2019-11-11T11:57:18-06:00 2018-12-31 990 2018-01-01 383952644 MAYO CLINIC GROUP RETURN MAYO 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 DENNIS E DAHLEN CFO 5075381297 2019-11-11 129.176.151.19 2019-11-11 11:56:26 CS P 588D31844B60C7BBDBBF042DCBD865D84CD90F6A 03A583A6FEEA4CC0CF2C233FDBC314B3FB6E454A 2018 2020-03-31 21:24:44Z GIANRICO FARRUGIA MD 200 FIRST STREET SW ROCHESTER MN 55905 11201319177 1 0 5983 X WWW.MAYOCLINIC.ORG X PATIENT CARE, MEDICAL RESEARCH AND MEDICAL EDUCATION X 219 53 51740 5062 28977335 7095879 1158822850 484373082 9724836204 10553710304 118531031 93634600 52252980 50778686 11054443065 11182496672 1466914621 1344227277 0 0 4181001599 4329113987 0 0 2713572 4812837952 5233915724 10460754172 10907256988 593688893 275239684 10805288112 11732419125 4490636275 5194051962 6314651837 6538367163 X TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. 0 1 100164654 1728158 22764534 MEDICAL EDUCATION (SEE SCHEDULE O)HEALTH PROFESSIONAL EDUCATION:MAYO CLINIC 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. 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.FOR 2018, THERE WERE 4,224 STUDENTS EDUCATED THROUGH THE MAYO CLINIC COLLEGE OF MEDICINE PROGRAM TO SUSTAIN MAYO'S UNIQUE STYLE OF CARE AND PREPARE THE NEXT GENERATION OF CAREGIVERS. OF THESE STUDENTS, MANY WOULD HAVE RECEIVED SOME OR ALL OF THEIR EDUCATION AT THE SUBORDINATE'S LOCATIONS IN PHOENIX/SCOTTSDALE, ARIZONA AND JACKSONVILLE, FLORIDA.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 HEALTHCARE PROFESSIONALS.FOR 2018, THE SUBORDINATES AWARDED APPROXIMATELY $274,471 OF SCHOLARSHIPS TO STUDENTS PURSUING CAREERS IN A HEALTH-RELATED FIELD. 160963507 10668466 989471 MEDICAL RESEARCH (SEE SCHEDULE O)MEDICAL RESEARCH:MAYO 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 DRIVE 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 MOSTLY CONDUCTED AT THE ARIZONA AND FLORIDA LOCATIONS AND CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, NEURODEGENERATIVE DISEASES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION. DURING 2018, THE ARIZONA AND FLORIDA LOCATION'S COMBINED RESEARCH PROGRAMS GENERATED:- APPROXIMATELY 625 NEW RESEARCH PROTOCOLS.- APPROXIMATELY 4,608 ACTIVE HUMAN RESEARCH STUDIES.- APPROXIMATELY 2,581 PEER-REVIEWED RESEARCH PUBLICATIONS/ARTICLES. 7660327410 5457434 8278457316 PATIENT CARE & COMMUNITY BENEFIT (SEE SCHEDULE O)PATIENT CARE & COMMUNITY BENEFIT:MAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD AND HAS APPROXIMATELY 4,900 PHYSICIANS AND SCIENTISTS AND APPROXIMATELY 60,300 ALLIED HEALTH STAFF. MAYO CLINIC, AS AN AFFILIATED GROUP, 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 18 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, 4 ELDERLY/ASSISTED LIVING FACILITIES AND 7 CHEMICAL DEPENDENCY TREATMENT CENTERS, AN AMBULANCE SERVICE ORGANIZATION, 2 FOUNDATION-TYPE ORGANIZATIONS AND 2 ORGANIZATIONS 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 4,100 LICENSED BEDS. FOR THE SUBORDINATE HOSPITAL AND CLINICAL PRACTICES, THE ANNUAL PATIENT COUNT (A DISTINCT COUNT OF THE MEDICAL RECORD NUMBERS THAT RECEIVED BILLABLE MEDICAL SERVICES) FOR 2018 EXCEEDED 812,000 PATIENTS. DURING 2018, THE SUBORDINATE AMBULANCE SERVICE PROVIDED MEDICAL TRANSPORTATION FOR APPROXIMATELY 72,000 PATIENTS AND RESPONDED TO APPROXIMATELY 25,500 EMERGENT REQUESTS THAT DID NOT RESULT IN THE TRANSPORTATION OF A PATIENT. THE SUBORDINATES THAT OPERATE NURSING HOMES AND ELDERLY HOUSING FACILITIES HAD 154 SKILLED NURSING/SUPPORTIVE CARE BEDS AND 415 RESIDENTIAL UNITS FOR THE PROVISION OF HOUSING AND CARE FOR THE ELDERLY. 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 2018, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $237,978,358. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $480,865,780. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2018 ON A COMBINED BASIS WAS APPROXIMATELY $51,136,095.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 5,100 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 463,372 HOURS OF SERVICE IN 2018, VALUED AT APPROXIMATELY $11,783,550 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES FOR 2018. 1326373219 1326373219 2286636673 OTHER PROGRAM SERVICES: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.THE SUBORDINATES ALSO LEASED SPACE AND PROVIDED SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE. 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0 594962 76097 WILLIAMS MD AMY W DIRECTOR 1.00 40.00 X 0 649121 65246 WILLIAMSON MARY J DIR/SEC/ASST SEC/CAO MCHS/FORM KEY 1.00 40.00 X X 0 797512 65917 WRIGHT-PETERSON VIRGINIA M DIRECTOR 1.00 0.00 X 0 0 0 YOUNG DDS RICHARD B DIRECTOR 1.00 0.00 X 0 0 0 YTTERBERG MD KAREN L DIRECTOR 1.00 40.00 X 0 149966 5956 ZELAYA JULIO DIRECTOR 1.00 0.00 X 0 0 0 ZIETLOW MD SCOTT P DIRECTOR/CHAIR 1.00 40.00 X X 0 606712 80988 ZIMMERMAN MD RICHARD S DIRECTOR 40.00 0.00 X 1226918 0 84675 ZORN CHRISTINA K DIR/SECRETARY/ASSISTANT TREASURER 40.00 0.00 X X 687130 0 63574 BROWN WILLIAM A ASSISTANT SECRETARY/FORMER OFFICER 40.00 0.00 X 251130 0 32141 ESTES DANIEL D ASSISTANT TREASURER 40.00 0.00 X 175344 0 61756 FEHMI RASHID A TREASURER 40.00 0.00 X 139633 0 36937 FENNELL THOMAS J ASSISTANT SECRETARY 40.00 0.00 X 127534 0 35854 GABRIELSON SHARON R ASSISTANT TREASURER 40.00 0.00 X 321969 0 72024 GALINDEZ JR PETER ASSISTANT SECRETARY/FORMER OFFICER 40.00 0.00 X 248570 0 68144 GOLDMAN DANIEL S ASSISTANT SECRETARY 40.00 0.00 X 233780 0 64700 GUDGELL STEPHEN F TREASURER 1.00 40.00 X 0 235931 28961 HAEFLINGER RICKY J FINANCIAL OFFICER 1.00 40.00 X 0 562112 79599 HOFFMAN III HARRY N TREASURER 40.00 0.00 X 1252135 0 83288 HUBERT SHERRY L ASSISTANT SECRETARY 40.00 0.00 X 313016 0 74752 JOHNSON CARLA J ASSISTANT SECRETARY 40.00 0.00 X 182556 0 37738 LOHKAMP CHRISTIE A ASSISTANT TREASURER 40.00 0.00 X 248910 0 52854 MELVIN KEVIN B ASSISTANT SECRETARY 1.00 40.00 X 0 233123 61558 MURPHY JOSHUA B SECRETARY/ASSISTANT SECRETARY 40.00 0.00 X 905630 0 73501 NORDRUM CHARLOTTE J TREAS/ASSISTANT TREAS/CFO-MN 40.00 0.00 X 287967 0 62253 OTTE KIMBERLY K ASSISTANT SECRETARY 40.00 0.00 X 301651 0 71686 PRIEST WILLIAM F SECRETARY 40.00 0.00 X 203924 0 57024 SANDEEN DARRELL L ASSISTANT TREASURER/FORMER OFFICER 40.00 0.00 X 368289 0 60987 SHERRILL TODD E CFO MCHS/TREASURER 40.00 0.00 X 349661 0 25323 BARTLETT MD BRIAN N PHYSICIAN 40.00 0.00 X 577794 0 57983 BERG DAVID W ASSOC ADMIN - MCHS SEMN 40.00 0.00 X 270995 0 81907 CULLINAN MD SUSAN M PHYSICIAN 40.00 0.00 X 431262 0 85379 DEGEN SUSANNE C VICE CHAIR ADMINISTRATION 40.00 0.00 X 215788 0 44755 DEWITT MD JASON J PHYSICIAN 40.00 0.00 X 502704 0 56945 FRASER CATHRYN H CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 802052 0 82395 HANSEN GAYLE B VICE CHAIR ADMIN/FORMER KEY EMPLOYEE 40.00 0.00 X 275044 0 70547 HANSON VICTORIA M VICE CHAIR ADMINISTRATION 40.00 0.00 X 215564 0 59230 HIRISAVE KRISHNA MD BIPINCHANDRA PHYSICIAN 40.00 0.00 X 353288 0 59694 JOHNSON MD DANIEL J PHYSICIAN 40.00 0.00 X 624890 0 87289 KHOOR MD ANDRAS PHYSICIAN 40.00 0.00 X 527810 0 65043 KOWAL DO GERALD K PHYSICIAN 40.00 0.00 X 330430 0 71391 MCKINNEY MD J MARK PHYSICIAN 40.00 0.00 X 729768 0 79199 MOSS MD ADYR A PHYSICIAN 40.00 0.00 X 682901 0 73927 PETERSON MD JEFFREY J PHYSICIAN 40.00 0.00 X 741540 0 45918 PRESUTTI DO RICHARD J PHYSICIAN 40.00 0.00 X 465499 0 72442 ROSS CHRISTOPHER J CIO 40.00 0.00 X 765101 0 70880 SILVERS MD SCOTT M PHYSICIAN 40.00 0.00 X 439223 0 70874 SIMPSON MD HENRY J PHYSICIAN 40.00 0.00 X 339296 0 69442 TAZELAAR MD HENRY D PHYSICIAN 40.00 0.00 X 561483 0 58335 THIEL MD DAVID D PHYSICIAN 40.00 0.00 X 600344 0 61321 THIEMANN KAY M ASSOCIATE ADMINISTRATOR 40.00 0.00 X 221267 0 49843 TRAUB MD STEPHEN J PHYSICIAN 40.00 0.00 X 431572 0 72012 TRENTMAN MD TERRANCE L PHYSICIAN 40.00 0.00 X 599175 0 78371 WHITE PAMELA K CHIEF NURSING OFFICER 40.00 0.00 X 248726 0 57017 ZWYGART AMY M VICE CHAIR NURSING 40.00 0.00 X 251940 0 18798 BENDOK MD BERNARD R PHYSICIAN 40.00 0.00 X 1203839 0 70369 LYONS MD MARK K PHYSICIAN 40.00 0.00 X 1197239 0 79227 PICHELMANN MD MARK A PHYSICIAN 40.00 0.00 X 1214431 0 62962 WHAREN MD ROBERT E PHYSICIAN 40.00 0.00 X 1239757 0 34891 WIECHMANN MD ROBERT J PHYSICIAN 40.00 0.00 X 1318079 0 81304 ADKINS JR KEDRICK D FORMER OFFICER 40.00 0.00 X 585800 0 2190 AGERTER MD DAVID C FORMER OFFICER 0.00 40.00 X 0 586016 31310 BROWN MARIE E FORMER OFFICER 0.00 40.00 X 0 226634 20880 BROWN MICHAEL E FORMER OFFICER 40.00 0.00 X 235710 0 48286 GREEN MD JEFFREY P FORMER OFFICER 40.00 0.00 X 277570 0 67417 HORECKI MD RICHARD J FORMER OFFICER 40.00 0.00 X 332185 0 83783 KOCH MARK B FORMER OFFICER 0.00 40.00 X 0 650558 21532 KUTCHER MD GREGORY R FORMER OFFICER 40.00 0.00 X 387938 0 78694 LANGE MD STEPHEN M FORMER OFFICER 40.00 0.00 X 499204 0 38873 LITCHY MD WILLIAM J FORMER OFFICER 0.00 40.00 X 0 393012 52317 MATHEWS HILARY G FORMER OFFICER 0.00 40.00 X 0 364356 92199 MILLER MD ROBERT C FORMER OFFICER 40.00 0.00 X 686886 0 74739 PAIGE SR KEVIN A FORMER OFFICER 0.00 40.00 X 0 488503 82554 PASTERNACK MD MORRIS FORMER OFFICER 40.00 0.00 X 285063 0 23436 ROCK MD MICHAEL G FORMER OFFICER 0.00 40.00 X 0 299544 12555 SAATHOFF BARBARA L FORMER OFFICER 40.00 0.00 X 223559 0 68532 SOLBERG MD JEREMY J FORMER OFFICER 0.00 40.00 X 0 298061 59018 TIGGELAAR THOMAS H FORMER OFFICER 40.00 0.00 X 271087 0 70194 WALDHOFF STEPHEN C FORMER OFFICER 0.00 40.00 X 0 105570 8768 CASEY MICHAEL A FORMER KEY EMPLOYEE 0.00 40.00 X 0 168063 53467 CHONG MD BRIAN W FORMER KEY EMPLOYEE 40.00 0.00 X 732416 0 77574 COLLIER DPM ROBERT L FORMER KEY EMPLOYEE 40.00 0.00 X 315407 0 68520 DILLON KEVIN R FORMER KEY EMPLOYEE 0.00 40.00 X 0 247299 69745 DOUGLAS MD DAVID D FORMER KEY EMPLOYEE 40.00 0.00 X 707325 0 80580 ECKSTROM MD MICHAEL T FORMER KEY EMPLOYEE 40.00 0.00 X 1148091 0 72523 EIDE DEAN B FORMER KEY EMPLOYEE 40.00 0.00 X 212643 0 36440 EVERSMAN MD WILLIAM G FORMER KEY EMPLOYEE 40.00 0.00 X 781551 0 39797 FISCHER DEBORAH R FORMER KEY EMPLOYEE 40.00 0.00 X 221078 0 52800 FOSKO MD SCOTT W FORMER KEY EMPLOYEE 40.00 0.00 X 854139 0 82189 FOWL MD RICHARD J FORMER KEY EMPLOYEE 40.00 0.00 X 302874 0 69240 GADE CHRIS W FORMER KEY EMPLOYEE 40.00 0.00 X 381066 0 71195 GOINS MD JENNIFER L FORMER KEY EMPLOYEE 40.00 0.00 X 557432 0 56667 GROSSET JESSICA A FORMER KEY EMPLOYEE 40.00 0.00 X 335286 0 30641 GROVER DO MICHAEL L FORMER KEY EMPLOYEE 40.00 0.00 X 305871 0 70618 GRZYBOWSKI MD JOHN A FORMER KEY EMPLOYEE 40.00 0.00 X 389887 0 67175 HAROLD MD KRISTI L FORMER KEY EMPLOYEE 40.00 0.00 X 587931 0 54319 HATTRUP MD STEVEN J FORMER KEY EMPLOYEE 40.00 0.00 X 845253 0 33192 HAYDEN MD RICHARD E FORMER KEY EMPLOYEE 40.00 0.00 X 687353 0 26152 JOHNSON MD C DANIEL FORMER KEY EMPLOYEE 40.00 0.00 X 802348 0 31838 KEAVENY MD ANDREW P FORMER KEY EMPLOYEE 40.00 0.00 X 678396 0 70230 KLEIS DO KEITH R FORMER KEY EMPLOYEE 40.00 0.00 X 280872 0 59496 LOMBARDI MD JOSEPH M FORMER KEY EMPLOYEE 40.00 0.00 X 381888 0 82506 MAGTIBAY MD PAUL M FORMER KEY EMPLOYEE 40.00 0.00 X 673447 0 74255 MARTIN DAVID L FORMER KEY EMPLOYEE 40.00 0.00 X 180658 0 43529 MCNEILL STEVEN L FORMER KEY EMPLOYEE 40.00 0.00 X 467169 0 38017 MESCHIA MD JAMES F FORMER KEY EMPLOYEE 40.00 0.00 X 369917 0 72830 MONEY MD SAMUEL R FORMER KEY EMPLOYEE 40.00 0.00 X 676192 0 72163 MORRISSEY MD JOHN E FORMER KEY EMPLOYEE 40.00 0.00 X 238553 0 9732 MUELLER MD JEFF T FORMER KEY EMPLOYEE 40.00 0.00 X 581056 0 55399 NESSE MD ROBERT E FORMER KEY EMPLOYEE 40.00 0.00 X 1109651 0 34400 NOLTE DO CHARLES P FORMER KEY EMPLOYEE 40.00 0.00 X 844471 0 62151 NORBY MARK L FORMER KEY EMPLOYEE 40.00 0.00 X 280609 0 50237 NORDENG RODNEY L FORMER KEY EMPLOYEE 0.00 40.00 X 0 196124 54539 RADEMACHER MD DANA E FORMER KEY EMPLOYEE 40.00 0.00 X 891175 0 69748 ROTTY BRIAN W FORMER KEY EMPLOYEE 40.00 0.00 X 244763 0 66289 RYAN MICHAEL J FORMER KEY EMPLOYEE 40.00 0.00 X 457631 0 39538 SCHEFFEL JEFFREY G FORMER KEY EMPLOYEE 40.00 0.00 X 195225 0 27315 SCHILD MD STEVEN E FORMER KEY EMPLOYEE 40.00 0.00 X 701015 0 59010 SCHULZ MD JODI L FORMER KEY EMPLOYEE 40.00 0.00 X 582431 0 73378 SIRVEN MD JOSEPH I FORMER KEY EMPLOYEE 40.00 0.00 X 386905 0 71598 SLEGH KERI A FORMER KEY EMPLOYEE 40.00 0.00 X 216347 0 51839 STEVENS MD MARK K FORMER KEY EMPLOYEE 40.00 0.00 X 1054252 0 83904 STEWART MD MICHAEL W FORMER KEY EMPLOYEE 40.00 0.00 X 790970 0 75422 SWANSON MD SCOTT K FORMER KEY EMPLOYEE 40.00 0.00 X 647280 0 34083 TERKONDA MD SARVAM P FORMER KEY EMPLOYEE 40.00 0.00 X 709966 0 76379 ULRICH MD MICHAEL D FORMER KEY EMPLOYEE 40.00 0.00 X 398999 0 73677 UY MD JONATHAN J FORMER KEY EMPLOYEE 40.00 0.00 X 685342 0 67975 WILLIAMS MD HUGH J FORMER KEY EMPLOYEE 40.00 0.00 X 645370 0 31542 YOUNG DO NATHAN P FORMER KEY EMPLOYEE 0.00 40.00 X 0 351505 62344 106908921 25561880 15232198 8432 1 1 0 RIGHT SOURCING INC 2 EXECUTIVE CIRCLE STE 210 IRVINE CA 92614 WORKFORCE SUPPORT SERVICES 108864063 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 MEDICAL & SUPPORT SERVICES 99676736 MORRISON MANAGEMENT SPECIALIST 400 NORTHRIDGE RD STE 600 SANDY SPRINGS GA 30350 FOOD SERVICES 68209395 THE ROBINS & MORTON GROUP 5021 CARDINAL ST TRUSSVILLE AL 35173 CONSTRUCTION SERVICES 33411755 MCGOUGH CONSTRUCTION COMPANY 2737 FAIRVIEW AVE NORTH ST PAUL MN 55113 CONSTRUCTION SERVICES 33208318 1175 35091 4270 39800 374178342 72020440 38095139 484373082 NET PATIENT REVENUE 620000 8243319626 8227448059 15871567 SHARED SERVICES 561000 2215584752 2207174206 6880719 1529827 ROYALTY REVENUE 541900 71017661 71017661 EDUCATION REVENUE 611600 22764534 22764534 RESEARCH REVENUE 541700 989471 960471 29000 34260 34260 10553710304 95892410 -291092 96183502 4878407 476212 400204 262750 4478203 213462 4691665 213462 4478203 2567901 10475666 2196390 13104987 371511 -2629321 -2257810 -2257810 32655 39800 0 32655 32655 6657263 2858174 3799089 1608620 2190469 CAFETERIA/VENDING 722310 28133963 28133963 MISC. CONSULTING 541610 6820037 2376060 4231560 212417 MISC. REVENUE 900099 4250837 2833079 268499 1149259 3050440 1794588 165000 1090852 42255277 11182496672 10564536881 28977335 104609374 X 1342177536 1342177536 1947327 1947327 102414 102414 79872933 49094706 30778227 38666735 32713814 5880599 72322 3262408407 2786439740 474422183 1546484 254677625 216952629 37604587 120409 459950794 392846331 66886433 218030 233537493 199465569 33961219 110705 7972335 613144 7357742 1449 2576466 447099 2125367 4000 1787237 1787237 40489 40489 2366271353 1828214375 537635914 421064 14643019 2420414 12210052 12553 550156942 511376840 38589397 190705 186071605 28260223 157811382 24574735 327330 24247202 203 126618696 20137702 106476359 4635 45359174 36016025 9336692 6457 2754472 2285701 468609 162 16879138 12553064 4326074 377080678 283991585 93089093 19043616 18513126 530490 MEDICAL SUPPLIES 1157712569 1157712569 BAD DEBT EXPENSE 187980611 187526099 454512 UNRELATED BUSINESS TAX 1039623 1026066 13557 MEDICAID SURCHARGE 58973890 58973890 86379076 73906235 12468447 4394 10907256988 9247828790 1656714626 2713572 576047758 446855279 2484603 2399508 122856651 150194534 1454334086 1528402538 264315055 259982436 111812905 120895452 52331870 54575279 6998056052 3796465535 3052955023 3201590517 205455555 214630337 1868929565 2016903776 253818 405038 3093511223 3735584431 10805288112 11732419125 1613460235 1676944743 37453586 35434842 370411048 366622891 30422207 31531417 13579972 13084282 2425309227 3070433787 4490636275 5194051962 X 5760371220 5961612047 296801922 293195406 257478695 283559710 6314651837 6538367163 10805288112 11732419125 X 275239684 -60812428 9288070 X 0 1 X 1 1 1 X 2 MCHS-FRANCISCAN MEDICAL CENTERINC 390806374 3 1 0 0 MCHS-SOUTHEAST MINNESOTA REGION 411404075 3 1 2048 0 2 2048 0 64350136 78834991 105660664 532595617 335871896 1117313304 64350136 78834991 105660664 532595617 335871896 1117313304 45167165 1072146139 9968889 7386019 11615993 21871812 10633513 61476226 450110 62508 351384 621091 526062 2011155 1180800685 3082121838 0.90800 0.79590 X PART I: BOX 3 OF PART I IS CHECKED AS TEN OF THE EIGHTEEEN SUBORDINATES ARE CLASSIFIED AS HOSPITALS. TWO OF THE REMAINING SUBORDINATES ARE CLASSIFIED AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM GOVERNMENT UNITS OR THE GENERAL PUBLIC. PART II, SECTION A (PUBLIC SUPPORT SCHEDULE) WAS COMPLETED IN THE AGGREGATE FOR THESE TWO SUBORDINATES WITHIN THIS GROUP RETURN. FOUR OF THE REMAINING SUBORDINATES ARE CLASSIFIED AS AN ORGANIZATION THAT NORMALLY RECEIVES: (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)). TWO OF THE REMAINING SUBORDINATES (MCHS-AUSTIN FOUNDATON & MCHS-FRANCISCAN HEALTHCARE) ARE 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 TWO SUBORDINATES REQUIRED TO COMPELTE PART IV. PART III: SUPPORT SCHEDULE FOR 509(A)(2) SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 2014 LINE 1: 7,433,412 LINE 2: 1,216,429,274 LINE 3: 274,300 LINE 4: 0 LINE 5: 0 LINE 6: 1,224,136,986 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (A) 2014 LINE 9: 1,224,136,986 LINE 10A: 5,886,104 LINE 10B: 4,577,277 LINE 10C: 10,463,381 LINE 11: 0 LINE 12: 2,152,714 LINE 13: 1,236,753,081 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 2015 LINE 1: 2,365,582 LINE 2: 1,302,568,326 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,304,933,908 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2015 LINE 9: 1,304,933,908 LINE 10A: 10,821,940 LINE 10B: 1,518,928 LINE 10C: 12,340,868 LINE 11: 0 LINE 12: 323,556 LINE 13: 1,317,598,332 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 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 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 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 (D) 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 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 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 (E) 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 (E) 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 (F) TOTAL LINE 1: 16,894,336 LINE 2: 7,386,663,890 LINE 3: 274,300 LINE 4: 0 LINE 5: 0 LINE 6: 7,403,832,526 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 7,403,832,526 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 7,403,832,526 LINE 10A: 61,373,235 LINE 10B: 10,903,899 LINE 10C: 72,277,134 LINE 11: 0 LINE 12: 3,444,086 LINE 13: 7,479,553,745 LINE 12: 3,444,086 LINE 13: 7,479,462,066 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2018: 98.99% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2017: 99.09% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2018: 0.97% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2017: 0.80% LINE 19A X PART IV, SECTION A AND B: 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 SECTION B. TYPE I SUPPORTING ORGANIZATIONS YES NO 1 X 2 X PART IV, SECTION B, LINE 1 AND LINE 2 MCHS-FRANCISCAN HEALTH LINE 1: NO. MEMBERS OF MCHS-FRANCISCAN HEALTHCARE CAN MAKE APPOINTMENTS TO THE BOARD OF DIRECTORS, THE TWO MEMBERS OF THE CORPORATION ARE MAYO CLINIC AND THE CONGREGATION OF SISTERS OF THE THIRD ORDER OF SAINT FRANCIS OF PERPETUAL ADORATION. LINE 2: YES. REGULATION 1.509(A)-4(G)(L)(II) STATES THAT AN ORGANIZATION CAN BE CONTROLLED BY ONE PUBLIC CHARITY WHILE OPERATING FOR THE BENEFIT OF A DIFFERENT PUBLIC CHARITY, THIS REGULATION WOULD APPLY TO MCHS-FRANCISCAN HEALTHCARE, INC. AS IT BENEFITS THE MEMBERS PURPOSE TO FULFILL SIMILAR CHARITABLE AND HEALTH CARE NEEDS. PART IV, SECTION B, LINE 1 AND LINE 2 MCHS-AUSTIN FOUNDATION LINE 1: YES. LINE 2: NO. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 1646121 0 1 141116 1787237 0 PART II-B, LINE 1: DURING 2018, 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 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. 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 2018, 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. 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 2018, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON MFMER'S 2018 FEDERAL FORM 990 TOTALED $1,252,917. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. X X 0 1 4873 2592 4144 3321 1 X 675799917 22664654 15430166 70300464 643594273 563023595 26381268 112420743 26025689 675799917 439084796 201427649 23873232 101362082 563023595 361302630 92211141 5722067 20151042 439084796 321409434 17999471 24693382 2788825 10832 361302630 0.47270 0.37010 0.15720 0 1 1 129467878 129467878 4056657106 2123772263 1932884843 12253468 7178581 5074887 2464378672 1665514691 798863981 335298928 335298928 3201590517 MAYO POOLED INVESTMENTS 1984971581 F ASSETS HELD BY TRUSTEES 107581 F TECH BASED VENTURES 23792839 F PARTNERSHIP INVESTMENT 8031775 F 2016903776 DUE FROM AFFILIATES 3586282800 ART 420000 CONTRIBUTED ASSETS PENDING DISPOSAL 1375062 THIRD PARTY TRUSTS 6013868 GIFT ANNUITIES 120964161 RELOCATION HOUSES 569588 OTHER LONG TERM ASSETS 14830884 TRUSTS 5128068 3735584431 1501224 DUE TO AFFILIATES 2832598181 DEFERRED COMPENSATION LIABILITY 214652065 LONG-TERM FINANCING OBLIGATION 21682317 3070433787 X 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, 2018 AND 2017, 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. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 77 TRAVEL 141973 EAST ASIA AND THE PACIFIC 0 180 TRAVEL 703316 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 441 TRAVEL 1756843 MIDDLE EAST AND NORTH AFRICA 0 45 TRAVEL 256681 NORTH AMERICA 0 203 TRAVEL 431374 SOUTH AMERICA 0 104 TRAVEL 207205 SOUTH ASIA 0 38 TRAVEL 115743 SUB-SAHARAN AFRICA 0 30 TRAVEL 75579 CENTRAL AMERICA AND THE CARIBBEAN 1 5 PATIENT SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 83422 NORTH AMERICA 2 6 PATIENT SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 146736 SOUTH AMERICA 2 6 PATIENT SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 103867 MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES PATIENT CARE 15028 NORTH AMERICA 0 2 PROGRAM SERVICES CONSULTING 82209 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS NORTH AMERICA 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS RUSSIA AND THE NEIGHBORING STATES 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS SOUTH AMERICA 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS SOUTH ASIA 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES SALE OF EDUCATION MATERIALS CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 7246000 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 60000 CENTRAL AMERICA AND THE CARIBBEAN 0 3 SUPPLIES & SERVICES PURCHASED 12062 EAST ASIA AND THE PACIFIC 0 52 SUPPLIES & SERVICES PURCHASED 490814 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 229 SUPPLIES & SERVICES PURCHASED 4183131 MIDDLE EAST AND NORTH AFRICA 0 7 SUPPLIES & SERVICES PURCHASED 180522 NORTH AMERICA 0 135 SUPPLIES & SERVICES PURCHASED 3860783 RUSSIA AND THE NEIGHBORING STATES 0 1 SUPPLIES & SERVICES PURCHASED 101514 SOUTH AMERICA 0 12 SUPPLIES & SERVICES PURCHASED 71914 SOUTH ASIA 0 8 SUPPLIES & SERVICES PURCHASED 56784 SUB-SAHARAN AFRICA 0 1 SUPPLIES & SERVICES PURCHASED 1157 EAST ASIA AND THE PACIFIC 0 0 ROYALTY INCOME EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 ROYALTY INCOME NORTH AMERICA 0 0 ROYALTY INCOME CENTRAL AMERICA AND THE CARIBBEAN 0 4 SUPPLIES & SERVICES PURCHASED MARKETING 1117588 EAST ASIA AND THE PACIFIC 0 6 SUPPLIES & SERVICES PURCHASED MARKETING 779738 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 2 SUPPLIES & SERVICES PURCHASED MARKETING 71429 MIDDLE EAST AND NORTH AFRICA 0 8 SUPPLIES & SERVICES PURCHASED MARKETING 988491 NORTH AMERICA 0 4 SUPPLIES & SERVICES PURCHASED MARKETING 406940 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 FUNDRAISING 28705 0 1118 5 492 5 1610 3688714 20088834 23777548 NORTH AMERICA RESEARCH SUBAWARD 11660 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 0 NORTH AMERICA RESEARCH SUBAWARD 7828 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 0 NORTH AMERICA RESEARCH SUBAWARD 27970 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 0 NORTH AMERICA RESEARCH SUBAWARD 5125 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 0 NORTH AMERICA RESEARCH SUBAWARD 48660 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER 0 0 5 1 1 1 0 0 1 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 IV - FILING OF CERTAIN FOREIGN FORMS DISCLOSURE STATEMENT RELATED TO FORM 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 FORM 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 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. 