,661	$0	$50,586	$0	$29,052	$0	$1,347,933	$0	$0
BENDOK MD BERNARD R
PHYSICIAN	$1,149,522	$0	$0	$0	$107,564	$0	$55,990	$0	$30,941	$0	$1,344,017	$0	$0	$0
WIECHMANN MD ROBERT J
PHYSICIAN	$1,104,809	$0	$0	$0	$151,216	$0	$64,980	$0	$19,077	$0	$1,340,082	$0	$0	$0
NOTTMEIER MD ERIC W
PHYSICIAN	$1,106,348	$0	$0	$0	$144,154	$0	$54,115	$0	$30,757	$0	$1,335,374	$0	$0	$0
LYONS MD MARK K
PHYSICIAN	$1,008,830	$0	$0	$0	$239,582	$0	$46,764	$0	$30,552	$0	$1,325,728	$0	$0	$0
ZIMMERMAN MD RICHARD S
DIRECTOR	$1,022,522	$0	$0	$0	$250,201	$0	$8,550	$0	$27,284	$0	$1,308,557	$0	$0	$0
DEEN JR MD HUGH G
PHYSICIAN	$993,638	$0	$0	$0	$230,525	$0	$11,400	$0	$24,421	$0	$1,259,984	$0	$0	$0
MURPHY JOSHUA B
SECY/ASST SECY	$945,339	$0	$0	$0	$213,134	$0	$60,682	$0	$33,279	$0	$1,252,434	$0	$0	$0
HOFFMAN III HARRY N
TREASURER	$724,052	$0	$316,503	$0	$159,570	$0	$8,550	$0	$25,028	$0	$1,233,703	$0	$0	$0
GORES MD GREGORY J
DIRECTOR	$0	$954,158	$0	$0	$0	$227,921	$0	$11,400	$0	$27,026	$0	$1,220,505	$0	$0
GORMAN PAUL A
CHIEF INVESTMENT OFFICER	$645,687	$0	$273,361	$0	$120,858	$0	$72,125	$0	$31,196	$0	$1,143,227	$0	$0	$0
OTLEY MD CLARK C
DIRECTOR/PRESIDENT	$0	$828,005	$0	$0	$0	$189,843	$0	$65,860	$0	$33,461	$0	$1,117,169	$0	$0
WILLIAMSON MARY J
DIR/SECY/ASST SECY/CAO MCHS	$0	$791,971	$0	$0	$0	$171,681	$0	$64,217	$0	$35,669	$0	$1,063,538	$0	$0
SHARMA MBBS MANISH S
DIRECTOR	$894,911	$0	$0	$0	$73,435	$0	$51,961	$0	$27,782	$0	$1,048,089	$0	$0	$0
CIOTA MD MARK R
DIRECTOR	$819,378	$0	$0	$0	$98,968	$0	$62,835	$0	$24,819	$0	$1,006,000	$0	$0	$0
MENKOSKY PAULA E
DIR/SECY/ASST TREAS	$730,088	$0	$0	$0	$152,316	$0	$71,095	$0	$29,473	$0	$982,972	$0	$0	$0
FRASER CATHRYN H
CHIEF HUMAN RESOURCES OFFICER	$771,076	$0	$0	$0	$76,279	$0	$65,712	$0	$29,615	$0	$942,682	$0	$0	$0
WILLIAMS MD AMY W
DIR/VICE CHAIR/PHYSICIAN	$738,039	$0	$0	$0	$107,011	$0	$76,823	$0	$7,484	$0	$929,357	$0	$0	$0
HALAMKA MD JOHN D
PRES-MAYO CLINIC PLATFORM	$762,373	$0	$50,000	$0	$32,779	$0	$55,991	$0	$22,517	$0	$923,660	$0	$0	$0
STEWART MD MICHAEL W
FORMER KEY EMPLOYEE	$687,037	$0	$0	$0	$130,724	$0	$71,638	$0	$23,458	$0	$912,857	$0	$0	$0
DECKER MBBCH GUSTAV A
PRESIDENT INTERNATIONAL	$773,818	$0	$0	$0	$69,103	$0	$38,178	$0	$31,060	$0	$912,159	$0	$0	$0
ROSS CHRISTOPHER J
CHIEF INFORMATION OFFICER	$733,284	$0	$0	$0	$91,936	$0	$63,255	$0	$21,677	$0	$910,152	$0	$0	$0
HEBL MD JAMES R
DIR/PRES/CHAIR/REG VP-SWMN	$0	$698,923	$0	$0	$0	$124,231	$0	$56,693	$0	$29,375	$0	$909,222	$0	$0
RADEMACHER MD DANA E
FORMER KEY EMPLOYEE	$678,125	$0	$0	$0	$135,043	$0	$64,293	$0	$25,612	$0	$903,073	$0	$0	$0
ORTIZ MD JOSE A
DIRECTOR	$710,967	$0	$0	$0	$81,136	$0	$63,611	$0	$43,663	$0	$899,377	$0	$0	$0
GILLIGAN SHERRI W
CHIEF MARKETING OFFICER	$760,276	$0	$0	$0	$57,621	$0	$58,549	$0	$21,985	$0	$898,431	$0	$0	$0
RIHAL MD CHARANJIT S
DIRECTOR	$0	$622,075	$0	$0	$0	$170,876	$0	$72,299	$0	$29,551	$0	$894,801	$0	$0
NOLTE DO CHARLES P
FORMER KEY EMPLOYEE	$707,554	$0	$0	$0	$104,107	$0	$56,919	$0	$23,760	$0	$892,340	$0	$0	$0
ZORN CHRISTINA K
DIR/SECY/ASST TREAS	$693,557	$0	$0	$0	$104,419	$0	$51,370	$0	$30,263	$0	$879,609	$0	$0	$0
CHONG MD BRIAN W
DIRECTOR	$648,621	$0	$0	$0	$122,204	$0	$62,590	$0	$33,571	$0	$866,986	$0	$0	$0
FONSECA MD RAFAEL
DIRECTOR	$607,238	$0	$0	$0	$153,594	$0	$62,590	$0	$32,273	$0	$855,695	$0	$0	$0
WALD MD JOHN T
DIRECTOR	$0	$636,321	$0	$0	$0	$115,552	$0	$71,472	$0	$30,664	$0	$854,009	$0	$0
DEVAULT MD KENNETH R
DIRECTOR	$627,401	$0	$0	$0	$144,136	$0	$39,213	$0	$30,707	$0	$841,457	$0	$0	$0
HARA MD AMY K
DIRECTOR	$653,960	$0	$0	$0	$95,910	$0	$56,531	$0	$33,358	$0	$839,759	$0	$0	$0
HELMERS MD RICHARD A
DIR/CHAIR/PRES/REG VP-NWWI	$0	$677,790	$0	$0	$0	$123,715	$0	$10,299	$0	$26,156	$0	$837,960	$0	$0
MUELLER MD PAUL S
DIR/CHAIR/REG VP-SWWI	$0	$631,986	$0	$0	$0	$103,843	$0	$67,925	$0	$27,502	$0	$831,256	$0	$0
ANDREWS MD PAUL E
DIRECTOR/VICE CHAIR	$598,587	$0	$0	$0	$124,454	$0	$77,648	$0	$26,883	$0	$827,572	$0	$0	$0
COOPER MD LESLIE T
DIRECTOR	$595,863	$0	$0	$0	$131,999	$0	$64,547	$0	$30,627	$0	$823,036	$0	$0	$0
MCKINNEY MD J MARK
PHYSICIAN	$655,171	$0	$0	$0	$71,260	$0	$61,087	$0	$31,896	$0	$819,414	$0	$0	$0
PETERSON MD JEFFREY J
FORMER KEY EMPLOYEE	$644,703	$0	$0	$0	$90,843	$0	$49,543	$0	$33,315	$0	$818,404	$0	$0	$0
TERKONDA MD SARVAM P
FORMER KEY EMPLOYEE	$607,286	$0	$0	$0	$106,956	$0	$61,138	$0	$31,074	$0	$806,454	$0	$0	$0
STONE MD WILLIAM M
FORMER OFFICER	$601,788	$0	$0	$0	$166,882	$0	$11,419	$0	$19,644	$0	$799,733	$0	$0	$0
PATEL MB TUSHAR C
DIRECTOR	$642,658	$0	$0	$0	$69,124	$0	$59,377	$0	$28,541	$0	$799,700	$0	$0	$0
CROSS III MD WILLIAM W
DIRECTOR	$0	$451,133	$0	$0	$0	$259,242	$0	$51,765	$0	$29,402	$0	$791,542	$0	$0
DOUGLAS MD DAVID D
FORMER KEY EMPLOYEE	$593,846	$0	$0	$0	$117,549	$0	$46,334	$0	$31,962	$0	$789,691	$0	$0	$0
PEARSON MD SUSAN E
FORMER OFFICER	$626,549	$0	$0	$0	$69,837	$0	$66,503	$0	$26,698	$0	$789,587	$0	$0	$0
HAKAIM MD ALBERT G
DIRECTOR	$586,163	$0	$0	$0	$101,067	$0	$69,683	$0	$23,143	$0	$780,056	$0	$0	$0
MOSS MD ADYR A
PHYSICIAN	$585,125	$0	$0	$0	$99,012	$0	$63,710	$0	$32,142	$0	$779,989	$0	$0	$0
SADOSTY MD ANNIE T
DIR/CHAIR/REG VP-SEMN/FORMER OFFICER	$0	$548,283	$0	$0	$0	$139,352	$0	$61,515	$0	$28,970	$0	$778,120	$0	$0
TANER MD BURCIN C
DIRECTOR	$610,995	$0	$0	$0	$82,020	$0	$53,062	$0	$29,100	$0	$775,177	$0	$0	$0
LEIGHTON MD JONATHAN A
PHYSICIAN	$595,546	$0	$0	$0	$136,915	$0	$8,550	$0	$30,273	$0	$771,284	$0	$0	$0
BUSKIRK MD STEVEN J
DIRECTOR/VICE CHAIR	$599,731	$0	$0	$0	$113,325	$0	$11,400	$0	$25,796	$0	$750,252	$0	$0	$0
TING MD HENRY H
DIRECTOR	$586,163	$0	$0	$0	$74,929	$0	$58,776	$0	$22,910	$0	$742,778	$0	$0	$0
LEIBOVICH MD BRADLEY C
DIRECTOR	$0	$557,937	$0	$0	$0	$95,334	$0	$56,189	$0	$28,946	$0	$738,406	$0	$0
KENDRICK MD MICHAEL L
DIRECTOR	$0	$582,080	$0	$0	$0	$70,373	$0	$56,241	$0	$28,996	$0	$737,690	$0	$0
UY MD JONATHAN J
FORMER KEY EMPLOYEE	$548,483	$0	$0	$0	$101,551	$0	$52,838	$0	$27,689	$0	$730,561	$0	$0	$0
MORICE MD WILLIAM G
DIRECTOR	$0	$540,522	$0	$0	$0	$96,444	$0	$59,636	$0	$28,904	$0	$725,506	$0	$0
ANIL MD GOKHAN
DIRECTOR/VICE CHAIR	$587,944	$0	$0	$0	$51,756	$0	$48,786	$0	$30,450	$0	$718,936	$0	$0	$0
DOWDY MD SEAN C
DIRECTOR	$0	$554,787	$0	$0	$0	$74,363	$0	$52,659	$0	$30,920	$0	$712,729	$0	$0
CASLER MD JOHN D
DIRECTOR	$515,557	$0	$0	$0	$98,373	$0	$68,451	$0	$22,742	$0	$705,123	$0	$0	$0
CIMA MD ROBERT R
DIRECTOR/CHAIR	$0	$528,591	$0	$0	$0	$85,788	$0	$55,579	$0	$28,079	$0	$698,037	$0	$0