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: E-FILED 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: E-FILED DISCLOSURE STATEMENT RELATED TO FORM 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, 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. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DINNER/SILENT AUCTION 72455 39800 32655 72455 39800 32655 32655 1 1 X 1 X 1 X 1 0 1 1 51067833 51067833 0.00760 521398227 286471449 234926778 0.03500 0 572466060 286471449 285994611 0.04260 3283423 79846 3203577 0.00050 101749714 23479870 78269844 0.01170 520994157 353329203 167664954 0.02500 160958343 100591247 60367096 0.00900 2581523 0 2581523 0.00040 789567160 477480166 312086994 0.04660 1362033220 763951615 598081605 0.08920 14135 14135 0.00000 1211682 1211682 0.00020 18388 18388 0.00000 17762 17762 0.00000 195302 195302 0.00000 320 320 0.00000 253841 253841 0.00000 109932 109932 0.00000 1821362 1821362 0.00020 0 187980611 1565694005 1859415170 -293721165 X 1 1 20 1 MAYO CLINIC HOSPITAL ROCHESTER 1216 2ND STREET SW ROCHESTER MN 55905 WWW.MAYOCLINIC.ORG 00428 MAYO CLINIC HOSPITAL ROCHESTER 410944601 X X X X X X E 2 MCHS FRANCISCAN HEALTHCARE LA CROSSE 700 WEST AVENUE SOUTH LA CROSSE WI 546014796 WWW.MAYOCLINIC.ORG 24 MCHS FRANCISCAN MEDICAL CENTER 390806374 X X X X CLINIC, PHARMACY D 3 MAYO CLINIC HOSPITAL IN FLORIDA 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 WWW.MAYOCLINIC.ORG 4493 MAYO CLINIC FLORIDA 590714831 X X X X E 4 MCHS EAU CLAIRE 1221 WHIPPLE STREET EAU CLAIRE WI 54703 WWW.MAYOCLINIC.ORG 48 MCHS NW WISCONSIN REGION 390813418 X X X DIALYSIS B 5 MCHS MANKATO 1025 MARSH STREET MANKATO MN 56001 WWW.MAYOCLINIC.ORG 00033 MCHS SW MINNESOTA REGION 411236756 X X X X CLINIC A 6 MAYO CLINIC HOSPITAL (ARIZONA) 5777 EAST MAYO BOULEVARD PHOENIX AZ 85054 WWW.MAYOCLINIC.ORG H2027 MAYO CLINIC ARIZONA 860800150 X X X X E 7 MCHS ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NORTHWEST AUSTIN MN 55912 WWW.MAYOCLINIC.ORG 00920 MCHS SE MINNESOTA REGION 411404075 X X X CLINIC A 8 MCHS FAIRMONT 800 MEDICAL CENTER DRIVE FAIRMONT MN 56031 WWW.MAYOCLINIC.ORG 00359 MCHS FAIRMONT 410760836 X X X CLINIC, DIALYSIS A 9 MCHS RED WING 701 HEWITT BOULEVARD RED WING MN 55066 WWW.MAYOCLINIC.ORG 21423 MCHS RED WING 411713783 X X X CLINIC C 10 MCHS NEW PRAGUE 301 2ND STREET NORTHEAST NEW PRAGUE MN 56071 WWW.MAYOCLINIC.ORG 00607 MCHS NEW PRAGUE 410723639 X X X X WOMENS HEALTH CENTER A 11 MCHS WASECA 501 NORTH STATE STREET WASECA MN 56093 WWW.MAYOCLINIC.ORG 00908 MCHS WASECA 363606405 X X X X CLINIC A 12 MCHS NORTHLAND 1222 EAST WOODLAND BARRON WI 54812 WWW.MAYOCLINIC.ORG 1018 MCHS NORTHLAND 390920634 X X X X CLINIC, NURSING HOME, AMBULANCE B 13 MCHS CHIPPEWA VALLEY 1501 THOMPSON STREET BLOOMER WI 54724 WWW.MAYOCLINIC.ORG 1017 MCHS CHIPPEWA VALLEY 390980343 X X X X CLINIC B 14 MCHS RED CEDAR 2321 STOUT ROAD MENOMONIE WI 54751 WWW.MAYOCLINIC.ORG 1044 MCHS RED CEDAR 510190875 X X X X CLINIC, BEHAVIORAL HEALTH, PHYSICAL REHAB A 15 MCHS FRANCISCAN HEALTHCARE SPARTA 310 WEST MAIN STREET SPARTA WI 546562142 WWW.MAYOCLINIC.ORG 1009 MCHS FRANCISCAN MEDICAL CENTER 390806374 X X X X CLINIC, BEHAVIORAL HEALTH, DURABLE MEDICAL EQUIPMENT D 16 MCHS ST JAMES 1101 MOULTON PARSONS DRIVE ST JAMES MN 56081 WWW.MAYOCLINIC.ORG 00698 MCHS ST JAMES 410797368 X X X X CLINIC A 17 MCHS SPRINGFIELD 625 NORTH JACKSON AVENUE SPRINGFIELD MN 56087 WWW.MAYOCLINIC.ORG 00044 MCHS SPRINGFIELD 411893827 X X X X CLINIC A 18 MCHS OAKRIDGE 13025 8TH STREET OSSEO WI 54758 WWW.MAYOCLINIC.ORG 1003 MCHS OAKRIDGE 391029430 X X X X CLINIC, NURSING HOME, RESIDENTIAL CARE/APARTMENT COMPLEX B 19 MCHS LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 WWW.MAYOCLINIC.ORG 20693 MCHS LAKE CITY 411906820 X X X X CLINIC, NURSING HOME C 20 MCHS CANNON FALLS 32021 COUNTY ROAD 24 BOULEVARD CANNON FALLS MN 55009 WWW.MAYOCLINIC.ORG 140 MCHS CANNON FALLS 204156428 X X X X CLINIC, SWING BED C REPORTING GROUP A 0 0 1 X X X X X X X X X X 16 1 0 1 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP E 0 0 1 X X X X X X X X X X 16 1 1 1 1 X MAYOCLINIC.ORG X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X X 16 1 1 1 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP C 0 0 1 X X X X X X X X X 16 1 1 0 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP D 0 0 1 X X X X X X X X X 16 1 1 1 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 16 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 5: MCHS MANKATO, - FACILITY 7: MCHS ALBERT LEA AND AUSTIN, - FACILITY 8: MCHS FAIRMONT, - FACILITY 10: MCHS NEW PRAGUE, - FACILITY 11: MCHS WASECA, - FACILITY 14: MCHS RED CEDAR, - FACILITY 16: MCHS ST JAMES, - FACILITY 17: MCHS SPRINGFIELD GROUP A-FACILITY 5 -- MCHS MANKATO PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS SOLICITED FROM REPRESENTATIVES OF COMMUNITY ORGANIZATIONS SUCH AS THE OPEN DOOR HEALTH CENTER, MINNESOTA VALLEY ACTION COUNCIL, SALVATION ARMY, AND VINE FAITH IN ACTION AND OVER 1,000 EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS WERE COMPLETED IN ASSISTING IN THE IDENTIFICATION OF COMMUNITY HEALTH NEEDS. AN ADDITIONAL SURVEY PROCESS WITH COMMUNITY ORGANIZATIONS SERVING A CROSS SECTION OF CONSTITUENTS, INCLUDING THE UNDERSERVED, PROVIDED PRIORITIZATION OF THE TOP TWO IDENTIFIED NEEDS. ALL SURVEYS AND COMMUNITY INPUT OCCURRED BETWEEN APRIL 1 AND AUG. 19, 2016.THE BLUE EARTH, LE SUEUR AND NICOLLET COUNTY PUBLIC HEALTH DEPARTMENTS PROVIDED VALUABLE INPUT INTO THE IDENTIFICATION OF A WIDE VARIETY OF KNOWN HEALTH NEEDS IN THE COMMUNITY. THIS INFORMATION, INCLUDING INPUT FROM FOUR OTHER SOUTHERN MINNESOTA HEALTH DEPARTMENTS (BROWN COUNTY PUBLIC HEALTH, HUMAN SERVICES OF FARIBAULT AND MARTIN COUNTIES, WASECA COUNTY PUBLIC HEALTH, AND WATONWAN PUBLIC HEALTH) WAS BUILT INTO THE SURVEY THAT WAS USED FOR COMMUNITY INPUT. THE SURVEY INSTRUMENT WAS THEN DESIGNED AND ADMINISTERED BY A SENIOR RESEARCH SCIENTIST WITH THE MINNESOTA DEPARTMENT OF HEALTH. GROUP A-FACILITY 5 -- MCHS MANKATO PART V, SECTION B, LINE 6B: BLUE EARTH COUNTY PUBLIC HEALTH DEPARTMENTNICOLLET COUNTY PUBLIC HEALTHLE SUEUR COUNTY PUBLIC HEALTHPUBLIC HEALTHOPEN DOOR HEALTH CENTERMINNESOTA VALLEY ACTION COUNCILSALVATION ARMYVINE FAITH IN ACTION GROUP A-FACILITY 5 -- MCHS MANKATO PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SWMN REGION IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSIONIN 2018, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY:TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC, MCHS-MANKATO:- PROVIDED A COMMUNITY GARDEN AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES.- HELD A POP UP EVENT AT THE LOCAL MALL TO ENCOURAGE HEALTHY ACTIVITY; GAVE AWAY CALENDARS AND PEDOMETERS TO MALL WALKERS AND SHARED INFORMATION ABOUT THE MAYO MILE, A ONE MILE WALKING PATH WITHIN THE MALL.- PARTICIPATED IN BABY & KIDS TO PROMOTE REDUCED SCREEN TIME FOR KIDS, GAMES TO KEEP THEM ACTIVE, AND "RETHINK YOUR DRINK", A DISPLAY FROM A DIETITIAN EDUCATING ON SUGAR IN KIDS' DRINKS. - PARTICIPATED IN THE LAKE CRYSTAL JUNGLE BOOGIE TO PROMOTE REDUCED SCREEN TIME FOR KIDS AND GAMES TO KEEP THEM ACTIVE.- CLINICAL DIETITIAN PRESENTED ON HEALTHY SNACKS & ALTERNATIVE FOODS TO FAMILIES WITH TYPE 1 DIABETES AT CAMP SWEET LIFE CONNECTS, AN EDUCATIONAL SUPPORT GROUP FOR FAMILIES OF CHILDREN WITH TYPE 1 DIABETES.- CLINICAL DIETITIAN PRESENTED ON SPORTS NUTRITION TO THE BETHANY LUTHERAN COLLEGE SOFTBALL TEAM.- HOSTED A BARIATRIC SURGERY SUPPORT GROUP (12 MEETINGS);TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-MANKATO COLLABORATED WITH THE FOLLOWING ORGANIZATIONS:- CHILDREN'S MUSEUM: PROVIDED $20,000 FINANCIAL SUPPORT AND OVER $11,000 IN-KIND SUPPORT FOR WELLNESS CONTENT PROVIDED TO MUSEUM MEMBERS AND GUESTS; PROVIDED GUEST EXPERTS AT MUSEUM PROGRAMMING SUCH AS TODDLER WEDNESDAY AND THE HEALTHY SUMMER INITIATIVE.- MANKATO MARATHON: AS A PRESENTING SPONSOR, PROVIDED INFUSED WATER, ENCOURAGED HEALTHY HYDRATION AND IN-KIND MEDICAL SUPPORT AND STRETCH ZONE ON RACE DAY.- RIVER HILLS MALL: PROVIDED HEALTH AND WELLNESS INFORMATION ON A LITERATURE RACK, HELD A HEART HEALTH EVENT AND A POP UP EVENT TO ENCOURAGE MALL WALKING. - VINE FAITH IN ACTION: THE TRAUMA TEAM AND OTHER MCHS EXPERTS FACILITATED, FREE OF CHARGE, A STEPPING ON PROGRAM, AN EVIDENCE-BASED PROGRAM TO REDUCE FALL RISK IN OLDER ADULTS. MAYO CLINIC EXPERTS ALSO HOSTED SIX VINE SPEAKER SERIES PRESENTATIONS RELATED TO HEALTH, WELLNESS AND NUTRITION. - PROVIDED $152,000 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, GIRLS ON THE RUN, AND THE FOOD BACKPACK PROGRAM.- SUPPORTED LOCAL ORGANIZATIONS WITH VOLUNTEERS - FEEDING OUR COMMUNITIES PARTNERS 165 VOLUNTEER HOURS; ECHO FOOD SHELF - 28 VOLUNTEER HOURS; UNITED WAY FARE FOR ALL DISTRIBUTION - 25 VOLUNTEER HOURS. - HOSTED AN EMPLOYEE FOOD DRIVE FOR CADA (COMMITTEE AGAINST DOMESTIC ABUSE) - EMPLOYEES CONTRIBUTED OVER 5,000 POUNDS OF FOOD THAT MCHS-MANKATO COLLECTED AND DELIVERED TO THE SHELTER.- PARTICIPATED IN THE FOLLOWING COMMUNITY COALITIONS TO COLLABORATE AND IMPROVE HEALTH: SHIP CLT (COMMUNITY LEADERSHIP TEAM THAT ADVISES SHIP WORK AND PROJECTS), MANKATO AREA CARE NETWORK, AND THE INCLUSIVE HEALTH COALITION.HYPERTENSION:TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND RAISE AWARENESS OF THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION, MCHS-MANKATO:- HELD A HEART HEALTH EVENT AT RIVER HILLS MALL FEATURING A GIANT INFLATABLE HEART, HEALTHY SNACK IDEAS, BLOOD PRESSURE CHECKS, A KID'S ACTIVITY STATION AND AN OPPORTUNITY FOR KIDS TO LISTEN TO THEIR HEARTS.- SPONSORED THE GO RED FOR WOMEN EVENT AT WHICH TWO MCHS PHYSICIANS WERE THE KEYNOTE SPEAKERS.- HAD A STROKE BOOTH AT THE LOVE YOUR HEART EVENT WHERE A STAFF PERSON TALKED ABOUT STROKE SYMPTOMS AND HANDED OUT MAGNETS.TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-MANKATO:- CONDUCTED OVER 100 BLOOD PRESSURE CHECKS AT VARIOUS COMMUNITY EVENTS.- HELD MONTHLY STROKE SUPPORT GROUP MEETINGS.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-MANKATO ALSO DISSEMINATED HEALTH INFORMATION ON THE IDENTIFIED NEEDS THROUGH THE MEDIA:- TEN PRINT ARTICLES ON OBESITY AND THREE PRINT ARTICLES FOR HEART/HYPERTENSION IN LOCAL NEWSPAPERS;- TV MIDDAY EXPERT ON NEW YEAR'S RESOLUTIONS AND LIFESTYLE CHANGES;- HOMETOWN HEALTH, A PUBLICATION PRODUCED SIX TIMES A YEAR AND DISTRIBUTED TO MEMBERS OF THE COMMUNITY;- AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.MCHS-MANKATO IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES THE FOLLOWING NEEDS FOR THE REASONS AS NOTED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. - DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM ADDRESSES THIS NEED THROUGH ITS DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN THE COMMUNITIES SERVED; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. - ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY, ARE ADDRESSING THESE ISSUES. REPRESENTATIVES FROM MAYO CLINIC HEALTH SYSTEM ARE PART OF THIS IMPACT TEAM. - TOBACCO: MCHS-SWMN CONTINUES TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. - MENTAL HEALTH: THIS IS A CORE SERVICE OF MCHS-SWMN THAT WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS. - ACCESS TO HEALTH CARE: MCHS-SWMN WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. GROUP A-FACILITY 8 -- MCHS FAIRMONT PART V, SECTION B, LINE 5: COMMUNITY INPUT:MAYO CLINIC HEALTH SYSTEM IN FAIRMONT SURVEYED RANDOMLY SELECTED INDIVIDUALS IN BOTH MARTIN AND FARIBAULT COUNTIES, AND PARTNER ORGANIZATIONS, SUCH AS OPEN DOOR HEALTH CENTER, MINNESOTA VALLEY ACTION COUNCIL, VINE FAITH IN ACTION, AND SALVATION ARMY, WHO ALSO SERVE THIS AREA. COUNTY RESIDENT AND KEY SERVICE ORGANIZATION INPUT WERE ESSENTIAL IN DRIVING THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS. THEY REPRESENTED A BROAD RANGE OF THE COMMUNITY INCLUDING CHILDREN, ADULTS, SENIORS, FAMILIES AND UNDERSERVED POPULATIONS. SURVEYS AND COMMUNITY INPUT OCCURRED BETWEEN APRIL AND AUGUST 2016. PUBLIC HEALTH DEPARTMENT INPUT:HUMAN SERVICES OF FARIBAULT AND MARTIN COUNTIES PROVIDED VALUABLE INFORMATION REGARDING COMMUNITY HEALTH NEEDS AND A UNIQUE PERSPECTIVE FOR UNDERSERVED POPULATIONS. THIS PUBLIC HEALTH DEPARTMENT REPRESENTS ALL RESIDENTS IN FARIBAULT AND MARTIN COUNTIES AND HAS A SIGNIFICANT FOCUS ON PROVIDING SERVICES FOR LOW- AND MODERATE-INCOME RESIDENTS. THIS AGENCY PROVIDES SOCIAL SERVICES FOR CHILDREN, ADULTS, SENIORS AND INDIVIDUALS WITH DISABILITIES, AS WELL AS SERVICES IN MATERNAL-CHILD HEALTH, DISEASE PREVENTION AND CONTROL, COMMUNITY AND EMERGENCY PREPAREDNESS AND ENVIRONMENTAL HEALTH. GROUP A-FACILITY 8 -- MCHS FAIRMONT PART V, SECTION B, LINE 6B: HUMAN SERVICES OF FARIBAULT AND MARTIN COUNTIESOPEN DOOR HEALTH CENTERMINNESOTA VALLEY ACTION COUNCIL SALVATION ARMY VINE FAITH IN ACTION GROUP A-FACILITY 8 -- MCHS FAIRMONT PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SWMN, FAIRMONT HOSPITAL (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- OBESITY- HYPERTENSION (HIGH BLOOD PRESSURE)IN 2018, MCHS-FAIRMONT TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES, MCHS-FAIRMONT:- PROVIDED MONETARY SUPPORT OF $23,813, DONATED 166 PAID STAFF HOURS & HEALTH EDUCATION MATERIALS, AND EMPLOYEES VOLUNTEERED 160 HOURS TO THE 27 COMMUNITY ORGANIZATIONS AND EVENTS TO PROMOTE COMMUNITY WELLNESS.- HOSTED A BARIATRIC SURGERY SUPPORT GROUP (12 MEETINGS);- ENGAGED WITH THE LIVING WELL WITH DIABETES SUPPORT GROUP (12 MEETINGS)- COORDINATED THE ANNUAL COMMUNITY WELLNESS CHALLENGE; -COORDINATED SCHOOL WELLNESS WEEK;-PROVIDED COMPLIMENTARY HEIGHT AND WEIGHT CHECKS AND SPEAKERS ON TOPICS OF RETHINK YOUR DRINK AND HEALTHY SNACKS AT AREA SERVICE CLUBS, COMMUNITY BUSINESSES AND COMMUNITY EVENTS;HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-FAIRMONT:- OFFERED COMPLIMENTARY BLOOD PRESSURE SCREENINGS AT THE COUNTY FAIR AND ON A WEEKLY BASIS AT MCHS-FAIRMONT.- DISTRIBUTED EDUCATIONAL BROCHURES AND FAST MAGNETS AT THE MARTIN COUNTY FAIR, HEALTHY LIVING EXPO, ARMSTRONG WELLNESS FAIR AND LOVE YOUR HEART EVENT- HELD A HEART HEALTH EVENT AT THE LOCAL FAIRMONT MALL FEATURING A GIANT INFLATABLE HEART, HEALTHY SNACK IDEAS, BLOOD PRESSURE CHECKS, AND KID'S ACTIVITY STATIONIN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-FAIRMONT ALSO DISSEMINATED HEALTH INFORMATION ON THE IDENTIFIED NEEDS THROUGH THE MEDIA:- 6 ARTICLES WERE PUBLISHED IN LOCAL NEWSPAPERS;- AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE PUBLIC THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-FAIRMONT IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. - DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM DOES ADDRESS THIS NEED THROUGH OUR DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN OUR COMMUNITIES; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. - ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. - TOBACCO: WE WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. - MENTAL HEALTH: THIS IS A CORE SERVICE OF MAYO CLINIC HEALTH SYSTEM WHICH WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. - ACCESS TO HEALTH CARE: MAYO CLINIC HEALTH SYSTEM WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. GROUP A-FACILITY 10 -- MCHS NEW PRAGUE PART V, SECTION B, LINE 5: COMMUNITY INPUTMAYO CLINIC HEALTH SYSTEM IN NEW PRAGUE SURVEYED RANDOMLY SELECTED INDIVIDUALS IN LE SUEUR COUNTY, AND PARTNER ORGANIZATIONS, SUCH AS OPEN DOOR HEALTH CENTER, MINNESOTA VALLEY ACTION COUNCIL, VINE FAITH IN ACTION, AND SALVATION ARMY, WHO ALSO SERVE THIS AREA. COUNTY RESIDENT AND KEY SERVICE ORGANIZATION INPUT WERE ESSENTIAL IN DRIVING THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS. THEY REPRESENTED A BROAD RANGE OF THE COMMUNITY INCLUDING CHILDREN, ADULTS, SENIORS, FAMILIES, AND UNDERSERVED POPULATIONS. SURVEYS AND COMMUNITY INPUT OCCURRED BETWEEN APRIL AND AUGUST 2016.PUBLIC HEALTH DEPARTMENT INPUT SCOTT COUNTY PUBLIC HEALTH AND LE SUEUR COUNTY PUBLIC HEALTH PROVIDED VALUABLE INFORMATION REGARDING COMMUNITY HEALTH NEEDS AND A UNIQUE PERSPECTIVE FOR UNDERSERVED POPULATIONS. THESE PUBLIC HEALTH DEPARTMENTS REPRESENT ALL RESIDENTS IN SCOTT AND LE SUEUR COUNTIES AND HAVE A SIGNIFICANT FOCUS ON PROVIDING SERVICES FOR LOW- AND MODERATE-INCOME RESIDENTS. THIS AGENCY PROVIDES SOCIAL SERVICES FOR CHILDREN, ADULTS, SENIORS AND INDIVIDUALS WITH DISABILITIES, AS WELL AS SERVICES IN MATERNAL-CHILD HEALTH, DISEASE PREVENTION AND CONTROL, COMMUNITY AND EMERGENCY PREPAREDNESS AND ENVIRONMENTAL HEALTH. GROUP A-FACILITY 10 -- MCHS NEW PRAGUE PART V, SECTION B, LINE 6B: SCOTT COUNTY PUBLIC HEALTHLE SUEUR PUBLIC HEALTHOPEN DOOR HEALTH CENTERMINNESOTA VALLEY ACTION COUNCIL SALVATION ARMY VINE FAITH IN ACTION GROUP A-FACILITY 10 -- MCHS NEW PRAGUE PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SWMN IN NEW PRAGUE (MCHS-NP) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- OBESITY- HYPERTENSION (HIGH BLOOD PRESSURE)IN 2018, MCHS-NP TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC, MCHS-NP:- HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:> YOGA IN THE PARK - FOUR FREE SESSIONS TO PROMOTE HEALTHY ACTIVITY TO COMMUNITY.> COMMUNITY WALKS - WEEKLY WALK SCHEDULED FOR COMMUNITY MEMBERS IN THE FALL- PROVIDED SUPPORT TO NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE EVENT:> $4,000 SPONSORSHIP;> HELD A RUNNING TRAINING PROGRAM;> PM&R STAFF PROVIDED EXPERTISE TO RUNNERS AT PACKET PICKUP> DIETITIAN PROVIDED A HYDRATION STATION WITH FRUIT INFUSED WATER ON RACE DAY- PARTNERED WITH NEW PRAGUE SCHOOL DISTRICT AND ST. WENCESLAUS SCHOOL TO OFFER FIT KIDS PROGRAM - 6 MONTHLY CLASSROOM PROGRAMS FOCUSED ON IMPROVING NUTRITION, INCREASING EXERCISE AND DECREASING SCREEN TIME.HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS:- OFFERED COMPLIMENTARY BLOOD PRESSURE CLINICS AT KCHK LIFESTYLE EXPO AND CHART EMPLOYEE WELLNESS FAIR.- PROMOTED THE USE OF SELF-CHECK BLOOD PRESSURE EQUIPMENT AT THE FITNESS CENTER.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-NP TOOK THE FOLLOWING ACTIONS TO ADDRESS BOTH IDENTIFIED NEEDS: - PARTNERED WITH COMMUNITY MEMBERS AND LOCAL BUSINESS ON A COMMUNITY WELLNESS CHALLENGE - MONTH LONG COMMUNITY CHALLENGE FOCUSING ON A DAILY WELLNESS ACTIVITY.- PROMOTED NUTRITIOUS FOODS AND FOOD PREPARATION THROUGH A COOKING DEMONSTRATION AT THE KCHK LIFESTYLE EXPO AND AGING WELL SENIOR FAIR- MCHS DIETITIAN HOSTED AN HERB CLASS FOR LOCAL PEACE CENTER CLIENTS.- DISSEMINATED HEALTH EDUCATION INFORMATION THROUGH THE MEDIA:> HOMETOWN HEALTH - PUBLICATION OF HEALTH INFORMATION PUBLISHED 6 TIMES PER YEAR;> AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE PUBLIC THROUGH ONLINE BLOGS WRITTEN BY MAYO EXPERTS; THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-NP IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. - DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM DOES ADDRESS THIS NEED THROUGH OUR DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN OUR COMMUNITIES; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. - ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. - TOBACCO: WE WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. - MENTAL HEALTH: THIS IS A CORE SERVICE OF MAYO CLINIC HEALTH SYSTEM WHICH WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. - ACCESS TO HEALTH CARE: MAYO CLINIC HEALTH SYSTEM WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. GROUP A-FACILITY 11 -- MCHS WASECA PART V, SECTION B, LINE 5: COMMUNITY INPUT:MAYO CLINIC HEALTH SYSTEM IN WASECA SURVEYED RANDOMLY SELECTED INDIVIDUALS IN WASECA COUNTY, AND PARTNER ORGANIZATIONS, SUCH AS OPEN DOOR HEALTH CENTER, MINNESOTA VALLEY ACTION COUNCIL, VINE FAITH IN ACTION, AND SALVATION ARMY, WHO ALSO SERVE THIS AREA. INPUT FROM COUNTY RESIDENTS AND KEY SERVICE ORGANIZATIONS WAS ESSENTIAL IN DRIVING THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS. THEY REPRESENTED A BROAD RANGE OF THE COMMUNITY INCLUDING CHILDREN, ADULTS, SENIORS, FAMILIES, AND UNDERSERVED POPULATIONS. SURVEYS AND COMMUNITY INPUT OCCURRED BETWEEN APRIL AND AUGUST 2016.PUBLIC HEALTH DEPARTMENT INPUT: HUMAN SERVICES OF WASECA COUNTY PROVIDED VALUABLE INFORMATION REGARDING COMMUNITY HEALTH NEEDS AND A UNIQUE PERSPECTIVE FOR UNDERSERVED POPULATIONS. THIS PUBLIC HEALTH DEPARTMENT REPRESENTS ALL RESIDENTS IN WASECA COUNTY AND HAS A SIGNIFICANT FOCUS ON PROVIDING SERVICES FOR LOW- AND MODERATE-INCOME RESIDENTS. THIS AGENCY PROVIDES SOCIAL SERVICES FOR CHILDREN, ADULTS, SENIORS AND INDIVIDUALS WITH DISABILITIES, AS WELL AS SERVICES IN MATERNAL-CHILD HEALTH, DISEASE PREVENTION AND CONTROL, COMMUNITY AND EMERGENCY PREPAREDNESS AND ENVIRONMENTAL HEALTH. GROUP A-FACILITY 11 -- MCHS WASECA PART V, SECTION B, LINE 6B: HUMAN SERVICES OF WASECA COUNTY OPEN DOOR HEALTH CENTERMINNESOTA VALLEY ACTION COUNCIL SALVATION ARMY VINE FAITH IN ACTION GROUP A-FACILITY 11 -- MCHS WASECA PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SWMN IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- OBESITY- HYPERTENSIONIN 2018, MCHS-WASECA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC AND COLLABORATE WITH KEY COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-WASECA:- PROVIDED HEALTHY SNACK AND INFUSED WATER AT THE COLOR ME RUN 5K WITH WASECA PUBLIC SCHOOLS.- PROVIDED A DIETITIAN AT THE TASTE OF THE FARM EVENT WHO GAVE OUT A HEALTHY SNACK AND INFUSED WATER.- PROVIDED CLINIC NURSING AT THE EARLY CHILDHOOD FAMILY EDUCATION FAIR.- DONATED $1,000 TO THE WASECA AREA NEIGHBORHOOD SERVICE CENTER FOOD SHELF FOR HEALTHY FOODS- MAYO CLINIC HEALTH SYSTEM EMPLOYEES PARTICIPATED IN THE TOBACCO 21 MOVEMENT IN WASECA. HYPERTENSION : TO RAISE AWARENESS THROUGH COMMUNITY-BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-WASECA PROVIDED HEALTH EDUCATION TO THE PUBLIC BY STAFFING A BOOTH AT THE TASTE OF FARM EVENT AND THE WASECA COUNTY FREE FAIR.IN ADDITION TO ADDRESSING THE IDENTIFIED NEEDS AS DESCRIBED ABOVE, HEALTH INFORMATION WAS DISSEMINATED TO THE COMMUNITY THROUGH THE MEDIA AS FOLLOWS:- 3 ARTICLES ON HEART/HYPERTENSION AND 10 ARTICLES ON OBESITY WERE PUBLISHED IN THE WASECA COUNTY NEWS.- HOMETOWN HEALTH IS PUBLISHED AND DISTRIBUTED 6 TIMES PER YEAR.- AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-WASECA IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. - DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS ADDRESSES THIS NEED THROUGH ITS DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN THE COMMUNITIES SERVED; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. - ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY, ARE ADDRESSING THESE ISSUES.- TOBACCO: MCHS WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. - MENTAL HEALTH: THIS IS A CORE SERVICE THAT MCHS WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF ITS PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY, TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN.- ACCESS TO HEALTH CARE: MCHS WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR ITS PATIENTS. GROUP A-FACILITY 16 -- MCHS ST JAMES PART V, SECTION B, LINE 5: COMMUNITY INPUTMAYO CLINIC HEALTH SYSTEM IN ST. JAMES SURVEYED RANDOMLY SELECTED INDIVIDUALS IN WATONWAN COUNTY, AND PARTNER ORGANIZATIONS, SUCH AS OPEN DOOR HEALTH CENTER, MINNESOTA VALLEY ACTION COUNCIL, VINE FAITH IN ACTION, AND SALVATION ARMY, WHO ALSO SERVE THIS AREA. INPUT FROM COUNTY RESIDENTS AND KEY SERVICE ORGANIZATIONS WAS ESSENTIAL IN DRIVING THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS. THEY REPRESENTED A BROAD RANGE OF THE COMMUNITY INCLUDING CHILDREN, ADULTS, SENIORS, FAMILIES, AND UNDERSERVED POPULATIONS. SURVEYS AND COMMUNITY INPUT OCCURRED BETWEEN APRIL AND AUGUST 2016.PUBLIC HEALTH DEPARTMENT INPUTTHE WATONWAN COUNTY HEALTH DEPARTMENT PROVIDED VALUABLE INFORMATION REGARDING COMMUNITY HEALTH NEEDS AND A UNIQUE PERSPECTIVE FOR UNDERSERVED POPULATIONS. THIS PUBLIC HEALTH DEPARTMENT REPRESENTS ALL RESIDENTS OF WATONWAN COUNTY, WITH SEVERAL PROGRAMS DIRECTED AT LOW- TO MODERATE- INCOME INDIVIDUALS AND FAMILIES AND THE LATINO COMMUNITY. SERVICES PROVIDED INCLUDE W.I.C., FAMILY HEALTH, FAMILY PLANNING AND LATINO HEALTH. GROUP A-FACILITY 16 -- MCHS ST JAMES PART V, SECTION B, LINE 6B: WATONWAN COUNTY HEALTH DEPARTMENT OPEN DOOR HEALTH CENTERMINNESOTA VALLEY ACTION COUNCIL SALVATION ARMY VINE FAITH IN ACTION GROUP A-FACILITY 16 -- MCHS ST JAMES PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SWMN, ST. JAMES HOSPITAL (MCHS-STJ) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-OBESITY-HYPERTENSIONIN 2018, MCHS-STJ TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC AND COLLABORATE WITH KEY COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-STJ:- OFFERED FREE WEIGHT MEASUREMENT;- PROVIDED PROGRAM, PERSONNEL AND MEETING SUPPORT FOR HEALTHY FAMILIES / HEALTHY FUTURES;- PROVIDED DIETITIAN SUPPORT TO THE HEALTHY BREAKFAST PROGRAM OFFERED AT THE LOCAL ELEMENTARY SCHOOLS;- PROVIDED DIETITIAN SUPPORT TO THE LOCAL HIGH SCHOOL WELLNESS TEAM;- PARTICIPATED IN THE SOUTH CENTRAL ELECTRIC HEALTH FAIR WITH A DIETITIAN, NURSE, AND LAB TECH;- PROVIDED DIETITIAN-GUIDED GROCERY STORE TOURS OFFERING EDUCATION IN HEALTHY EATING AND READING LABELS; HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND PROVIDES SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-STJ OFFERED FREE BLOOD PRESSURE SCREENINGS.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE TO ADDRESS THE IDENTIFIED NEEDS, MCHS-STJ DISSEMINATED HEALTH EDUCATION INFORMATION THROUGH THE MEDIA:- PUBLISHED ARTICLES IN ST. JAMES PLAINDEALER;- AS AN AFFILIATE OF MAYO CLINIC, HEALTH EDUCATION INFORMATION WAS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-STJ IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL ALTHOUGH THE OUTPATIENT CLINIC WAS INVOLVED WITH APPLYING VARNISH TO PREVENT CAVITIES AS PART OF WELL-CHILD EXAMINATIONS.- DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM DOES ADDRESS THIS NEED THROUGH OUR DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN OUR COMMUNITIES; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. - ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. - TOBACCO: WE WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. - MENTAL HEALTH: THIS IS A CORE SERVICE OF MAYO CLINIC HEALTH SYSTEM WHICH WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. - ACCESS TO HEALTH CARE: MAYO CLINIC HEALTH SYSTEM WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. GROUP A-FACILITY 17 -- MCHS SPRINGFIELD PART V, SECTION B, LINE 5: COMMUNITY INPUT:MAYO CLINIC HEALTH SYSTEM IN SPRINGFIELD SURVEYED RANDOMLY SELECTED INDIVIDUALS IN BROWN COUNTY, AND PARTNER ORGANIZATIONS, SUCH AS OPEN DOOR HEALTH CENTER, MINNESOTA VALLEY ACTION COUNCIL, VINE FAITH IN ACTION, AND SALVATION ARMY, WHO ALSO SERVE THIS AREA. COUNTY RESIDENT AND KEY SERVICE ORGANIZATION INPUT WERE ESSENTIAL IN DRIVING THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS. THEY REPRESENTED A BROAD RANGE OF THE COMMUNITY INCLUDING CHILDREN, ADULTS, SENIORS, FAMILIES, AND UNDERSERVED POPULATIONS. SURVEYS AND COMMUNITY INPUT OCCURRED BETWEEN APRIL AND AUGUST 2016. PUBLIC HEALTH DEPARTMENT INPUT:THE BROWN COUNTY PUBLIC HEALTH DEPARTMENT PROVIDED VALUABLE INFORMATION REGARDING COMMUNITY HEALTH NEEDS AND A UNIQUE PERSPECTIVE FOR UNDERSERVED POPULATIONS. THIS PUBLIC HEALTH DEPARTMENT REPRESENTS ALL RESIDENTS IN BROWN COUNTY AND PROVIDES SERVICES TO EVERYONE REGARDLESS OF AGE, BACKGROUND OR SOCIO-ECONOMIC LEVEL. SERVICES INCLUDE HOME HEALTH, UNIVERSAL CONTACT FOR NEWBORNS, W.I.C., ELDER CARE, HEALTH SCREENS, COMMUNITY HEALTH EDUCATION, RADON, S.H.I.P. PROGRAMS, HEART OF NEW ULM AND HEART OF BROWN COUNTY. GROUP A-FACILITY 17 -- MCHS SPRINGFIELD PART V, SECTION B, LINE 6B: BROWN COUNTY PUBLIC HEALTH OPEN DOOR HEALTH CENTERMINNESOTA VALLEY ACTION COUNCIL SALVATION ARMY VINE FAITH IN ACTION GROUP A-FACILITY 17 -- MCHS SPRINGFIELD PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SWMN, SPRINGFIELD HOSPITAL (MCHS-SPRINGFIELD) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- OBESITY- HYPERTENSION (HIGH BLOOD PRESSURE)IN 2018, MCHS-SPRINGFIELD TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC AND COLLABORATE WITH KEY COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-SPRINGFIELD:- PARTNERED WITH AREA BUSINESSES AND ORGANIZATIONS TO HOST COMMUNITY WELLNESS CHALLENGES HELD IN JANUARY AND JUNE.- PARTNERED WITH THE CITY OF SPRINGFIELD FOR COMMUNITY WALKS HELD AT THE COMMUNITY CENTER IN THE WINTER MONTHS AND ON THE CITY'S TRAIL SYSTEM IN THE SUMMER MONTHS.- PARTICIPATED ON THE COMMUNITY WELLNESS TEAM (11 MEETINGS) AND SERVED AS ITS LEAD ORGANIZING ENTITY.- PARTNERED WITH VARIOUS COMMUNITY ORGANIZATIONS TO SPONSOR AND HELP COORDINATE AND LEAD THE RIVERSIDE DAYS 5K FUN RUN/WALK.- PARTNERED WITH VARIOUS COMMUNITY ORGANIZATIONS ON THE BIKE SHARE PROGRAM, INCREASING THE NUMBER OF BIKES FROM 11 TO 22 WHICH WERE AVAILABLE FOR USE BY THE GENERAL PUBLIC FROM MAY THROUGH SEPTEMBER 2018.HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-SPRINGFIELD:- OFFERED FREE BLOOD PRESSURE SCREENINGS AT THE HOSPITAL;- PARTNERED WITH UNITED WAY AND THE SPRINGFIELD CHAMBER OF COMMERCE TO PROVIDE GRATITUDE PRESENTATIONS;- PRESENTED TO THE COMMUNITY, BLOOD PRESSURE: WHAT YOU NEED TO KNOW. IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-SPRINGFIELD TOOK THE FOLLOWING ACTIONS THAT ADDRESS BOTH IDENTIFIED NEEDS:- GROCERY STORE TOURS WERE CONDUCTED BY THE HOSPITAL'S DIETITIAN (9 EVENTS);- PARTNERED WITH SECOND HARVEST HEARTLAND AND THE LOCAL SPRINGFIELD AREA FOOD SHELF: > FOOD RX PROGRAM WHICH PROVIDED EDUCATION AND A BOX OF FOOD SELECTED FOR DIABETIC PATIENTS; > OFFERED NUTRITION ASSISTANCE PROGRAM FOR SENIORS (NAPS) THAT DELIVERS FOOD AND OFFERS NUTRITION ADVICE; > DIETITIAN VISITED THE FOOD SHELF TO EDUCATE CLIENTS ON HEALTHY EATING.- PROMOTED EXERCISE OPPORTUNITIES AVAILABLE IN THE COMMUNITY AND THE BENEFITS OF GRATITUDE AT A COMPREHENSIVE HEALTH FAIR THAT WAS ORGANIZED AND OPERATED BY MCHS-SPRINGFIELD.- HELD BLOOD PRESSURE AND WEIGHT MONITORING EVENTS AT TWO AREA PUBLIC SCHOOLS.- DISSEMINATED HEALTH INFORMATION THROUGH MEDIA:> 8 ARTICLES WERE PUBLISHED IN THE REGIONAL NEWSPAPER;> AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO COMMUNITY MEMBERS THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-SPRINGFIELD IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL ALTHOUGH THE OUTPATIENT CLINIC WAS INVOLVED WITH APPLYING VARNISH TO TEETH TO PREVENT CAVITIES AS PART OF WELL-CHILD EXAMINATIONS.- DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM DOES ADDRESS THIS NEED THROUGH ITS DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN OUR COMMUNITIES; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. - ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. - TOBACCO: MCSH-SPRINGFIELD WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. - MENTAL HEALTH: THIS IS A CORE SERVICE OF MAYO CLINIC HEALTH SYSTEM WHICH WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF ITS PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY THE COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. - ACCESS TO HEALTH CARE: MAYO CLINIC HEALTH SYSTEM WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. GROUP A-FACILITY 14 -- MCHS RED CEDAR PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. THE DUNN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING FOR AND DISTRIBUTING COMMUNITY HEALTH SURVEYS TO LOCAL CHURCHES, SCHOOLS, SENIOR CENTERS, PUBLIC LIBRARIES, DUNN COUNTY W.I.C. CLINIC, LOCAL FREE CLINIC AND TO THE UNIVERSITY OF WISCONSIN-STOUT HEALTH SERVICES OFFICE. ONCE THE SURVEY WAS DEVELOPED, A KICK-OFF EVENT WAS HELD SO KEY STAKEHOLDERS COULD PROVIDE FEEDBACK AND FINALIZE ITS CONTENTS. PARTICIPANTS WERE INVOLVED IN A MAPPING EXERCISE TO MAKE SURE THE SURVEY WAS DISTRIBUTED TO A BROAD LIST OF COMMUNITY MEMBERS. THE STEERING COMMITTEE MET AS NEEDED FROM EARLY 2015 UNTIL MID 2016. GROUP A-FACILITY 14 -- MCHS RED CEDAR PART V, SECTION B, LINE 6B: DUNN COUNTY HEALTH DEPARTMENTUNIVERSITY OF WISCONSIN-STOUTARBOR PLACE ALCOHOL & DRUG TREATMENT CENTERDUNN COUNTY EXTENSIONWESTERN WISCONSIN REGION OF PUBLIC HEALTH GROUP A-FACILITY 14 -- MCHS RED CEDAR PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MCHS - NWWI IN RED CEDAR (MCHS-RC) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-OBESITY-CHRONIC DISEASE-MENTAL HEALTHIN 2018, MCHS-RC TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:- MCHS-RC PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS: > $5,000 HOMETOWN HEALTH GRANT AWARDED TO STEPPING STONES FOOD PANTRY. > $15,000 HOMETOWN HEALTH GRANT AWARDED TO BIG BROTHERS BIG SISTERS FOR THEIR MENTORS IN MOTION PROGRAM. > $500 TO MENOMONIE MIDDLE SCHOOL FOR THEIR MUSTANG 5K. > $1,500 TO ROTARY CLUB OF MENOMONIE FOR THEIR KIDS AGAINST HUNGER MEAL PACKING EVENT. > $5,000 TO GET IT DUNN RUN 2018.- MCHS-RC HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > FIVE STRONG BODIES SERIES; > SNOWSHOE AND WINTER HIKE; > MUSIC AND MOVEMENT (TWELVE SESSIONS); > ZUMBA CLASSES; > UW-STOUT CHALLENGE AND ROPE COURSE ADVENTURES; > MENOMONIE COMMUNITY COOKOUT; > FOOD FOR THE MIND: A FACEBOOK LIVE EVENT; > KIDS IN THE KITCHEN COOKING CLASSES.- MCHS-RC PARTNERED WITH THE FOLLOWING ORGANIZATIONS:> EAU CLAIRE YMCA - HOSTED EIGHTH ANNUAL CAMP WABI, A SUMMER CAMP FOR CHILDREN STRUGGLING WITH WEIGHT > EAT WELL DUNN COUNTY - AN EMPLOYEE CHAIRS THE COMMITTEE AND PROVIDES ONGOING LEADERSHIP AND SOCIAL MEDIA SUPPORT; > DUNN COUNTY PARTNERSHIP FOR YOUTH - AN EMPLOYEE IS A MEMBER;> MENOMONIE MARKET FOOD CO-OP - EATING WELL ON A BUDGET; > PARTNERSHIP FOR A HEALTHIER AMERICA'S FNV (FRUITS 'N VEGETABLES) INITIATIVE - PROMOTING INCREASED CONSUMPTION OF FRUITS AND VEGETABLES TARGETING LOW INCOME MILLENNIALS.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:- MCHS-RC PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:> $1,000 TO SPONSOR AMERICAN CANCER SOCIETY RELAY FOR LIFE.> $1,000 TO FREE CLINIC ANNUAL BANQUET.- MCHS-RC HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > HEALTHY LIVING WITH DIABETES (2 COURSES) > LIVING WELL WITH CHRONIC CONDITIONS (2 COURSES) > HEALTHY HEART TALK TO CV LEARNING IN RETIREMENT GROUP > KNOW YOUR NUMBERS (2 SESSIONS)- MCHS-RC PARTNERED WITH THE FOLLOWING ORGANIZATIONS: > CHIPPEWA VALLEY LEARNING IN RETIREMENT - HEALTHY HEARTS TALK > DUNN COUNTY HEALTH FAIR - HANDWASHING STATIONS (VALUE OF $960) > STEPPING STONES OF DUNN COUNTY - AN EMPLOYEE SERVES ON BOARD AND EXECUTIVE COMMITTEE, ORGANIZATION SUPPORTS FOOD PANTRIES AND EMERGENCY HOUSING IN DUNN COUNTY > MENOMONIE AREA FREE CLINIC IS PHYSICALLY LOCATED IN MCHS-RCMENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: - MCHS-RC PROVIDED MONETARY SUPPORT TO SUPPORT THE FOLLOWING ORGANIZATIONS: > HOMETOWN HEALTH GRANT OF $20,000 AWARDED TO BOYCEVILLE SCHOOL DISTRICT FOR THEIR HEALTH MIND AND WELL BEING PROGRAM. > HOMETOWN HEALTH GRANT OF $1,000 AWARDED TO DUNN COUNTY HEALTH DEPARTMENT FOR THEIR NURSE FAMILY PARTNERSHIPS PROGRAM. - MCHS-RC HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > SUICIDE PREVENTION CLASSES (QPR) (2 CLASSES)- MCHS-RC PARTNERED WITH THE FOLLOWING ORGANIZATION: > DUNN COUNTY HEALTH COALITION PLANNING - 60 HOURS > DUNN COUNTY PARTNERSHIP FOR YOUTH > MENTAL HEALTH RESOURCE NETWORK > ELK MOUND COMMUNITY RESOURCE FAIR > COMMUNITY FOUNDATION OF DUNN COUNTY BOARD - 40 HOURS > MENOMONIE CHAMBER OF COMMERCE - HOSTED ANNUAL HEALTH AND WELLNESS DAY FOR LEADERSHIP MENOMONIE PROGRAM AND PROVIDED TALK ON MENTAL HEALTH, ADVERSE CHILDHOOD EXPERIENCES AND RESILIENCY. > BOYS AND GIRLS CLUB - MENOMONIE CHAPTER - AN EMPLOYEE SERVES ON THE LOCAL BOARD AND CONTRIBUTES TO LOCAL ONSITE PROGRAMMING.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-RC IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES, AND THEY ARE GENERALLY OUT OF SCOPE FOR MAYO CLINIC HEALTH SYSTEM. - TOBACCO: WE WILL CONTINUE TO SUPPORT THE DECREASE OF TOBACCO USE THROUGH PATIENT EDUCATION. - HEALTHY GROWTH AND DEVELOPMENT: THIS IS A CORE SERVICE OF MAYO CLINIC HEALTH SYSTEM THAT WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS. - ACCESS TO HEALTH CARE: MAYO CLINIC HEALTH SYSTEM WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. - REPRODUCTIVE/SEXUAL HEALTH: THIS IS A FOCUS FOR DUNN COUNTY PUBLIC HEALTH AND UNIVERSITY HEALTH SERVICES, WHOSE EFFORTS ARE SUPPORTED BY MAYO CLINIC HEALTH SYSTEM - RED CEDAR. GROUP A-FACILITY 7 -- MCHS ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 5: FOR FREEBORN COUNTY, IN ADDITION TO A RANDOMIZED PUBLIC SURVEY, THREE STAKEHOLDER SESSIONS WERE HELD TO ELICIT PERSPECTIVES FROM REPRESENTATIVES OF LOCAL SERVICES AGENCIES AND ORGANIZATIONS. INVITATIONS WERE SENT TO SPECIFIC AGENCY AND ORGANIZATION CONTACTS, WITH ENCOURAGEMENT TO INVITE OTHERS TO ATTEND. THE FORMAT INCLUDED SPECIFIC QUESTIONS, BUT ALLOWED FOR A FREE FLOW OF IDEAS, TOPICS AND RESPONSES. IN AN ATTEMPT TO SOLICIT INPUT FROM TYPICALLY UNDERSERVED POPULATIONS, ABBREVIATED SURVEYS WERE ATTEMPTED THROUGH FREEBORN COUNTY PUBLIC HEALTH, THE W.I.C. PROGRAM AND NEWBORN CLINIC PARTICIPANTS, BUT WERE ONLY SUCCESSFUL WITH ADULT BASIC EDUCATION CLASS MEMBERS AND WITH A REPRESENTATIVE GROUP OF THE KAREN POPULATION. INPUT WAS SOLICITED THROUGHOUT THE FIRST HALF OF 2016.FOR MOWER COUNTY, AN ALL-COUNTY RANDOM SURVEY WAS CONDUCTED IN COLLABORATION WITH MOWER COUNTY HEALTH AND HUMAN SERVICES FOLLOWED BY A SHORT COMMUNITY SURVEY THAT ALLOWED INDIVIDUALS TO INFLUENCE THE FOCUS OF THE 2016 CHNA. FOCUS GROUPS, SOCIAL MEDIA, AN ONLINE SURVEY, AND PERSON TO PERSON OUTREACH STRATEGIES WERE UTILIZED TO ASSURE THAT THOSE WHO ARE UNDER-SERVED WERE ABLE TO ENGAGE AND INFLUENCE IDENTIFIED NEEDS. INPUT WAS SOLICITED THROUGHOUT THE FIRST HALF OF 2016. GROUP A-FACILITY 7 -- MCHS ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 6B: MOWER COUNTY HEALTH AND HUMAN SERVICES GROUP A-FACILITY 7 -- MCHS ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 11: FREEBORN COUNTYBASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - SE MN REGION IN ALBERT LEA AND AUSTIN (MCHS-ALAU) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT IN FREEBORN COUNTY:MENTAL HEALTHHEALTHY EATINGIN 2018, MCHS-ALAU TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE THE CAPACITY OF INDIVIDUALS TO ACHIEVE MENTAL WELLNESS, MCHS-ALAU HELD A WOMEN'S HEALTH CARE SYMPOSIUM THAT FOCUSED ON MENTAL HEALTH AND RESILIENCE AND CONDUCTED A HEALTH TALK SERIES - PRESENTATIONS TO SENIORS ON TOPICS SUCH AS DEPRESSION, ALZHEIMER'S, PARKINSON'S, AND OTHER TOPICS OF PARTICULAR INTEREST TO OLDER PEOPLE.HEALTHY EATING: TO PROMOTE COMMUNITY WELLNESS, MCHS-ALAU HELD THE FOLLOWING EVENTS:- "BE MOBILE SAFETY" EVENT THAT PROVIDED STRETCHING DEMONSTRATIONS, HYDRATION INFORMATION AND DISTRIBUTED WATER BOTTLES;- "BOOK READ" EVENTS AT DAYCARES AND PRESCHOOLS AT WHICH EMPLOYEES VOLUNTEERED TO READ, DONATED BOOKS AND EDUCATIONAL MATERIALS PROMOTING ACTIVE LIVING AND HEALTH EATING; IN ADDITION, MCHS-ALAU PARTNERED WITH THE KIESTER, MN COMMUNITY TO ASSIST WITH A COMMUNITY GARDEN LAUNCH; DONATED INFORMATION SIGNS, A GARDEN SIGN, WHITE BOARDS FOR AREA STORES, GARDEN IDENTIFIER STAMP FOR BAGS, AND DESIGN SERVICES. MOWER COUNTYBASED ON THE CHNA CONDUCTED IN 2016, MCHS-ALAU IDENTIFIED THE FOLLOWING NEEDS IN MOWER COUNTY:CHEMICAL USELIFESTYLE HABITSFAMILY CHALLENGESIN 2018, MCHS-ALAU TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:CHEMICAL USE: TO INCREASE AWARENESS OF TOBACCO USE AND VAPING BY TEENS, MOWER REFRESHED, A COMMUNITY COLLABORATION FUNDED BY MCHS-ALAU, IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS, HOSTED A "LUNCH AND LEARN" EVENT FOCUSED ON THE HIDDEN DANGERS OF NICOTINE USE AND HOW EASY IT IS FOR KIDS TO ACCESS AND CONCEAL TOBACCO AND VAPING PRODUCTS. THE PRESENTATION WAS OPEN TO THE PUBLIC AND GEARED TOWARDS PARENTS, EDUCATORS, AND OTHERS WHO WORK WITH YOUTH AND COMMUNITY MEMBERS.LIFESTYLE HABITS: TO INCREASE ENGAGEMENT IN COMMUNITY PROGRAMS AND EFFORTS THAT ADDRESS HEALTHY EATING AND ACTIVE LIVING, MCHS-ALAU COLLABORATED WITH OTHER COMMUNITY ORGANIZATIONS TO HOST HARVEST FEST - A DOWNTOWN NEIGHBORHOOD EVENT THAT BRINGS THE COMMUNITY TOGETHER TO HARVEST HEALTHY FOOD FOR LOCAL FOOD SHELVES, ENCOURAGES GETTING OUTDOORS AND MOVING WITH A 5K WALK/RUN AND A PASSPORT WALK THAT ENCOURAGES PARTICIPANTS TO EXPLORE LIVING HEALTHY IN MOWER COUNTY.FAMILY CHALLENGES: TO POSITIVELY INFLUENCE THE HEALTH OF FAMILY SYSTEMS, MCHS-ALAU, THROUGH ITS FUNDING OF MOWER REFRESHED, DISTRIBUTES AN E-NEWSLETTER THAT OFFERS INFORMATION ON RESOURCES AVAILABLE TO LIVE HEALTHY IN MOWER COUNTY SUCH AS NUTRITION, FINANCIAL MANAGEMENT, STRESS REDUCTION, FAMILY RELATIONSHIPS, GOAL SETTING, ETC. IN 2018, THIS E-NEWSLETTER HAD APPROXIMATELY 500 ADDRESSES ON ITS DISTRIBUTION LIST.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-ALAU IS NOT ADDRESSING FOR THE REASONS STATED:FREEBORN COUNTY-CHRONIC DISEASE: CHRONIC HEALTH ISSUES REMAIN AS SIGNIFICANT COMMUNITY CONCERNS SINCE THE 2013 COMMUNITY SURVEY; HOWEVER, FOCUSING ON IMPROVED MENTAL HEALTH IS NECESSARY IN ADDRESSING CHRONIC DISEASES, AND IMPROVED MENTAL HEALTH LEADS TO GREATER ABILITY TO MANAGE HEALTH. -DENTAL CARE: MCHS-ALAU DOES NOT PROVIDE DENTAL SERVICES. MOWER COUNTY-DECREASING INCIDENCE OF ADOLESCENTS BECOMING SEXUALLY ACTIVE: MCHS-ALAU IS LIMITED IN REACHING ADOLESCENTS PRIOR TO BECOMING ACTIVE SEXUALLY. PUBLIC HEALTH, SCHOOL PROGRAMS, FAITH COMMUNITIES, AND PARENTS ARE WELL-POSITIONED TO ADDRESS THIS.-UNSUPERVISED CHILDREN AFTERSCHOOL: MCHS-ALAU IS NOT ADDRESSING THIS SPECIFICALLY BUT WILL PROMOTE AND CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS ADDRESSING THIS SUCH AS THE AUSTIN YMCA, DISTRICT SCHOOL PROGRAMMING, ETC. PART V, SECTION B FACILITY REPORTING GROUP B FACILITY REPORTING GROUP B CONSISTS OF: - FACILITY 4: MCHS EAU CLAIRE, - FACILITY 12: MCHS NORTHLAND, - FACILITY 13: MCHS CHIPPEWA VALLEY, - FACILITY 18: MCHS OAKRIDGE GROUP B-FACILITY 4 -- MCHS EAU CLAIRE PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH ASSESSMENT PLANNING PARTNERSHIP COMMITTEE (WHICH MET TWICE A MONTH FROM MAY 2014-MAY 2015) PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING FOR AND DISTRIBUTING COMMUNITY HEALTH SURVEYS. INPUT ALSO WAS RECEIVED DURING THE 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. ORGANIZATIONS THAT RECEIVED SURVEYS INCLUDE AREA SCHOOLS, AGING AND DISABILITY RESOURCE CENTER, FAMILY RESOURCE CENTER, EAU CLAIRE COUNTY EXTENSION, BOLTON REFUGE HOUSE, EAU CLAIRE CHAMBER OF COMMERCE AND OTHERS. ALL SURVEYS WERE RECEIVED ELECTRONICALLY OR ON PAPER WITHIN A MONTH OF SURVEY LAUNCH. IN ADDITION, LISTENING SESSIONS WITH UNDERREPRESENTED GROUPS WERE HELD AT THE L.E. PHILLIPS SENIOR CENTER (EAU CLAIRE), THE COMMUNITY TABLE (EAU CLAIRE) AND WITH HMONG ELDERS AT THE EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION IN ORDER TO GATHER ADDITIONAL PRIMARY DATA ON PERCEIVED COMMUNITY HEALTH NEEDS AND ASSETS. WRITTEN COMMENTS WERE COLLECTED AT THE FINAL COMMUNITY HEALTH IMPROVEMENT EVENT IN WHICH COMMUNITY MEMBERS, POLICY MAKERS AND RESOURCE ORGANIZATION REPRESENTATIVES GATHERED TO DISCUSS EVIDENCE-BASED APPROACHES TO THE PRIORITY HEALTH AREAS SELECTED FOR EAU CLAIRE. GROUP B-FACILITY 4 -- MCHS EAU CLAIRE PART V, SECTION B, LINE 6A: SACRED HEART HOSPITAL, EAU CLAIRE, WISCONSIN GROUP B-FACILITY 4 -- MCHS EAU CLAIRE PART V, SECTION B, LINE 6B: EAU CLAIRE CITY COUNTY HEALTH DEPARTMENTUNITED WAY OF GREATER CHIPPEWA VALLEYMARSHFIELD CLINIC GROUP B-FACILITY 4 -- MCHS EAU CLAIRE PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - NWWI, EAU CLAIRE HOSPITAL (MCHS-EC) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-OBESITY-CHRONIC DISEASE-MENTAL HEALTHIN 2018, MCHS-EC TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:- MCHS-EC PROVIDED MONETARY SUPPORT THROUGH A HOMETOWN HEALTH GRANT TO THE FOLLOWING ORGANIZATIONS: > $25,000 AWARDED TO BEAVER CREEK RESERVE FOR THEIR LIVING HEALTHY AND STAYING ACTIVE IN NATURE PROGRAM. > $19,000 AWARDED TO CHILDREN'S MUSEUM OF EAU CLAIRE: EAT! MOVE! LIVE! PROGRAM. > $15,000 AWARDED TO BIG BROTHERS BIG SISTERS FOR THEIR MENTORS IN MOTION PROGRAM. > $20,000 AWARDED TO CITY OF EAU CLAIRE PARKS AND RECREATION: ACTIVE AGING FITNESS PARK PROVIDING OUTDOOR SPACE FOR AFFORDABLE, ACCESSIBLE EXERCISE OPTIONS FOR OLDER ADULTS. > $2,000 AWARDED TO EAU CLAIRE YMCA, CONCEPTS OF HEALTHY LIVING PROGRAM GEARED FOR CHILDREN IN GRADES 2 THROUGH 7 TEACHING THE IMPORTANCE OF AN ACTIVE LIFESTYLE FOCUSING ON HEALTHY EATING, PHYSICAL ACTIVITY AND MINDFULNESS. > $5,000 AWARDED TO FEED MY PEOPLE: WEEKEND KIDS' MEALS PROGRAM ADDRESSING CHILD HUNGER AND LOCAL FOOD INSECURITY. > CAPITAL CAMPAIGN FUNDING OF $125,000 TO FEED MY PEOPLE FOOD BANK.- MCHS-EC PARTNERED WITH THE FOLLOWING ORGANIZATIONS:> DOWNTOWN EAU CLAIRE, INC. - ANNUAL FAMILY FUN DAY - SHARE HEALTH AND WELLNESS INFORMATION WITH HUNDREDS OF YOUTH AND FAMILIES; > FIT EXPO - MAJOR SPONSOR OF LOCAL FITNESS AND WELLNESS EVENT WITH HUNDREDS IN ATTENDANCE. WE PROVIDE HEALTH EXPERTS FROM SEVERAL HEALTH SPECIALTIES; > EAU CLAIRE EXPRESS (LOCAL BASEBALL TEAM) - HELD FREE BASEBALL TRAINING SESSIONS FOR YOUTH;> PARTNERSHIP FOR A HEALTHIER AMERICA'S FNV (FRUITS 'N VEGETABLES) INITIATIVE - PROMOTING INCREASED CONSUMPTION OF FRUITS AND VEGETABLES TARGETING LOW INCOME MILLENNIALS; > KID'S EXPO - FITNESS ACTIVITIES FOR CHILDREN AND HEALTH INFORMATION FOR PARENTS; > LILY PAD LABS - KIDS IN THE KITCHEN PROGRAM - REACHING FOURTH GRADE STUDENTS ACROSS THE EAU CLAIRE SCHOOL SYSTEM; > EAU CLAIRE MARATHON - FREE RUNNING ADVICE GIVEN DURING EXPO, EMERGENCY TENTS AT SEVERAL LOCATIONS DURING THE RACE;> EAU CLAIRE YMCA - HOSTED EIGHTH ANNUAL CAMP WABI, A SUMMER CAMP FOR CHILDREN STRUGGLING WITH WEIGHT.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:- MCHS-EC PROVIDED MONETARY SUPPORT THROUGH A HOMETOWN HEALTH GRANT OF $14,500 AWARDED TO CHIPPEWA VALLEY FREE CLINIC: HEALTHIER YOU PROGRAM FOCUSING ON REDUCING THE INCIDENCE OF OBESITY-RELATED DISEASES.- MCHS-EC HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > STRONG BODIES FOCUSING ON STRENGTH TRAINING (NINE SERIES) > STEPPING ON FOCUSING ON FALL PREVENTION (FIVE SERIES) > HEALTHY LIVING WITH CHRONIC CONDITIONS (TWO SERIES) > HEALTHY LIVING WITH DIABETES (THREE SERIES) > HELD "HER STORY HER HEART" EDUCATING THE PUBLIC ABOUT WOMEN AND CARDIAC DISEASE > STEERING INTO THE SKID - INTERACTIVE PLAY EDUCATING ON ALZHEIMER'S DISEASE- MCHS-EC PARTNERED WITH THE FOLLOWING ORGANIZATIONS: > AMERICAN HEART ASSOCIATION - MAJOR SUPPORTER OF ANNUAL AMERICAN HEART WALK > AMERICAN CANCER SOCIETY - SUPPORTING FOUR RELAY FOR LIFE EVENTS IN OUR REGION > HOPE IN THE VALLEY - MAJOR SPONSOR OF THIS EVENT FOCUSED ON SUPPORTING AND HONORING THOSE WITH CANCER > UNIVERSITY OF WISCONSIN - EAU CLAIRE WOMEN'S VOLLEYBALL TEAM EDUCATING ATTENDEES ABOUT CANCER > HEALTHY COMMUNITIES CHRONIC DISEASE PREVENTION ACTION TEAM > UNIVERSITY OF WISCONSIN - EAU CLAIRE SPONSOR OF SENIOR AMERICANS DAY PROVIDING HEALTH EXPERTS ON A VARIETY OF HEALTH SPECIALTIES > EAU CLAIRE EXPRESS - HOSTED STRIKE OUT STROKE EVENT FEATURING PAST STROKE PATIENT. STROKE EXPERT ADVICE AND INFORMATION SHARED WITH ATTENDEES. > CITY OF EAU CLAIRE - PROVIDED MORE THAN $72,000 TOWARDS SUPPORT OF REGIONAL AMBULANCE SERVICE. > CHIPPEWA VALLEY FREE CLINIC - TWO PHYSICIANS SERVE ON BOARD, NUMEROUS STAFF VOLUNTEER TIME AND TALENT, AND APPROXIMATELY $30,000 WORTH OF FREE LAB AND X-RAY SERVICES WERE PROVIDED. > BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY - AN EMPLOYEE SERVES ON THE REGIONAL BOARD.MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: - MCHS-EC PROVIDED MONETARY SUPPORT THROUGH THE FOLLOWING: > HOMETOWN HEALTH GRANT OF $5,000 TO THE BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY: MENTAL HEALTH & STABILITY PROGRAM; > HOMETOWN HEALTH GRANT OF $25,000 TO FAMILY PROMISE FOR THEIR HOMELESS FAMILIES PATHWAY PROGRAM; > $4,000 TO WELLNESS SHACK: A LOCAL RESOURCE FOR FAMILIES DEALING WITH MENTAL ILLNESS (YEAR 2 OF A 5 YEAR AGREEMENT).