JOHNSON MD DANIEL J
FORMER KEY EMPLOYEE	$488,464	$0	$0	$0	$99,350	$0	$71,676	$0	$28,715	$0	$688,205	$0	$0	$0
WHITED MD BRIAN L
DIRECTOR/CHAIR	$0	$533,469	$0	$0	$0	$67,163	$0	$63,252	$0	$23,750	$0	$687,634	$0	$0
BRUCE MD CHARLES J
DIRECTOR	$543,098	$0	$0	$0	$97,976	$0	$6,959	$0	$34,516	$0	$682,549	$0	$0	$0
TRENTMAN MD TERRENCE L
PHYSICIAN	$495,379	$0	$0	$0	$88,569	$0	$66,984	$0	$29,838	$0	$680,770	$0	$0	$0
BAKKUM-GAMEZ MD JAMIE N
DIRECTOR	$0	$554,007	$0	$0	$0	$49,119	$0	$53,778	$0	$21,166	$0	$678,070	$0	$0
THIEL MD DAVID D
DIRECTOR	$553,129	$0	$0	$0	$48,165	$0	$47,118	$0	$28,910	$0	$677,322	$0	$0	$0
CHAPITAL MD ALYSSA B
DIRECTOR	$530,951	$0	$0	$0	$63,551	$0	$56,321	$0	$22,180	$0	$673,003	$0	$0	$0
KEENAN MD LAWRENCE R
DIRECTOR	$0	$513,750	$0	$0	$0	$73,302	$0	$50,153	$0	$31,783	$0	$668,988	$0	$0
ETZIONI MD DAVID A
PHYSICIAN	$536,301	$0	$0	$0	$48,837	$0	$53,936	$0	$29,026	$0	$668,100	$0	$0	$0
MUELLER MD JEFF T
FORMER KEY EMPLOYEE	$489,432	$0	$0	$0	$85,637	$0	$63,011	$0	$22,945	$0	$661,025	$0	$0	$0
BROWN MD MICHAEL J
DIRECTOR	$0	$482,753	$0	$0	$0	$84,281	$0	$56,477	$0	$31,445	$0	$654,956	$0	$0
ZIETLOW MD SCOTT P
DIRECTOR/CHAIR	$0	$515,994	$0	$0	$0	$92,433	$0	$9,430	$0	$26,162	$0	$644,019	$0	$0
BARTLETT MD BRIAN N
PHYSICIAN	$536,011	$0	$0	$0	$25,186	$0	$48,119	$0	$29,646	$0	$638,962	$0	$0	$0
MCLAUGHLIN MD SARAH A
DIRECTOR	$538,843	$0	$0	$0	$45,995	$0	$47,104	$0	$6,878	$0	$638,820	$0	$0	$0
ROGERS JAMES A
DIRECTOR/ASST SECY	$474,690	$0	$0	$0	$73,387	$0	$57,991	$0	$28,675	$0	$634,743	$0	$0	$0
PASCUAL MD JORGE M
DIRECTOR	$456,553	$0	$0	$0	$62,917	$0	$66,427	$0	$31,281	$0	$617,178	$0	$0	$0
RYAN MICHAEL J
FORMER KEY EMPLOYEE	$459,702	$0	$0	$0	$114,043	$0	$8,207	$0	$28,622	$0	$610,574	$0	$0	$0
NASSAR MD AZIZA
PHYSICIAN	$472,534	$0	$0	$0	$51,592	$0	$54,626	$0	$31,644	$0	$610,396	$0	$0	$0
DRONCA MD ROXANA S
DIRECTOR	$490,088	$0	$0	$0	$30,714	$0	$52,791	$0	$31,598	$0	$605,191	$0	$0	$0
KHOOR MD ANDRAS
FORMER KEY EMPLOYEE	$444,071	$0	$0	$0	$85,242	$0	$63,182	$0	$11,370	$0	$603,865	$0	$0	$0
FREDERICK RYANNON K
DIR/FORMER KEY EMPLOYEE	$490,489	$0	$0	$0	$40,744	$0	$43,505	$0	$27,470	$0	$602,208	$0	$0	$0
FRANCIS JAMES R
DIRECTOR/ASST TREASURER	$445,382	$0	$0	$0	$55,872	$0	$68,446	$0	$30,522	$0	$600,222	$0	$0	$0
TAZELAAR MD HENRY D
PHYSICIAN	$478,782	$0	$0	$0	$83,824	$0	$10,088	$0	$25,567	$0	$598,261	$0	$0	$0
KROSCH MD TARA C
PHYSICIAN	$500,775	$0	$0	$0	$18,286	$0	$51,177	$0	$23,776	$0	$594,014	$0	$0	$0
ABENSTEIN MD JOHN P
DIRECTOR	$0	$483,713	$0	$0	$0	$72,203	$0	$10,246	$0	$25,551	$0	$591,713	$0	$0
KRAHN MD LOIS E
DIRECTOR/VICE CHAIR	$409,375	$0	$0	$0	$72,280	$0	$73,888	$0	$32,117	$0	$587,660	$0	$0	$0
HELLMICH MD THOMAS R
DIRECTOR/CHAIR	$0	$446,021	$0	$0	$0	$35,825	$0	$66,460	$0	$23,627	$0	$571,933	$0	$0
KIM MD HYUN I
DIRECTOR/VICE CHAIR	$425,456	$0	$0	$0	$54,009	$0	$61,488	$0	$29,466	$0	$570,419	$0	$0	$0
CHO LAWRENCE H
COO - INTERNATIONAL	$501,385	$0	$0	$0	$19,427	$0	$47,478	$0	$1,582	$0	$569,872	$0	$0	$0
JOHNSON MD MARGARET M
DIRECTOR	$412,086	$0	$0	$0	$58,744	$0	$68,690	$0	$22,623	$0	$562,143	$0	$0	$0
LIMPER MD ANDREW H
DIRECTOR	$0	$446,286	$0	$0	$0	$76,362	$0	$10,436	$0	$27,655	$0	$560,739	$0	$0
ALBRIGHT JR DO ROBERT C
REGIONAL VP SEMN	$0	$404,942	$0	$15,000	$0	$45,735	$0	$62,347	$0	$28,442	$0	$556,466	$0	$0
CULLINAN MD SUSAN M
DIR/CHAIR/FORMER KEY EMPLOYEE	$428,172	$0	$0	$0	$27,873	$0	$63,190	$0	$36,666	$0	$555,901	$0	$0	$0
GOYAL MD DEEPI G
DIRECTOR	$0	$429,802	$0	$0	$0	$55,579	$0	$59,799	$0	$6,549	$0	$551,729	$0	$0
DEWITT MD JASON J
FORMER KEY EMPLOYEE	$459,937	$0	$0	$0	$18,292	$0	$50,437	$0	$22,999	$0	$551,665	$0	$0	$0
KELLEY SHARON M
CFO MCHS	$435,960	$0	$0	$0	$25,275	$0	$56,605	$0	$21,359	$0	$539,199	$0	$0	$0
SANTRACH MD PAULA J
DIRECTOR/VICE CHAIR	$0	$427,426	$0	$0	$0	$89,492	$0	$6,672	$0	$11,655	$0	$535,245	$0	$0
NARR MD BRADLY J
DIRECTOR	$0	$385,845	$0	$0	$0	$112,236	$0	$8,568	$0	$25,357	$0	$532,006	$0	$0
BUNKERS MD BRIAN E
DIRECTOR/VICE CHAIR	$409,612	$0	$0	$0	$29,052	$0	$63,098	$0	$28,790	$0	$530,552	$0	$0	$0
PECK MD ROBERT C
DIRECTOR	$404,898	$0	$0	$0	$29,697	$0	$65,604	$0	$19,780	$0	$519,979	$0	$0	$0
MCNEILL STEVEN L
CHIEF PLANNING OFFICER	$418,100	$0	$0	$0	$60,152	$0	$9,358	$0	$27,969	$0	$515,579	$0	$0	$0
SILVERS MD SCOTT M
PHYSICIAN	$383,262	$0	$0	$0	$43,849	$0	$51,117	$0	$36,143	$0	$514,371	$0	$0	$0
RIGDON ALICE W
DIRECTOR/TREASURER	$417,201	$0	$50,000	$0	$22,288	$0	$5,096	$0	$10,801	$0	$505,386	$0	$0	$0
COSTAKOS MD DENNIS T
DIRECTOR	$374,287	$0	$0	$0	$36,473	$0	$67,134	$0	$18,408	$0	$496,302	$0	$0	$0
MCALPINE MD DAVID A
DIRECTOR	$387,898	$0	$0	$0	$38,878	$0	$43,982	$0	$24,218	$0	$494,976	$0	$0	$0
HORST ADAM M
DIRECTOR	$363,030	$0	$50,000	$0	$46,686	$0	$1,667	$0	$22,904	$0	$484,287	$0	$0	$0
SOUSOU MD COSTA H
PHYSICIAN	$366,479	$0	$0	$0	$23,297	$0	$62,305	$0	$31,311	$0	$483,392	$0	$0	$0
HORVATH MD PAUL R
PHYSICIAN	$382,667	$0	$0	$0	$13,110	$0	$49,220	$0	$37,637	$0	$482,634	$0	$0	$0
URUMOV MD ANDREJ
PHYSICIAN	$397,623	$0	$0	$0	$12,895	$0	$51,190	$0	$20,913	$0	$482,621	$0	$0	$0
OTTE KIMBERLY K
ASST SECY	$357,098	$0	$0	$0	$36,888	$0	$58,137	$0	$28,316	$0	$480,439	$0	$0	$0
PRESUTTI DO RICHARD J
FORMER KEY EMPLOYEE	$306,678	$0	$0	$0	$79,616	$0	$61,251	$0	$30,292	$0	$477,837	$0	$0	$0
SEINOLA SCOTT A
DIR/CEO/PRES/CHAIR/DIV CHAIR	$391,194	$0	$0	$0	$53,960	$0	$9,812	$0	$22,628	$0	$477,594	$0	$0	$0
FAUBION MD STEPHANIE S
DIRECTOR	$234,364	$113,161	$0	$0	$44,100	$6,602	$1,934	$61,759	$6,751	$4,699	$287,149	$186,221	$0	$0
DEXTER MD DONN D
PHYSICIAN	$360,307	$0	$0	$0	$23,523	$0	$63,364	$0	$24,412	$0	$471,606	$0	$0	$0
MESCHIA MD JAMES F
FORMER KEY EMPLOYEE	$344,342	$0	$0	$0	$27,392	$0	$61,699	$0	$29,558	$0	$462,991	$0	$0	$0
YOUNG MD TIMOTHY J
PHYSICIAN	$342,264	$0	$0	$0	$13,994	$0	$56,373	$0	$43,047	$0	$455,678	$0	$0	$0
KRIEN MD JOSEPH S
PHYSICIAN	$344,007	$0	$0	$0	$26,245	$0	$56,619	$0	$27,358	$0	$454,229	$0	$0	$0
MORREY MICHAEL A
DIR/REG CHAIR-ADMIN SWWI/FORMER OFFI	$0	$340,711	$0	$0	$0	$26,435	$0	$57,433	$0	$29,302	$0	$453,881	$0	$0
NOE MD KATHERINE H
DIRECTOR	$350,195	$0	$0	$0	$18,314	$0	$55,952	$0	$26,602	$0	$451,063	$0	$0	$0
EZENAGU MD LEONARD C
DIRECTOR/SECY	$338,742	$0	$0	$0	$21,818	$0	$63,910	$0	$25,628	$0	$450,098	$0	$0	$0
LITCHY MD WILLIAM J
FORMER OFFICER	$0	$328,940	$0	$0	$0	$65,780	$0	$29,293	$0	$25,059	$0	$449,072	$0	$0
SHERRILL TODD E