- MCHS-EC HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > PREVENT SUICIDE CHIPPEWA VALLEY WALK - $1000 SPONSOR > ROAD TO RESILIENCE: RAISING HEALTHY KIDS - ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS. > GRATITUDE CHALLENGE - VIRTUAL CHALLENGE ENCOURAGING JOURNALING ABOUT THE BIG AND SMALL THINGS FOR WHICH YOU ARE THANKFUL.- MCHS-EC PARTNERED WITH THE FOLLOWING ORGANIZATION: > HEALTHY COMMUNITIES - MENTAL ACTION TEAM MEMBERSHIP. > MENTAL HEALTH MATTERS - PARTNERSHIP IN EAU CLAIRE AND CHIPPEWA COUNTIES WITH LOCAL HEALTH DEPARTMENTS, UNITED WAY AND HEALTHCARE ORGANIZATIONS; ADDRESSING YOUTH MENTAL HEALTH EDUCATION, MINDFULNESS TRAINING. > HOMELESSNESS STRATEGIC PLANNING - CONTRIBUTED 3 STAFF MEMBERS TO COMMUNITY MEETINGS DESIGNED AROUND BUILDING A STRATEGIC PLAN FOR ADDRESSING HOMELESSNESS IN EAU CLAIRE. > UNITED WAY OF THE GREATER CHIPPEWA VALLEY - AN EMPLOYEE CHAIRS THE HEALTH ADVISORY COUNCIL, AND ANOTHER SERVES ON THE BOARD; BOTH ARE THREE-YEAR TERMS. > HIGH 5 YOGA - SPONSORSHIP OF LOCAL YOGA STUDIO OFFERING FREE YOGA TO LOCAL RESIDENTS. > EAU CLAIRE CHAMBER OF COMMERCE - ACTIVE MEMBER OF THE HEALTH AND WELLNESS COMMITTEE; HOSTED ANNUAL HEALTH AND WELLNESS DAY FOR YOUTH LEADERSHIP EAU CLAIRE PROGRAM ADDRESS CHNA AND SOCIAL DETERMINANTS OF HEALTH.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-EC IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ALCOHOL AND DRUG/USE ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES; THEY GENERALLY ARE OUT OF SCOPE FOR MAYO CLINIC HEALTH SYSTEM. GROUP B-FACILITY 12 -- MCHS NORTHLAND PART V, SECTION B, LINE 5: THE ASSESSMENT PROCESS BEGAN WITH A REVIEW OF THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN, THEN THE CHNA STEERING COMMITTEE ENGAGED THE PUBLIC IN A COMMUNITY HEALTH NEEDS SURVEY. SURVEY QUESTIONS FOCUSED ON THE HEALTH FOCUS AREAS IDENTIFIED IN THE WISCONSIN DEPARTMENT OF HEALTH SERVICES, HEALTHIEST WISCONSIN 2020 PLAN. PAPER AND ELECTRONIC SURVEYS WERE DISTRIBUTED TO LIBRARIES, HOSPITALS, CLINICS, THE FREE CLINIC, FOOD PANTRIES, SENIOR CENTERS, BARRON COUNTY JAIL AND MEALS ON WHEELS RECIPIENTS. THE SURVEY WAS TRANSLATED INTO SPANISH AND SOMALI TO ENSURE OPINIONS OF THOSE POPULATIONS WERE INCLUDED. MORE THAN 900 SURVEYS WERE COMPLETED. ON SEPTEMBER 30, 2015 A COMMUNITY PLANNING DAY WAS HELD TO REVIEW ASSESSMENT DATA REGARDING PRIORITIES WITH MORE THAN 50 COMMUNITY MEMBERS IN ATTENDANCE. GROUP B-FACILITY 12 -- MCHS NORTHLAND PART V, SECTION B, LINE 6A: LAKEVIEW MEDICAL CENTER, RICE LAKE, WISCONSINCUMBERLAND HEALTH CARE, CUMBERLAND, WISCONSIN GROUP B-FACILITY 12 -- MCHS NORTHLAND PART V, SECTION B, LINE 6B: MARSHFIELD CLINICWISCONSIN DEPARTMENT OF HEALTH SERVICESBARRON COUNTY PUBLIC HEALTHWISCONSIN INDIANHEAD TECHNICAL COLLEGESAFE AND STABLE FAMILY COALITION GROUP B-FACILITY 12 -- MCHS NORTHLAND PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - NWWI, NORTHLAND HOSPITAL (MCHS-NORTHLAND) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-OBESITY-CHRONIC DISEASE-MENTAL HEALTHIN 2018, MCHS-NORTHLAND TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:- MCHS-NORTHLAND PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS: > $3,000 TO SPONSOR BARRON AREA COMMUNITY CENTER TRIATHLON. > $1,500 TO SPONSOR CHETEK FISHY FOUR RUN/WALK. > $200 DONATION TO BARRON HIGH SCHOOL FCCLA GLOW RUN. > $100 TO SPONSOR BARRON BENCH PRESS CLASSIC.- MCHS- NORTHLAND HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:> CURLING, CANOE PADDLE, SNOWSHOE HIKING EVENTS; > FAMILY SWIM AND SPLASH PAD FUN;> ROCK 'N ROLLER-SKATING OPPORTUNITY; > KIDS MENU DOCUMENTARY AND MY NIGHT TO COOK PRESENTATIONS.- MCHS- NORTHLAND PARTNERED WITH THE FOLLOWING ORGANIZATIONS:> EAU CLAIRE YMCA - HOSTED EIGHTH ANNUAL CAMP WABI, A SUMMER CAMP FOR CHILDREN STRUGGLING WITH WEIGHT; > BARRON CHAMBER - FALL FEST CHILDREN'S ACTIVITIES SPONSORCHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:- MCHS-NORTHLAND PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS: > $5,000 TO BOYS AND GIRLS CLUB OF BARRON COUNTY. > $2,500 TO SPONSOR AMERICAN CANCER SOCIETY RELAY FOR LIFE. > $1,000 TO RENAISSANCE CHARITABLE FOUNDATION FOR BRAIN CANCER AWARENESS EVENT.- MCHS-NORTHLAND HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > NATIONAL DIABETES PREVENTION PROGRAM > KNOW YOUR NUMBERS > LYMPHEDEMA LAUGH & LEARN SUPPORT GROUP > FALL RISK SCREENING- MCHS-NORTHLAND PARTNERED WITH THE FOLLOWING ORGANIZATIONS: > BARRON COUNTY HEALTH FAIR > BARRON, RUSK AND WASHBURN COUNTIES ADRC - PARTNERSHIP WITH EVIDENCE-BASED HEALTH PROMOTION PROGRAMMING > BARRON COUNTY EMPLOYEE WELLNESS FAIR - PROMOTED DIABETES PREVENTION PROGRAM AND OTHER HEALTH PROMOTION OFFERINGS > HANDWASHING STATIONS PROVIDED FREE OF CHARGE > THRIVE BARRON COUNTY CHRONIC DISEASE CHAT AND EXECUTIVE COMMITTEE MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: - MCHS-NORTHLAND PROVIDED MONETARY SUPPORT TO SUPPORT THE FOLLOWING ORGANIZATIONS: > HOMETOWN HEALTH GRANT OF $23,500 AWARDED TO NAMI OF BARRON COUNTY FOR THEIR HOPE & RECOVERY PROJECT. > $250 TO SPONSOR ST. CROIX VALLEY SEXUAL ASSAULT RESPONSE TEAM ICE FISHING CONTEST. - MCHS-NORTHLAND HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > SUICIDE PREVENTION CLASSES (QPR) > ROAD TO RESILIENCE: RAISING HEALTHY KIDS - ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS. > GRATITUDE CHALLENGE - VIRTUAL CHALLENGE ENCOURAGING JOURNALING ABOUT THE BIG AND SMALL THINGS FOR WHICH YOU ARE THANKFUL.- MCHS-NORTHLAND PARTNERED WITH THE FOLLOWING ORGANIZATION: > BARRON COUNTY - ADULT AT RISK COMMITTEE. > BARRON COUNTY - SEXUAL ASSAULT COMMITTEE.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-NORTHLAND IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.- ALCOHOL AND DRUG/USE ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES, AND THEY ARE GENERALLY OUT OF SCOPE FOR MAYO CLINIC HEALTH SYSTEM. - TOBACCO USE: WE CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. GROUP B-FACILITY 18 -- MCHS OAKRIDGE PART V, SECTION B, LINE 5: DATA COLLECTION METHODS INCLUDED A RANDOM HOUSEHOLD SURVEY (791 RESPONSES), CONVENIENCE SURVEY, COMMUNITY CONVERSATIONS (FIVE HELD FROM MAY THROUGH OCTOBER 2015, SPECIFICALLY TARGETING THE AFRICAN AMERICAN COMMUNITY, LOW-INCOME ADULTS, AT-RISK YOUTH AND THE HISPANIC COMMUNITY) AND AN EXTENSIVE REVIEW OF SOCIOECONOMIC INDICATORS, WHICH PROVIDED AN INVENTORY OF COMMUNITY RESOURCES. IN ADDITION, 753 COMMUNITY MEMBERS SHARED FEEDBACK THROUGH CONVENIENCE SAMPLES TARGETED AT UNDERREPRESENTED POPULATIONS FROM THE HOUSEHOLD SURVEY. THOSE TARGETED WERE AFRICAN-AMERICANS, HISPANICS, LGBT YOUTH, AT-RISK YOUTH, LOW-INCOME ADULTS AND SENIOR CITIZENS. MANY ORGANIZATIONS PROVIDED INPUT INCLUDING THE AFRICAN-AMERICAN MUTUAL ASSISTANCE NETWORK, WESTERN DAIRYLAND, BOYS & GIRLS CLUB, CATHOLIC CHARITIES, YMCA, ADRC, THE SALVATION ARMY AND WAFER FOOD PANTRY TO NAME A FEW. GROUP B-FACILITY 18 -- MCHS OAKRIDGE PART V, SECTION B, LINE 6A: TOMAH MEMORIAL HOSPITALGUNDERSEN HEALTH SYSTEM GROUP B-FACILITY 18 -- MCHS OAKRIDGE PART V, SECTION B, LINE 6B: COOPERATIVE EDUCATIONAL SERVICE AGENCY #4LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUMWISCONSIN ECONOMIC DEVELOPMENT CORPORATIONLA CROSSE AREA FAMILY COLLABORATIVELA CROSSE COUNTY UW EXTENSIONLA CROSSE COMMUNITY FOUNDATIONCOULEECAPGREAT RIVERS UNITED WAY GROUP B-FACILITY 18 -- MCHS OAKRIDGE PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - NWWI, OAKRIDGE HOSPITAL (MCHS-OAKRIDGE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-OBESITY-CHRONIC DISEASE-MENTAL HEALTHIN 2018, MCHS-OAKRIDGE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:- MCHS-OAKRIDGE PROVIDED MONETARY SUPPORT THROUGH A HOMETOWN HEALTH GRANT OF $25,000 AWARDED TO BEAVER CREEK RESERVE FOR THEIR LIVING HEALTHY AND STAYING ACTIVE IN NATURE PROGRAM.- MCHS-OAKRIDGE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:> FAMILY SWIM; > WINTER HIKE.- MCHS-OAKRIDGE PARTNERED WITH THE FOLLOWING ORGANIZATIONS:> EAU CLAIRE YMCA - HOSTED EIGHTH ANNUAL CAMP WABI, A SUMMER CAMP FOR CHILDREN STRUGGLING WITH WEIGHT; > OSSEO MERCHANTS BASEBALL TEAM - OFFERED BASEBALL FUN AND TRAINING TO CHILDREN.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:- MCHS-OAKRIDGE HOSTED OR SPONSORED KNOW YOUR NUMBERS. - MCHS-OAKRIDGE PARTNERED WITH AMERICAN CANCER SOCIETY - SUPPORTING FOUR RELAY FOR LIFE EVENTS IN THE REGIONMENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: - MCHS-OAKRIDGE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > SUICIDE PREVENTION CLASSES (QPR) > ROAD TO RESILIENCE: RAISING HEALTHY KIDS - ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS. > GRATITUDE CHALLENGE - VIRTUAL CHALLENGE ENCOURAGING JOURNALING ABOUT THE BIG AND SMALL THINGS FOR WHICH YOU ARE THANKFUL.- MCHS-OAKRIDGE PARTNERED WITH PARK BEATS - MUSIC IN THE PARK PROGRAMMING AND $500 SPONSORSHIP.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-OAKRIDGE IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.- DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MAYO CLINIC HEALTH SYSTEM ADDRESSES THIS NEED THROUGH ITS BI-ANNUAL TEEN CAR-CONTROL CLASS; HOWEVER, IT IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES.- ALCOHOL AND DRUG/USE ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES; THEY GENERALLY ARE OUT OF SCOPE FOR MAYO CLINIC HEALTH SYSTEM. - TOBACCO USE: WE CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. GROUP B-FACILITY 13 -- MCHS CHIPPEWA VALLEY PART V, SECTION B, LINE 5: COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. THE COMMUNITY HEALTH ASSESSMENT PLANNING PARTNERSHIP COMMITTEE (WHICH MET TWICE A MONTH FROM MAY 2014-MAY 2015) PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING FOR AND DISTRIBUTING COMMUNITY HEALTH SURVEYS. INPUT WAS ALSO RECEIVED DURING THE COMMUNITY CONVERSATIONS. 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, AGING AND DISABILITY RESOURCE CENTER, BOYS & GIRLS CLUB, BLOOMER AREA FOOD PANTRY, SALVATION ARMY FOOD PANTRY, RIVER SOURCE FAMILY CENTER, FAITH-BASED ORGANIZATIONS AND OTHERS. ALL SURVEYS WERE RECEIVED ELECTRONICALLY OR ON PAPER WITHIN A MONTH OF SURVEY LAUNCH. IN ADDITION, LISTENING SESSIONS WITH UNDERREPRESENTED GROUPS WERE HELD AT THE CHIPPEWA FALLS AREA SENIOR CENTER AND AGNES' TABLE (CHIPPEWA FALLS) IN ORDER TO GATHER ADDITIONAL PRIMARY DATA ON PERCEIVED COMMUNITY HEALTH NEEDS AND ASSETS. WRITTEN COMMENTS WERE COLLECTED AT THE FINAL COMMUNITY HEALTH IMPROVEMENT EVENT IN WHICH COMMUNITY MEMBERS, POLICY MAKERS AND RESOURCE ORGANIZATION REPRESENTATIVES GATHERED TO DISCUSS EVIDENCE-BASED APPROACHES TO THE PRIORITY HEALTH AREAS SELECTED FOR CHIPPEWA COUNTY. GROUP B-FACILITY 13 -- MCHS CHIPPEWA VALLEY PART V, SECTION B, LINE 6A: HSHS ST. JOSEPH'S HOSPITAL, CHIPPEWA FALLS, WISCONSIN GROUP B-FACILITY 13 -- MCHS CHIPPEWA VALLEY PART V, SECTION B, LINE 6B: CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIPCHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHMARSHFIELD CLINICUNITED WAY OF THE GREATER CHIPPEWA VALLEY GROUP B-FACILITY 13 -- MCHS CHIPPEWA VALLEY PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - NWWI, CHIPPEWA VALLEY HOSPITAL (MCHS-CV) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-OBESITY-CHRONIC DISEASE-MENTAL HEALTHIN 2018, MCHS-CV TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:- MCHS-CV PROVIDED MONETARY SUPPORT THROUGH A HOMETOWN HEALTH GRANT TO THE FOLLOWING ORGANIZATIONS: > $25,000 AWARDED TO LEGACY COMMUNITY CENTER WHICH PROVIDES HEALTHY MEALS, EMERGENCY FOOD SUPPLIES, AND REFERRAL COORDINATION FOR STRUGGLING LOCAL FAMILIES; > $15,000 AWARDED TO BIG BROTHERS BIG SISTERS FOR THEIR MENTORS IN MOTION PROGRAM; > $19,000 AWARDED TO CHILDREN'S MUSEUM OF EAU CLAIRE: EAT! MOVE! LIVE! PROGRAM > $5,000 AWARDED TO FEED MY PEOPLE: WEEKEND KIDS' MEALS PROGRAM ADDRESSING CHILD HUNGER AND LOCAL FOOD INSECURITY.- MCHS-CV HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:> HIKING EVENTS (THREE EVENTS); > STRONG BONES (SIX SERIES);> FAMILY SWIM; > MUSIC AND MOVEMENT (TWO SERIES).- MCHS-CV PARTNERED WITH THE FOLLOWING ORGANIZATIONS:> CHIPPEWA VALLEY FAMILY YMCA - HEALTHY KIDS DAY SPONSOR; > BLOOMER FAIR - HAND WASHING STATIONS PROVIDED FREE OF CHARGE; > EAU CLAIRE YMCA - HOSTED EIGHTH ANNUAL CAMP WABI, A SUMMER CAMP FOR CHILDREN STRUGGLING WITH WEIGHT; > PARTNERSHIP FOR A HEALTHIER AMERICA'S FNV (FRUITS 'N VEGETABLES) INITIATIVE - PROMOTING INCREASED CONSUMPTION OF FRUITS AND VEGETABLES TARGETING LOW INCOME MILLENNIALS. > COLFAX SCHOOLS - SUPPORTED SUMMER SAUNTERS PROGRAM WITH A $1,000 GRANT.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:- MCHS-CV HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > FRIENDS AND FAMILY CPR CLASS > LIVING WELL WITH CHRONIC CONDITIONS > KNOW YOUR NUMBERS - MCHS-CV PARTNERED WITH THE FOLLOWING ORGANIZATIONS: > AMERICAN CANCER SOCIETY - SUPPORTING FOUR RELAY FOR LIFE EVENTS IN OUR REGION > CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP) - AN EMPLOYEE SERVES ON THE COUNCIL > BLOOMER HEALTH FAIR - PROVIDING HEALTH INFORMATION AND ACTIVITIES > BLOOMER HEALTH FAIR - FREE GLUCOSE SCREENINGS > OPEN DOOR FREE CLINIC - PROVIDED MONETARY SUPPORT FOR LAB AND X-RAY SERVICES.MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: - MCHS-CV PROVIDED MONETARY SUPPORT THROUGH A HOMETOWN HEALTH GRANT OF $5,000 TO THE BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY MENTAL HEALTH & STABILITY PROGRAM.- MCHS-CV HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: > PREVENT SUICIDE CHIPPEWA VALLEY WALK. > SUICIDE PREVENTION CLASSES (QPR) (TWO PROGRAMS) > ROAD TO RESILIENCE: RAISING HEALTHY KIDS - ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS. > GRATITUDE CHALLENGE - VIRTUAL CHALLENGE ENCOURAGING JOURNALING ABOUT THE BIG AND SMALL THINGS FOR WHICH YOU ARE THANKFUL.- MCHS-CV PARTNERED WITH THE FOLLOWING ORGANIZATION: > MENTAL HEALTH MATTERS - PARTNERSHIP IN EAU CLAIRE AND CHIPPEWA COUNTIES WITH LOCAL HEALTH DEPARTMENTS, UNITED WAY AND HEALTHCARE ORGANIZATIONS; ADDRESSING YOUTH MENTAL HEALTH EDUCATION, MINDFULNESS TRAINING. > UNITED WAY OF THE GREATER CHIPPEWA VALLEY - AN EMPLOYEE CHAIRS THE HEALTH ADVISORY COUNCIL, AND ANOTHER SERVES ON THE BOARD; BOTH ARE THREE-YEAR TERMS. > NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) CHIPPEWA VALLEY - MCHS-CV'S DIRECTOR OF INPATIENT BEHAVIORAL HEALTH SERVES ON THEIR BOARD. > PREVENT SUICIDE CHIPPEWA VALLEY - MCHS-CV'S DIRECTOR OF INPATIENT BEHAVIORAL HEALTH SERVES ON THEIR BOARD.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-CV IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.- ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY AND HEALTH DEPARTMENT ARE ADDRESSING THESE ISSUES. REPRESENTATIVES FROM MAYO CLINIC HEALTH SYSTEM ARE PART OF THESE ACTION TEAMS.- TOBACCO USE: WE CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION.- PARENTING: MAYO CLINIC HEALTH SYSTEM WILL CONTINUE TO WORK CLOSELY WITH THE LOCAL FAMILY SUPPORT CENTER ON ITS EFFORTS TO REDUCE PARENTING CONCERNS. PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 2: MCHS FRANCISCAN HEALTHCARE LA CROSSE, - FACILITY 15: MCHS FRANCISCAN HEALTHCARE SPARTA GROUP D-FACILITY 2 -- MCHS FRANCISCAN HEALTHCARE LA CROSSE PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AS PART OF A COLLABORATIVE, COMPREHENSIVE STUDY OF NEEDS ACROSS A FIVE-COUNTY AREA SERVED BY GREAT RIVERS UNITED WAY. INPUT WAS GATHERED IN VARIOUS FORMATS FROM 2014 INTO 2015. A 90-ITEM HOUSEHOLD SURVEY WAS MAILED TO 5,000 RANDOMLY SELECTED HOUSEHOLDS IN THE FIVE COUNTIES. ADDITIONALLY, A 753-PARTICIPANT CONVENIENCE SAMPLING, FOCUSING ON MEMBERS OF SMALLER AND POTENTIALLY UNDERREPRESENTED SUBGROUPS WAS USED. "COMMUNITY CONVERSATIONS" INVITED ALL INTERESTED RESIDENTS TO ENGAGE IN THE PROCESS. STEERING GROUP MEETINGS ENGAGED EXPERTS FROM MANY FIELDS AND WERE USED TO IDENTIFY PRIORITY ISSUES AND RESOURCES IN THE COMMUNITY. IN ALL, MORE THAN 1700 COMMUNITY MEMBERS CONTRIBUTED TO THE SURVEY. THE DATA ACQUIRED GUIDED THE DEVELOPMENT OF FOUR PROFILES THAT SERVE AS THE BUILDING BLOCKS TO A BETTER LIFE: HEALTH, INCOME, EDUCATION AND COMMUNITY. SUBSEQUENTLY, THE HEALTH COUNCIL, COMPRISED OF EXPERTS IN THE FIELD, REVIEWED HEALTH DATA, ANALYZED SURVEY AND COMMUNITY CONVERSATION RESULTS, AND OFFERED PROFESSIONAL INSIGHTS ABOUT TOPIC-SPECIFIC ISSUES. THE HEALTH COUNCIL IDENTIFIED 12 SIGNIFICANT COMMUNITY HEALTH ISSUES AND PRIORITIZED THEM BASED ON PREVALENCE, IMPACT, AND IMPORTANCE TO THE COMMUNITY. ULTIMATELY, THREE TOP COMMUNITY HEALTH PRIORITIES WERE IDENTIFIED: CHRONIC DISEASE AND CONTRIBUTORS TO CHRONIC DISEASE; MENTAL HEALTH AND/OR SUBSTANCE ABUSE; AND ORAL HEALTH. GROUP D-FACILITY 2 -- MCHS FRANCISCAN HEALTHCARE LA CROSSE PART V, SECTION B, LINE 6A: GUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSMAYO CLINIC HEALTH SYSTEM - FRANCISCAN HEALTHCARE IN SPARTATOMAH MEMORIAL HOSPITALVERNON MEMORIAL HEALTHCARE GROUP D-FACILITY 2 -- MCHS FRANCISCAN HEALTHCARE LA CROSSE PART V, SECTION B, LINE 6B: GREAT RIVERS UNITED WAYHOUSTON COUNTY HEALTH DEPARTMENTLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTLA CROSSE COMMUNITY FOUNDATIONOTTO BREMER FOUNDATION GROUP D-FACILITY 2 -- MCHS FRANCISCAN HEALTHCARE LA CROSSE PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:-CHRONIC DISEASE & CONTRIBUTING FACTORS -MENTAL HEALTH AND/OR SUBSTANCE ABUSE MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS IN 2018:TO REDUCE THE INCIDENCE AND IMPACT OF CHRONIC DISEASE THROUGH INCREASED ADOPTION OF HEALTHY LIFESTYLES, MCHS-LA CROSSE:-HOSPITAL STAFF SUPPORTED COMMUNITY EFFORTS TO PREVENT/MANAGE CHRONIC DISEASE SUCH AS: LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM POPULATION HEALTH COMMITTEE, JDRF LOCAL CHAPTER, 7 RIVERS SUDDEN CARDIAC ARREST ASSOCIATION, CELEBRATING HER HEART HEALTH, LA CROSSE COUNTY HEALTH & HUMAN SERVICES BOARD.-PROVIDED FREE ONSITE PROGRAMS INCLUDING PREVENTATIVE SCREENINGS, CLASSES AND SUPPORT GROUPS AT VARIOUS COMMUNITY HEALTH FAIRS.-CONDUCTED 34 MOBILE TEACHING KITCHEN DEMOS AT AREA EVENTS, COMMUNITY CENTERS AND ELEMENTARY SCHOOLS TO ENGAGE PEOPLE IN EXPLORING NEW FOODS AND LEARNING TO PREPARE EASY, HEALTHY, INEXPENSIVE RECIPES.-COLLABORATED WITH WISCORPS AND PURPLE COW ORGANICS TO MAKE 170 SQUARE-FOOT GARDEN KITS AVAILABLE TO COMMUNITY MEMBERS AT COST, WITH ANOTHER 30 DONATED TO NONPROFITS/FAMILIES IN NEED.-PROVIDED 90 GARDEN PLOTS FOR URBAN GARDENERS. A PORTION OF THE PRODUCE WAS DONATED TO AREA FOOD PANTRIES.-THE "HOMEGROWN HEALTH" SERIES HELPED BOTH NOVICE AND EXPERIENCED GARDENERS TO MAXIMIZE GARDEN OUTPUT, USE PRODUCE IN NEW WAYS, AND PRESERVE EXCESS FOOD FOR CONSUMPTION AFTER THE GROWING SEASON.-MONTHLY MEALS IN MINUTES TV NEWS SEGMENTS FEATURED THE HOSPITAL'S CHEF SHARING EASY, HEALTHY, TASTY, AND INEXPENSIVE RECIPES FOR FAMILIES/PEOPLE ON THE GO.-PROVIDED FINANCIAL SUPPORT FOR LOCAL INITIATIVES ENGAGING PEOPLE, ESPECIALLY CHILDREN, IN GROWING, TASTING, AND PREPARING FRESH HEALTHY FOODS.-CASH AND IN-KIND DONATIONS WERE PROVIDED TO SUPPORT PARTNERSHIPS WITH GROW LA CROSSE, COULEE REGION FARM2SCHOOL, AND WISCORPS. IN-KIND SUPPORT OF FARM2SCHOOL INCLUDED 4 SCHOOL-BASED COOKING DEMONSTRATIONS CO-COORDINATED BY HOSPITAL AND SCHOOL STAFF AND FEATURED THE HOSPITAL'S EXECUTIVE CHEF.-PROVIDED 5-2-1-0 EDUCATION (5 FRUITS AND VEGETABLES, 2 HOURS OF SCREEN TIME, 1 HOUR OF PHYSICAL ACTIVITY, AND 0 SUGARY DRINKS) AS A STANDARD COMPONENT OF WELL-CHILD PATIENT VISITS. -PROVIDED FINANCIAL SUPPORT THROUGH THE COMMUNITY INVESTMENT PROGRAM FOR THE FOLLOWING EVENTS AND PROGRAMS THAT PROMOTE PHYSICAL ACTIVITY AND WELLNESS: LINKED TO THE LAND HIKING SERIES, LA CROSSE AREA BICYCLE FEST, YOUTH OUTDOOR FEST, GET UP & GO DAY, JUNE DAIRY DAYS CLASSIC BIKE TOUR, AND COMMUNITIES OFF N' FUNNING. -PROVIDED FINANCIAL SUPPORT TO GROUPS ASSISTING PEOPLE LIVING WITH CHRONIC DISEASES, INCLUDING THE LOCAL LUPUS ALLIANCE; LIVING FOR LIZ (LUNG CANCER); CELEBRATING HER HEART HEALTH; JUVENILE DIABETES RESEARCH FOUNDATION; AMERICAN HEART ASSOCIATION, MS SOCIETY, AMERICAN CANCER SOCIETY, AND THE ALZHEIMER'S ASSOCIATION.-HELD THE 6TH ANNUAL BIG BLUE DRAGON BOAT FESTIVAL. DRAGON BOATING PROVIDES EMOTIONAL SUPPORT FOR CANCER SURVIVORS, WHILE ALSO STEMMING LYMPHEDEMA. MANY SURVIVORS CONTINUED TO PADDLE ALL SUMMER USING BOATS AND EQUIPMENT OWNED BY THE HOSPITAL. THE BOYS AND GIRLS CLUB OF GREATER LA CROSSE WAS A CO-PRESENTER OF THE FESTIVAL IN 2018 SO A PORTION OF THE NET PROCEEDS WERE DESIGNATED TO SUPPORT THE CLUB'S HEALTHY LIFESTYLES PROGRAMS.-THE GREAT RIVERS HUB, A COLLABORATIVE, EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT, COMPLETED ITS FIRST FULL-YEAR OF OPERATION. THE HUB IS A CARE MANAGEMENT SYSTEM. COMMUNITY CARE COORDINATORS WORK 1:1 WITH CLIENTS TO ADDRESS SOCIAL DETERMINANTS IMPACTING THEIR PHYSICAL AND MENTAL HEALTH. THE HOSPITAL CONTINUES TO BE ACTIVELY INVOLVED IN THE HUB, PROVIDING REFERRALS, ASSISTING WITH DATA COLLECTION, AND PROVIDING STAFF TO SERVE ON THE STEERING AND DATA COMMITTEES.MCHS-LA CROSSE ALSO CONTINUED THE FOLLOWING EFFORTS IN 2018: -SPONSORSHIP OF THE WINTER FARMERS MARKET TO EXTEND ACCESS TO FRESH LOCAL FOODS AFTER SUMMER MARKETS CLOSE.-COLLABORATION WITH THE FOLLOWING ORGANIZATIONS TO POSITIVELY INFLUENCE LOCAL FOOD CULTURE AND A SUSTAINABLE FOOD SYSTEM: HILLVIEW URBAN AGRICULTURE, WESTERN TECHNICAL COLLEGE, UW-LA CROSSE, 5TH SEASON COOPERATIVE, WISCORPS, AND ANTHEM BLUE CROSS BLUE SHIELD. THE HOSPITAL ALSO CONTINUED TO SERVE AS A COMMUNITY DROP-OFF SITE FOR COMMUNITY SHARED AGRICULTURE (CSA) FRESH FOOD BOXES.-EXPLORING NEW OPPORTUNITIES FOR COLLABORATION AND THE POOLING OF RESOURCES TO ADDRESS CHRONIC DISEASE AND CONTRIBUTING FACTORS. NEW COLLABORATIONS INCLUDED ANTHEM BLUE CROSS BLUE SHIELD, THE ARCADIA COMMUNITY CENTER, AND PATCH (PROVIDERS AND TEENS COMMUNICATING FOR HEALTH).TO INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE CONCERNS, MCHS-LA CROSSE:-HOSPITAL LEADERS AND STAFF WERE ENGAGED IN INITIATIVES TO ADDRESS MENTAL HEALTH AND/OR SUBSTANCE ABUSE. EXAMPLES INCLUDE COULEE COUNCIL ON ADDICTIONS, LA CROSSE COUNTY PREVENTION NETWORK, LA CROSSE HEROIN & OTHER ILLICIT DRUG TASK FORCE, ALLIANCE TO HEAL, LA CROSSE AREA SUICIDE PREVENTION INITIATIVE, LA CROSSE MENTAL HEALTH COALITION, CAMPAIGN TO CHANGE DIRECTION, AND THE BETTER TOGETHER COLLABORATIVE.-OFFERED THE FOLLOWING PROGRAMS AT NO COST TO COMMUNITY MEMBERS: ADDICTIONS AND AGING; LONELINESS & SUICIDE; BELLE SQUARE MENTAL HEALTH WELLNESS FAIR; HEALING THROUGH GRIEF; DEMENTIA SUPPORT GROUP; ADHD PARENT SUPPORT GROUP.-HOSTED THE ANNUAL CHILD MALTREATMENT CONFERENCE FOR CHILD PROTECTION WORKERS, LAW ENFORCEMENT, MEDICAL AND MENTAL HEALTH PROFESSIONALS, SCHOOL PERSONNEL, EMERGENCY RESPONSE PERSONNEL AND VICTIM/WITNESS ADVOCATES.-FORMED A NEW EXERCISE GROUP LED BY PHYSICAL AND OCCUPATIONAL THERAPISTS TO PROVIDE EDUCATION AND EXERCISE FOR PEOPLE WITH CHRONIC PAIN IN AN EFFORT TO REDUCE PAIN AND RELIANCE ON MEDICATIONS.-PROVIDED FINANCIAL SUPPORT TO THE FOLLOWING COLLABORATIVE COMMUNITY EFFORTS THAT RAISE AWARENESS OF MENTAL ILLNESS AND/OR SUBSTANCE ABUSE: LA CROSSE POLICE (DARE); COULEE COUNCIL ON ADDICTIONS (TURNED LEAF FESTIVAL, OUTDOOR RECREATION); YMCA (VETERANS MENTAL HEALTH AWARENESS WALK); LA CROSSE SCHOOL DISTRICT (REBUILDING FOR LEARNING: RESILIENCE); CAMPAIGN TO CHANGE DIRECTION; SALVATION ARMY PSYCHIATRIC SERVICES; ALLIANCE TO HEAL (ADDICTION).-PROVIDED FINANCIAL/IN-KIND SUPPORT TO THE FOLLOWING ORGANIZATIONS ASSISTING INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE: HIAWATHA VALLEY MENTAL HEALTH CENTER; COULEECAP HOUSING FIRST; ALZHEIMER'S ASSOCIATION; LA CROSSE COLLABORATIVE TO END HOMELESSNESS; COULEE COUNCIL ON ADDICTIONS.-A CHILD PSYCHIATRIST SERVED ON AN ANTI-BULLYING COALITION.