TREAS/FORMER OFFICER	$338,454	$0	$0	$0	$14,142	$0	$72,811	$0	$22,625	$0	$448,032	$0	$0	$0
PIGNOLO MD PHD ROBERT J
DIRECTOR/VICE CHAIR	$0	$336,743	$0	$0	$0	$13,310	$0	$62,238	$0	$30,950	$0	$443,241	$0	$0
CRANE MD SARAH J
DIRECTOR	$0	$337,177	$0	$0	$0	$20,284	$0	$51,493	$0	$26,579	$0	$435,533	$0	$0
YUN MD BLENDA
PHYSICIAN	$345,600	$0	$0	$0	$9,556	$0	$52,280	$0	$28,061	$0	$435,497	$0	$0	$0
HOLTAN DOUGLAS J
DIRECTOR	$0	$362,578	$0	$0	$0	$34,616	$0	$203	$0	$31,109	$0	$428,506	$0	$0
KNUDSON STEVE L
DIRECTOR	$355,408	$0	$0	$0	$31,695	$0	$8,098	$0	$23,986	$0	$419,187	$0	$0	$0
CHUKWUDELUNZU SR MD FELIX E
PHYSICIAN	$313,787	$0	$0	$0	$13,727	$0	$65,251	$0	$25,941	$0	$418,706	$0	$0	$0
SIMPSON MD HENRY J
PHYSICIAN	$322,119	$0	$0	$0	$15,936	$0	$63,445	$0	$16,924	$0	$418,424	$0	$0	$0
HIRISAVE KRISHNA MD BIPINCHANDRA
PHYSICIAN	$327,530	$0	$0	$0	$8,745	$0	$48,805	$0	$30,541	$0	$415,621	$0	$0	$0
WEBER JOAN A
DIRECTOR	$155,030	$0	$0	$0	$246,175	$0	$4,532	$0	$9,308	$0	$415,045	$0	$0	$0
CAVINESS MD JOHN N
DIRECTOR	$347,030	$0	$0	$0	$29,478	$0	$5,959	$0	$31,885	$0	$414,352	$0	$0	$0
GADE CHRIS W
CHIEF PUBLIC AFFAIRS OFFICER	$340,990	$0	$0	$0	$34,520	$0	$9,526	$0	$27,770	$0	$412,806	$0	$0	$0
FOSS MD RANDY M
DIRECTOR/VICE CHAIR	$326,998	$0	$0	$0	$8,131	$0	$42,296	$0	$34,294	$0	$411,719	$0	$0	$0
HERRMANN MD MARTIN J
DIRECTOR	$310,358	$0	$0	$0	$13,899	$0	$57,231	$0	$28,244	$0	$409,732	$0	$0	$0
LANGBEHN DO JENNIFER M
DIRECTOR	$312,440	$0	$0	$0	$10,616	$0	$59,004	$0	$26,946	$0	$409,006	$0	$0	$0
DIETER HEIDI L
DIRECTOR	$0	$332,576	$0	$0	$0	$12,982	$0	$51,277	$0	$10,436	$0	$407,271	$0	$0
AGERTER MD DAVID C
FORMER OFFICER	$0	$288,539	$0	$0	$0	$86,526	$0	$8,625	$0	$22,379	$0	$406,069	$0	$0
MERFELD MD JOHN
PHYSICIAN	$306,603	$0	$0	$0	$15,161	$0	$54,303	$0	$28,247	$0	$404,314	$0	$0	$0
CONNOLLY TERESA L
DIRECTOR	$224,595	$85,813	$0	$0	$5,288	$307	$61,952	$1,884	$15,770	$6,503	$307,605	$94,507	$0	$0
HUBERT SHERRY L
ASST SECY	$289,640	$0	$0	$0	$11,326	$0	$68,877	$0	$30,816	$0	$400,659	$0	$0	$0
BRANDT TERRY L
DIR/SECY/REG CHAIR-ADMIN SWMN	$0	$342,691	$0	$0	$0	$27,515	$0	$7,859	$0	$22,402	$0	$400,467	$0	$0
MYHRE MD KAREN K
DIRECTOR/VICE CHAIR	$300,593	$0	$0	$0	$7,764	$0	$53,314	$0	$38,246	$0	$399,917	$0	$0	$0
HORECKI MD RICHARD J
PHYSICIAN	$302,865	$0	$0	$0	$12,376	$0	$62,932	$0	$20,877	$0	$399,050	$0	$0	$0
KOWAL DO GERALD K
PHYSICIAN	$300,067	$0	$0	$0	$11,417	$0	$67,097	$0	$20,416	$0	$398,997	$0	$0	$0
KORDUCKI MD JANE M
PHYSICIAN	$288,989	$0	$0	$0	$12,753	$0	$67,146	$0	$28,068	$0	$396,956	$0	$0	$0
ACKERMAN FRANKLIN K
DIR/ASSOCIATE ADMIN	$296,210	$0	$0	$0	$12,768	$0	$58,813	$0	$28,095	$0	$395,886	$0	$0	$0
MORRIS MD MARIE E
DIRECTOR/CHAIR	$292,481	$0	$0	$0	$14,112	$0	$65,222	$0	$23,729	$0	$395,544	$0	$0	$0
VIRAMONTES ALLISON L
DIRECTOR/TREASURER	$283,399	$0	$50,000	$0	$42,824	$0	$0	$0	$19,238	$0	$395,461	$0	$0	$0
POWELL III MD RALPH
DIRECTOR	$298,739	$0	$0	$0	$17,514	$0	$47,827	$0	$30,437	$0	$394,517	$0	$0	$0
FITZGERALD MD KEVIN
PHYSICIAN	$301,193	$0	$0	$0	$13,319	$0	$54,634	$0	$25,147	$0	$394,293	$0	$0	$0
MATHEWS HILARY G
FORMER OFFICER	$0	$328,197	$0	$0	$0	$26,124	$0	$8,035	$0	$29,910	$0	$392,266	$0	$0
STEVENS MD MARK K
FORMER KEY EMPLOYEE	$168,223	$0	$0	$0	$150,246	$0	$0	$0	$4	$0	$318,473	$0	$73,500	$0
MOLLING DO PAUL E
DIR/VICE CHAIR/VP MCHS - FMC	$297,675	$0	$0	$0	$11,667	$0	$51,965	$0	$28,847	$0	$390,154	$0	$0	$0
BLAIR MD DAVID
FORMER OFFICER	$286,739	$0	$0	$0	$5,800	$0	$56,750	$0	$40,436	$0	$389,725	$0	$0	$0
LINDAHL ROGER A
DIR/ASST SECY/ASST TREAS	$280,600	$0	$0	$0	$16,480	$0	$65,965	$0	$24,667	$0	$387,712	$0	$0	$0
LENHART MD JILL
PHYSICIAN	$278,931	$0	$0	$0	$10,037	$0	$59,962	$0	$36,044	$0	$384,974	$0	$0	$0
ROBELIA MD PAUL M
DIRECTOR	$0	$288,679	$0	$0	$0	$9,005	$0	$54,159	$0	$30,499	$0	$382,342	$0	$0
GREEN MD JEFFREY P
FORMER OFFICER	$285,249	$0	$0	$0	$7,772	$0	$57,534	$0	$30,640	$0	$381,195	$0	$0	$0
HOLMES TINA E
CHIEF OF STAFF	$288,952	$0	$0	$0	$11,454	$0	$47,855	$0	$30,982	$0	$379,243	$0	$0	$0
GOYAL MANEESH
COO-MAYO CLINIC PLATFORM	$328,128	$0	$0	$0	$5,834	$0	$14,764	$0	$29,099	$0	$377,825	$0	$0	$0
CRAIG JASON E
REGIONAL CHAIR-ADMIN NWWI	$300,620	$0	$0	$0	$5,052	$0	$41,598	$0	$23,045	$0	$370,315	$0	$0	$0
MEYERS ANN M
DIR/FORMER OFFICER	$0	$316,132	$0	$0	$0	$18,606	$0	$8,082	$0	$23,221	$0	$366,041	$0	$0
GOLDMAN DANIEL S
ASST SECY	$270,832	$0	$0	$0	$16,293	$0	$49,198	$0	$28,062	$0	$364,385	$0	$0	$0
LOCKETT KEVIN M
DIRECTOR/TREASURER	$264,216	$0	$0	$0	$5,322	$0	$60,513	$0	$28,913	$0	$358,964	$0	$0	$0
MONEY MD SAMUEL R
FORMER KEY EMPLOYEE	$188,394	$0	$0	$0	$96,956	$0	$63,805	$0	$8,370	$0	$357,525	$0	$0	$0
JELINEK DIANE F
DIRECTOR	$312,923	$0	$0	$0	$28,523	$0	$4,169	$0	$10,442	$0	$356,057	$0	$0	$0
SKAAR MD PHILLIP J
DIRECTOR	$262,588	$0	$0	$0	$4,260	$0	$49,997	$0	$38,118	$0	$354,963	$0	$0	$0
NORBY MARK L
FORMER KEY EMPLOYEE	$276,445	$0	$0	$0	$5,221	$0	$52,512	$0	$13,393	$0	$347,571	$0	$0	$0
BERG DAVID W
ADMIN - MCHS SEMN	$256,735	$0	$0	$0	$9,715	$0	$58,336	$0	$21,105	$0	$345,891	$0	$0	$0
MEKALA PRAVEEN
TREAS/ASST TREAS/CFO MN	$231,922	$57,692	$15,000	$0	$19,670	$0	$2,400	$0	$17,776	$0	$286,768	$57,692	$0	$0
CROCKETT ERIC D
DIR/SECY/REG CHAIR-ADMIN SEMN	$0	$260,766	$0	$0	$0	$5,064	$0	$48,244	$0	$29,027	$0	$343,101	$0	$0
GLENN SEAN W
DIRECTOR/ASST SECY	$258,951	$0	$0	$0	$5,413	$0	$49,131	$0	$29,021	$0	$342,516	$0	$0	$0
POE JOHN D
DIRECTOR	$0	$261,254	$0	$0	$0	$5,320	$0	$53,718	$0	$20,919	$0	$341,211	$0	$0
ADLEMAN BREEANN M
DIRECTOR/ASST SECY	$255,945	$0	$0	$0	$5,105	$0	$45,947	$0	$33,229	$0	$340,226	$0	$0	$0
WHITE PAMELA K
CHIEF NURSING OFFICER	$243,933	$0	$0	$0	$9,317	$0	$63,954	$0	$22,256	$0	$339,460	$0	$0	$0
THIEMANN KAY M
FORMER KEY EMPLOYEE	$0	$265,284	$0	$0	$0	$36,418	$0	$5,701	$0	$30,335	$0	$337,738	$0	$0
TIGGELAAR THOMAS H
FORMER OFFICER	$256,946	$0	$0	$0	$5,936	$0	$63,027	$0	$10,347	$0	$336,256	$0	$0	$0
LINDBERG STEVEN J
DIR/VICE PRES/SECY/FORMER OFFICER	$250,133	$0	$0	$0	$9,666	$0	$54,308	$0	$21,915	$0	$336,022	$0	$0	$0
MURPHY MARIALENA
ASSOC ADMIN	$258,699	$0	$0	$0	$4,899	$0	$47,447	$0	$24,846	$0	$335,891	$0	$0	$0
DILLON KEVIN R
FORMER KEY EMPLOYEE	$0	$251,760	$0	$0	$0	$5,857	$0	$56,395	$0	$20,901	$0	$334,913	$0	$0
NORDRUM CHARLOTTE J
FORMER OFFICER	$246,987	$0	$0	$0	$4,765	$0	$54,039	$0	$28,833	$0	$334,624	$0	$0	$0
GROSS TERA L
DIRECTOR	$218,822	$0	$8,000	$0	$58,332	$0	$24,804	$0	$23,711	$0	$333,669	$0	$0	$0
HOLTZ MD CAROL P
FORMER OFFICER	$0	$262,272	$0	$0	$0	$6,209	$0	$53,150	$0	$6,013	$0	$327,644	$0	$0
GALINDEZ JR PETER
ASST SECY/FORMER OFFICER	$237,340	$0	$0	$0	$4,326	$0	$50,697	$0	$27,924	$0	$320,287	$0	$0	$0
GRENISEN MD MARGARET M
PHYSICIAN	$225,655	$0	$0	$0	$12,726	$0	$56,580	$0	$23,746	$0	$318,707	$0	$0	$0
GABRIELSON SHARON R
FORMER OFFICER	$178,878	$0	$0	$0	$64,123	$0	$61,721	$0	$13,498	$0	$318,220	$0	$0	$0
HANSEN JULIE S
DIRECTOR/TREASURER/CFO WI	$275,706	$0	$0	$0	$5,521	$0	$7,203	$0	$28,476	$0	$316,906	$0	$0	$0
THORESON SCOTT D
DIR/FORMER KEY EMPLOYEE	$77,804	$0	$0	$0	$182,952	$0	$46,552	$0	$9,036	$0	$316,344	$0	$0	$0
DEGEN SUSANNE C
FORMER KEY EMPLOYEE	$237,545	$0	$0	$0	$13,638	$0	$50,415	$0	$14,361	$0	$315,959	$0	$0	$0
ROTTY BRIAN W
FORMER KEY EMPLOYEE	$0	$234,568	$0	$0	$0	$4,770	$0	$39,101	$0	$27,901	$0	$306,340	$0	$0
PARKS DOUGLAS A
FORMER OFFICER	$0	$263,951	$0	$0	$0	$6,701	$0	$4,736	$0	$30,224	$0	$305,612	$0	$0
MELVIN KEVIN B
ASST SECY	$0	$221,873	$0	$0	$0	$5,488	$0	$43,744	$0	$33,813	$0	$304,918	$0	$0
BYRD MD JANE D
DIRECTOR/VICE CHAIR	$212,460	$0	$0	$0	$5,235	$0	$60,140	$0	$26,738	$0	$304,573	$0	$0	$0
BROWN MICHAEL E
FORMER OFFICER	$215,293	$0	$0	$0	$15,373	$0	$56,776	$0	$10,149	$0	$297,591	$0	$0	$0
TRAUB MD STEPHEN J
FORMER KEY EMPLOYEE	$199,159	$0	$0	$0	$23,339	$0	$53,092	$0	$15,720	$0	$291,310	$0	$0	$0
HANSON VICTORIA M
VICE CHAIR-ADMINISTRATION	$218,579	$0	$0	$0	$4,558	$0	$41,489	$0	$24,849	$0	$289,475	$0	$0	$0
LEBRASSEUR NATHAN K
DIRECTOR	$0	$214,518	$0	$0	$0	$3,646	$0	$38,426	$0	$27,859	$0	$284,449	$0	$0
CAPLAN SHERRY M
VICE CHAIR-ADMINISTRATION	$220,762	$0	$0	$0	$4,584	$0	$30,258	$0	$20,159	$0	$275,763	$0	$0	$0
FALLER MD ANNETTE
PHYSICIAN	$222,751	$0	$0	$0	$3,872	$0	$47,964	$0	$712	$0	$275,299	$0	$0	$0
BROWN WILLIAM A
ASST TREASURER	$236,808	$0	$0	$0	$7,753	$0	$5,118	$0	$24,788	$0	$274,467	$0	$0	$0
JOHNSON RYAN R
DIRECTOR	$0	$212,350	$0	$0	$0	$4,155	$0	$28,196	$0	$27,852	$0	$272,553	$0	$0
GUDGELL STEPHEN F
TREASURER/SECY	$0	$236,062	$0	$0	$0	$6,166	$0	$6,076	$0	$23,271	$0	$271,575	$0	$0
COGNETTA-RIEKE CHERISTI M
CHIEF NURSING OFFICER	$123,135	$76,053	$0	$0	$18,651	$258	$479	$27,332	$14,740	$10,522	$157,005	$114,165	$0	$0
MARTIN DAVID L
FORMER KEY EMPLOYEE	$204,021	$0	$0	$0	$3,759	$0	$40,125	$0	$22,624	$0	$270,529	$0	$0	$0
HANSEN GAYLE B
FORMER KEY EMPLOYEE	$160,790	$0	$0	$0	$33,526	$0	$61,459	$0	$14,115	$0	$269,890	$0	$0	$0
DAVIS AMY L
SECRETARY	$199,345	$0	$0	$0	$3,658	$0	$36,424	$0	$28,658	$0	$268,085	$0	$0	$0
EBERLE MICHELE R
FORMER KEY EMPLOYEE	$211,605	$0	$0	$0	$4,845	$0	$40,168	$0	$11,014	$0	$267,632	$0	$0	$0
EIDE DEAN B
DIR/FORMER KEY EMPLOYEE	$215,774	$0	$0	$0	$5,038	$0	$41,928	$0	$3,681	$0	$266,421	$0	$0	$0
SLEGH KERI A
FORMER KEY EMPLOYEE	$191,185	$0	$0	$0	$3,992	$0	$40,219	$0	$29,298	$0	$264,694	$0	$0	$0
JOHNSON CARLA J
ASST SECY	$183,869	$0	$25,000	$0	$3,886	$0	$33,348	$0	$18,465	$0	$264,568	$0	$0	$0
MATTHIAS MARK A
FORMER OFFICER	$173,484	$0	$0	$0	$4,058	$0	$61,201	$0	$21,228	$0	$259,971	$0	$0	$0
FROISLAND JEFFREY R
DIR/TREAS/FORMER OFFICER	$218,339	$0	$0	$0	$18,410	$0	$8,295	$0	$12,450	$0	$257,494	$0	$0	$0
SANDGREN KENT A
DIRECTOR	$0	$220,891	$0	$0	$0	$6,667	$0	$5,657	$0	$22,020	$0	$255,235	$0	$0
DRUCKER PAUL E
DIRECTOR/VICE PRESIDENT	$0	$173,074	$0	$0	$0	$11,258	$0	$33,445	$0	$31,098	$0	$248,875	$0	$0
MCCONNELL LISA A
DIRECTOR	$187,854	$0	$0	$0	$5,853	$0	$27,083	$0	$23,103	$0	$243,893	$0	$0	$0
DALBELLO JR ALBERT
DIRECTOR/SECRETARY	$0	$174,232	$0	$0	$0	$4,772	$0	$35,551	$0	$27,733	$0	$242,288	$0	$0
LOHKAMP CHRISTIE A
ASST TREASURER	$183,789	$0	$0	$0	$15,649	$0	$1,109	$0	$40,196	$0	$240,743	$0	$0	$0
LONG AMY K
DIRECTOR	$173,859	$0	$0	$0	$3,394	$0	$23,865	$0	$22,707	$0	$223,825	$0	$0	$0
ENQUIST MARK A
DIR/SECY/TREASURER	$0	$190,099	$0	$0	$0	$5,066	$0	$4,889	$0	$21,923	$0	$221,977	$0	$0
WILKER MD CAROLINE G
PHYSICIAN	$181,826	$0	$0	$0	$3,047	$0	$33,796	$0	$1,649	$0	$220,318	$0	$0	$0
LANZ APRIL D
VICE CHAIR-ADMINISTRATION	$166,137	$0	$0	$0	$3,439	$0	$24,769	$0	$25,250	$0	$219,595	$0	$0	$0
KUEHL MD MARY J
DIRECTOR	$143,491	$0	$0	$0	$2,887	$0	$36,837	$0	$34,726	$0	$217,941	$0	$0	$0
RUSTAD CHRISTOPHER D
DIR/SECY/TREASURER	$0	$172,698	$0	$0	$0	$4,171	$0	$4,595	$0	$28,711	$0	$210,175	$0	$0
LANZEL TRICIA G
DIRECTOR/CHAIR	$139,903	$0	$0	$0	$3,602	$0	$23,398	$0	$27,630	$0	$194,533	$0	$0	$0
EVENSON LAURA K
DIRECTOR	$144,960	$0	$0	$0	$5,041	$0	$10,010	$0	$29,182	$0	$189,193	$0	$0	$0
JOHNSON KIRBY A
FORMER KEY EMPLOYEE	$94,892	$0	$0	$0	$55,659	$0	$23,330	$0	$13,378	$0	$187,259	$0	$0	$0
NESSE MD ROBERT E
FORMER KEY EMPLOYEE	$25,529	$0	$0	$0	$149,164	$0	$1,032	$0	$0	$0	$175,725	$0	$0	$0
FENNELL THOMAS J
ASST SECY	$121,602	$0	$0	$0	$13,172	$0	$21,615	$0	$16,554	$0	$172,943	$0	$0	$0
FEHMI RASHID A
TREASURER	$116,171	$0	$0	$0	$14,305	$0	$14,117	$0	$17,965	$0	$162,558	$0	$0	$0
KRUMM TARA L
DIRECTOR	$110,167	$0	$0	$0	$8,345	$0	$18,207	$0	$24,651	$0	$161,370	$0	$0	$0
FISCHER DEBORAH R
FORMER KEY EMPLOYEE	$62,821	$0	$0	$0	$41,583	$0	$2,803	$0	$8,529	$0	$115,736	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	IN 2020, JEFFREY W. BOLTON, TERESA L. CONNOLLY, DENNIS E. DAHLEN, ROXANA S. DRONCA M.D., GIANRICO FARRUGIA M.D., TINA E. HOLMES, WILLIAM M. STONE M.D. AND HENRY H. TING M.D. WERE PROVIDED BUSINESS/FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. BUSINESS/FIRST-CLASS AND CHARTER TRAVEL IS AVAILABLE BASED ON DEMONSTRATED BUSINESS NEED AND NOT BASED ON POSITION OR TO ANY SPECIFIC INDIVIDUALS. IN ADDITION TO ALL REGULAR TRAVEL APPROVAL AND DOCUMENTATION PROCESSES, BUSINESS/FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY TRIP ACCOUNTING MANAGER AS DELEGATED BY THE MAYO CLINIC TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES AND EX-OFFICIOS SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN 2020, JEFFREY W. BOLTON, STEVEN J. BUSKIRK, DENNIS E. DAHLEN, GIANRICO FARRUGIA, RICHARD J. GRAY, TINA E. HOLMES AND KENT R. THIELEN RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. REIMBURSEMENT MAY INCLUDE TRAVEL FOR COMPANIONS. IN 2020, ONE OR MORE LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE HAVE THEIR COMPENSATION GROSSED UP IN THE FORM OF A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED AS A RESULT OF HAVING TO WORK IN A DIFFERENT STATE. IN 2020, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER TO NOT DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. ONE OR MORE LISTED PERSONS RECEIVED AN AWARD, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. MICHAEL J. RYAN RELOCATED TO ABU DHABI, UAE AS PART OF HIS INTERNATIONAL POSITION AND IS PROVIDED AN ANNUAL STIPEND. THIS AMOUNT WAS TAXABLE TO THE EMPLOYEE AND GROSSED UP. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2020, RYANNON K. FREDERICK AND TERA L. GROSS RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME AND GROSSED UP. SEVEN LISTED PERSONS RECEIVED SUBSIDIZED EMPLOYEE MEMBERSHIPS TO THE YMCA AND SIMILAR HEALTH/FITNESS FACILITIES. SUCH SUBSIDIES ARE AVAILABLE TO SOME EMPLOYEES AS A BENEFIT AND ARE TREATED AS TAXABLE INCOME. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. ONE OR MORE LISTED PERSONS RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS.