-LEASED LAND AT A $1/YEAR TO THE COULEE RECOVERY CENTER, WHICH OPENED IN JUNE ON THE HOSPITAL'S MAIN CAMPUS. THE NEW, LARGER FACILITY MADE IT POSSIBLE TO EXPAND ADDICTION PREVENTION AND RECOVERY SERVICES.MCHS-LA CROSSE ALSO CONTINUED THE FOLLOWING EFFORTS IN 2018:-INCORPORATING BEHAVIORAL HEALTH SPECIALISTS INTO PRIMARY CARE TEAMS. DURING 2018, 1.5 BEHAVIORAL HEALTH SERVICES FTES WERE ADDED AND EMBEDDED INTO PRIMARY CARE CLINICS.-RECRUITING ADDITIONAL PHYSICIANS/PROVIDERS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. TWO NEW PSYCHIATRISTS AND A NEUROPSYCHIATRIST WERE HIRED.-OPTIMIZATION OF PATIENT SCHEDULING TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. MULTIPLE INITIATIVES WERE UNDERTAKEN TO CONTINUE TO IMPROVE ACCESS. LEADERSHIP TEAMS WERE REORGANIZED TO IMPROVE EFFICIENCY.-DONATION OF SPACE TO HOUSE TWO LA CROSSE COUNTY SOCIAL WORKERS ON ITS CAMPUS IN THE WASHBURN NEIGHBORHOOD, AND CONTINUED TO PROVIDE A FULL-TIME BEHAVIORAL HEALTH SPECIALIST FOR THE ERICKSON BOYS & GIRLS CLUB. THE HOSPITAL EMPLOYS THE SPECIALIST AND ABSORBS ALL WAGES AND BENEFITS.-ENGAGEMENT IN GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. FREQUENT ER USERS WERE THE FOCUS OF A PILOT PROGRAM WHICH CONTINUED IN 2018. A SECOND PILOT WAS LAUNCHED TARGETING PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED TO THE HUB.-EXPLORING NEW OPPORTUNITIES FOR COLLABORATION AND POOLING OF RESOURCES TO IMPROVE ACCESS TO MENTAL HEALTH AND/OR SUBSTANCE ABUSE INFORMATION, SUPPORT, AND SERVICES. NEW COLLABORATIONS INCLUDED THE FRANCISCAN SPIRITUALITY CENTER (SPONSORSHIP OF OVERCOMING CHALLENGES WITH GRIT & GRACE) AND HIAWATHA VALLEY MENTAL HEALTH CENTER.IN ADDITION TO ADDRESSING THE IDENTIFIED NEEDS AS DESCRIBED ABOVE, MCHS-LA CROSSE PROVIDED HEALTH INFORMATION AT NO COST TO COMMUNITY MEMBERS VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH MAGAZINE, SOCIAL MEDIA, WEB BLOGS, MAYOCLINIC.COM, AND MEDIA INTERVIEWS.THE 2016 CHNA ALSO IDENTIFIED ORAL HEALTH AS A NEED IN THE COMMUNITY, BUT ORAL HEALTH WILL NOT BE ADDRESSED BY MCHS-LA CROSSE DUE TO LACK OF EXPERTISE OR RESOURCES IN THIS AREA. GROUP D-FACILITY 15 -- MCHS FRANCISCAN HEALTHCARE SPARTA PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AS PART OF A COLLABORATIVE, COMPREHENSIVE STUDY OF NEEDS ACROSS A FIVE-COUNTY AREA SERVED BY GREAT RIVERS UNITED WAY. INPUT WAS GATHERED IN VARIOUS FORMATS FROM 2014 INTO 2015. A 90-ITEM HOUSEHOLD SURVEY WAS MAILED TO 5,000 RANDOMLY SELECTED HOUSEHOLDS IN THE FIVE COUNTIES. ADDITIONALLY, A 753-PARTICIPANT CONVENIENCE SAMPLING, FOCUSING ON MEMBERS OF SMALLER AND POTENTIALLY UNDERREPRESENTED SUBGROUPS WAS USED. "COMMUNITY CONVERSATIONS" INVITED ALL INTERESTED RESIDENTS TO ENGAGE IN THE PROCESS. STEERING GROUP MEETINGS ENGAGED EXPERTS FROM MANY FIELDS AND WERE USED TO IDENTIFY PRIORITY ISSUES AND RESOURCES IN THE COMMUNITY. IN ALL, MORE THAN 1700 COMMUNITY MEMBERS CONTRIBUTED TO THE SURVEY. THE DATA ACQUIRED GUIDED THE DEVELOPMENT OF FOUR PROFILES THAT SERVE AS THE BUILDING BLOCKS TO A BETTER LIFE: HEALTH, INCOME, EDUCATION AND COMMUNITY. SUBSEQUENTLY, THE HEALTH COUNCIL, COMPRISED OF EXPERTS IN THE FIELD, REVIEWED HEALTH DATA, ANALYZED SURVEY AND COMMUNITY CONVERSATION RESULTS, AND OFFERED PROFESSIONAL INSIGHTS ABOUT TOPIC-SPECIFIC ISSUES. THE HEALTH COUNCIL IDENTIFIED 12 SIGNIFICANT COMMUNITY HEALTH ISSUES AND PRIORITIZED THEM BASED ON PREVALENCE, IMPACT, AND IMPORTANCE TO THE COMMUNITY. ULTIMATELY, THREE TOP COMMUNITY HEALTH PRIORITIES WERE IDENTIFIED: CHRONIC DISEASE AND CONTRIBUTORS TO CHRONIC DISEASE; MENTAL HEALTH AND/OR SUBSTANCE ABUSE; AND ORAL HEALTH. GROUP D-FACILITY 15 -- MCHS FRANCISCAN HEALTHCARE SPARTA PART V, SECTION B, LINE 6A: GUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSMAYO CLINIC HEALTH SYSTEM - FRANCISCAN HEALTHCARE IN LA CROSSETOMAH MEMORIAL HOSPITALVERNON MEMORIAL HEALTHCARE GROUP D-FACILITY 15 -- MCHS FRANCISCAN HEALTHCARE SPARTA PART V, SECTION B, LINE 6B: GREAT RIVERS UNITED WAYHOUSTON COUNTY HEALTH DEPARTMENTLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTLA CROSSE COMMUNITY FOUNDATIONOTTO BREMER FOUNDATION GROUP D-FACILITY 15 -- MCHS FRANCISCAN HEALTHCARE SPARTA PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- CHRONIC DISEASE & CONTRIBUTING FACTORS - MENTAL HEALTH AND/OR SUBSTANCE ABUSEIN 2018, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:CHRONIC DISEASE & CONTRIBUTING FACTORS: TO REDUCE THE INCIDENCE AND IMPACT OF CHRONIC DISEASE THROUGH INCREASED ADOPTION OF HEALTHY LIFESTYLES, MCHS-SPARTA:- SHARED MAYO CLINIC EXPERTISE IN THE COMMUNITY AS FOLLOWS: > PROVIDED INFORMATION ON CHRONIC DISEASE PREVENTION/MANAGEMENT AT NO COST TO COMMUNITY MEMBERS VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH MAGAZINE, SOCIAL MEDIA, WEB BLOGS, MAYOCLINIC.COM, AND MEDIA INTERVIEWS. > PROVIDED A REPRESENTATIVE TO SERVE ON THE MONROE COUNTY NUTRITION WORKGROUP WHICH WAS CONVENED AS PART OF THE COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS CHRONIC DISEASE AND CONTRIBUTING FACTORS.- PARTICIPATED IN VARIOUS COMMUNITY HEALTH FAIRS (FT. MCCOY, MEN'S HEALTH NIGHT, CENTURY FOODS, SENIOR HEALTH FAIR, AND TEEN WELLNESS DAY). ADDITIONALLY, THE HOSPITAL DISTRIBUTED INFORMATION ON RECOGNIZING AND PREVENTING STROKES AT THE MONROE COUNTY FAIR, AND PARTICIPATED IN MONROE COUNTY'S "THE LONGEST DAY" EVENT SHARING INFORMATION ABOUT ALZHEIMER'S DISEASE AND DEMENTIA.- ENCOURAGED THE CONSUMPTION OF HEALTHY FOODS AND SUPPORT IMPROVED ACCESS TO HEALTHY FOODS IN THE FOLLOWING WAYS: > STAFF AT FORT MCCOY LEARNED TO PREPARE EASY, HEALTHY, INEXPENSIVE RECIPES THROUGH A MOBILE TEACHING KITCHEN DEMONSTRATION LED BY A HOSPITAL REGISTERED DIETITIAN. HEALTHY EATING WAS ALSO THE FOCUS OF THE HOSPITAL'S BOOTH AT THE FT. MCCOY HEALTH FAIR. > PROVIDED HEALTHY MEALS AT THE HOSPITAL TO 20 STUDENTS PARTICIPATING IN THE WEEK-LONG DEKE SLAYTON SPACE CAMP . ADDITIONALLY, A HOSPITAL REGISTERED DIETITIAN SPOKE TO THE GROUP ABOUT NUTRITION IN SPACE.> PROVIDED FINANCIAL SUPPORT TO LOCAL FOOD PANTRIES, NEIGHBOR TO NEIGHBOR FOOD PANTRY AND THE BREAD BASKET, TO COMBAT LOCAL FOOD INSECURITY. SUPPORT WAS ALSO PROVIDED FOR A WEEKEND BACKPACK PROGRAM THROUGH THE UW-EXTENSION. BACKPACKS ARE FILLED WITH FOOD ON FRIDAYS TO ENSURE SCHOOL CHILDREN HAVE ENOUGH TO EAT OVER THE WEEKEND. A FOOD DRIVE WAS ALSO HELD AT THE HOSPITAL TO HELP FILL THE BACKPACKS. > CONTINUED TO SERVE AS A COMMUNITY DROP-OFF SITE FOR COMMUNITY SUPPORTED AGRICULTURE SHARES (FRESH FOOD BOXES). > PROVIDED 5-2-1-0 HEALTHY LIFESTYLES EDUCATION (A PUBLIC EDUCATION CAMPAIGN ENDORSING 5 FRUITS AND VEGETABLES, 2 HOURS OF SCREEN TIME, 1 HOUR OF PHYSICAL ACTIVITY, AND 0 SUGARY DRINKS) AS A STANDARD COMPONENT OF WELL-CHILD VISITS. - FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY PROGRAMS THAT PROMOTE PHYSICAL ACTIVITY AND WELLNESS THROUGH THE COMMUNITY INVESTMENT PROGRAM. A TOTAL OF $3050 WAS PROVIDED FOR THE FOLLOWING COMMUNITY PROGRAMS: THE MONROE COUNTY STEPS WALKING CHALLENGE LED BY THE UW-EXTENSION; THE REMEMBERING JESSE PARKER 5K RUN; THE TOMAH KITE FESTIVAL; THE CASHTON LIVE ON MAIN STREET EVENT, WITH PROCEEDS SUPPORTING HEALTHY LIVING PROGRAMS IN THE COMMUNITY; SPARTA HEAD START, TO PROVIDE STUDENTS IN NEED WITH SHOES AND MITTENS; AND FOR CREATION OF FAMILY NIGHT MAKE & TAKE ACTIVE PACKS. STAFF ALSO ENGAGED IN FUNDRAISING FOR SPARTA AREA CANCER SUPPORT (SACS).- EXPLORED NEW OPPORTUNITIES FOR COLLABORATION AND THE POOLING OF RESOURCES TO ADDRESS CHRONIC DISEASE AND CONTRIBUTING FACTORS IN THE COMMUNITY. NEW COLLABORATIONS THIS YEAR INCLUDED THE UW-EXTENSION AND THE CASHTON AREA DEVELOPMENT CORPORATION.MENTAL HEALTH AND/OR SUBSTANCE ABUSE: TO INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE CONCERNS, MCHS-SPARTA:- SHARED MAYO CLINIC EXPERTISE IN THE COMMUNITY AS FOLLOWS: > INFORMATION ON MENTAL HEALTH AND/OR SUBSTANCE ABUSE WAS PROVIDED AT NO COST TO COMMUNITY MEMBERS VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH MAGAZINE, SOCIAL MEDIA POSTS, BLOG POSTS, MAYOCLINIC.COM, AND TELEVISION INTERVIEWS. > HOSPITAL REPRESENTATIVES WERE ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH AND/OR SUBSTANCE ABUSE, INCLUDING THE MONROE COUNTY PRESCRIPTION DRUG TASKFORCE AND THE MONROE COUNTY DEMENTIA COALITION. A LICENSED CLINICAL SOCIAL WORKER SPOKE TO FT. MCCOY EMPLOYEES ABOUT COPING WITH THE WINTER BLUES. THE HOSPITAL WAS A PARTICIPANT IN MONROE COUNTY'S "THE LONGEST DAY" EVENT, SHARING INFORMATION ABOUT ALZHEIMER'S AND DEMENTIA, AND THE TEEN WELLNESS FAIR WHICH HAD A MENTAL HEALTH FOCUS.- IMPROVED ACCESS TO CARE BY SUCCESSFULLY RECRUITING THREE MENTAL HEALTH AND ADDICTIONS PROVIDERS TO FILL OPEN POSITIONS. - SUPPORTED COMMUNITY EFFORTS TO RAISE AWARENESS OF MENTAL ILLNESS AND/OR SUBSTANCE ABUSE THROUGH THE COMMUNITY INVESTMENT PROGRAM. A $1000 CONTRIBUTION WAS PROVIDED FOR THE MONROE COUNTY HEALTH DEPARTMENT'S "THE LONGEST DAY" EVENT. NAMI OF MONROE AND JUNEAU COUNTIES RECEIVED $2000 FOR ITS END THE SILENCE CAMPAIGN. - EXPLORED NEW OPPORTUNITIES FOR COLLABORATION AND POOLING OF RESOURCES TO IMPROVE ACCESS TO MENTAL HEALTH AND/OR SUBSTANCE ABUSE INFORMATION, SUPPORT, AND SERVICES. A NEW COLLABORATION WITH FAMILY PROMISE OF MONROE COUNTY WAS LAUNCHED IN 2018. - SUPPORTED ORGANIZATIONS ASSISTING INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE, CONTRIBUTING $10,000 TO FAMILY PROMISE OF MONROE COUNTY, A GROUP THAT HELPS HOMELESS FAMILIES OBTAIN PERMANENT HOUSING AND ACHIEVE LONG-TERM SELF-SUFFICIENCY. MCHS-SPARTA ALSO CONTINUED THE FOLLOWING EFFORTS IN 2018:- EDUCATED PHYSICIANS/PROVIDERS ON THE REQUIREMENTS OF THE WISCONSIN PRESCRIPTION DRUG MONITORING PROGRAM. - IMPLEMENTED BEST PRACTICES FOR PRESCRIBING AND MONITORING OPIOIDS. A SPECIAL TOOLKIT IS AVAILABLE ON THE PHYSICIAN PRACTICE WEBPAGE. THE TOOLKIT INCLUDES SAMPLE CONTROLLED SUBSTANCE AGREEMENTS, RECENT NEWS ARTICLES, AND OTHER RESOURCES. EMR SCORECARDS FOR CHRONIC OPIOID THERAPY ARE ALSO USED AS TOOLS FOR DOCUMENTING BEST PRACTICES. - INTEGRATED BEHAVIORAL HEALTH PROVIDERS INTO ITS PRIMARY CARE TEAMS UNDER THE MAYO MODEL OF COMMUNITY CARE (MMOCC). - OPTIMIZED PATIENT SCHEDULING TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES WITH MULTIPLE PROJECTS UNDERWAY IN 2018.- EXPLORED NON-TRADITIONAL METHODS OF CARE DELIVERY, SUCH AS TELEMEDICINE, TO IMPROVE ACCESS AND MAXIMIZE RESOURCES. AT BOTH THE SPARTA AND TOMAH CAMPUSES, PATIENTS CAN NOW RECEIVE PSYCHIATRIC SERVICES VIA TELEMEDICINE. THE 2016 CHNA ALSO IDENTIFIED ORAL HEALTH AS A NEED IN THE COMMUNITY, BUT ORAL HEALTH WILL NOT BE ADDRESSED BY MCHS-SPARTA DUE TO LACK OF EXPERTISE OR RESOURCES IN THIS AREA. SUPPORT FOR INITIATIVES SEEKING TO ADDRESS ORAL HEALTH NEEDS IN THE COMMUNITY WILL BE CONSIDERED. PART V, SECTION B FACILITY REPORTING GROUP E FACILITY REPORTING GROUP E CONSISTS OF: - FACILITY 1: MAYO CLINIC HOSPITAL ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL (ARIZONA) GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL (ARIZONA) PART V, SECTION B, LINE 5: THE MAYO CLINIC ARIZONA COMMUNITY ADVISORY BOARD (CAB) WAS CREATED TO DETERMINE AND VET THE FINDINGS OF IDENTIFIED AND PRIORITIZED NEEDS. THE CAB IS MADE UP OF THE BROAD SPECTRUM OF THE COMMUNITY REPRESENTING COMMUNITY FEDERALLY QUALIFIED CLINICS, THE FAITH COMMUNITY, MINORITY AND DISPARATE COMMUNITY ADVOCATES, INTERNAL MAYO HOSPITAL STAFF AND OTHERS THAT HELP WITH THE PROCESS OF IDENTIFYING COMMUNITY HEALTH NEEDS AND TO ENDORSE THE DEMOGRAPHIC FINDINGS AND PRIORITIZATIONS. COMMUNITY INPUT WAS OBTAINED FROM TWENTY-THREE FOCUS GROUPS THAT WERE HELD BETWEEN SEPTEMBER 2015 AND APRIL 2016. GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL (ARIZONA) PART V, SECTION B, LINE 6A: BANNER HOSPITAL SYSTEMDIGNITY ST. JOSEPH'S HOSPITALPHOENIX CHILDRENS HOSPITAL GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL (ARIZONA) PART V, SECTION B, LINE 6B: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHNATIVE HEALTH CLINICMOUNTAIN PARK HEALTH CENTERADELANTE HEALTH CLINIC GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL (ARIZONA) PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC ARIZONA (MCA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- CANCER- ACCESS TO CARE- HOMELESSNESS- MEDICAL TRANSPLANTATIONIN 2018, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:TO MEET THE HEALTH RELATED CANCER NEEDS OF PATIENTS WITHIN MARICOPA COUNTY, MCA:- RECEIVED APPROVAL FOR A GI CLINIC AT ADELANTE, A FEDERALLY QUALIFIED HEALTH CENTER, TO OFFER COLONOSCOPIES FOR PATIENTS WITHOUT INSURANCE.- PROVIDED PRO BONO BIOPSIES AT MOUNTAIN PARK HEALTH CENTER (MPHC), A DEEMED PUBLIC HEALTH SERVICE EMPLOYEE, AND PROVIDED CANCER TREATMENT TO SIX WOMEN REFERRED TO MCA FROM MPHC.- PROVIDED ONGOING WEEKLY MAMMOGRAPHY SERVICES AT MPHC THROUGH MCA'S DEPARTMENT OF RADIOLOGY. MCA HAS PROVIDED, MAINTAINED AND MONITORED THE EQUIPMENT IN ADDITION TO PROVIDING THE SCREENINGS AT NEITHER A COST TO MPHC NOR THE PATIENTS MPHC REFERS FOR SCREENING.- PROVIDED A MONTHLY SPECIALTY CLINIC FOR PATIENTS SEEN IN THE PRIMARY CARE CLINIC OF ST. VINCENT DE PAUL, AN ORGANIZATION THAT PROVIDES MEDICAL SERVICES TO THE WORKING POOR.TO ASSIST WITH PROVIDING CARE THROUGH STRATEGIC COMMUNITY CLINICAL PARTNERSHIPS TO POPULATIONS THAT LACK ACCESS TO QUALITY CLINICAL CARE, THE MEDICAL STUDENTS OF THE MAYO CLINIC ALIX SCHOOL OF MEDICINE EXPANDED MCA'S CLINICAL OUTREACH TO THE COMMUNITY, SPECIFICALLY POPULATIONS THAT HAVE ISSUES WITH CLINICAL CARE ACCESS SUCH AS AN APARTMENT COMPLEX WITH 90% IMMIGRANT POPULATION.TO ADDRESS HOMELESSNESS, MCA HELPED PROVIDE CARE FOR THE MOST VULNERABLE OF MARICOPA COUNTY AS DESCRIBED BELOW:- MAYO CLINIC'S OFFICE OF DIVERSITY AND INCLUSION FUNDS MAYO EMPLOYEE RESOURCE GROUPS OR MERGS, WHICH ARE EMPLOYEE-ORGANIZED GROUPS THAT FORM AROUND A COMMON DIMENSION OF DIVERSITY. MCA'S MERG ADDRESSED HOMELESSNESS AS FOLLOWS: > MESA MEN'S SHELTER: STAFF ASSISTED IN PREPARING AND SERVING MEALS ALONG WITH CLEANUP AFTERWARDS. > FEED MY STARVING CHILDREN: MEMBERS OF THE MERG VOLUNTEER TO FILL FOOD BOXES FOR RESIDENTS THAT HAVE NEED FOR FOOD. > ST. MARY'S FOOD BANK: MERG MEMBERS FILL FOOD BOXES FOR COMMUNITY MEMBERS EXPERIENCING HARDSHIP. > CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS: MERG MEMBERS PROVIDE TOILETRY BAGS FOR RESIDENTS AND INFORMATION TO ASSIST RESIDENTS LIVING IN THE FACILITY TO GET SOCIAL SECURITY, DISABILITY BENEFITS. IN ADDITION, MCA AWARDED $50,000 OF INFUSION GRANTS TO THE FOLLOWING THREE NOT FOR PROFIT ORGANIZATIONS THAT TREAT HOMELESS AND POOR PEOPLE: - CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS, - MOUNTAIN PARK HEALTH CENTER, - HOPE LODGE FACILITY FOR TRANSPLANT AND CANCER PATIENTSMEDICAL TRANSPLANTATION: MCA CONTINUES TO PROVIDE COMPREHENSIVE CARE TO PATIENTS OF MARICOPA COUNTY IN NEED OF SOLID ORGAN TRANSPLANTATION. MAYO CLINIC HOSPITAL IS THE ONLY HOSPITAL IN MARICOPA COUNTY THAT PROVIDES SOLID ORGAN TRANSPLANTATION FOR FOUR ORGANS. MOST HOSPITALS PROVIDE ONE ORGAN TRANSPLANTATION. GROUP E-FACILITY 3 -- MAYO CLINIC FLORIDA PART V, SECTION B, LINE 5: THROUGHOUT 2014 INTO 2015, COMMUNITY INPUT WAS GATHERED THROUGH A TOTAL OF 53 KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND TOWN HALL MEETINGS CONDUCTED ACROSS THE FIVE COUNTIES. LOCAL COMMUNITY HEALTH EXPERTS AND INTERNAL HOSPITAL STAFF MEMBERS WERE IDENTIFIED AND SELECTED TO PARTICIPATE AS KEY INFORMANTS. THROUGH THESE INTERACTIONS, INPUT WAS RECEIVED FROM 257 INDIVIDUALS. ADDITIONALLY, COMMUNITY HEALTH EXPERTS ASSISTED IN THE DESIGN, MARKETING, AND IMPLEMENTATION OF FOCUS GROUPS AND TOWN HALL MEETINGS TO PROMOTE PARTICIPATION FROM THE TARGET POPULATIONS IDENTIFIED. SELECTED TOPICS AND QUESTIONS WERE DESIGNED FOR EACH INTERVIEW TYPE.TWENTY-FIVE KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND TOWN HALL MEETINGS WERE CONDUCTED IN DUVAL AND ST. JOHNS COUNTIES. THE 124 EXTERNAL PARTICIPANTS IN THIS PROCESS PROVIDED INSIGHT ON A WIDE RANGE OF COMMUNITY HEALTH ISSUES, INCLUDING BARRIERS TO ACCESS TO HEALTH SERVICES, PREVALENCE OF CERTAIN HEALTH CONDITIONS, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH DISPARITIES FACED BY THE RESIDENTS OF DUVAL AND ST. JOHNS COUNTIES.NINE FOCUS GROUP MEETINGS WERE HELD AT PARTNERSHIP HOSPITALS LOCATED IN DUVAL COUNTY. SEVENTY ONE (71) HOSPITAL STAFF PARTICIPATED IN THIS DISCUSSION, INCLUDING REPRESENTATIVES FROM EMERGENCY DEPARTMENTS, PHYSICIANS, NURSING, CASE MANAGEMENT, AND SOCIAL SERVICES.IN ADDITION, THE JACKSONVILLE COMMUNITY COUNCIL INC. (JCCI) IN 2009 ISSUED "COMMUNITY ENGAGEMENT: UNDERSTANDING THE GLBT COMMUNITY EXPERIENCE WITH DISCRIMINATION." THE REPORT PRESENTED RESULTS FROM SURVEYS AND FOCUS GROUPS DESIGNED TO BETTER UNDERSTAND DISCRIMINATION ENCOUNTERED BY GAY, LESBIAN, BISEXUAL, AND TRANSGENDERED (GLBT) RESIDENTS OF JACKSONVILLE. GROUP E-FACILITY 3 -- MAYO CLINIC FLORIDA PART V, SECTION B, LINE 6A: BAPTIST HEALTHBROOKS REHABILITATIONST. VINCENT'S HEALTHUF HEALTH GROUP E-FACILITY 3 -- MAYO CLINIC FLORIDA PART V, SECTION B, LINE 6B: DEPARTMENT OF HEALTH (DUVAL COUNTY) GROUP E-FACILITY 3 -- MAYO CLINIC FLORIDA PART V, SECTION B, LINE 11: MCF, IN COLLABORATION WITH MAYO CLINIC JACKSONVILLE AND COLLECTIVELY REFERRED TO AS MAYO IN FLORIDA, TOOK THE FOLLOWING ACTIONS IN 2018 TO ADDRESS THE IDENTIFIED NEEDS:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MAYO IN FLORIDA:- CONTINUED THE WELLNESS RX PROGRAM THAT WAS INITIATED IN 2017. WELLNESS RX IS A COMMUNITY LED WELLNESS PROGRAM AND IS MANAGED BY MAYO IN FLORIDA 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. DUE TO THE COMMUNITY HEALTH STATISTICS AROUND STROKE, HEART DISEASE AND DIABETES, THE AMERICAN HEART ASSOCIATION (AHA) WAS ASKED TO SERVE AS THE CORE AGENCY TO SUPPORT THIS INITIATIVE. AHA'S EXPERTISE IS AN ESSENTIAL COMPONENT OF THE PROGRAMMING PLAN TO ENSURE SUCCESS AROUND HEALTH DISPARITIES.MENTAL HEALTH: TO INCREASE COMMUNITY CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENTS, MAYO IN FLORIDA:- PARTICIPATED IN THE MENTAL HEALTH FIRST AID INITIATIVE, A COLLABORATION OF ALL NON-PROFIT HOSPITALS IN THE DUVAL COUNTY, JACKSONVILLE AREA TO TRAIN LAY CITIZENS ON THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND TO PROVIDE THEM WITH REQUISITE KNOWLEDGE ON HOW TO RESPOND TO SOMEONE WHO MAY BE EXPERIENCING A MENTAL ILLNESS CRISIS. - COLLABORATED WITH OTHER NON-PROFIT HOSPITALS TO FUND A POST-MSN DOCTOR OF NURSING PRACTICE PSYCH-MENTAL HEALTH NURSING PRACTICE PROGRAM WITH THE GOAL OF INCREASING THE NUMBER OF ADVANCED PRACTICE NURSES WITH SPECIFIC TRAINING IN MANAGING MENTAL ILLNESS.HEALTH DISPARITIES AND ACCESS TO HEALTH CARE: TO SUPPORT COMMUNITY EFFORTS DESIGNED TO DECREASE HEALTH DISPARITIES AND INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO FINANCIAL MEANS IN THE COMMUNITY, 18 MAYO PHYSICIANS AND THEIR RESPECTIVE RESIDENTS AND FELLOWS PROVIDED OVER 340 OFF-SITE APPOINTMENTS/MEDICAL PROCEDURES AND 120 ON-CAMPUS CONSULTATIONS AND SURGICAL PROCEDURES, AT NO EXPENSE TO PATIENTS WHO RECEIVE CARE AT THESE AGENCIES. MAYO IN FLORIDA PROVIDED SUPPORT TO THE FOLLOWING NONPROFIT ORGANIZATIONS WITH MONETARY AND/OR IN-KIND DONATIONS: - SULZBACHER CENTER: MAYO IN FLORIDA CONTRIBUTED SUPPLEMENTAL CARE IN BEHAVIORAL HEALTH, CARDIOLOGY, FAMILY MEDICINE (TO INCLUDE ROUTINE PROCEDURES), GASTROENTEROLOGY AND GYNECOLOGY SERVICES.- VOLUNTEERS IN MEDICINE (VIM): MAYO IN FLORIDA CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS THROUGH THE FOLLOWING DONATED SERVICES: > INOCULATION FOR HUMAN PAPILLOMAVIRUS (HPV) > MAYO IN FLORIDA PHYSICIANS SUPPLEMENTED VIM CLINIC STAFF. THE SERVICES INCLUDE CARDIOLOGY, GASTROENTEROLOGY, INTERNAL MEDICINE, HEMATOLOGY AND PAIN MANAGEMENT.- MISSION HOUSE: MAYO IN FLORIDA SUPPLEMENTED THE CLINIC STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS. - WE CARE: MAYO IN FLORIDA PROVIDED GENERAL SURGERY, GYNECOLOGY, ONCOLOGY, AND UROLOGICAL SURGERIES. THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCF IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:- DIABETES, COMMUNICABLE DISEASES, AND MATERNAL & CHILD HEALTH: THE FLORIDA DEPARTMENT OF HEALTH HAS ROBUST PROGRAMS FOCUSING ON EACH OF THESE TOPICS.- POVERTY: THE WOMEN'S GIVING ALLIANCE HAS IDENTIFIED POVERTY AS THEIR NUMBER ONE PRIORITY FOR PROGRAM FUNDING.- TRANSPORTATION: THE JACKSONVILLE TRANSPORTATION AUTHORITY IS THE LOCAL AGENCY THAT MANAGES PUBLIC TRANSPORTATION. AS SUCH, THEY ARE SPEARHEADING MULTIPLE EFFORTS TO INCREASE ACCESS ACROSS THE COMMUNITY AND TO IMPROVE THE QUALITY OF THAT TRANSPORTATION. GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL ROCHESTER PART V, SECTION B, LINE 5: THE 2016 OLMSTED COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (OCCHNA) COALITION ENCOMPASSED THE CORE COLLABORATING ORGANIZATIONS OF OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT, OLMSTED MEDICAL CENTER, UNITED WAY OF OLMSTED COUNTY, AND ROCHESTER AREA FOUNDATION. IN ADDITION, MORE THAN 30 NON-PROFIT AND CITY/COUNTY GOVERNMENT GROUPS WERE INVOLVED IN QUARTERLY PLANNING. THE COALITION CONDUCTED NUMEROUS MEETINGS AND FORUMS TO GATHER DIVERSE PERSPECTIVES THROUGHOUT OLMSTED COUNTY, INCLUDING OUTREACH TO CULTURAL/ETHNIC, INCOME, AGE, ABILITY/DISABILITY, GEOGRAPHIC AREA DEFINED COMMUNITY GROUPS. THESE TOOK PLACE REGULARLY BETWEEN JANUARY, 2014 AND DECEMBER, 2016.COMMUNITY INPUTTHE 2016 OLMSTED COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT PLANNING TEAM GATHERED INPUT FROM THE FOLLOWING:FEBRUARY 2014 TO APRIL 2014: OUTREACH TO ORGANIZATION AND PROGRAM LEADERS FROM HUMAN SERVICE/NON-PROFIT ORGANIZATIONS TO GATHER COMMENTS FROM 2013 CHNA PROCESS;JUNE 2015 TO SEPTEMBER 2015: RANDOMLY SELECTED OLMSTED COUNTY HOUSEHOLDS IN A MAILED PAPER SURVEY (N=643/2,000 SURVEYS SENT).DECEMBER 2014 THROUGH FEBRUARY 2016: LISTENING SESSIONS WITH LOCAL MINORITY AND OTHER UNDERREPRESENTED DIVERSE GROUPS. A TOTAL OF NINE AFFINITY GROUPS WERE GATHERED, REFLECTING THE OPINIONS OF 113 INDIVIDUALS.OCTOBER 2015 TO MAY 2016: CITY AND COUNTY GOVERNMENT AGENCY LEADERSAPRIL 2015 THROUGH JULY 2016: MORE THAN 240 COMMUNITY CITIZENS REPRESENTING BROAD (PRIVATE/BUSINESS, HUMAN SERVICE/NONPROFIT, GOVERNMENT AND PRIVATE COMMUNITY) PERSPECTIVES AS PARTICIPANTS IN MULTIPLE PUBLIC PRIORITIZATION SESSIONS. GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL ROCHESTER PART V, SECTION B, LINE 6A: OLMSTED MEDICAL CENTER GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL ROCHESTER PART V, SECTION B, LINE 6B: OLMSTED COUNTY PUBLIC HEALTH AND MORE THAN 30 LOCAL COMMUNITY ORGANIZATIONS WHO PARTICIPATED IN FOCUS GROUPS, PLANNING MEETINGS AND PARTICIPATING IN ASSESSMENT PRIORITIZATIONS BETWEEN JANUARY 2014 AND OCTOBER 2016. GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL ROCHESTER PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HOSPITAL - ROCHESTER (MCHR) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:- INJURY PREVENTION- MENTAL HEALTH- OBESITY- IMMUNIZATIONS- FINANCIAL STRESSMCHR INTEGRATES PROGRAMMING AND STAFFING WITH MAYO CLINIC'S COMPREHENSIVE OUTPATIENT PATIENT CARE SERVICES, RESEARCH AND EDUCATION OPERATIONS ON ITS ROCHESTER CAMPUS. LOCAL COMMUNITY HEALTH IMPROVEMENT IS ADDRESSED THROUGH ALL MAYO CLINIC OPERATIONS, INCLUDING HOSPITAL TREATMENT AND RECOVERY ROOMS, CLASSROOMS AND CLINICAL TRAINING AREAS (PUBLIC HEALTH AS WELL AS MEDICAL EDUCATION), RESEARCH LABS, OUTPATIENT CARE SETTINGS AND COMMUNITY SPACES. IN 2018, IN CONJUNCTION WITH MAYO CLINIC, MCHR (HEREINAFTER COLLECTIVELY REFERRED TO AS MAYO) ADDRESSED THE IDENTIFIED NEEDS AS FOLLOWS:INJURY PREVENTION - TO INCREASE MAYO'S AND THE LOCAL COMMUNITY'S CAPACITY TO EDUCATE HIGH RISK GROUPS ABOUT SAFE DRIVING PRACTICES (TEENS) AND FALLS PREVENTION (ELDERLY), MAYO:- ACTIVELY ENGAGED IN THE OLMSTED COUNTY FALL PREVENTION COALITION TO PROVIDE AWARENESS, ADVOCACY, AND COLLABORATION AROUND FALL PREVENTION AT THE COMMUNITY LEVEL.- PROVIDED STAFF TIME, EXPERTISE, AND MATERIALS TO THE STEPPING ON PROGRAM - AN EVIDENCE-BASED FALL PREVENTION PROGRAM OFFERED AT MANY COMMUNITY LOCATIONS TO HELP INCREASE CONFIDENCE AND EMPOWER OLDER ADULTS TO CARRY OUT HEALTH BEHAVIORS THAT REDUCE THE RISK OF FALLS.