PART I, LINE 3	THE SUBORDINATES WITHIN THIS GROUP FILING 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.
PART I, LINES 4A-C	IN CONJUNCTION WITH SEPARATION OF EMPLOYMENT, JOAN A. WEBER RECEIVED SEVERANCE OF $182,873 AND A HEALTH CARE SUPPLEMENT OF $7,176. BOTH AMOUNTS ARE TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). LEGAL FEES WERE PAID TO THE EMPLOYEE'S ATTORNEY AND REPORTED ON A 1099. SHARON R. GABRIELSON RECEIVED SEVERANCE OF $26,338. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). LEGAL FEES WERE PAID TO THE EMPLOYEE'S ATTORNEY AND REPORTED ON A 1099. SCOTT D. THORESON RECEIVED SEVERANCE OF $125,908. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). THIS AMOUNT WAS GROSSED UP FOR FICA TAXES THAT RESULTED FROM BEING PAID BY TWO MAYO ORGANIZATIONS. KIRBY A. JOHNSON RECEIVED SEVERANCE OF $42,677. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINE 4B	THE SUBORDINATES WITHIN THIS GROUP FILING HAVE 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 PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ABENSTEIN M.D., JOHN P. $60,200 ACKERMAN, FRANKLIN K. $5,607 AGERTER M.D., DAVID C. $30,509 ALBRIGHT JR., D.O., ROBERT C. $34,952 ANDREWS M.D., PAUL E. $96,163 ANIL M.D., GOKHAN $42,688 BAKKUM-GAMEZ, M.D., JAMIE N. $39,181 BARTLETT M.D., BRIAN N. $15,887 BENDOK M.D., BERNARD R. $87,580 BLAIR M.D., DAVID $638 BOLTON, JEFFREY W. $298,130 BRANDT, TERRY L. $19,119 BROWN M.D., MICHAEL J. $63,560 BRUCE M.D., CHARLES J. $85,185 BUNKERS M.D., BRIAN E. $21,136 BUSKIRK M.D., STEVEN J. $95,216 CASLER M.D., JOHN D. $71,818 CAVINESS M.D., JOHN N. $21,596 CHAPITAL M.D., ALYSSA B. $54,166 CHO, LAWRENCE H. $4,269 CHONG M.D., BRIAN W. $104,230 CHUKWUDELUNZU SR., M.D., FELIX E. $6,491 CIMA M.D., ROBERT R. $69,981 CIOTA M.D., MARK R. $83,177 CONNOLLY, TERESA L. $0 COOPER M.D., LESLIE T. $97,499 COSTAKOS M.D., DENNIS T. $28,060 CRAIG, JASON E. $0 CRANE M.D., SARAH J. $9,442 CROSS III M.D., WILLIAM W. $61,245 CULLINAN M.D., SUSAN M. $20,559 DAHLEN, DENNIS E. $123,517 DECKER MBBCH, GUSTAV A. $12,480 DEEN JR., M.D., HUGH G. $200,211 DEVAULT M.D., KENNETH R. $106,535 DEWITT M.D., JASON J. $10,608 DEXTER M.D., DONN D. $13,548 DIETER, HEIDI L. $0 DOUGLAS M.D., DAVID D. $93,935 DOWDY M.D., SEAN C. $61,100 DRONCA M.D., ROXANA S. $22,048 ETZIONI M.D., DAVID A. $37,490 EZENAGU M.D., LEONARD C. $14,277 FARRUGIA M.D., GIANRICO $539,974 FAUBION M.D., STEPHANIE S. $4,673 FITZGERALD M.D., KEVIN $8,124 FONSECA M.D., RAFAEL $81,194 FOSS M.D., RANDY M. $2,771 FRANCIS, JAMES R. $45,768 FRASER, CATHRYN H. $49,950 FREDERICK, RYANNON K. $0 FROISLAND, JEFFREY R. $12,238 GABRIELSON, SHARON R. $9,406 GADE, CHRIS W. $22,229 GILLIGAN, SHERRI W. $31,201 GOLDMAN, DANIEL S. $0 GORES M.D., GREGORY J. $190,038 GORMAN, PAUL A. $98,574 GOSTOUT M.D., BOBBIE S. $331,443 GOYAL M.D., DEEPI G. $43,918 GOYAL, MANEESH $378 GRAY M.D., RICHARD J. $172,924 GREEN M.D., JEFFREY P. $2,874 GRENISEN M.D., MARGARET M. $7,703 HAKAIM M.D., ALBERT G. $87,741 HALAMKA M.D., JOHN D. $0 HARA M.D., AMY K. $84,456 HARPER JR., M.D., CHARLES M. $263,668 HEBL M.D., JAMES R. $112,146 HELLMICH M.D., THOMAS R. $25,955 HELMERS M.D., RICHARD A. $105,840 HERRMANN M.D., MARTIN J. $8,335 HIRISAVE KRISHNA M.D., BIPINCHANDRA $3,176 HOFFMAN III, HARRY N. $130,740 HOLMES, TINA E. $966 HOLTAN, DOUGLAS J. $23,780 HOLTZ M.D., CAROL P. $1,282 HORECKI M.D., RICHARD J. $5,298 HORST, ADAM M. $0 HORVATH M.D., PAUL R. $6,879 HUBERT, SHERRY L. $6,224 JELINEK, DIANE F. $11,454 JOHNSON M.D., DANIEL J. $74,461 JOHNSON M.D., MARGARET M. $42,425 KEENAN M.D., LAWRENCE R. $63,580 KELLEY, SHARON M. $14,791 KENDRICK M.D., MICHAEL L. $53,116 KHOOR M.D., ANDRAS $57,777 KIM M.D., HYUN I. $44,311 KNUDSON, STEVE L. $23,148 KORDUCKI M.D., JANE M. $6,102 KOWAL D.O., GERALD K. $4,763 KRAHN M.D., LOIS E. $43,512 KRIEN M.D., JOSEPH S. $20,569 KROSCH M.D., TARA C. $9,725 LANGBEHN D.O., JENNIFER M. $5,279 LEIBOVICH M.D., BRADLEY C. $81,183 LEIGHTON M.D., JONATHAN A. $100,935 LENHART M.D., JILL $4,448 LIMPER M.D., ANDREW H. $51,912 LINDAHL, ROGER A. $6,944 LITCHY M.D., WILLIAM J. $21,596 LYONS M.D., MARK K. $206,545
PART I, LINE 4B CONTINUED	MATHEWS, HILARY G. $16,455 MCALPINE M.D., DAVID A. $14,651 MCKINNEY M.D., J. MARK $58,001 MCLAUGHLIN M.D., SARAH A. $36,811 MCNEILL, STEVEN L. $45,540 MEKALA, PRAVEEN $0 MENKOSKY, PAULA E. $127,314 MERFELD M.D., JOHN $9,604 MESCHIA M.D., JAMES F. $20,196 MEYER M.D., FREDRIC B. $222,688 MEYERS, ANN M. $11,879 MOLLING D.O., PAUL E. $6,471 MONEY M.D., SAMUEL R. $82,946 MORICE M.D., WILLIAM G. $77,298 MORREY, MICHAEL A. $20,310 MORRIS M.D., MARIE E. $7,662 MOSS M.D., ADYR A. $88,308 MUELLER M.D., JEFF T. $68,600 MUELLER M.D., PAUL S. $91,892 MURPHY, JOSHUA B. $179,399 MYHRE M.D., KAREN K. $3,025 NARR M.D., BRADLY J. $64,466 NASSAR M.D., AZIZA $42,643 NESSE M.D., ROBERT E. $138,743 NOE M.D., KATHERINE H. $12,118 NOLTE D.O., CHARLES P. $92,462 NOTTMEIER M.D., ERIC W. $123,884 ORTIZ M.D., JOSE A. $67,381 OTLEY M.D., CLARK C. $149,944 OTTE, KIMBERLY K. $24,224 PASCUAL M.D., JORGE M. $51,912 PATEL M.B., TUSHAR C. $55,572 PEARSON M.D., SUSAN E. $55,263 PECK M.D., ROBERT C. $20,450 PETERSON M.D., JEFFREY J. $79,311 PICHELMANN M.D., MARK A. $117,186 PIGNOLO M.D., PH.D., ROBERT J. $6,572 POWELL III M.D., RALPH $12,347 PRESUTTI D.O., RICHARD J. $28,729 QUINONES-HINOJOSA M.D., ALFREDO $94,389 RADEMACHER M.D., DANA E. $121,351 RIGDON, ALICE W. $0 RIHAL M.D., CHARANJIT S. $111,499 ROBELIA M.D., PAUL M. $3,611 ROGERS, JAMES A. $55,722 ROSS, CHRISTOPHER J. $65,032 RYAN, MICHAEL J. $50,041 SADOSTY M.D., ANNIE T. $102,350 SANTRACH M.D., PAULA J. $50,200 SEINOLA, SCOTT A. $38,660 SHARMA M.B.B.S., MANISH S. $58,787 SHERRILL, TODD E. $7,362 SILVERS M.D., SCOTT M. $26,848 SIMPSON M.D., HENRY J. $7,463 SMOLDT, CRAIG A. $8,353 SOUSOU M.D., COSTA H. $15,353 STEVENS M.D., MARK K. $96,176 STEWART M.D., MICHAEL W. $114,812 STONE M.D., WILLIAM M. $108,741 TANER M.D., BURCIN C. $71,521 TAZELAAR M.D., HENRY D. $61,058 TERKONDA M.D., SARVAM P. $94,614 THIEL M.D., DAVID D. $38,982 THIELEN M.D., KENT R. $229,602 TING M.D., HENRY H. $63,142 TRAUB M.D., STEPHEN J. $22,927 TRENTMAN M.D., TERRENCE L. $68,384 URUMOV M.D., ANDREJ $5,892 UY M.D., JONATHAN J. $90,908 VIRAMONTES, ALLISON L. $0 WALD M.D., JOHN T. $102,668 WEBER, JOAN A. $23,210 WHITED M.D., BRIAN L. $54,821 WIECHMANN M.D., ROBERT J. $126,281 WILLIAMS M.D., AMY W. $79,766 WILLIAMSON, MARY J. $144,641 YOUNG M.D., TIMOTHY J. $7,797 YUN M.D., BLENDA $3,835 ZIETLOW M.D., SCOTT P. $70,821 ZIMMERMAN M.D., RICHARD S. $212,145 ZORN, CHRISTINA K. $83,531
PART I, LINE 4C	UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: ALBRIGHT JR., D.O., ROBERT C. BENDOK M.D., BERNARD R. BRUCE M.D., CHARLES J. FARRUGIA M.D., GIANRICO FEHMI, RASHID A. GUDGELL, STEPHEN F. MEYER M.D., FREDRIC B. PRESUTTI D.O., RICHARD J. TANER M.D., BURCIN C.
PART II:	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX ARIZONA
A	522038405	71884SAA8	2014-05-08	$180,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES	0	0	0
CITY OF JACKSONVILLE FLORIDA
B	596000344	469400BW4	2016-05-03	$125,000,000	REFUND 2006 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$180,002,359	$39,404	$911,155	$179,051,800	2015	0	0	Yes (1)	Yes (1)
B	$125,000,000				2016	Yes (1)	0	Yes (1)	Yes (1)	$125,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	Yes (1)	0	0.00980	0.00000	0.00980	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0.00090	0.00240	0.00330	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
B	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX, ARIZO DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCES BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR THE BOND ISSUES ARE INVESTMENT EARNINGS AND LOSSES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (35 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANDERSON MEGAN R
FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M.	$38,038	EMPLOYMENT	0
ANIL STACI M
FAMILY MEMBER OF DIRECTOR/VICE CHAIR ANIL M.D., GOKHAN	$16,129	EMPLOYMENT	0
BAYRD MEGAN E
FAMILY MEMBER OF KEY EMPLOYEE HORVATH M.D., PAUL R.	$238,609	EMPLOYMENT	0
BODOH MONICA M
FAMILY MEMBER OF KEY EMPLOYEE GRENISEN M.D., MARGARET M.	$91,060	EMPLOYMENT	0
BRUCE ALISON J
FAMILY MEMBER OF DIRECTOR BRUCE M.D., CHARLES J.	$555,145	EMPLOYMENT	0
BUNKERS MD KARI S
FAMILY MEMBER OF DIRECTOR/VICE CHAIR BUNKERS M.D., BRIAN E.	$178,897	EMPLOYMENT	0
CADMAN KATHRYN A
FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	$120,759	EMPLOYMENT	0
CADMAN KAYLA M
FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	$72,647	EMPLOYMENT	0
CHONG CATHERINE
FAMILY MEMBER OF DIRECTOR CHONG M.D., BRIAN W.	$148,555	EMPLOYMENT	0
COOPER JANE H
FAMILY MEMBER OF DIRECTOR COOPER M.D., LESLIE T.	$193,070	EMPLOYMENT	0
CRAIG MELINDA G
FAMILY MEMBER OF OFFICER CRAIG, JASON E.	$35,396	EMPLOYMENT	0
DILLON CORISSA C
FAMILY MEMBER OF FORMER KEY EMPLOYEE DILLON, KEVIN R.	$80,844	EMPLOYMENT	0
ETZIONI MD SHIRI
FAMILY MEMBER OF KEY EMPLOYEE ETZIONI M.D., DAVID A.	$114,400	EMPLOYMENT	0
EYTCHESON ALISA S
FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA	$219,204	EMPLOYMENT	0
FITZGERALD ROBIN L
FAMILY MEMBER OF KEY EMPLOYEE FITZGERALD M.D., KEVIN	$36,788	EMPLOYMENT	0
FLOM MURPHY MELISSA A
FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B.	$50,125	EMPLOYMENT	0
GABRIELSON DONALD B
FAMILY MEMBER OF FORMER OFFICER GABRIELSON, SHARON R.	$192,365	EMPLOYMENT	0
GADE MARNE J
FAMILY MEMBER OF KEY EMPLOYEE GADE, CHRIS W.	$152,721	EMPLOYMENT	0
GALINDEZ BRENDA K
FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER	$134,653	EMPLOYMENT	0
GREENFIELD CLAIRE A
FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., DANIEL J.	$95,825	EMPLOYMENT	0
GRUBER LISA J
FAMILY MEMBER OF DIRECTOR GRUBER, JOHN	$47,032	EMPLOYMENT	0
HOFFMAN WILLIAM E
FAMILY MEMBER OF OFFICER HOFFMAN III, HARRY N.	$64,116	EMPLOYMENT	0
KLINE AIMEE R
FAMILY MEMBER OF FORMER OFFICER GABRIELSON, SHARON R.	$141,931	EMPLOYMENT	0
KRIEN KAITLYN F
FAMILY MEMBER OF KEY EMPLOYEE KRIEN M.D., JOSEPH S.	$21,208	EMPLOYMENT	0
LEGARE JENNIFER A
FAMILY MEMBER OF DIRECTOR LEGARE, GREG	$165,619	EMPLOYMENT	0
MOLLING HEATHER M
FAMILY MEMBER OF DIRECTOR/OFFICER MOLLING D.O., PAUL E.	$111,639	EMPLOYMENT	0
PHILLIPS MD TODD C
FAMILY MEMBER OF KEY EMPLOYEE FALLER M.D., ANNETTE	$349,227	EMPLOYMENT	0
ROBARDS MD CHRISTOPHER B
FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A.	$605,190	EMPLOYMENT	0
SCHOTT MARK L
FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA	$62,551	EMPLOYMENT	0
TANER MD NILUFER
FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C.	$412,487	EMPLOYMENT	0
THIELEN MD JACQUELINE M
FAMILY MEMBER OF DIR/CEO/CHAIR THIELEN M.D., KENT R.	$192,337	EMPLOYMENT	0
TRAUB NICOLE A
FAMILY MEMBER OF FORMER KEY EMPLOYEE TRAUB M.D., STEPHEN J.	$14,996	EMPLOYMENT	0
WILLIAMS VIVIEN J
FAMILY MEMBER OF KEY EMPLOYEE WILLIAMS M.D., AMY W.	$29,520	EMPLOYMENT	0
WOLD DEREK J
FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	$64,073	EMPLOYMENT	0
WOLD INGRID Y
FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	$63,066	EMPLOYMENT	0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$170,586	NoncashContributionsRptF990Amt
Method Of Determining Revenues	EXPERTS	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 25	FormAndLineReferenceDesc
Explanation	FOR PURPOSES OF SCHEDULE M, MAYO CLINIC GROUP IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). THE FILING ORGANIZATION TYPICALLY RELIES UPON MAYO CLINIC (ITS PARENT) TO SOLICIT, PROCESS OR SELL CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	ON MARCH 1, 2020 AFTER CAREFUL REVIEW OF PATIENT VOLUMES, ONGOING STAFFING ISSUES AND REGULATORY CONCERNS, MAYO CLINIC HEALTH SYSTEM CLOSED ITS HOSPITAL AND EMERGENCY DEPARTMENT IN SPRINGFIELD MINNESOTA.