- CONTINUED TO OFFER INTERACTIVE PRESENTATIONS AROUND TEEN DRIVER SAFETY WITH REGIONAL HIGH SCHOOL AND DRIVER EDUCATION CLASSES AND EXPANDED REACH BY LOANING THE DISTRACTED DRIVING SIMULATOR TO COMMUNITY GROUPS.- COORDINATED MONTHLY CAR SEAT INSPECTION CLINICS AT A LOCAL FIRE STATION TO CHECK FOR CORRECT USE OF CHILD SAFETY RESTRAINTS AND TO EDUCATE CAREGIVERS ON THE SAFE TRANSPORTATION OF CHILDREN IN MOTOR VEHICLES.- COORDINATED LOCAL CHILD PASSENGER SAFETY TECHNICIAN CERTIFICATION TRAININGS.- ACTIVELY PARTICIPATED IN THE SE MN REGIONAL TRAUMA ADVISORY COUNCIL TO DEVELOP, IMPLEMENT, AND MONITOR THE REGIONAL TRAUMA SYSTEM WITH THE GOAL OF PREVENTING DEATH AND DISABILITY RESULTING FROM TRAUMATIC INJURIES AND MASS CASUALTY EVENTS.- CONTINUED WORK WITH THE TOWARD ZERO DEATH STEERING COMMITTEE, FATAL REVIEW COMMITTEE, AND THE OLMSTED SAFE ROADS COALITION TO ADDRESS TRAFFIC SAFETY.- PARTNERED WITH THE ROCHESTER POLICE DEPARTMENT TO REACH UNDERSERVED COMMUNITIES THROUGH THE REJUVENATED COPS AND KIDS COMMUNITY BIKE PROGRAM PROVIDING STAFF, EXPERTISE, AND $2500 FOR HELMETS.- ADMINISTERED AN ELECTRONIC SURVEY TO ALL TRAUMA CENTERS AND COUNTY HEALTH DEPARTMENTS IN MINNESOTA TO EXAMINE THE CURRENT STATE OF CHILDHOOD INJURY PREVENTION INTERVENTIONS IN THE STATE, IDENTIFY POTENTIAL PARTNERS TO COLLECTIVELY ADDRESS PEDIATRIC FALL-RELATED INJURY, AND TO UTILIZE SURVEY RESULTS TO LEAD FUTURE INJURY PREVENTION EFFORTS. THE FEEDBACK WILL BE SHARED WITH MINNESOTA STAKEHOLDERS IN AN EFFORT TO ENCOURAGE COLLECTIVE ACTION TOWARDS FALL PREVENTION INTERVENTION FOR MINNESOTA CHILDREN.- OFFERED "STOP THE BLEED" TRAININGS TO ENCOURAGE COMMUNITY BYSTANDERS TO BECOME TRAINED, EQUIPPED, AND EMPOWERED TO HELP IN A BLEEDING EMERGENCY BEFORE PROFESSIONAL HELP ARRIVES.- 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:- COLLABORATED WITH OLMSTED MEDICAL CENTER, OLMSTED COUNTY HEALTH DEPARTMENT, AND THE COLLABORATION FOR COMMUNITY HEALTH INTEGRATION TO ADVOCATE AND SECURE SUPPORT FOR LONG-TERM CARE SERVICES FOR POST-ACUTE BEHAVIORAL PATIENTS. -PARTICIPATED WITH THE OLMSTED COUNTY BRIDGE COLLABORATIVE, WHICH IS WORKING TO FOSTER COMMUNICATION, COOPERATION AND LONG-TERM VISION BUILDING AMONG PARENTS AND AGENCIES SERVING THE NEEDS OF CHILDREN AND FAMILIES WITHIN OLMSTED COUNTY. CURRENT STRATEGIES INCLUDE: > EXPANSION OF ACCESS TO SCHOOL BASED MENTAL HEALTH SERVICES;> BUILDING RESILIENCE THROUGH PROVIDING EDUCATION AND AWARENESS;> BUILDING CAPACITY OF PROVIDERS THROUGH EDUCATION AND TRAINING OPPORTUNITIES (TRAUMA INFORMED SCHOOLS CONFERENCE, DC 0-5 TRAININGS, SCHOOL BASED MENTAL HEALTH CONFERENCE);> CREATING AND PARTNERING IN SERVICE INTEGRATION MODELS (CRADLE TO CAREER, JEREMIAH PROGRAM, LAUNCHING EMERGING ADULTS PROGRAM).- PROVIDED MONETARY SUPPORT FOR MENTAL HEALTH FIRST AID EDUCATIONAL EFFORTS THAT PREPARE CITIZENS WHO WORK WITH THE PUBLIC (TEACHERS, LAW ENFORCEMENT, COMMUNITY AGENCIES, ETC.) TO IDENTIFY AND HELP RESPOND TO MENTAL HEALTH NEEDS.- PROVIDED HEALTHY MINDS AND HEALTHY BODIES EDUCATION TO SPANISH-SPEAKING RESIDENTS;- PROVIDED FINANCIAL SUPPORT FOR THE MIND MATTERS EXHIBIT TO IMPROVE AWARENESS AND ACCESS FOR MENTAL HEALTH RESOURCES AND REDUCE STIGMA IN THE COMMUNITY.OBESITY - TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MAYO:- PROVIDED FINANCIAL SUPPORT TOWARDS COMMUNITY PROGRAMS RELATED TO PHYSICAL ACTIVITY AND RECREATION OPPORTUNITIES;- STAFF PARTICIPATED IN THE OLMSTED COUNTY OBESITY COMMUNITY HEALTH IMPROVEMENT WORK GROUP WHICH HELD COMMUNITY CONVERSATIONS ABOUT OBESITY TO ELEVATE SPECIFIC THEMES AND OPPORTUNITIES.- CONTINUED TO DEVELOP A WELLNESS CHAMPION MODEL AT MAYO AND MAYO CLINIC HEALTH SYSTEM SITES WITH COMMUNITY-INSPIRED MESSAGES AND RESOURCES.- PROMOTED HEALTHY PHYSICAL ACTIVITY AND EATING MESSAGES THROUGH MAYO'S ONLINE HEALTH INFORMATION AND SOCIAL MEDIA PLATFORMS.IMMUNIZATIONS -TO INCREASE THE RATE OF IMMUNIZATIONS AMONG COMMUNITY MEMBERS FOR EARLY CHILDHOOD SERIES, ANNUAL INFLUENZA AND HUMAN PAPILLOMAVIRUS, MAYO:- ACTIVELY PARTICIPATED IN THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN VACCINE PREVENTABLE DISEASES WORKGROUP.- CONTINUED WORK WITH OLMSTED COUNTY PUBLIC HEALTH AND ROCHESTER PUBLIC SCHOOLS TO PROMOTE AND PROVIDE IMMUNIZATIONS TO CHILDREN IN LOCAL PRIVATE AND PUBLIC SCHOOLS;- CONTINUED TO HELP MAINTAIN THE SOUTHEAST MINNESOTA IMMUNIZATION CONNECTION (SEMIC) DATABASE TO BETTER UNDERSTAND VACCINE NEEDS IN THE LOCAL POPULATION AND RESPOND TO UNDERSERVED GROUPS/CITIZENS. MAYO STAFF SERVE ON THE BOARD OF DIRECTORS OF SEMIC, WHICH IS ALSO CONDUCTING AFIX (ASSESSMENT, FEEDBACK, INCENTIVES, AND EXCHANGE) VISITS WITH PRACTICE SITES THAT ADMINISTER VACCINES. THIS IS A CDC DEVELOPED PROGRAM PROMULGATED BY THE MINNESOTA DEPARTMENT OF HEALTH TO HELP PRACTICES UTILIZE THE MINNESOTA IMMUNIZATION INFORMATION CONNECTION TO IMPROVE ITS VACCINATION PROCESSES.FINANCIAL STRESS - TO SUPPORT COMMUNITY EFFORTS THAT PROVIDE HUMAN SERVICES/SUPPORT FOR COMMUNITY MEMBERS WITH FINANCIAL HARDSHIP, MAYO:- PROVIDED OVER $900,000 OF FUNDING FOR COMMUNITY EFFORTS TO IMPROVE SERVICES AND SUPPORT FINANCIALLY STRESSED COMMUNITY MEMBERS, INCLUDING EDUCATION, LITERACY, JOB TRAINING, AND BASIC NEEDS (HOUSING, FOOD, HEALTH CARE).- PARTICIPATED IN THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION, PROVIDING $2 MILLION TO THE COALITION IN 2018(THE SECOND PAYMENT OF A $4 MILLION PLEDGE FOR HOUSING MADE IN 2017). PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 5: MCHS MANKATO, - FACILITY 7: MCHS ALBERT LEA AND AUSTIN, - FACILITY 8: MCHS FAIRMONT, - FACILITY 10: MCHS NEW PRAGUE, - FACILITY 11: MCHS WASECA, - FACILITY 14: MCHS RED CEDAR, - FACILITY 16: MCHS ST JAMES, - FACILITY 17: MCHS SPRINGFIELD 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 AND UNIQUENESS OF CARE. 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 4: MCHS EAU CLAIRE, - FACILITY 12: MCHS NORTHLAND, - FACILITY 13: MCHS CHIPPEWA VALLEY, - FACILITY 18: MCHS OAKRIDGE 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 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 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 RED WING, - FACILITY 19: MCHS LAKE CITY, - FACILITY 20: MCHS 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: INPUT WAS PROVIDED BY GOODHUE COUNTY HEALTH AND HUMAN SERVICES HEALTHY COMMUNITIES SUPERVISOR - THROUGH THE COUNTY WIDE MAILED SURVEY DISTRIBUTED IN THE FALL OF 2015. DATA WAS ALSO GATHERED FROM SEPTEMBER 2015 TO APRIL 2016 THROUGH KEY INFORMANT INTERVIEWS, A HISPANIC OUTREACH SURVEY, AN UNITED WAY SURVEY WITH PARTNER CLIENTS, CARE CLINIC SURVEYS THAT WERE CONDUCTED WITH LOW INCOME, AFRICAN AMERICAN AND HISPANIC RESIDENTS, AND FOCUS GROUP DISCUSSION IN SENIOR HOUSING. REPORTING GROUP C PART V, SECTION B, LINE 6A: MAYO CLINIC HEALTH SYSTEM- CANNON FALLS, MAYO CLINIC HEALTH SYSTEM- LAKE CITY AND MAYO CLINIC HEALTH SYSTEM- RED WING COLLABORATED ON THE CHNA FOCUSING ON GOODHUE COUNTY WHERE ALL THREE HOSPITALS ARE LOCATED. REPORTING GROUP C PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2016, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MAYO CLINIC HEALTH SYSTEM - LAKE CITY (MCHS LAKE CITY) AND MAYO CLINIC HEALTH SYSTEM - SEMN IN CANNON FALLS AND RED WING (MCHS CANNON FALLS AND MCHS RED WING, RESPECTIVELY), COLLECTIVELY REFERRED TO AS MCHS:- OBESITY - MENTAL HEALTH - HEALTH BEHAVIORS IN 2018, MCHS TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY AND HEALTH BEHAVIORS: TO INCREASE PHYSICAL ACTIVITY, PROPER NUTRITION, AND AWARENESS OF PERSONAL RESPONSIBILITY IN LIFESTYLE AND HEALTH DECISIONS:- MCHS CANNON FALLS:> HOSTED A BOOTH OFFERING HEALTH INFORMATION TO THE PUBLIC AT FIRST THURSDAYS, A MONTHLY STREET FAIR HELD IN CANNON FALLS DURING SUMMER MONTHS. IN ADDITION, MCHS CANNON FALLS PARTNERED WITH GOODHUE COUNTY HEALTH AND HUMAN SERVICES TO PROVIDE BIKE SAFETY INFORMATION AT THE SAME EVENT.> PARTNERED WITH THE CANNON FALLS BOOSTER CLUB TO HOLD AN OBSTACLE COURSE AND OFFERED INFORMATION ON HEALTH AND WELLNESS AT AN EVENT HELD PRIOR TO A HIGH SCHOOL FOOTBALL GAME. > OFFERED YOGA FOR SENIORS AT THE SENIOR CENTER. > PROVIDED HAND WASHING STATIONS AT THE CANNON VALLEY FAIR.- MCHS LAKE CITY: > PARTNERED WITH THE LAKE CITY ROTARY TO SPONSOR AND PROMOTE A CIRCLE OF LIFE RELAY 5K, WALK AND FAMILY RUN EVENT. > SPONSORED AND PROMOTED FOOD FOR FIVE, AND ANNUAL COMMUNITY INITIATIVE TO RAISE MONEY FOR THE LAKE CITY FOOD SHELF.> PARTNERED WITH THE CHAMBER OF COMMERCE TO SPONSOR AND PROMOTE THE TOUR DE PEPIN BIKE EVENT> PROVIDED NUTRITIONAL EDUCATION PROGRAMS WITH THE CITY LIBRARY- MCHS RED WING: > PROVIDED NUTRITIONAL EDUCATION ALONG WITH A COOKING DEMONSTRATION FOR AT-RISK YOUTH. > PARTNERED WITH THE RED WING CHAMBER OF COMMERCE TO PROVIDE THE 12 HEALTHY HABITS OF WELL-BEING AT A CHAMBER EXPO. > PARTNERED WITH THE RED WING FAMILY YMCA TO SPONSOR THE RIVER CITY RAMBLE 5K, WALK AND FAMILY FUN RUN, WHICH RAISES FUNDS TO SUPPORT SCHOLARSHIPS FOR CHILDREN TO PARTICIPATE IN HEALTHY ACTIVITIES THROUGHOUT THE YEAR. > SPONSORED AND ORGANIZED AN 8-WEEK TRAINING FOR THE RIVER CITY RAMBLE 5K > PARTNERED WITH UNITED WAY AND ST JOSEPH CHURCH IN FARE FOR ALL - A NONPROFIT FOOD PROGRAM PROMOTING AND PROVIDING ACCESS TO LEAN MEAT, FRESH FRUITS AND VEGETABLES. THE PROGRAM IS UNDER THE LEADERSHIP OF UNITED WAY, BUT LOCATED AT MCHS RED WING. IN ADDITION TO THE ACTIONS TAKEN BY EACH HOSPITAL TO ADDRESS OBESITY AS DESCRIBED ABOVE, COLLECTIVELY, THE THREE HOSPITALS:- HELD A GOOD FOR ME AND FOR YOU BOOK READS: > 51 BOOKS WERE PURCHASED FOR AREA DAY CARE CENTERS; > MCHS EMPLOYEES READ THE BOOKS TO THE CHILDREN AND EACH CHILD RECEIVED A 5-2-1-0 CARD (A PUBLIC EDUCATION CAMPAIGN ENDORSING 5 FRUITS AND VEGETABLE, 2 HOURS OF SCREEN TIME, 1 HOUR OF PHYSICAL ACTIVITY, AND 0 SUGARY DRINKS); > EDUCATIONAL INFORMATION ON EATING WELL AND BEING ACTIVE WAS ALSO GIVEN TO EACH DAY CARE CENTER.- SUPPORTED THE LIVE WELL GOODHUE COUNTY PROGRAM AS FOLLOWS: > PROVIDED STAFF TIME AND MEETING SPACE; > SPONSORED THE I CAN PREVENT DIABETES CLASSES THAT WERE HELD AT MCHS RED WING, BUT PUBLICIZED IN THE SURROUNDING COMMUNITIES, INCLUDING CANNON FALLS AND LAKE CITY;- PROVIDED INTEGRATED HEALTH MEDICINE, ROAD TO BETTER HEALTH, AND 12 HEALTHY HABITS TO WELL-BEING AT THE PRAIRIE ISLAND INDIAN COMMUNITY HEALTH FAIR.- MCHS EMPLOYEES FROM THE LACTATION COALITION PROVIDED A ROCK AND REST BOOTH FOR GOODHUE COUNTY FAIR PARTICIPANTS. MENTAL WELLNESS: TO IINCREASE THE STATE OF WELL-BEING IN WHICH INDIVIDUALS CAN COPE WITH NORMAL STRESSES OF LIFE AND WORK, COLLECTIVELY THE THREE HOSPITALS:- SUPPORTED MAKE IT OK - A COUNTY-WIDE ANTI STIGMA EDUCATION PROGRAM OFFERED IN AREA CHURCHES AND LOCAL SCHOOLS: > AN MCHS STAFF MEMBER SERVED ON THE ADVISORY BOARD AND VOLUNTEERED AS A TRAINER; > A COMMUNITY MEETING THAT FOCUSED ON 8TH AND 9TH GRADERS WAS HELD IN CANNON FALLS; > THE HILARIOUS WORLD OF DEPRESSION PROGRAM WAS HELD IN RED WING AND BEHAVIORAL HEALTH STAFF SERVED ON THE Q&A PANEL FOLLOWING THE PROGRAM. - CONDUCTED A GRATITUDE CAMPAIGN IN WHICH INFORMATION PROMOTING JOURNALING AND FOCUSING ON GRATITUDE TO BUILD RESILIENCE WAS SHARED AT THREE HEALTH FAIRS.- SUPPORTED A WOMEN'S HEALTH SYMPOSIUM MENTAL WELLNESS WORKSHOP AT A LOCAL GOLF COURSE WITH WELL-BEING CHAMPIONS SERVING AS VOLUNTEERS AND ASSISTING WITH THE EVENT. IN ADDITION, THE COST OF THE SPACE AND FOOD WAS PAID FOR BY MCHS.- PROVIDED STAFF AND FUNDING FOR A FACILITATOR FOR A COMMUNITY COLLABORATIVE DEVELOPING MENTAL HEALTH INITIATIVES IN GOODHUE COUNTY. - PARTICIPATED AND SUPPORTED A COUNTY WIDE MENTAL HEALTH COALITION TO AVOID DUPLICATION OF SERVICES AND PROMOTE MENTAL WELLNESS THROUGH COUNTY WIDE INITIATIVES IN THE SCHOOLS AND COMMUNITIES.THE 2016 CHNA ALSO IDENTIFIED ACCESS TO CARE AS A NEED IN THE COMMUNITY, BUT MCHS WILL NOT BE ADDRESSING THIS NEED WITH ADDITIONAL RESOURCES. DATA SHOWS THE PERCENTAGE OF UNINSURED IN GOODHUE COUNTY IS HISTORICALLY LOW. MCHS WILL CONTINUE TO SUPPORT UNINSURED COMMUNITY MEMBERS IN PARTNERSHIP WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY. THE CARE CLINIC CONTINUES TO WORK WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES AT NO CHARGE. MCHS WILL SUPPORT THE CARE CLINIC WITH BOARD LEADERSHIP AND LIABILITY COVERAGE FOR EMPLOYEES FROM ALL SITES WHO VOLUNTEER. THE CARE CLINIC THAT PROVIDES SERVICES FOR AT-RISK POPULATIONS IS CURRENTLY LOCATED, AT NO CHARGE, IN A MCHS FACILITY. 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 FRANCISCAN HEALTHCARE LA CROSSE, - FACILITY 15: MCHS FRANCISCAN HEALTHCARE 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 ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL (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. 94 1 - MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 CLINIC & RESEARCH FACILITY 2 - MAYO CLINIC BUILDING - SCOTTSDALE 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 CLINIC, RESEARCH FACILITY, MEDICAL SCHOOL 3 - MCHS MANKATO IN MADISON EAST CENTER 1400 MADISON AVENUE MANKATO MN 56001 CLINIC, THERAPY, DME, HOSPICE 4 - MAYO CLINIC SPECIALTY BUILDING 5779 EAST MAYO BOULEVARD PHOENIX AZ 85054 CLINIC 5 - MAYO CLINIC DIALYSIS NORTHEAST 3041 STONEHEDGE DRIVE NORTHEAST ROCHESTER MN 55906 HOSPITAL BASED DIALYSIS FACILITY 6 - MCHS FRANCISCAN HEALTHCARE ONALASKA 191 THEATER ROAD ONALASKA WI 54650 CLINIC, BEHAVIORAL HEALTH, PHARMACY 7 - MAYO CLINIC ALBERT LEA HEALTH REACH 1705 BROADWAY SOUTHEAST ALBERT LEA MN 56007 HOSPITAL BASED DIALYSIS FACILITY, PHYSICAL THERAPY 8 - MAYO CLINIC DIALYSIS EAU CLAIRE 3845 LONDON ROAD EAU CLAIRE WI 54701 DIALYSIS 9 - MAYO CLINIC DIALYSIS CENTER 4658 WORRALL WAY JACKSONVILLE FL 32216 OUTPATIENT DIALYSIS 10 - MCHS FRANCISCAN HEALTHCARE TOMAH 325 BUTTS AVENUE TOMAH WI 546600610 CLINIC, BEHAVIORAL HEALTH 11 - MAYO CLINIC DIALYSIS ONALASKA 191 THEATER ROAD ONALASKA WI 54650 HOSPITAL BASED DIALYSIS FACILITY 12 - GATE PARKWAY PRIMARY CARE CENTER 7826 OZARK DRIVE JACKSONVILLE FL 32256 CLINIC 13 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH IA 52101 HOSPITAL BASED DIALYSIS FACILITY 14 - MAYO CLINIC DIALYSIS MENOMONIE 407 21ST STREET SOUTHEAST MENOMONIE WI 54751 DIALYSIS 15 - MCHS NEW PRAGUE 212 COUNTY ROAD 37 NEW PRAGUE MN 56071 CLINIC 16 - MCHS FRANCISCAN HEALTHCARE HOLMEN 1303 MAIN STREET SOUTH HOLMEN WI 546369337 CLINIC, BEHAVIORAL HEALTH 17 - BASSO BUILDING 4634 WORRELL WAY JACKSONVILLE FL 32256 SLEEP DISORDER CENTER 18 - MCHS NORTHLAND IN RICE LAKE 331 SOUTH MAIN STREET SUITE H RICE LAKE WI 548682239 CLINIC 19 - MCHS FRANCISCAN HEALTHCARE WAUKON 105 EAST MAIN STREET WAUKON IA 52172 CLINIC 20 - FOUNTAIN CENTERS IN ALBERT LEA 408 WEST FOUNTAIN STREET ALBERT LEA MN 56007 CHEMICAL DEPENDENCY 21 - BEACHES PRIMARY CARE CENTER 742 MARSH LANDING PARKWAY JACKSONVILLE BEACH FL 32250 CLINIC 22 - MCHS MANKATO IN EASTRIDGE 101 MARTIN LUTHER KING JR DRIVE MANKATO MN 56001 CLINIC 23 - MCHS NEW PRAGUE IN MONTGOMERY 501 4TH STREET NORTHWEST MONTGOMERY MN 56069 CLINIC 24 - MCHS NEW PRAGUE IN BELLE PLAINE 700 WEST PRAIRIE STREET BELLE PLAINE MN 56011 CLINIC 25 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN 800 EAST BLACKHAWK AVENUE PRAIRIE DU CHIEN WI 53821 CLINIC, BEHAVORIAL HEALTH 26 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS 611 1ST AVENUE CHIPPEWA FALLS WI 54729 CLINIC 27 - MAYO CLINIC DIALYSIS OWATONNA 2200 26TH STREET NORTHWEST OWATONNA MN 55060 HOSPITAL BASED DIALYSIS FACILITY 28 - MC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE AZ 85260 CLINIC 29 - FRANCISCAN FAMILY HEALTH CLINIC 815 SOUTH 10TH STREET LA CROSSE WI 54601 FAMILY HEALTH CLINIC 30 - MAYO CLINIC DIALYSIS BARRON 1222 E WOODLAND AVENUE BARRON WI 54812 DIALYSIS 31 - MCHS MANKATO IN NORTHRIDGE 1695 LOR RAY DRIVE NORTH MANKATO MN 56003 CLINIC 32 - ST AUGUSTINE PRIMARY CARE 110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE FL 32086 CLINIC 33 - MCHS MANKATO IN ST PETER 1900 NORTH SUNRISE DRIVE ST PETER MN 56082 CLINIC 34 - MAYO CLINIC FAMILY MED ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE AZ 85308 CLINIC 35 - MCHS FRANCISCAN HEALTHCARE ARCADIA 895 SOUTH DETTLOFF DRIVE ARCADIA WI 546121499 CLINIC, BEHAVIORAL HEALTH 36 - MAYO CLINIC PRIMARY CARE PHOENIX 5701 EAST MAYO BOULEVARD PHOENIX AZ 85054 CLINIC 37 - MCHS FRANCISCAN HEALTHCARE CALEDONIA 701 NORTH PRAGUE STREET CALEDONIA MN 559211066 CLINIC, BEHAVIORAL HEALTH 38 - MCHS FRANCISCAN HC LA CRESCENT 524 NORTH ELM STREET LA CRESCENT MN 559471027 CLINIC 39 - MCHS RED WING IN ZUMBROTA 1350 JEFFERSON DRIVE ZUMBROTA MN 55992 CLINIC 40 - MCHS MANKATO IN LE SUEUR 625 SOUTH 4TH STREET LE SUEUR MN 56058 CLINIC 41 - MCHS OAKRIDGE IN MONDOVI 700 BUFFALO STREET MONDOVI WI 54755 CLINIC 42 - MAYO CLINIC PRIMARY CARE SAN TAN 1850 EAST NORTHROP BLVD SUITE 160 CHANDLER AZ 85286 CLINIC 43 - MCHS NORTHLAND IN CHETEK 220 DOUGLAS STREET CHETEK WI 547280027 CLINIC 44 - FRANCISCAN OCCUPATIONAL HLTH CLINIC 630 10TH STREET LA CROSSE WI 54601 OCCUPATIONAL HEALTH CLINIC 45 - MCHS NEW PRAGUE FITNESS CENTER 504 6TH AVENUE NORTHWEST NEW PRAGUE MN 56071 PHYSICAL THERAPY & REHABILITATION 46 - MCHS RED CEDAR IN GLENWOOD CITY 219 EAST OAK STREET GLENWOOD CITY WI 54013 CLINIC 47 - MCHS AUSTIN HOSPICE 101 14TH STREET NORTHWEST AUSTIN MN 55912 HOSPICE OFFICES 48 - MCHS RED WING IN ELLSWORTH 530 WEST CAIRNS STREET ELLSWORTH WI 54011 CLINIC 49 - MCHS MANKATO IN LAKE CRYSTAL 200 EAST PRINCE STREET LAKE CRYSTAL MN 56055 CLINIC 50 - FOUNTAIN CENTERS IN AUSTIN 101 14TH STREET NORTHWEST AUSTIN MN 55912 CHEMICAL DEPENDENCY 51 - MCHS AUSTIN IN ADAMS 908 WEST MAIN STREET ADAMS MN 55909 CLINIC 52 - FOUNTAIN CENTERS IN ROCHESTER CEDARWOOD MALL 4122 18TH AVENUE NW ROCHESTER MN 55901 CHEMICAL DEPENDENCY 53 - MCHS LAKE CITY IN PLAINVIEW 275 1ST STREET SOUTHWEST PLAINVIEW MN 55964 CLINIC 54 - FOUNTAIN CENTERS IN FAIRMONT 828 NORTH AVENUE FAIRMONT MN 56031 CHEMICAL DEPENDENCY 55 - PROFESSIONAL ARTS BUILDING 615 SOUTH 10TH STREET LA CROSSE WI 54601 ALLERGY, ORAL SURGERY 56 - MCHS ALBERT LEA IN WELLS 301 SOUTH BROADWAY WELLS MN 56097 CLINIC 57 - FOUNTAIN CENTERS IN FARIBAULT 2301 4TH STREET NORTHWEST FARIBAULT MN 55021 CHEMICAL DEPENDENCY 58 - MCHS ALBERT LEA IN LAKE MILLS 309 SOUTH 10TH AVENUE EAST LAKE MILLS IA 50450 CLINIC 59 - MCHS RED WING HOSPICE 1407 WEST 4TH STREET RED WING MN 55066 HOSPICE 60 - FOUNTAIN CENTERS IN MANKATO 1400 MADISON AVENUE SUITE 326 MANKATO MN 56001 CHEMICAL DEPENDENCY 61 - MCHS RED CEDAR IN ELMWOOD 236 EAST SPRINGER AVENUE ELMWOOD WI 54740 CLINIC 62 - MCHS NEW PRAGUE EXPRESS CARE 200 ALTON AVENUE SOUTHEAST NEW PRAGUE MN 56071 EXPRESS CARE 63 - MCHS BELLE PLAINE EXPRESS CARE 1010 EAST ENTERPRISE DRIVE BELLE PLAINE MN 56011 EXPRESS CARE 64 - MCHS WASECA IN JANESVILLE 312 NORTH MAIN STREET JANESVILLE MN 56048 CLINIC 65 - MCHS-EYE CARE CENTER 2409 STOUT ROAD MENOMONIE WI 54751 OPTOMETRY 66 - FOUNTAIN CENTERS IN OWATONNA 134 SOUTHVIEW STREET OWATONNA MN 55060 CHEMICAL DEPENDENCY 67 - MCHS EXPRESS CARE IN ALBERT LEA 2708 BRIDGE AVENUE ALBERT LEA MN 56007 EXPRESS CARE CLINIC 68 - MCHS WASECA IN WATERVILLE 212 EAST LAKE STREET WATERVILLE MN 56096 CLINIC & OUTPATIENT PHYSICIAL THERAPY 69 - MCHS ALBERT LEA IN NEW RICHLAND 318 FIRST STREET SOUTHWEST NEW RICHLAND MN 56072 CLINIC 70 - THE CLINIC AT WALMART 1250 GOEMANN ROAD FAIRMONT MN 56013 CLINIC 71 - MCHS NEW PRAGUE PHYSICAL MEDICINE 314 EAST MAIN STREET NEW PRAGUE MN 56071 PEDIATRIC PHYSICAL MEDICINE 72 - MCHS ALBERT LEA IN ALDEN 192 WASHINGTON AVENUE ALDEN MN 56009 CLINIC 73 - MCHS FAIRMONT IN SHERBURN 32 NORTH MAIN STREET SHERBURN MN 56171 CLINIC 74 - MCHS ALBERT LEA IN KIESTER 120 NORTH MAIN STREET KIESTER MN 56051 CLINIC 75 - GERARD HALL 940 DIVISION STREET LA CROSSE WI 54601 MATERNITY HOME 76 - MCHS MANKATO EXPRESS CARE 2010 ADAMS STREET MANKATO MN 56001 GENERAL EXPRESS CARE 77 - MCHS FRANCISCAN HEALTHCARE BELLE SQUARE 232 3RD STREET NORTH SUITE 100 LA CROSSE WI 54601 CLINIC 78 - MCHS BLUE EARTH CLINIC 411 SOUTH GROVE STREET SUITE 3 BLUE EARTH MN 56013 PSYCHOLOGY SERVICES CLINIC 79 - MCHS FAIRMONT IN ARMSTRONG 412 6TH STREET ARMSTRONG IA 50514 CLINIC 80 - MCHS FAIRMONT IN TRUMAN 401 NORTH 4TH AVENUE EAST TRUMAN MN 56088 CLINIC 81 - MCHS AUSTIN IN BLOOMING PRAIRIE 405 EAST MAIN BLOOMING PRAIRIE MN 55917 CLINIC 82 - MCHS FRANCISCAN WOMEN RECOVERY HOUSE 535 SOUTH 17TH STREET LA CROSSE WI 54601 BEHAVIORAL HEALTH 83 - BEHAVIORAL HEALTH SERVICE LA CROSSE 212 11TH STREET SOUTH LA CROSSE WI 54601 BEHAVIORAL HEALTH 84 - MCHS SPRINGFIELD IN LAMBERTON 310 SOUTH MAIN LAMBERTON MN 56152 CLINIC 85 - MCHS FRANCISCAN MEN RECOVERY HOUSE 1005 JACKSON STREET LA CROSSE WI 54601 BEHAVIORAL HEALTH 86 - MCHS ST JAMES IN TRIMONT 437 MAIN STREET EAST TRIMONT MN 56176 CLINIC 87 - MAYO CLINIC BUILDING - PHOENIX 5881 EAST MAYO BOULEVARD PHOENIX AZ 85054 PROTON BEAM CANCER CENTER 88 - FRANCISCAN HEALTHCARE HOSPICE 620 SOUTH 11TH STREET LA CROSSE WI 546014711 HOSPICE OFFICES 89 - ST FRANCIS GROUP HOME 518 10TH STREET SOUTH LA CROSSE WI 54601 BEHAVIORAL HEALTH 90 - ST CLARE HEALTH MISSION 916 FERRY STREET LA CROSSE WI 54601 CLINIC 94 - SPORTS MEDICINE BUILDING 2120 E RIO SALADO PARKWAY TEMPE AZ 85281 CLINIC 95 - JACOBY BUILDING 14225 ZUMBRO DRIVE JACKSONVILLE FL 32224 CLINIC 96 - MANGURIAN BUILDING 4500 MELLISH DRIVE JACKSONVILLE FL 32224 CLINIC 97 - SPARTA EYE CLINIC 307 CENTRAL AVENUE SPARTA WI 54656 CLINIC 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 2018, SOME, BUT NOT ALL, OF THE SUBORDINATES OF THE GROUP PRODUCED AN ANNUAL REPORT FOR THE COMMUNITY THAT 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 SUBORDINATE ORGANIZATIONS AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO. PART I, LINE 7G: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES: $53,677,279. 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 $ 174,502,964. SCHEDULE H, PART I, LINE 5A THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ESTIMATE CHARITY CARE FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE OR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED. PART II, COMMUNITY BUILDING ACTIVITIES: DONATIONS AND GRANTS TO PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS ASSIST WITH SUSTAINING AND ENHANCING THE DETERMINENTS 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 7 AND 11 OF MAYO CLINIC'S 2018 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 MEDICARE COST REPORTS OF THE HOSPITALS OF THE SUBORDINATES (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 $474,375,000. 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 60 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 FACILITATES 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 OF THE LOCAL SERVICE AREA: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2018, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 156,277, OF WHICH AN ESTIMATED 24.5% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 15% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $72,337 WITH APPROXIMATLEY 8.3% 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, 2018, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,410,824, OF WHICH AN ESTIMATED 24.3% WAS UNDER THE AGE OF 18 AND 14.8% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $58,580 WITH APPROXIMATELY 13.5% 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, 2018, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,204,442, OF WHICH AN ESTIMATED 22.25% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 16.75% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $62,468 WITH APPROXIMATELY 11.7% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-SOUTHEAST MINNESOTA REGION AND MCHS-LAKE CITY ARE LOCATED IN THE SOUTHEAST REGION OF MINNESOTA. SERVICE AREAS ARE PRIMARILY THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF STEELE, RICE, MOWER, AND FREEBORN, GOODHUE AND WABASHA. THE SERVICE AREAS INCLUDE URBAN, SUBURBAN, RURAL AND FARMING COMMUNITIES.DEMOGRAPHICS: BASED ON THE U.S. CENSUS BUREAU QUICKFACTS, AS OF JULY 1, 2018, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 173,781, OF WHICH AN ESTIMATED 23.48% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.35% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $56,767 WITH APPROXIMATELY 10.7% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 68,048, OF WHICH AN ESTIMATED 22.15% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 20.15% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $62,202 WITH APPROXIMATELY 7.5% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-SOUTHWEST MINNESOTA REGION, MCHS-FAIRMONT AND MCHS-ST. JAMES 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, 2018, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 352,089, OF WHICH AN ESTIMATED 23.16% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.3% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $61,203 WITH APPROXIMATELY 9.68% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-NW WISCONSIN REGION IS 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, 2018, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 288,406, OF WHICH AN ESTIMATED 21.78% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 17.48% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $53,058 WITH APPROXIMATELY 11.62% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-FRANCISCAN MEDICAL CENTER, INC. SERVES THE RESIDENTS OF BUFFALO, CRAWFORD, GRANT, JACKSON, JUNEAU, LA CROSSE, MONROE, RICHLAND, SAUK, AND VERNON, COUNTIES IN WISCONSIN, FILLMORE, HOUSTON, WABASHA, AND WINONA, COUNTIES IN MINNESOTA, AND ALLAMAKEE AND WINNESHIEK COUNTIES IN IOWA. THE CITIES OF LA CROSSE AND WINONA REPRESENT SMALL METROPOLITAN AREAS 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, 2018, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 550,724, OF WHICH AN ESTIMATED 21.76% WAS UNDER THE AGE OF 18 AND 19.57% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $53,398 WITH APPROXIMATELY 11.6% 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 INVOLVES 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." MORE THAN 4,900 STAFF PHYSICIANS AND SCIENTISTS AND OVER 60,300 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 1.2 MILLION PEOPLE ARE TREATED EACH YEAR. SPECIFICALLY, THE SUBORDINATE ORGANIZATIONS WITHIN THE 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, LINE 4C (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. 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 1057217450 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 501(C)(3) 200016200 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 501(C)(3) 48378917 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 501(C)(3) 21368119 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC HOSPITAL-- ROCHESTER 1216 SECOND STREET SW ROCHESTER MN 55902 410944601 501(C)(3) 2000160 0 SUPPORT CHARITABLE PROGRAMS SANFORD-BURNHAM MEDICAL RESEARCH INSTITUTE 10901 N TORREY PINES RD LA JOLLA CA 92037 510197108 501(C)(3) 918595 0 SUPPORT CHARITABLE PROGRAMS ARIZONA STATE UNIVERSITY 411 N CENTRAL AVE PHOENIX AZ 85004 860196696 STATE OF AZ 859632 0 SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS UNIVERSITY OF MARYLAND 620 WEST LEXINGTON STREET BALTIMORE MA 21201 526002033 STATE OF MD 658393 0 SUPPORT RESEARCH PROGRAM THE JACKSON LABORATORY 600 MAIN ST BAR HARBOR ME 04609 010211513 501(C)(3) 575750 0 SUPPORT CHARITABLE PROGRAMS COLUMBIA UNIVERSITY 630 W 168TH ST UNIT 39 NEW YORK NY 10032 135598093 501(C)(3) 461766 0 SUPPORT CHARITABLE PROGRAMS MEDICAL UNIVERSITY OF SOUTH CAROLINA 179 ASHLEY AVE CHARLESTON SC 294258908 576000722 STATE OF SC 446615 0 SUPPORT RESEARCH PROGRAM REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS MN 55414 416007513 STATE OF MN 443342 0 SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS JOHNS HOPKINS UNIVERSITY 1101 E 33RD ST STE D200 BALTIMORE MD 21218 520595110 501(C)(3) 376883 0 SUPPORT CHARITABLE PROGRAMS BOSTON UNIVERSITY SCHOOL OF MEDICINE 715 ALBANY STREET A-305 BOSTON MA 021182526 042103547 501(C)(3) 292618 0 SUPPORT CHARITABLE PROGRAMS MESO SCALE DIAGNOSTICS LLC 1601 RESEARCH BLVD ROCKVILLE MD 20850 521974952 - 258790 0 SUPPORT RESEARCH PROGRAM TRUSTEES OF DARTMOUTH COLLEGE DBA DARTMOUTH COLLEGE 37 DEWEY FIELD RD STE 6163 HANOVER NH 03755 020222111 501(C)(3) 240545 0 SUPPORT CHARITABLE PROGRAMS TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ONE COLLEGE HALL PHILADELPHIA PA 191046303 231352685 501(C)(3) 229247 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 501(C)(3) 214947 0 SUPPORT CHARITABLE PROGRAMS MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE WI 54702 390813418 501(C)(3) 182596 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF WASHINGTON 325 9TH AVE SEATTLE WA 98195 916001537 STATE OF WA 165473 0 SUPPORT RESEARCH PROGRAM MANKATO FAMILY YMCA 1401 SOUTH RIVERFRONT DRIVE MANKATO MN 56001 410739108 501(C)(3) 155500 0 SUPPORT CHARITABLE PROGRAMS FEED MY PEOPLE INC 331 PUTNAM ST EAU CLAIRE WI 54703 361488941 501(C)(3) 132400 0 SUPPORT CHARITABLE PROGRAMS DUKE UNIVERSITY DUMC 3934 DURHAM NC 27710 560532129 501(C)(3) 130779 0 SUPPORT CHARITABLE PROGRAMS LA CROSSE AREA AUTISM FOUNDATION INC 330 SOUH 6TH STREET LA CROSSE WI 54601 454377291 501(C)(3) 100000 0 SUPPORT CHARITABLE PROGRAMS SCRIPPS HEALTH 4275 CAMPUS POINT COURT SAN DIEGO CA 92121 951684089 501(C)(3) 122657 0 SUPPORT CHARITABLE PROGRAMS AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 116650 0 SUPPORT CHARITABLE PROGRAMS BANNER HEALTH RESEARCH INSTITUTE 1441 NORTH 12TH STREET PHOENIX AZ 85006 450233470 501(C)(3) 109319 0 SUPPORT CHARITABLE PROGRAMS EAU CLAIRE COMMUNITY FOUNDATION 301 SOUTH BARSTOW ST NO 104 EAU CLAIRE WI 54701 391891064 501(C)(3) 101300 0 SUPPORT CHARITABLE PROGRAMS KAISER FOUNDATION RESEARCH INSTITUTE 1 KAISER PLAZA 15L OAKLAND CA 94612 941105628 501(C)(3) 100635 0 SUPPORT CHARITABLE PROGRAMS FORSYTH MEMORIAL HOSPITAL 3333 SILAS CREEK PKWY WINSTONSALEM NC 27103 560928089 501(C)(3) 96800 0 SUPPORT CHARITABLE PROGRAMS SAGE BIONETWORKS 1100 FAIRVIEW AVE N SEATTLE WA 981091024 264489946 501(C)(3) 96654 0 SUPPORT CHARITABLE PROGRAMS DIGNITY HEALTH (FORMERLY CATHOLIC HEALTHCARE WEST) 350 WEST THOMAS ROAD PHOENIX AZ 85013 860096787 501(C)(3) 95186 0 SUPPORT CHARITABLE PROGRAMS UC REGENTS 10945 LE CONTE AVE STE 2339 BOX 951687 LOS ANGELES CA 90095 956006143 STATE OF CA 94179 0 SUPPORT RESEARCH PROGRAM CITY OF EAU CLAIRE 203 S FARWELL ST EAU CLAIRE WI 54701 396005436 CTY OF EAU CLAIRE 93394 0 SUPPORT COMMUNITY PROGRAMS CHIPPEWA VALLEY FREE CLINIC 836 RICHARD DRIVE EAU CLAIRE WI 54701 391840231 501(C)(3) 91100 0 SUPPORT CHARITABLE PROGRAMS STATE OF MINNESOTA 658 CEDAR ST ST PAUL MN 55155 416007162 STATE OF MN 85500 0 SUPPORT RESEARCH PROGRAM MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVE CAMBRIDGE MA 021394307 042103594 501(C)(3) 85178 0 SUPPORT CHARITABLE PROGRAMS TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N FIFTH STREET SUITE 600 PHOENIX AZ 85004 753065445 501(C)(3) 76068 0 SUPPORT CHARITABLE PROGRAMS LA CROSSE COMMUNITY FOUNDATION 401 MAIN STREET SUITE 205 LA CROSSE WI 54601 396037996 501(C)(3) 75500 0 SUPPORT CHARITABLE PROGRAMS AUSTIN COMMUNITY GROWTH VENTURES 329 N MAIN STREET SUITE 106L AUSTIN MN 55912 475042107 501(C)(3) 75000 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF ALABAMA AT BIRMINGHAM 1665 UNIVERSITY BLVD STE 327 BIRMINGHAM AL 352940022 636005396 STATE OF AL 74302 0 SUPPORT RESEARCH PROGRAM BAPTIST HEALTHCARE SYSTEM INC 1740 NICHOLASVILLE RD LEXINGTON KY 405031499 610444707 501(C)(3) 68580 0 SUPPORT CHARITABLE PROGRAMS DIGNITY HEALTH 185 BERRY STREET SAN FRANCISCO CA 94107 941196203 501(C)(3) 67490 0 SUPPORT CHARITABLE PROGRAMS DIOCESE OF LA CROSSE 3710 EAST AVE S LA CROSSE WI 546024004 390807229 501(C)(3) 54600 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF FLORIDA 33 TIGERT HALL GAINESVILLE FL 32611 596002052 STATE OF FL 62096 0 SUPPORT RESEARCH PROGRAM METRO KNOXVILLE HMA LLC 10820 PARKSIDE DR KNOXVILLE TN 37934 452535623 - 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41415 0 SUPPORT RESEARCH PROGRAM GREATER MANKATO AREA UNITED WAY INC 101 NORTH 2ND STREET 100 MANKATO MN 56001 416008819 501(C)(3) 40750 0 SUPPORT CHARITABLE PROGRAMS ALBERT LEA PUBLIC EDUCATION FOUNDATION INC PO BOX 828 ALBERT LEA MN 56007 411989284 501(C)(3) 40100 0 SUPPORT CHARITABLE PROGRAMS READY FOR KINDERGARTEN NORTHPORT CENTER 1970 LOOKOUT DRIVE DRIVE NORTH MANKATO MN 56003 416000310 STATE OF MN 40000 0 SUPPORT COMMUNITY PROGRAMS JACKSONVILLE SYMPHONY 300 WEST WATER STREET SUITE 300 JACKSONVILLE FL 32202 596002520 501(C)(3) 40000 0 SUPPORT CHARITABLE PROGRAMS INTERVENT INTERNATIONAL LLC 340 EISENHOWER DR BLDG 1400 STE 17 SAVANNAH GA 31406 452954871 - 39103 0 SUPPORT RESEARCH PROGRAM I M SULZBACHER CENTER FOR THE HOMLESS INC 611 EAST ADAMS ST JACKSONVILLE FL 32202 593229898 501(C)(3) 38902 0 SUPPORT CHARITABLE PROGRAMS REGIONAL ONCOLOGY CENTER SUNY 35 STATE ST ALBANY NY 122072826 141368361 501(C)(3) 38605 0 SUPPORT CHARITABLE PROGRAMS OREGON HEALTH & SCIENCES UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND OR 97239 931176109 STATE OF OR 38200 0 SUPPORT RESEARCH PROGRAM PRAIRIE EDUCATION AND RESEARCH COOPERATIVE 317 N 5TH STREET SPRINGFIELD IL 62701 371157915 501(C)(3) 38090 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF PITTSBURGH 4200 5TH AVE PITTSBURGH PA 15260 250965591 501(C)(3) 36755 0 SUPPORT CHARITABLE PROGRAMS HOPE UNITED GRIEF GROUP 24524 ARROWHEAD TRAIL CLEVELAND MN 56017 900987142 501(C)(3) 35000 0 SUPPORT CHARITABLE PROGRAMS UNITED WAY OF NORTHEAST FLORIDA INC 40 EAST ADAMS STREET SUITE 200 JACKSONVILLE FL 32202 590637825 501(C)(3) 34177 0 SUPPORT CHARITABLE PROGRAMS H LEE MOFFIT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DR TAMPA FL 33612 592451713 501(C)(3) 34083 0 SUPPORT CHARITABLE PROGRAMS NC HEART AND VASCULAR RESEARCH 3000 NEW BERN AVE STE G-100 RALEIGH NC 27610 562001346 - 33995 0 SUPPORT RESEARCH PROGRAM CARDIAC AND VASCULAR RESEARCH CENTER OF NORTHERN MICHIGAN 560 W MITCHELL STE 500 PETOSKEY MI 49770 383576853 - 33410 0 SUPPORT RESEARCH PROGRAM TEXAS A&M ENGINEERING 400 HARVEY MITCHELL PKW S COLLEGE STATION TX 77845 741974733 STATE OF TX 33081 0 SUPPORT RESEARCH PROGRAM OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HWY NEW ORLEANS LA 701212484 720502505 501(C)(3) 33000 0 SUPPORT CHARITABLE PROGRAMS SAINT ANDREWS LIGHTHOUSE INC 4599 WORRALL WAY JACKSONVILLE FL 32224 311489868 501(C)(3) 32500 0 SUPPORT CHARITABLE PROGRAMS MINNESOTA STATE COLLEGES AND UNIVERSITIES 236 WIGLEY ADMINISTRATION CENTER MANKATO MN 56001 411687554 STATE OF MN 16500 0 SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS HUNTSVILLE CARDIOVASCULAR CLINIC PA 4601 WHITESBURG DR S STE 201 HUNTSVILLE AL 358021658 631211664 - 31280 0 SUPPORT RESEARCH PROGRAM EAU CLAIRE MARATHON LLC 3746 PATTON ST EAU CLAIRE WI 54701 464296069 - 30250 0 SUPPORT COMMUNITY PROGRAMS ADVENTIST HEALTHCARE 820 W DIAMOND AVE STE 600 GAITHERSBURG MD 20878 521532556 501(C)(3) 29850 0 SUPPORT CHARITABLE PROGRAMS MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC 55 FRUIT ST BLDG RM 205 BOSTON MA 021142622 042807148 501(C)(3) 29698 0 SUPPORT CHARITABLE PROGRAMS THE MIRIAM HOSPITAL 164 SUMMIT AVE PROVIDENCE RI 029034970 050258905 501(C)(3) 29250 0 SUPPORT CHARITABLE PROGRAMS MOUNT SINAI SCHOOL OF MEDICINE CTR TO ADVANCE PALLIATIVE CARE 1255 FIFTH AVENUE STE C-2 NEW YORK NY 10029 136171197 501(C)(3) 29162 0 SUPPORT CHARITABLE PROGRAMS THE METHODIST HOSPITAL RESEARCH INSTITUTE 6670 BERTNER AVENUE HOUSTON TX 77030 870721923 501(C)(3) 28005 0 SUPPORT CHARITABLE PROGRAMS AUSTIN COMMUNITY CHARITABLE FUND (VISION 2020) 329 NORTH MAIN STREET SUITE 106L AUSTIN MN 55912 363487772 501(C)(3) 27300 0 SUPPORT CHARITABLE PROGRAMS NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION INC 4150 CLEMENT STREET 151NC SAN FRANCISCO CA 94121 943084159 501(C)(3) 27250 0 SUPPORT CHARITABLE PROGRAMS GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE WI 54601 391028657 501(C)(3) 26397 0 SUPPORT CHARITABLE PROGRAMS BIOMEDICAL RESEARCH FOUNDATION 4300 WEST 7TH STREET LITTLE ROCK AR 72205 710675830 501(C)(3) 26480 0 SUPPORT CHARITABLE PROGRAMS UNITED WAY OF MOWER CO PO BOX 605 AUSTIN MN 55912 410831896 501(C)(3) 26200 0 SUPPORT CHARITABLE PROGRAMS FIRST COAST CARDIOVASCULAR 7011 A C SKINNER PKWY STE 160 JACKSONVILLE FL 32256 470854466 - 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THE SUBORDINATE ORGANIZATIONS ONLY CONSIDER REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO INDIVIDUALS AND OTHER ORGANIZATIONS ARE MONITORED BY THE SUBORDINATE ORGANIZATIONS AS PRESCRIBED IN OMB SINGLE AUDIT (FKA CIRCULAR A-133). 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. SCHOLARSHIPS ARE AWARDED TO INDIVIDUALS PURSUING A DEGREE IN A HEALTHCARE FIELD. SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN PROVIDE SHORT-TERM FINANCIAL ASSISTANCE AND SUPPORT TO EMPLOYEES AND INDIVIDUALS EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE MOSTLY 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. 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11038 0 28759 0 821348 0 0 0 FISCHER DEBORAH R FORMER KEY EMPLOYEE 212625 0 0 0 8453 0 38156 0 14644 0 273878 0 0 0 FOSKO MD SCOTT W FORMER KEY EMPLOYEE 800561 0 0 0 53578 0 59274 0 22915 0 936328 0 0 0 FOWL MD RICHARD J FORMER KEY EMPLOYEE 209252 0 0 0 93622 0 60754 0 8486 0 372114 0 0 0 GADE CHRIS W FORMER KEY EMPLOYEE 359418 0 0 0 21648 0 40029 0 31166 0 452261 0 0 0 GOINS MD JENNIFER L FORMER KEY EMPLOYEE 544716 0 0 0 12716 0 34565 0 22102 0 614099 0 0 0 GROSSET JESSICA A FORMER KEY EMPLOYEE 299811 0 0 0 35475 0 8301 0 22340 0 365927 0 0 0 GROVER DO MICHAEL L FORMER KEY EMPLOYEE 303248 0 0 0 2623 0 43874 0 26744 0 376489 0 0 0 GRZYBOWSKI MD JOHN A FORMER KEY EMPLOYEE 379827 0 0 0 10060 0 43046 0 24129 0 457062 0 0 0 HAROLD MD KRISTI L FORMER KEY EMPLOYEE 538182 0 0 0 49749 0 38192 0 16127 0 642250 0 0 0 HATTRUP MD STEVEN J FORMER KEY EMPLOYEE 721833 0 0 0 123420 0 11037 0 22155 0 878445 0 0 0 HAYDEN MD RICHARD E FORMER KEY EMPLOYEE 510928 0 0 0 176425 0 5606 0 20546 0 713505 0 0 0 JOHNSON MD C DANIEL FORMER KEY EMPLOYEE 653030 0 0 0 149318 0 11000 0 20838 0 834186 0 0 0 KEAVENY MD ANDREW P FORMER KEY EMPLOYEE 608653 0 0 0 69743 0 41275 0 28955 0 748626 0 0 0 KLEIS DO KEITH R FORMER KEY EMPLOYEE 274844 0 0 0 6028 0 41470 0 18026 0 340368 0 0 0 LOMBARDI MD JOSEPH M FORMER KEY EMPLOYEE 367022 0 0 0 14866 0 62624 0 19882 0 464394 0 0 0 MAGTIBAY MD PAUL M FORMER KEY EMPLOYEE 588050 0 0 0 85397 0 46897 0 27358 0 747702 0 0 0 MARTIN DAVID L FORMER KEY EMPLOYEE 180006 0 0 0 652 0 25171 0 18358 0 224187 0 0 0 MCNEILL STEVEN L FORMER KEY EMPLOYEE 427183 0 0 0 39986 0 11144 0 26873 0 505186 0 0 0 MESCHIA MD JAMES F FORMER KEY EMPLOYEE 351614 0 0 0 18303 0 43872 0 28958 0 442747 0 0 0 MONEY MD SAMUEL R FORMER KEY EMPLOYEE 563352 0 0 0 112840 0 52993 0 19170 0 748355 0 0 0 MORRISSEY MD JOHN E FORMER KEY EMPLOYEE 166228 0 0 0 72325 0 0 0 9732 0 248285 0 0 0 MUELLER MD JEFF T FORMER KEY EMPLOYEE 508216 0 0 0 72840 0 44879 0 10520 0 636455 0 0 0 NESSE MD ROBERT E FORMER KEY EMPLOYEE 928068 0 0 0 181583 0 11000 0 23400 0 1144051 0 0 0 NOLTE DO CHARLES P FORMER KEY EMPLOYEE 736098 0 0 0 108373 0 39649 0 22502 0 906622 0 0 0 NORBY MARK L FORMER KEY EMPLOYEE 279993 0 0 0 616 0 34393 0 15844 0 330846 0 0 0 NORDENG RODNEY L FORMER KEY EMPLOYEE 0 193490 0 0 0 2634 0 31899 0 22640 0 250663 0 0 RADEMACHER MD DANA E FORMER KEY EMPLOYEE 751291 0 0 0 139884 0 45619 0 24129 0 960923 0 0 0 ROTTY BRIAN W FORMER KEY EMPLOYEE 243142 0 0 0 1621 0 39974 0 26315 0 311052 0 0 0 RYAN MICHAEL J FORMER KEY EMPLOYEE 418522 0 0 0 39109 0 11172 0 28366 0 497169 0 0 0 SCHEFFEL JEFFREY G FORMER KEY EMPLOYEE 192445 0 0 0 2780 0 7809 0 19506 0 222540 0 0 0 SCHILD MD STEVEN E FORMER KEY EMPLOYEE 612197 0 0 0 88818 0 48260 0 10750 0 760025 0 0 0 SCHULZ MD JODI L FORMER KEY EMPLOYEE 569737 0 0 0 12694 0 43586 0 29792 0 655809 0 0 0 SIRVEN MD JOSEPH I FORMER KEY EMPLOYEE 338325 0 0 0 48580 0 44917 0 26681 0 458503 0 0 0 SLEGH KERI A FORMER KEY EMPLOYEE 178763 0 0 0 37584 0 25986 0 25853 0 268186 0 0 0 STEVENS MD MARK K FORMER KEY EMPLOYEE 878022 0 0 0 176230 0 62654 0 21250 0 1138156 0 0 0 STEWART MD MICHAEL W FORMER KEY EMPLOYEE 683228 0 0 0 107742 0 54587 0 20835 0 866392 0 0 0 SWANSON MD SCOTT K FORMER KEY EMPLOYEE 559434 0 0 0 87846 0 11000 0 23083 0 681363 0 0 0 TERKONDA MD SARVAM P FORMER KEY EMPLOYEE 621991 0 0 0 87975 0 47416 0 28963 0 786345 0 0 0 ULRICH MD MICHAEL D FORMER KEY EMPLOYEE 391995 0 0 0 7004 0 46522 0 27155 0 472676 0 0 0 UY MD JONATHAN J FORMER KEY EMPLOYEE 581037 0 0 0 104305 0 42113 0 25862 0 753317 0 0 0 WILLIAMS MD HUGH J FORMER KEY EMPLOYEE 521828 0 0 0 123542 0 11000 0 20542 0 676912 0 0 0 YOUNG DO NATHAN P FORMER KEY EMPLOYEE 0 347150 0 0 0 4355 0 35667 0 26677 0 413849 0 0 PART I, LINE 1A IN 2018, JEFFREY W. BOLTON, DR. GIANRICO FARRUGIA, DR. CHARLES M. HARPER JR.,DR. STEPHANIE L. HINES, DR. JONATHAN A. LEIGHTON, DR. JOHN H. NOSEWORTHY, DR. ALFREDO QUINONES-HINOJOSA, DR. SCOTT M. SILVERS AND DR. SARVAM P. TERKONDA WERE PROVIDED FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. 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, FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY THE TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS AND/OR SPECIFIED MAYO CLINIC BUSINESS OBLIGATIONS. IN ADDITION, SEVERAL LISTED PERSONS ALSO RECEIVED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO FUNDRAISING FUNCTIONS. IN 2018, JEFFREY W. BOLTON, DR. STEVEN J. BUSKIRK, DENNIS E. DAHLEN, DR. WYATT W. DECKER, DR. GIANRICO FARRUGIA, DR. CHARLES M. HARPER JR., DR. ROBERT E. NESSE, DR. JOHN H. NOSEWORTHY AND DR. JORGE M. PASCUAL RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE RECEIVE 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 2018, FOURTEEN LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. DR. JOSEPH KRIEN WAS PROVIDED AMOUNTS TO COVER TAXES ON TAXABLE TUITION REIMBURSEMENT. THIS PAYMENT INCLUDED A GROSS UP THAT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. IN 2018, TWO LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. MAYO CLINIC IS RESPONSIBLE UNDER A CORPORATE CHARGE CARD AGREEMENT TO REPAY EMPLOYEE ACCOUNT BALANCES THAT REMAIN OUTSTANDING FOR A CERTAIN PERIOD FOLLOWING THE NORMAL DUE DATE. IN THESE CIRCUMSTANCES, SUCH AMOUNTS ARE TREATED AS TAXABLE INCOME TO THE EMPLOYEE AND GROSSED UP FOR FICA TAXES. MAYO CLINIC THEN PURSUES COLLECTION FROM THE EMPLOYEE. IN 2018, THERE WAS ONE LISTED EMPLOYEE FOR WHICH SUCH A PAYMENT WAS MADE. HONORARIUM PAYMENTS TO MAYO CLINIC EMPLOYEES ARE INCLUDED AS TAXABLE INCOME ON THE EMPLOYEES W2. IT IS MAYO CLINICS POLICY TO GROSS UP THE TAXABLE INCOME TO COVER FICA TAXES IF THE INCOME IS POSTED AFTER THE FINAL PAY PERIOD OF THE YEAR. IN 2018, ONE LISTED PERSON RECEIVED THIS TYPE OF GROSS UP PAYMENT WHICH WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. TEN LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN AWARDS HAVE A TAX GROSS UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. FOUR 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 HUNDRED AND TWO 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 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT (TOTAL INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III)): ADKINS JR., KEDRICK D. $432,700 SCHNEIDER, KENNETH J. $174,459 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. $ 57,136 ACKERMAN, FRANKLIN K. $ 1,869 ADKINS JR., KEDRICK D. $ 86,718 AGERTER M.D., DAVID C. $ 76,510 ANDREWS M.D., PAUL E. $ 83,513 ANIL M.D., GOKHAN $ 40,885 BAKKUM-GAMEZ, M.D., JAMIE N. $ 36,621 BARTLETT M.D., BRIAN N. $ 14,337 BENDOK M.D., BERNARD R. $ 39,913 BERG, DAVID W. $ 0 BINN M.D., MARTHA C. $ 4,054 BOLTON, JEFFREY W. $ 236,363 BRANDT, TERRY L. $ 16,030 BROWN M.D., MICHAEL J. $ 45,372 BROWN, MARIE E. $ 13,312 BUNKERS M.D., BRIAN E. $ 13,144 BUSKIRK M.D., STEVEN J. $ 89,538 CANGEMI M.D., JOHN R. $ 87,390 CASLER M.D., JOHN D. $ 63,703 CAVINESS M.D., JOHN N. $ 17,758 CHAPITAL M.D., ALYSSA B. $ 49,015 CHONG M.D., BRIAN W. $ 73,248 CIMA M.D., ROBERT R. $ 46,206 CIOTA M.D., MARK R. $ 53,260 COLLIER D.P.M., ROBERT L. $ 2,930 COOPER M.D., LESLIE T. $ 88,407 COSTAKOS M.D., DENNIS T. $ 43,218 CRANE M.D., SARAH J. $ 8,646 CROSS III M.D., WILLIAM W. $ 62,229 CULLINAN M.D., SUSAN M. $ 16,111 DAHLEN, DENNIS E. $ 0 DECKER M.D., WYATT W. $ 335,935 DEVAULT M.D., KENNETH R. $ 98,181 DEWITT M.D., JASON J. $ 9,159 DOUGLAS M.D., DAVID D. $ 85,580 ECKSTROM M.D., MICHAEL T. $ 75,665 EVERSMAN M.D., WILLIAM G. $ 101,863 EZENAGU M.D., LEONARD C. $ 21,061 FARRUGIA M.D., GIANRICO $ 231,323 FITZGERALD M.D., KEVIN $ 6,332 FONSECA M.D., RAFAEL $ 76,626 FOSKO M.D., SCOTT W. $ 48,929 FOSS M.D., RANDY M. $ 1,655 FOWL M.D., RICHARD J. $ 79,122 FRANCIS, JAMES R. $ 30,966 FRASER, CATHRYN H. $ 44,465 FROISLAND, JEFFREY R. $ 10,089 GABRIELSON, SHARON R. $ 7,411 GADE, CHRIS W. $ 19,534 GOINS M.D., JENNIFER L. $ 12,148 GORES M.D., GREGORY J. $ 134,002 GOSTOUT M.D., BOBBIE S. $ 192,963 GRAU M.D., THOMAS J. $ 21,007 GREEN M.D., JEFFREY P. $ 0 GRENISEN M.D., MARGARET M. $ 8,170 GROSSET, JESSICA A. $ 16,890 GROVER D.O., MICHAEL L. $ 1,593 GRZYBOWSKI M.D., JOHN A. $ 9,220 HAEFLINGER, RICKY J. $ 22,848 HAKAIM M.D., ALBERT G. $ 82,622 HANSEN, JULIE S. $ 0 HARA M.D., AMY K. $ 79,653 HAROLD M.D., KRISTI L. $ 47,965 HARPER JR., M.D., CHARLES M. $ 234,791 HATTRUP M.D., STEVEN J. $ 114,749 HAYDEN M.D., RICHARD E. $ 75,667 HEBL M.D., JAMES R. $ 57,892 HEILMAN M.D., RAYMOND L. $ 27,812 HELMERS M.D., RICHARD A. $ 83,466 HERRMANN M.D., MARTIN J. $ 13,929 HINES M.D., STEPHANIE L. $ 6,300 HIRISAVE KRISHNA M.D., BIPINCHANDRA $ 3,686 HOFFMAN III, HARRY N. $ 114,744 HOLTAN, DOUGLAS J. $ 11,413 HOLTZ M.D., CAROL P. $ 597 HORECKI M.D., RICHARD J. $ 6,370 HUBERT, SHERRY L. $ 5,850 JELINEK, DIANE F. $ 7,127 JOHNSON M.D., C. DANIEL $ 104,664 JOHNSON M.D., DANIEL J. $ 67,593 JOHNSON M.D., MARGARET M. $ 58,733 JOHNSON M.D., TIMOTHY J. $ 66,576 JOHNSON, PAMELA O. $ 39,619 KEAVENY M.D., ANDREW P. $ 62,925 KHOOR M.D., ANDRAS $ 51,853 KIM M.D., HYUN I. $ 32,827 KLEIS D.O., KEITH R. $ 5,477 KNUDSON, STEVE L. $ 20,405 KOCH, MARK B. $ 72,991 KORDUCKI M.D., JANE M. $ 7,896 KOWAL D.O., GERALD K. $ 6,514 KRAHN M.D., LOIS E. $ 38,995 KRIEN M.D., JOSEPH S. $ 15,993 KRUSE, JOSEPH J. $ 12,706 KUTCHER M.D., GREGORY R. $ 37,741 LANGBEHN D.O., JENNIFER M. $ 11,434 LANGE M.D., STEPHEN M. $ 72,828 LEIGHTON M.D., JONATHAN A. $ 92,580 LIMBURG M.D., PAUL J. $ 95,380 LIMPER M.D., ANDREW H. $ 42,011 LINDAHL, ROGER A. $ 8,131 LITCHY M.D., WILLIAM J. $ 17,758 LOCKETT, KEVIN M. $ 0 LOMBARDI M.D., JOSEPH M. $ 10,743 LYONS M.D., MARK K. $ 189,350 MAGTIBAY M.D., PAUL M. $ 79,962 MATHEWS, HILARY G. $ 15,692 MCKINNEY M.D., J. MARK $ 54,570 MCLAUGHLIN M.D., SARAH A. $ 32,677 MCNEILL, STEVEN L. $ 37,540 MENKOSKY, PAULA E. $ 73,560 MESCHIA M.D., JAMES F. $ 16,358 MEYER M.D., FREDRIC B. $ 204,917 MEYERS, ANN M. $ 9,229 MILLER M.D., ROBERT C. $ 84,778 MOLLING D.O., PAUL E. $ 8,291 MONEY M.D., SAMUEL R. $ 79,822 MORICE M.D., WILLIAM G. $ 53,100 MORREY, MICHAEL A. $ 11,450 MORRIS M.D., MARIE E. $ 16,136 MORRISSEY M.D., JOHN E. $ 72,325 MOSS M.D., ADYR A. $ 81,286 MUELLER M.D., JEFF T. $ 64,053 MUELLER M.D., PAUL S. $ 8,680 MURPHY, JOSHUA B. $ 82,716 MYHRE M.D., KAREN K. $ 802 NARR M.D., BRADLY J. $ 67,539 NELSON M.D., HEIDI $ 97,550 NESSE M.D., ROBERT E. $ 162,219 NOLTE D.O., CHARLES P. $ 105,949 NORBY, MARK L. $ 0 NOSEWORTHY M.D., JOHN H. $ 634,835 ORTIZ M.D., JOSE A. $ 47,500 OTLEY M.D., CLARK C. $ 142,019 OTTE, KIMBERLY K. $ 0 PAIGE SR., KEVIN A. $ 36,779 PARKS, DOUGLAS A. $ 0 PASCUAL M.D., JORGE M. $ 47,395 PASTERNACK M.D., MORRIS $ 12,508 PATEL M.B., TUSHAR C. $ 51,097 PEARSON M.D., SUSAN E. $ 52,676 PECK M.D., ROBERT C. $ 19,239 PETERSON M.D., JEFFREY J. $ 73,886 PICHELMANN M.D., MARK A. $ 104,764 POWELL III M.D., RALPH $ 8,301 PRESUTTI D.O., RICHARD J. $ 48,351 QUINONES-HINOJOSA M.D., ALFREDO $ 86,631 RADEMACHER M.D., DANA E. $ 130,505 RIHAL M.D., CHARANJIT S. $ 110,107 ROBELIA M.D., PAUL M. $ 2,596 ROCK M.D., MICHAEL G. $ 103,442 ROGERS, JAMES A. $ 27,300 ROSS, CHRISTOPHER J. $ 54,633 RUSHLOW M.D., DAVID R. $ 35,912 RYAN, MICHAEL J. $ 36,667 SADOSTY M.D., ANNIE T. $ 39,298 SANDEEN, DARRELL L. $ 17,799 SANTRACH M.D., PAULA J. $ 42,393 SCHILD M.D., STEVEN E. $ 85,338 SCHNEIDER, KENNETH J. $ 16,644 SCHULZ M.D., JODI L. $ 11,507 SEINOLA, SCOTT A. $ 23,375 SHARMA M.B.B.S., MANISH S. $ 23,622 SHERRILL, TODD E. $ 0 SILVERS M.D., SCOTT M. $ 26,657 SIMPSON M.D., HENRY J. $ 7,674 SIRVEN M.D., JOSEPH I. $ 19,966 PART I, LINES 4A-C: PART 1, LINE 4B (CONT): SMOLDT, CRAIG A. $ 8,400 SOLBERG M.D., JEREMY J. $ 2,205 STEVENS M.D., MARK K. $ 166,498 STEWART M.D., MICHAEL W. $ 99,510 STONE M.D., WILLIAM M. $ 101,737 SWANSON M.D., SCOTT K. $ 76,373 TANER M.D., BURCIN C. $ 43,793 TAZELAAR M.D., HENRY D. $ 54,560 TERKONDA M.D., SARVAM P. $ 84,417 THIEL M.D., DAVID D. $ 36,506 TRAUB M.D., STEPHEN J. $ 12,752 TRENTMAN M.D., TERRANCE L. $ 67,922 ULRICH M.D., MICHAEL D. $ 5,862 UY M.D., JONATHAN J. $ 100,973 WALD M.D., JOHN T. $ 96,264 WALDHOFF, STEPHEN C. $ 4,928 WEBER, JOAN A. $ 20,463 WHAREN M.D., ROBERT E. $ 192,775 WHITED M.D., BRIAN L. $ 48,987 WIECHMANN M.D., ROBERT J. $ 133,484 WILLIAMS M.D., AMY W. $ 73,924 WILLIAMS M.D., HUGH J. $ 92,524 WILLIAMSON, MARY J. $ 76,791 YOUNG D.O., NATHAN P. $ 3,775 YTTERBERG M.D., KAREN L. $ 824 ZIETLOW M.D., SCOTT P. $ 63,953 ZIMMERMAN M.D., RICHARD S. $ 194,950 ZORN, CHRISTINA K. $ 55,170 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: BENDOK M.D., BERNARD R. LEBRASSEUR, PH.D., NATHAN K. FARRUGIA M.D., GIANRICO GUDGELL, STEPHEN F. PRESUTTI D.O., RICHARD J. FEHMI, RASHID A. 