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS, WHO ARE LISTED IN PART VII AS A CURRENT OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE, HAVE A BUSINESS RELATIONSHIP WITH ONE OR MORE OF THE OTHER INDIVIDUALS HERE LISTED BECAUSE ONE IS EMPLOYED BY A RELATED TAX EXEMPT ORGANIZATION FOR WHICH THE OTHER SERVES AS AN OFFICER, DIRECTOR, OR TRUSTEE. ALBRIGHT JR., D.O., ROBERT C. ANIL M.D., GOKHAN BAKKUM-GAMEZ, M.D., JAMIE N. BECKER, JOHN BERGERON-BOWE, MELISSA BOLTON, JEFFREY W. BRANDT, TERRY L. BROWN M.D., MICHAEL J. BROWN, WILLIAM A. BRUCE M.D., CHARLES J. BUSKIRK M.D., STEVEN J. BYRD M.D., JANE D. CASLER M.D., JOHN D. CIMA M.D., ROBERT R. CIOTA M.D., MARK R. COGNETTA-RIEKE, CHERISTI M. CONNOLLY, TERESA L. COOPER M.D., LESLIE T. CRAIG, JASON E. CRANE M.D., SARAH J. CROCKETT, ERIC D. CROSS III M.D., WILLIAM W. CULLINAN M.D., SUSAN M. DAHLEN, DENNIS E. DALBELLO JR., ALBERT DAVIS, AMY L. DEVAULT M.D., KENNETH R. DOWDY M.D., SEAN C. DRONCA M.D., ROXANA S. DRUCKER, PAUL E. EIDE, DEAN B. EVENSON, LAURA K. FARRUGIA M.D., GIANRICO FAUBION M.D., STEPHANIE S. FRANCIS, JAMES R. FREDERICK, RYANNON K. FROISLAND, JEFFREY R. GALINDEZ JR., PETER GORES M.D., GREGORY J. GORMAN, PAUL A. GOSTOUT M.D., BOBBIE S. GOYAL M.D., DEEPI G. GRAY M.D., RICHARD J. GROSS, TERA L. GUDGELL, STEPHEN F. HAKAIM M.D., ALBERT G. HANSEN, JULIE S. HARPER JR., M.D., CHARLES M. HEBL M.D., JAMES R. HELLMICH M.D., THOMAS R. HELMERS M.D., RICHARD A. HOFFMAN III, HARRY N. HOLTAN, DOUGLAS J. HORST, ADAM M. HUBERT, SHERRY L. JOHNSON M.D., MARGARET M. JOHNSON, CARLA J. JOHNSON, RYAN R. KASPER, JOHN KEENAN M.D., LAWRENCE R. KELLEY, SHARON M. KENDRICK M.D., MICHAEL L. KRAHN M.D., LOIS E. KRUMM, TARA L. KUEHL M.D., MARY J. LEIBOVICH M.D., BRADLEY C. LIMPER M.D., ANDREW H. LINDAHL, ROGER A. LINDBERG, STEVEN J. LOCKETT, KEVIN M. LONG, AMY K. MCALPINE M.D., DAVID A. MCLAUGHLIN M.D., SARAH A. MEKALA, PRAVEEN MELVIN, KEVIN B. MENKOSKY, PAULA E. MEYER M.D., FREDRIC B. MEYERS, ANN M. MORICE M.D., WILLIAM G. MORREY, MICHAEL A. MORRIS M.D., MARIE E. MUELLER M.D., PAUL S. MURPHY, JOSHUA B. NARR M.D., BRADLY J. OTLEY M.D., CLARK C. PASCUAL M.D., JORGE M. PATEL M.B., TUSHAR C. POWELL III M.D., RALPH PRIEST, WILLIAM F. QUINONES-HINOJOSA M.D., ALFREDO RIGDON, ALICE W. RIHAL M.D., CHARANJIT S. ROBELIA M.D., PAUL M. RUSTAD, CHRISTOPHER D. SADOSTY M.D., ANNIE T. SANDGREN, KENT A. SANTRACH M.D., PAULA J. SHARMA M.B.B.S., MANISH S. SKAAR M.D., PHILLIP J. TANER M.D., BURCIN C. THIEL M.D., DAVID D. THIELEN M.D., KENT R. THORESON, SCOTT D. TING M.D., HENRY H. VIRAMONTES, ALLISON L. WALD M.D., JOHN T. WEBER, JOAN A. WHITED M.D., BRIAN L. WILLIAMS M.D., AMY W. WILLIAMSON, MARY J. ZIETLOW M.D., SCOTT P. ZORN, CHRISTINA K. THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR TRUSTEES OF MCHS-FAIRMONT AND HAVE A FAMILY RELATIONSHIP: KASPER, JOHN LARDY, TRACI *********************************************** ADLEMAN, BREEANN M., FROISLAND, JEFFREY R., VIRAMONTES, ALLISON L., MENKOSKY, PAULA E., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., HUBERT, SHERRY L., LINDAHL, ROGER A., MURPHY, JOSHUA B., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. BOLTON, JEFFREY W., WILLIAMSON, MARY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., LOHKAMP, CHRISTIE A., GOLDMAN, DANIEL S. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MC ALLIANCE, LTD, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., LOHKAMP, CHRISTIE A., GOLDMAN, DANIEL S. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC (UK), LTD, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., LOHKAMP, CHRISTIE A., GOLDMAN, DANIEL S. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC (UK) 2, LTD, A RELATED TAXABLE ENTITY.
FORM 990, PART VI, SECTION A, LINE 3	MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS OF BLOOMER LAKEVIEW, INC. WERE AMENDED FEBRUARY 2020 TO CHANGE THEIR FISCAL YEAR-END TO THE LAST DAY OF DECEMBER. THE BYLAWS FOR MCHS-SOUTHWEST MINNESOTA WERE AMENDED MARCH 2020. THE BYLAWS STATE THAT THE BOARD OF DIRECTORS WILL INCLUDE SEVEN COMMUNITY MEMBERS REPRESENTING THE COMMUNITY SERVICE AREAS WITHIN THE REGION SERVED BY MCHS-SOUTHWEST MINNESOTA. DUE TO THE CLOSURE OF THE HOSPITAL IN SPRINGFIELD, MN DURING 2020, THE BYLAWS WERE AMENDED TO ELIMINATE THE COMMUNITY DIRECTOR POSITION FOR SPRINGFIELD, MN AND ADD A COMMUNITY AT-LARGE DIRECTOR FROM ONE OF THE OTHER PRIMARY SERVICE AREAS. IN ADDITION, THE BYLAWS ALLOW COMMUNITY BOARDS FOR CERTAIN SITES/COMMUNITY SERVICE AREAS. SUCH COMMUNITY BOARDS ARE STANDING COMMITTEES OF THE BOARD OF DIRECTORS OF MCHS-SOUTHWEST MINNESOTA. DUE TO THE CLOSURE OF THE HOSPITAL IN SPRINGFIELD, MN DURING 2020, THE BYLAWS WERE AMENDED TO ELIMINATE THE COMMUNITY BOARD FOR SPRINGFIELD, MN.
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBER OF EACH SUBORDINATE IN THE MAYO CLINIC GROUP RETURN IS MAYO CLINIC OR A SUBORDINATE OF MAYO CLINIC. THE ONE EXCEPTION IS BLOOMER LAKEVIEW, INC. WHICH DOES NOT HAVE ANY MEMBERS PER THEIR ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE SUBORDINATE'S GOVERNING BODIES ARE ELECTED, NOMINATED, DESIGNATED, APPOINTED, APPROVED AND/OR CONFIRMED BY MAYO CLINIC AND/OR A SUBORDINATE OF MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7B	THE ARTICLES AND/OR BYLAWS PROVIDE THE CORPORATE MEMBER POWER IN AREAS SUCH AS COMPENSATION, CAPITAL, BUDGET, DEBT, AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. THE ONE EXCEPTION IS BLOOMER LAKEVIEW, INC. WHICH DOES NOT HAVE ANY MEMBERS PER THEIR ARTICLES OF INCORPORATION. IN THE CASE OF BLOOMER LAKEVEIW, INC, SUCH DECISIONS WOULD ULTIMATELY BE SUBJECT TO THE APPROVAL OF MAYO CLINIC HEALTH SYSTEM-NORHTWEST WISCONSIN REGION, INC. WHICH ELECTS THE GOVERNING BODY OF BLOOMER LAKEVIEW, INC.
FORM 990, PART VI, SECTION A, LINE 8B	THE FILING ORGANIZATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE FINANCIAL REPORTING AND CONSOLIDATION CHAIR, FINANCIAL AND ACCOUNTING SERVICES CHAIR, REVENUE CYCLE CHAIR, CHIEF INVESTMENT OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER. 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. 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.
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 EXECUTIVE LEADERSHIP, CONSULTING STAFF AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF THE CEO AND THE CAO OF MAYO CLINIC AND MAYO CLINIC GROUP WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, CONSULTING STAFF AND SENIOR ADMINISTRATIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, CONSULTING STAFF AND CERTAIN SENIOR ADMINISTRATIVE LEADERSHIP FROM ALL CAMPUSES (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF EXECUTIVE LEADERSHIP AND SENIOR PHYSICIAN POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS FOR THE SUBORDINATES WITHIN THIS RETURN ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. SOME OF THE SUBORDINATES WITHIN THIS GROUP RETURN ARE HOSPITALS AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART XI, LINE 9:	PENSION-POST RETIREMENT (PER FASB A -12,106,654. LOSS ON UNCOLLECTIBLE PLEDGES -5,500. REFUNDS OF CONTRIBUTIONS -750.
FORM 990, PART XII, LINE 2C, AUDIT PROCESS	THE OVERSIGHT OF THE AUDIT PROCESS OR THE PROCESS FOR SELECTING AN AUDITOR HAS NOT CHANGED.