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. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97670GAA7 2008-04-10 90000000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 B INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX ARIZONA 522038405 71884SAA8 2014-05-08 180000000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 C CITY OF JACKSONVILLE FLORIDA 596000344 469400BW4 2016-05-03 125000000 REFUND 2006 BONDS 0 0 0 A 26915000 92530169 7644961 1003911 83881297 2010 0 0 1 1 B 180002359 39404 911155 179051800 2015 0 0 1 1 C 125000000 125000000 2016 1 0 1 1 A 0 1 0 0 0.00870 0.00010 0.00880 0 0 1 B 0 0 0 1 0 0.01040 0.00000 0.01040 0 0 1 C 0 0 0 0 0.00250 0.00030 0.00280 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2013 SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 THE DIFFERENCES BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUE "A" IS INVESTMENT EARNINGS. THE DIFFERENCES BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUE "B" IS INVESTMENT EARNINGS. ANDERSON KATHLEEN A FAMILY MEMBER OF DIRECTOR GABRIELSON, SHARON R. 139355 EMPLOYMENT 0 ANIL STACI M FAMILY MEMBER OF DIRECTOR ANIL M.D., GOKHAN 29737 EMPLOYMENT 0 BODOH MONICA M FAMILY MEMBER OF DIRECTOR GRENISEN M.D., MARGARET M. 95622 EMPLOYMENT 0 BUNKERS MD KARI S FAMILY MEMBER OF DIRECTOR BUNKERS M.D., BRIAN E. 344566 EMPLOYMENT 0 CADMAN KATHRYN A FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN 106950 EMPLOYMENT 0 CANGEMI MD DAVID J FAMILY MEMBER OF DIRECTOR CANGEMI M.D., JOHN R. 167537 EMPLOYMENT 0 CHONG CATHERINE FAMILY MEMBER OF FKE CHONG M.D., BRIAN W. 81279 EMPLOYMENT 0 COCHRAN MD JOHN W FAMILY MEMBER OF DIRECTOR GRENISEN M.D., MARGARET M. 13496 EMPLOYMENT 0 COOPER MD JANE H FAMILY MEMBER OF DIRECTOR COOPER M.D., LESLIE T. 175543 EMPLOYMENT 0 CRAIG MELINDA G FAMILY MEMBER OF KEY EMPLOYEE CRAIG, JASON E. 67802 EMPLOYMENT 0 DILLON CORISSA C FAMILY MEMBER OF FKE DILLON, KEVIN R. 52122 EMPLOYMENT 0 EYTCHESON ALISA S FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA 169531 EMPLOYMENT 0 FLOM MURPHY MELISSA A FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B. 48365 EMPLOYMENT 0 GABRIELSON DONALD B FAMILY MEMBER OF DIRECTOR GABRIELSON, SHARON R. 171796 EMPLOYMENT 0 GADE MARNE J FAMILY MEMBER OF FKE GADE, CHRIS W. 152527 EMPLOYMENT 0 GALINDEZ BRENDA K FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER 123863 EMPLOYMENT 0 GREENFIELD CLAIRE A FAMILY MEMBER OF KEY EMPLOYEE JOHNSON M.D., DANIEL J. 79581 EMPLOYMENT 0 GRUBER LISA J FAMILY MEMBER OF DIRECTOR GRUBER, JOHN 42538 EMPLOYMENT 0 HANNA CORTNIE J FAMILY MEMBER OF DIRECTOR CLARK, DIANE 97233 EMPLOYMENT 0 HANSEN KATHERINE A FAMILY MEMBER OF FKE MORRISSEY M.D., JOHN E. 174853 EMPLOYMENT 0 HERRMANN ANNA L FAMILY MEMBER OF DIRECTOR HERRMANN M.D., MARTIN J. 30943 EMPLOYMENT 0 HOFFMAN WILLIAM E FAMILY MEMBER OF OFFICER HOFFMAN III, HARRY N. 63296 EMPLOYMENT 0 JOHNSON THERESE A FAMILY MEMBER OF FKE JOHNSON M.D., C. DANIEL 147797 EMPLOYMENT 0 KASZANITS CAITLIN M FAMILY MEMBER OF FKE SCHEFFEL, JEFFREY G. 75535 EMPLOYMENT 0 KLINE AIMEE R FAMILY MEMBER OF DIRECTOR GABRIELSON, SHARON R. 125316 EMPLOYMENT 0 KRUSE BEN MY FAMILY MEMBER OF DIRECTOR KRUSE, JOSEPH J. 92951 EMPLOYMENT 0 LEGARE JENNIFER A FAMILY MEMBER OF DIRECTOR LEGARE, GREG 152067 EMPLOYMENT 0 LEWIS MD KRISTYN L FAMILY MEMBER OF FKE SCHEFFEL, JEFFREY G. 64984 EMPLOYMENT 0 LINDAHL ANNE M FAMILY MEMBER OF DIRECTOR LINDAHL, ROGER A. 81608 EMPLOYMENT 0 LOMBARDI MD BEVERLY FAMILY MEMBER OF FKE LOMBARDI M.D., JOSEPH M. 117030 EMPLOYMENT 0 LOMBARDI NATHANIEL J FAMILY MEMBER OF FKE LOMBARDI M.D., JOSEPH M. 53203 EMPLOYMENT 0 MAYER AMY L FAMILY MEMBER OF FORMER OFFICER BROWN, MARIE E. 113352 EMPLOYMENT 0 MAYER STANLEY D FAMILY MEMBER OF FORMER OFFICER BROWN, MARIE E. 114083 EMPLOYMENT 0 MENKOSKY KYLE W FAMILY MEMBER OF DIRECTOR MENKOSKY PAULA E. 12018 EMPLOYMENT 0 MOLLING HEATHER M FAMILY MEMBER OF DIRECTOR MOLLING D.O., PAUL E. 116031 EMPLOYMENT 0 MORICE ELIZABETH M FAMILY MEMBER OF DIRECTOR MORICE M.D., WILLIAM G. 19606 EMPLOYMENT 0 NORDENG MARY C FAMILY MEMBER OF FKE NORDENG, RODNEY L. 21426 EMPLOYMENT 0 PASCUAL THOMAS E FAMILY MEMBER OF DIRECTOR PASCUAL M.D., JORGE M. 31132 EMPLOYMENT 0 PATEL LAURA M FAMILY MEMBER OF FKE HATTRUP M.D., STEVEN J. 14744 EMPLOYMENT 0 ROBARDS MD CHRISTOPHER B FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A. 585469 EMPLOYMENT 0 SHEPPARD ALAN R FAMILY MEMBER OF DIRECTOR JOHNSON M.D., MARGARET M. 21025 EMPLOYMENT 0 SMITH SARA N FAMILY MEMBER OF OFFICER MELVIN, KEVIN B. 22477 EMPLOYMENT 0 TANER MD NILUFER FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C. 395608 EMPLOYMENT 0 TRAUB NICOLE A FAMILY MEMBER OF KEY EMPLOYEE TRAUB M.D., STEPHEN J. 81572 EMPLOYMENT 0 KWIK TRIP INC ENTITY MORE THAN 35% OWNED BY SCOTT ZIETLOW, M.D. AND FAMILY MEMBERS 862772 FUEL PURCHASE-ALL TRANSACTIONS ARE CONDUCTED AT AN ARMS LENGTH BASIS 0 INVESTMENTS 2018-12-31 791841 BOOK VALUE AT DATE OF MERGER. 390806374 MCHS - FRANCISCAN MEDICAL CENTER INC 700 WEST AVENUE SOUTH LA CROSSE WI 54601 501(C)(3) OTHER ASSETS 2018-12-31 1600000 BOOK VALUE AT DATE OF MERGER. 390806374 MCHS - FRANCISCAN MEDICAL CENTER INC 700 WEST AVENUE SOUTH LA CROSSE WI 54601 501(C)(3) RECEIVABLES 2018-12-31 674269 BOOK VALUE AT DATE OF MERGER. 416011702 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 501(C)(3) INVESTMENTS 2018-12-31 44511402 BOOK VALUE AT DATE OF MERGER. 416011702 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 501(C)(3) 1 1 0 0 1 1 1 1 0 PART 1, LINE 2E MCHS - FRANCISCAN HEALTHCARE, INC. MERGED INTO MCHS - FRANCISCAN MEDICAL CENTER, INC. EFFECTIVE 12/31/18.AS OF THE DATE OF THE MERGER, THE FOLLOWING OFFICERS AND DIRECTORS OF MCHS-FRANCISAN HEALTHCARE, INC. WERE OR BECAME DIRECTORS OF MCHS-FRANCISAN MEDICAL CENTER, INC.:JOHNSON M.D., TIMOTHY J.KORDUCKI M.D., JANE M.KRUSE, JOSEPH J.MOLLING D.O., PAUL E.MUELLER M.D., PAUL S.AS OF THE DATE OF THE MERGER, THE FOLLOWING OFFICERS AND DIRECTORS OF MCHS-FRANCISAN HEALTHCARE, INC. WERE OR BECAME EMPLOYEES OF MCHS-FRANCISAN MEDICAL CENTER, INC.:COSTAKOS M.D., DENNIS T.JOHNSON M.D., TIMOTHY J.KORDUCKI M.D., JANE M.MOLLING D.O., PAUL E.KRUSE, JOSEPH JPOVERELLO FOUNDATION MERGED INTO MAYO CLINIC EFFECTIVE 12/31/18.AS OF THE DATE OF THE MERGER, THE FOLLOWING OFFICER OF POVERELLO FOUNDATION WAS ALREADY AN EMPLOYEE OF MAYO CLINIC:HAEFLINGER, RICKY J. FORM 990, PART III, LINE 3 TWO OF THE ENTITIES WITHIN THE MAYO CLINIC GROUP MERGED AT THE END OF THE TAX YEAR. THERE IS NO SIGNIFICANT CHANGE IN HOW PROGRAM SERVICES ARE BEING CONDUCTED. 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. ADLEMAN, BREEANN M., ANIL M.D., GOKHAN, BAKKUM-GAMEZ, M.D., JAMIE N., BECKER, JOHN, BOLTON, JEFFREY W., BRANDT, TERRY L., BROLSMA, GREG, BROWN M.D., MICHAEL J., BROWN, WILLIAM A., BUSKIRK M.D., STEVEN J., CANGEMI M.D., JOHN R., CASLER M.D., JOHN D., CIMA M.D., ROBERT R., CIOTA M.D., MARK R., COOPER M.D., LESLIE T., COSTAKOS M.D., DENNIS T., CRAIG, JASON E., CRANE M.D., SARAH J., CROCKETT, ERIC D., CROSS III M.D., WILLIAM W., DAHLEN, DENNIS E., DECKER M.D., WYATT W., DEVAULT M.D., KENNETH R., DRUCKER, PAUL E., EBERLE, MICHELE R., FARRUGIA M.D., GIANRICO, FRANCIS, JAMES R., FRATZKE, JASON J., FREDERICK, RYANNON K., FROISLAND, JEFFREY R., GALINDEZ JR., PETER, GORES M.D., GREGORY J., GOSTOUT M.D., BOBBIE S., GUDGELL, STEPHEN F., HAKAIM M.D., ALBERT G., HANSEN, JULIE S., HARPER JR., M.D., CHARLES M., HEBL M.D., JAMES R., HELMERS M.D., RICHARD A., HINES M.D., STEPHANIE L., HOFFMAN III, HARRY N., HOLTZ M.D., CAROL P., HUBERT, SHERRY L., JOHNSON M.D., MARGARET M., JOHNSON M.D., TIMOTHY J., JOHNSON, CARLA J., KLIMP, MARY J., KORDUCKI M.D., JANE M., KRUSE, JOSEPH J., LIMBURG M.D., PAUL J., LIMPER M.D., ANDREW H., LINDAHL, ROGER A., LINDBERG, STEVEN J., LOCKETT, KEVIN M., MCLAUGHLIN M.D., SARAH A., MELVIN, KEVIN B., MENKOSKY, PAULA E., MEYER M.D., FREDRIC B., MEYERS, ANN M., MOLLING D.O., PAUL E., 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., NELSON M.D., HEIDI, NORDRUM, CHARLOTTE J., NOSEWORTHY M.D., JOHN H., OTLEY M.D., CLARK C., PARKER PH.D, ALEXANDER S., PARKS, DOUGLAS A., PASCUAL M.D., JORGE M., PATEL M.B., TUSHAR C., PEARSON M.D., SUSAN E., POWELL III M.D., RALPH, PRIEST, WILLIAM F., QUINONES-HINOJOSA M.D., ALFREDO, RIHAL M.D., CHARANJIT S., ROBELIA M.D., PAUL M., RUSTAD, CHRISTOPHER D., SADOSTY M.D., ANNIE T., SANDEEN, DARRELL L., SANDGREN, KENT A., SANTRACH M.D., PAULA J., SHARMA M.B.B.S., MANISH S., SHERRILL, TODD E., TANER M.D., BURCIN C., THORESON, SCOTT D., WALD M.D., JOHN T., WEBER, JOAN A., WEIS, CAROL, WHITED M.D., BRIAN L., WILLIAMS M.D., AMY W., WILLIAMSON, MARY J., YTTERBERG M.D., KAREN L., ZIETLOW M.D., SCOTT P., ZORN, CHRISTINA K., *************************** MATTHIAS, MARK A., GABRIELSON, SHARON R., JOHNSON M.D., TIMOTHY J., YTTERBERG M.D., KAREN L., KNUDSON, STEVE L., KRUSE, JOSEPH J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF HEALTH TRADITION HEALTH PLAN, A RELATED TAXABLE ENTITY. LOHKAMP, CHRISTIE A., LINDAHL, ROGER A., HUBERT, SHERRY L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC SUPPORT SERVICES, TEXAS, A RELATED TAXABLE ENTITY. MENKOSKY, PAULA E., FROISLAND, JEFFREY R., ADLEMAN, BREEANN M., 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., MATTHIAS, MARK A., LINDAHL, ROGER A., MURPHY, JOSHUA B., HUBERT, SHERRY L., GABRIELSON, SHARON R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., HOFFMAN III, HARRY N., FROISLAND, JEFFREY R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. ROGERS, JAMES A., ESTES, DANIEL D., 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. HELMERS M.D., RICHARD A., MORREY, MICHAEL A., LINDBERG, STEVEN J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MCHS--PHARMACY & HOME MEDICAL, INC, 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 MAYO CLINIC AMBLUBLANCE SERVICE AMENDED ITS ARTICLES OF INCORPORATION TO CHANGE ITS LEGAL NAME FROM GOLD CROSS AMBULANCE SERVICE TO MAYO CLINIC AMBULANCE SERVICE. MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS. CHANGES WERE RELATED TO THE NUMBER, COMPOSITION, QUALIFICATIONS, AUTHORITY AND DUTIES OF THE GOVERNING BODY'S VOTING MEMBERS, ALONG WITH VOTING APPROVAL REQUIREMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF EACH SUBORDINATE IN THE MAYO CLINIC GROUP RETURN ARE MAYO CLINIC AND/OR A SUBORDINATE OF MAYO CLINIC. IN ADDITION, MCHS-FRANCISCAN HEALTHCARE HAS THE CONGREGATION OF SISTERS OF THE THIRD ORDER OF ST. FRANCIS OF PERPETUAL ADORATION AS AN ADDITIONAL MEMBER. FORM 990, PART VI, SECTION A, LINE 7A IN MOST CASES, THE SUBORDINATE'S GOVERNING BODIES ARE ELECTED, NOMINATED, DESIGNATED, APPOINTED, APPROVED AND/OR CONFIRMED BY MAYO CLINIC AND/OR A SUBORDINATE OF MAYO CLINIC. IN THE CASE OF MCHS-FRANCISCAN HEALTHCARE, THE CONGREGATION OF SISTERS OF THE THIRD ORDER OF ST. FRANCIS OF PERPETUAL ADORATION (AS A MEMBER) WOULD BE INVOLVED IN MAKING APPOINTMENTS TO THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ARTICLES AND/OR BYLAWS PROVIDE THE CORPORATE MEMBER OR MEMBERS POWER IN AREAS SUCH AS COMPENSATION, CAPITAL, BUDGET, DEBT, AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. 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 WAS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM ACCOUNTING STAFF. THE TAX RETURN WENT THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT (INCLUDING REVIEW BY THE TAX DIRECTOR). A COPY OF THE FORM 990 WAS THEN PROVIDED TO EACH MEMBER OF THE GOVERNING BODY VIA U.S. MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS WERE 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, PHYSICIANS, SCIENTISTS, ATTORNEYS, 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 CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF ADMINISTRATIVE OFFICER (CAO) OF MAYO CLINIC WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR EXECUTIVE LEADERSHIP. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE 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, PHYSICIANS, SCIENTISTS, ATTORNEYS 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 IX, LINE 11G I/C PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 1,514,237,928. MANAGEMENT AND GENERAL EXPENSES 368,581,164. FUNDRAISING EXPENSES 407,174. TOTAL EXPENSES 1,883,226,266. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 313,976,447. MANAGEMENT AND GENERAL EXPENSES 169,054,750. FUNDRAISING EXPENSES 13,890. TOTAL EXPENSES 483,045,087. FORM 990, PART XI, LINE 9: PENSION-POST RETIREMENT 9,301,717. LOSS ON UNCOLLECTIBLE PLEDGES -13,647. LIST OF AFFILIATED ORGANIZATIONS NOT INCLUDED IN GROUP RETURN: BLOOMER LAKEVIEW, INC. 39-1450617 2110 DUNCAN ROAD, BLOOMER, WI 54724 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. DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS MN 554021498 464893585 ECONOMIC DEVELOPMENT MN 501(C)(3) 12-I MAYO CLINIC 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(C)(3) 10 N/A 1 MAYO CLINIC STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MFMER 1 MILES & 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 1 HORMEL FOUNDATION 329 N MAIN ST SUITE 102L AUSTIN MN 55912 410694716 FUNDRAISING FOUNDATION MN 501(C)(3) 12-I N/A 0 J ORIN EDSON FOUNDATION PO BOX 14580 JACKSON WY 830024580 263002560 FUNDRAISING FOUNDATION WY 501(C)(3) 12-I N/A 0 NAEVE HEALTH CARE FOUNDATION 404 WEST FOUNTAIN ST ALBERT LEA MN 56007 411989509 FUNDRAISING FOUNDATION MN 501(C)(3) 12-III-FI N/A 0 ROBERT AND ELEANOR FRANKE CHARITABLE FOUNDATION INC PO BOX 521 LA CROSSE WI 546020521 450998178 FUNDRAISING FOUNDATION WI 501(C)(3) 12-I N/A 0 THE HIRSH FAMILY FOUNDATION 108 NORTH MAIN STREET AUSTIN MN 55912 411749842 FUNDRAISING FOUNDATION MN 501(C)(3) 12-I N/A 0 THE WEM 2000 FOUNDATION PO BOX 5628 MINNEAPOLIS MN 554405628 411978254 FUNDRAISING FOUNDATION MN 501(C)(3) 12-I N/A 0 DREW FOUNDATION PO BOX 2578 JACKSONVILLE FL 322032578 596669745 CHARITABLE TRUST FL 501(C)(3) 12-I N/A 0 FRANKLIN HEATING STATION 200 FIRST STREET SW ROCHESTER MN 55905 410264830 UTILITY MN MAYO CLINIC EXCLUDED 104 8388763 0 1 0.15950 LATIGO PETROLEUM LLC PO BOX 14230 ODESSA TX 79768 364767494 OIL & GAS EXPLORATION DE N/A BWL HOLDINGS INC 1209 ORANGE STREET WILMINGTON DE 19801 472413749 OIL & GAS EXPLORATION DE N/A C 1 BAIN CAPITAL CREDIT CLO 2017-2 LTD (FKA CAVALRY CLO III LTD) PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ INVESTMENT ACTIVITIES CJ N/A C 1 CAVALRY CLO IV LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ INVESTMENT ACTIVITIES CJ N/A C 1 GMO GLOBAL BOND INVESTMENT FUND 78 SIR JOHN ROGERSONS QUAY DUBLIN EI OTHER FINANCIAL INVESTMENT ACTIVITIES EI N/A C 1 HEALTH TRADITION HEALTH PLAN 1808 EAST MAIN STREET ONALASKA WI 54650 391545987 MEDICAL SERVICES COMPANY WI N/A C 1 MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER MN 55905 471751102 HEALTH SERVICES TX N/A C 1 MAYO CLINIC UK LTD 3 MORE LONDON RIVERSIDE LONDON UK INVESTMENT ACTIVITIES UK N/A C 1 MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 411578020 HOLDING COMPANY MN N/A C 1 MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER MN 55905 SELF INSURANCE POOL CJ N/A C 1 MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH IA 52101 411711329 PATIENT CARE - CLINIC IA N/A C 1 MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 391528920 PHARMACY SERVICES WI N/A C 1 RESOUNDANT INC 421 1ST AVE SW SUITE 204W ROCHESTER MN 55902 461661978 MANUFACTURING MEDICAL DEVICE COMPONENT MN MFMER C 4167322 3798110 0.59860 1 ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER MN 55905 410506870 AIRPORT MANAGEMENT MN N/A C 1 SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE AZ 85259 860870505 COMMERCIAL PROPERTY OWNERS ASSOCIATION AZ MAYO CLINIC ARIZONA C 0.93000 1 THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER MN 55905 208994499 COMMERCIAL PROPERTY OWNERS ASSOCIATION MN N/A C 1 CHARITABLE LEAD TRUST CHARITABLE TRUST CA N/A T 1 PERPETUAL TRUST CHARITABLE TRUST ND N/A T 1 PERPETUAL TRUST CHARITABLE TRUST LA N/A T 1 PERPETUAL TRUST (2) CHARITABLE TRUST MA N/A T 1 PERPETUAL TRUST CHARITABLE TRUST MO N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST AZ N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 1 CHARITABLE REMAINDER TRUST (8) CHARITABLE TRUST FL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST MA N/A T 1 CHARITABLE REMAINDER TRUST (86) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST (3) CHARITABLE TRUST NC N/A T 1 CHARITABLE REMAINDER TRUST (2) CHARITABLE TRUST NV N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST TX N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST CO N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST FL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST IL N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST MI N/A T 1 CHARITABLE REMAINDER TRUST (50) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST (7) CHARITABLE TRUST MN N/A T 1 CHARITABLE REMAINDER TRUST CHARITABLE TRUST WI N/A T 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 CHARTERHOUSE INC L 1126213 GAAP GOLD CROSS AMBULANCE SERVICE A 34260 GAAP HEALTH TRADITION HEALTH PLAN A 42188 GAAP MAYO CLINIC ARIZONA L 9549996 GAAP CHARTERHOUSE INC Q 22158681 GAAP MCHS-PHARMACY & HOME MEDICAL INC S 1716724 GAAP FRANKLIN HEATING STATION P 710832 GAAP MCHS--NORTHWEST WISCONSIN REGION INC S 207330 GAAP GOLD CROSS AMBULANCE SERVICE M 1698513 GAAP MCHS-LAKE CITY S 1966770 GAAP MCHS-FRANCISCAN HEALTHCARE INC B 33527186 GAAP MAYO CLINIC ARIZONA C 107879 GAAP MAYO CLINIC FLORIDA L 35796097 GAAP MAYO CLINIC ARIZONA M 231669 GAAP MAYO CLINIC ARIZONA Q 1260175368 GAAP MAYO CLINIC ARIZONA R 4600815 GAAP MCHS-PHARMACY & HOME MEDICAL INC L 163028 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION L 8187250 GAAP MAYO CLINIC UK LTD Q 11958043 GAAP GOLD CROSS AMBULANCE SERVICE Q 43129758 GAAP MAYO CLINIC ARIZONA B 214947 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION L 2848912 GAAP MAYO CLINIC HOSPITAL - ROCHESTER M 298606 GAAP FRANKLIN HEATING STATION Q 33311186 GAAP MAYO CLINIC HOSPITAL - ROCHESTER P 18100642 GAAP MAYO CLINIC HOSPITAL - ROCHESTER Q 1357345837 GAAP MAYO CLINIC HOSPITAL - ROCHESTER R 12794073 GAAP MAYO CLINIC HOSPITAL - ROCHESTER S 64094 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC C 33527186 GAAP MAYO CLINIC JACKSONVILLE C 402485 GAAP MAYO CLINIC HOSPITAL - ROCHESTER L 16632196 GAAP HEALTH TRADITION HEALTH PLAN Q 3116916 GAAP MAYO CLINIC JACKSONVILLE Q 801625610 GAAP MAYO CLINIC JACKSONVILLE R 1750004 GAAP MAYO HOLDING COMPANY L 27129657 GAAP MAYO CLINIC JACKSONVILLE L 9421452 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH M 44103358 GAAP MAYO HOLDING COMPANY Q 1648628 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH P 5767806173 GAAP MAYO CLINIC FLORIDA Q 515224137 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH R 937778 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH S 22217963 GAAP MAYO CLINIC FLORIDA R 819475 GAAP HEALTH TRADITION HEALTH PLAN L 1230862 GAAP RESOUNDANT INC L 690177 GAAP MCHS--DECORAH CLINIC PHYSICIANS Q 8603519 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION Q 460274597 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION R 2965369 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION S 148896 GAAP MCHS-ST JAMES L 183001 GAAP MAYO CLINIC FLORIDA C 200000000 GAAP MCHS-FAIRMONT L 859182 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH L 456272 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC L 2378093 GAAP MAYO CLINIC FLORIDA M 662473 GAAP MCHS-LAKE CITY L 1136965 GAAP MCHS-FRANCISCAN HEALTHCARE INC Q 12635619 GAAP MCHS--NORTHWEST WISCONSIN REGION INC Q 645383824 GAAP MCHS--NORTHWEST WISCONSIN REGION INC R 807588 GAAP MMSI INC Q 51775 GAAP MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH B 91679 GAAP MCHS--NORTHWEST WISCONSIN REGION INC M 4517784 GAAP MCHS--NORTHWEST WISCONSIN REGION INC L 6847257 GAAP MCHS-ST JAMES Q 17110696 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC Q 373663268 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC R 410064 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC M 244909 GAAP MCHS-PHARMACY & HOME MEDICAL INC Q 55768502 GAAP MCHS-LAKE CITY Q 32321421 GAAP GOLD CROSS AMBULANCE SERVICE L 236146 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION S 161510 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION Q 472198306 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION R 322454 GAAP MCHS-PHARMACY & HOME MEDICAL INC M 141167 GAAP MCHS-LAKE CITY M 536038 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION M 2478149 GAAP CHARTERHOUSE INC M 2918831 GAAP MCHS-PHARMACY & HOME MEDICAL INC P 473505 GAAP MCHS--NORTHWEST WISCONSIN REGION INC P 46992935 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC P 94040 GAAP MCHS-LAKE CITY P 398224 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION P 49764078 GAAP MCHS-ST JAMES S 1378452 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION P 18604734 GAAP MCHS-FAIRMONT Q 67510294 GAAP MCHS-FRANCISCAN MEDICAL CENTER INC S 407478 GAAP MCHS--NORTHWEST WISCONSIN REGION INC B 182596 GAAP MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION M 3284842 GAAP MAYO CLINIC FLORIDA S 38696757 GAAP MCHS-FAIRMONT S 5721561 GAAP CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 CHAR GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 GOLD LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE WI 54702 391409024 LUTH MAYO CLINIC ARIZONA 13400 EAST SHEA BLVD SCOTTSDALE AZ 85259 860800150 MAYO MAYO CLINIC FLORIDA 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 MAYO MAYO CLINIC HEALTH SYSTEM - AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 MAYO MAYO CLINIC HEALTH SYSTEM - FAIRMONT 800 MEDICAL CENTER DRIVE FAIRMONT MN 56031 410760836 MAYO MAYO CLINIC HEALTH SYSTEM - FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 MAYO MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 MAYO MAYO CLINIC HEALTH SYSTEM - LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 MAYO MAYO CLINIC HEALTH SYSTEM - NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 MAYO MAYO CLINIC HEALTH SYSTEM - SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN MN 55912 411404075 MAYO MAYO CLINIC HEALTH SYSTEM - SOUTHWEST MINNESOTA REGION 1025 MARSH STREET MANKATO MN 56002 411236756 MAYO MAYO CLINIC HEALTH SYSTEM - ST JAMES 1101 MOULTON PARSONS ST JAMES MN 56081 410797368 MAYO MAYO CLINIC HOSPITAL - ROCHESTER 200 FIRST STREET SW ROCHESTER MN 55905 410944601 MAYO MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 MAYO MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH 200 FIRST STREET SW ROCHESTER MN 55905 411506440 MAYO POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 POVE