SCHEDULE B	CONTRIBUTIONS REPORTED ON SCHEDULE B ARE ON A GROUP BASIS WITH THE DOLLAR AND PERCENTAGE THRESHOLDS APPLIED AT THE SUBORDINATE LEVEL. THESE THRESHOLDS INCLUDE THE GREATER OF $5,000 OR 2% OF TOTAL CONTRIBUTIONS FOR SECTION 501(C)(3) ORGANIZATIONS DESCRIBED IN SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). FOR PURPOSES OF SCHEDULE B, MAYO CLINIC JACKSONVILLE AND MAYO CLINIC ARIZONA REPORTED CONTRIBUTIONS USING THE 2% THRESHOLD. CONTRIBUTIONS FOR ALL OTHER SUBORDINATES WERE DETERMINED USING THE $5,000 THRESHOLD.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
DESTINATION MEDICAL CENTER EDA
50 SOUTH SIXTH STREET SUITE 1500	MINNEAPOLIS	MN	554021498	464893585	ECONOMIC DEVELOPMENT	MN	501(C)(3)	12-I	MAYO CLINIC	Yes (1)
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(C)(3)	10		0	N/A
MAYO CLINIC STIFTUNG
					FUNDRAISING FOUNDATION				MFMER	Yes (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)	12-I	MAYO CLINIC	Yes (1)
HORMEL FOUNDATION
329 N MAIN ST SUITE 102L	AUSTIN	MN	55912	410694716	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I		0	N/A
NAEVE HEALTH CARE FOUNDATION
404 WEST FOUNTAIN ST	ALBERT LEA	MN	56007	411989509	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-III-FI		0	N/A
THE HIRSH FAMILY FOUNDATION
108 NORTH MAIN STREET	AUSTIN	MN	55912	411749842	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I		0	N/A
DREW FOUNDATION
PO BOX 2578	JACKSONVILLE	FL	322032578	596669745	CHARITABLE TRUST	FL	501(C)(3)	12-I		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
FRANKLIN HEATING STATION
200 FIRST STREET SW	ROCHESTER	MN	55905	410264830	UTILITY	MN	MAYO CLINIC	EXCLUDED	-$17,028	$8,014,731	0	0	0.15950
LATIGO PETROLEUM LLC
PO BOX 14230	ODESSA	TX	79768	364767494	OIL & GAS EXPLORATION	DE								N/A
MAYO CLINIC HEALTHCARE LLP
					HEALTHCARE									N/A	15 PORTLAND PLACE	LONDON	UK	UK

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
BWL HOLDINGS INC
1209 ORANGE STREET	WILMINGTON	DE	19801	472413749	OIL & GAS EXPLORATION	DE	N/A	C	Yes (1)
BAIN CAPITAL CREDIT CLO 2017-2 LTD
					INVESTMENT ACTIVITIES		N/A	C	Yes (1)	PO BOX 1093 GT QUEENSGATE HOUSE S	GRAND CAYMAN	CJ	CJ
MAYO CLINIC SUPPORT SERVICES TEXAS
200 FIRST STREET SW	ROCHESTER	MN	55905	471751102	HEALTH SERVICES	TX	N/A	C	Yes (1)
MAYO CLINIC UK LTD
					INVESTMENT ACTIVITIES		N/A	C	Yes (1)	3 MORE LONDON RIVERSIDE	LONDON	UK	UK
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C	Yes (1)
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	Yes (1)				CJ
MCHS-DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C	Yes (1)
RESOUNDANT INC
421 1ST AVE SW SUITE 204W	ROCHESTER	MN	55902	461661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN		C	Yes (1)					MFMER	$3,494,554	$4,965,221	0.60000
ROCHESTER AIRPORT COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	410506870	AIRPORT MANAGEMENT	MN	N/A	C	Yes (1)
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ		C	Yes (1)					MAYO CLINIC ARIZONA			0.93000
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C	Yes (1)
MC ALLIANCE LTD
200 FIRST STREET SW	ROCHESTER	MN	55905	981527769	HEALTHCARE AND ADMINISTRATIVE SERVICES		N/A	C	Yes (1)				CJ
MAYO CLINIC UK 2 LTD
					INVESTMENT ACTIVITIES		N/A		Yes (1)	3 MORE LONDON RIVERSIDE	LONDON	UK	UK
CHARITABLE LEAD TRUST
					CHARITABLE TRUST	CA	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	LA	N/A	T	Yes (1)
PERPETUAL TRUST (2)
					CHARITABLE TRUST	MA	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	MO	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	AZ	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	CO	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (7)
					CHARITABLE TRUST	FL	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	MA	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (89)
					CHARITABLE TRUST	MN	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (4)
					CHARITABLE TRUST	NC	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (2)
					CHARITABLE TRUST	NV	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	TX	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	ND		T	Yes (1)					MFMER	$104,400	$1,891,182	0.90000
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	CO		T	Yes (1)					MFMER		$773,716	1.00000
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	FL		T	Yes (1)					MFMER		$960,834	0.70000
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	IL		T	Yes (1)					MFMER		$221,623	1.00000
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	MI		T	Yes (1)					MFMER		$2,360,076	1.00000
CHARITABLE REMAINDER TRUST (49)
					CHARITABLE TRUST	MN		T	Yes (1)					MFMER
CHARITABLE REMAINDER TRUST (6)
					CHARITABLE TRUST	MN		T	Yes (1)					MCHS--SOUTHWEST MINNESOTA REGION
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	WI		T	Yes (1)					MCHS--NORTHWEST WISCONSIN REGION INC		$4,839	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (65 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHARTERHOUSE INC
P	$3,233,666	GAAP
CHARTERHOUSE INC
Q	$23,054,934	GAAP
FRANKLIN HEATING STATION
P	$883,356	GAAP
FRANKLIN HEATING STATION
Q	$44,127,601	GAAP
MAYO CLINIC AMBULANCE
M	$999,721	GAAP
MAYO CLINIC AMBULANCE
P	$1,516,430	GAAP
MAYO CLINIC AMBULANCE
Q	$51,905,541	GAAP
MAYO CLINIC AMBULANCE
S	$60,676	GAAP
MAYO CLINIC ARIZONA
P	$2,287,789	GAAP
MAYO CLINIC ARIZONA
Q	$1,580,383,749	GAAP
MAYO CLINIC ARIZONA
R	$3,914,134	GAAP
MAYO CLINIC FLORIDA
L	$121,814	GAAP
MAYO CLINIC FLORIDA
M	$87,830	GAAP
MAYO CLINIC FLORIDA
P	$23,531,738	GAAP
MAYO CLINIC FLORIDA
Q	$567,998,872	GAAP
MAYO CLINIC FLORIDA
R	$1,015,549	GAAP
MAYO CLINIC FLORIDA
S	$33,286,732	GAAP
MAYO CLINIC HOSPITAL - ROCHESTER
L	$84,778	GAAP
MAYO CLINIC HOSPITAL - ROCHESTER
M	$94,314	GAAP
MAYO CLINIC HOSPITAL - ROCHESTER
P	$10,013,306	GAAP
MAYO CLINIC HOSPITAL - ROCHESTER
Q	$1,421,485,765	GAAP
MAYO CLINIC HOSPITAL - ROCHESTER
R	$20,638,916	GAAP
MAYO CLINIC HOSPITAL - ROCHESTER
S	$96,664	GAAP
MAYO CLINIC JACKSONVILLE
P	$2,963,332	GAAP
MAYO CLINIC JACKSONVILLE
Q	$952,278,077	GAAP
MAYO CLINIC JACKSONVILLE
R	$2,033,167	GAAP
MAYO CLINIC UK LTD
Q	$25,457,621	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
P	$6,344,620,985	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
Q	$15,447,486	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
R	$166,050	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
S	$29,624,913	GAAP
MAYO HOLDING COMPANY
Q	$1,544,818	GAAP
MCHS-AUSTIN FOUNDATION
C	$241,997	GAAP
MCHS-DECORAH CLINIC PHYSICIANS
Q	$9,196,503	GAAP
MCHS-FAIRMONT
L	$639,160	GAAP
MCHS-FAIRMONT
P	$114,229	GAAP
MCHS-FAIRMONT
Q	$56,872,429	GAAP
MCHS-FAIRMONT
S	$3,704,786	GAAP
MCHS-FRANCISCAN MEDICAL CENTER INC
P	$121,134	GAAP
MCHS-FRANCISCAN MEDICAL CENTER INC
Q	$356,446,199	GAAP
MCHS-FRANCISCAN MEDICAL CENTER INC
R	$433,671	GAAP
MCHS-LAKE CITY
L	$346,565	GAAP
MCHS-LAKE CITY
Q	$27,995,860	GAAP
MCHS-LAKE CITY
S	$1,357,778	GAAP
MCHS-NORTHWEST WISCONSIN REGION INC
L	$64,135	GAAP
MCHS-NORTHWEST WISCONSIN REGION INC
M	$1,746,494	GAAP
MCHS-NORTHWEST WISCONSIN REGION INC
P	$277,460	GAAP
MCHS-NORTHWEST WISCONSIN REGION INC
Q	$688,212,439	GAAP
MCHS-NORTHWEST WISCONSIN REGION INC
R	$751,349	GAAP
MCHS-PHARMACY & HOME MEDICAL INC
S	$157,343	GAAP
MCHS-SOUTHEAST MINNESOTA REGION
L	$5,267,267	GAAP
MCHS-SOUTHEAST MINNESOTA REGION
M	$216,035	GAAP
MCHS-SOUTHEAST MINNESOTA REGION
P	$3,080,696	GAAP
MCHS-SOUTHEAST MINNESOTA REGION
Q	$408,718,355	GAAP
MCHS-SOUTHEAST MINNESOTA REGION
R	$2,136,668	GAAP
MCHS-SOUTHEAST MINNESOTA REGION
S	$205,677	GAAP
MCHS-SOUTHWEST MINNESOTA REGION
M	$2,737,628	GAAP
MCHS-SOUTHWEST MINNESOTA REGION
P	$1,979,683	GAAP
MCHS-SOUTHWEST MINNESOTA REGION
Q	$427,945,192	GAAP
MCHS-SOUTHWEST MINNESOTA REGION
R	$331,392	GAAP
MCHS-SOUTHWEST MINNESOTA REGION
S	$179,243	GAAP
MCHS-ST JAMES
L	$153,266	GAAP
MCHS-ST JAMES
Q	$15,853,636	GAAP
MCHS-ST JAMES
S	$1,232,594	GAAP
RESOUNDANT INC
L	$555,201	GAAP