OKEFENOKEE HEALTH INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: OKEFENOKEE HEALTH INC (EIN 58-1667166)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-06
IRS object ID: 201523109349300522
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-06T09:14:40-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	581667166	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 TEBEAU STREET	AddressLine1Txt
City	WAYCROSS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31501	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY J HOFFMAN	PersonNm
Person Title	CAO	PersonTitleTxt
Phone	5075381297	PhoneNum
Signature	2015-11-06	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICHARD J PRESUTTI DO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 TEBEAU STREET	AddressLine1Txt
City	WAYCROSS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$177,468,411	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	5983	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MAYOCLINICHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	OPERATION OF A HOSPITAL, CLINICS, NURSING HOMES, A REHAB UNIT AND A SENIOR BEHAVIORAL UNIT.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	1571	TotalEmployeeCnt
Total Volunteers	77	TotalVolunteersCnt
Total Gross UBI	$18,890	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,241,180	PYContributionsGrantsAmt
CY Contributions Grants	$2,097,771	CYContributionsGrantsAmt
PY Program Service Revenue	$158,562,849	PYProgramServiceRevenueAmt
CY Program Service Revenue	$174,152,185	CYProgramServiceRevenueAmt
PY Investment Income	$139,865	PYInvestmentIncomeAmt
CY Investment Income	$60,458	CYInvestmentIncomeAmt
PY Other Revenue	$980,329	PYOtherRevenueAmt
CY Other Revenue	$923,721	CYOtherRevenueAmt
PY Total Revenue	$162,924,223	PYTotalRevenueAmt
CY Total Revenue	$177,234,135	CYTotalRevenueAmt
PY Grants And Similar Paid	$183,014	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$164,853	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,122,833	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$85,302,483	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$92,543,543	PYOtherExpensesAmt
CY Other Expenses	$106,111,809	CYOtherExpensesAmt
PY Total Expenses	$157,849,390	PYTotalExpensesAmt
CY Total Expenses	$191,579,145	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,074,833	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$14,345,010	CYRevenuesLessExpensesAmt
Total Assets BOY	$121,478,412	TotalAssetsBOYAmt
Total Assets EOY	$114,554,521	TotalAssetsEOYAmt
Total Liabilities BOY	$44,450,032	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$51,871,151	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$77,028,380	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$62,683,370	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$177,060,245	ExpenseAmt
Revenue	$174,722,289	RevenueAmt
Desc	PATIENT CARE (SEE SCHEDULE O):MAYO CLINIC HEALTH SYSTEM IN WAYCROSS (MCHS-WAYCROSS) IS PART OF THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA, WISCONSIN AND GEORGIA. AS PART OF MAYO CLINIC, THE HEALTH SYSTEM OFFERS CARE DESIGNED FOR THE WHOLE BODY CLOSE TO THE PATIENT'S HOME, WHEN THEY NEED IT. A MULTIDISCIPLINARY TEAM OF EXPERTS HAS READY ACCESS TO KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC AND COLLABORATES ON PROVIDING EXACTLY THE CARE THE PATIENT NEEDS. MAYO CLINIC HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 1,000 PHYSICIANS AND 15,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN NEARLY 70 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 19 OWNED HOSPITALS, FIVE OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH ONE ADDITIONAL HOSPITAL, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO CLINIC HEALTH SYSTEM HAS GROWN INTO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN THE UNITED STATES. MORE THAN 600,000 UNIQUE PATIENTS ACCOUNT FOR MORE THAN 2.6 MILLION VISITS ANNUALLY IN MAYO CLINIC HEALTH SYSTEM. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS. AS PART OF THE MAYO CLINIC HEALTH SYSTEM, MCHS-WAYCROSS SERVES A NINE-COUNTY REGION IN SOUTHEAST GEORGIA. MCHS-WAYCROSS OPERATES A 231-BED HOSPITAL, A 96-BED SKILLED NURSING FACILITY, A REHAB UNIT AND A PSYCHIATRIC UNIT IN WAYCROSS, GEORGIA ALONG WITH AN ADDITIONAL 78-BED SKILLED NURSING FACILITY IN BLACKSHEAR, GEORGIA. MCHS-WAYCROSS PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE ALSO PROVIDED TO MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES.FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2014 WAS APPROXIMATELY $3,139,700. THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $8,390,000. THE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $11,010,600. SATILLA ADVOCACY SERVICES, A RAPE CRISIS AND CHILD ADVOCACY CENTER, OPERATES UNDER THE UMBRELLA OF MCHS-WAYCROSS AND SERVES VICTIMS OF SEXUAL ASSAULT AND OTHER VIOLENT CRIMES IN THE SIX COUNTIES THAT MAKE UP THE WARE JUDICIAL CIRCUIT. A FULL RANGE OF SERVICES IS OFFERED FROM THE TIME A VICTIM REPORTS AN INCIDENT, INCLUDING EMERGENCY DEPARTMENT SERVICES, FOLLOW UP AT THE RAPE CRISIS/CHILD ADVOCACY CENTER, THERAPY AND SUPPORT BY OUR LEGAL ADVOCACY PERSONNEL. IN 2014, SATILLA ADVOCACY SERVED 537 NEW VICTIMS AND PRESENTED PREVENTION EDUCATION TO 10,370 PEOPLE.ALL REVENUE AFTER EXPENSES IS REINVESTED TO CARE FOR THE CITIZENS OF THE COMMUNITY THROUGH CLINICAL CARE, HEALTH PROGRAMS, STATE-OF-THE-ART TECHNOLOGY AND FACILITIES, AND TEACHING AND TRAINING OF MEDICAL PROFESSIONALS.APPROXIMATELY 77 COMMUNITY VOLUNTEERS PROVIDED APPROXIMATELY 12,776 HOURS OF DONATED TIME TO THE HOSPITAL IN 2014. VOLUNTEERS PROVIDE HOSPITALITY SERVICES TO PATIENTS, FAMILIES AND VISITORS. THE DONATED SERVICES PROVIDED BY THE VOLUNTEERS IN 2014 WERE VALUED AT APPROXIMATELY $294,742 BASED ON STATISTICS FROM THE INDEPENDENT SECTOR.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,189,771	ExpenseAmt
Grant	$164,853	GrantAmt
Revenue	$164,674	RevenueAmt
Desc	COMMUNITY PROGRAMS & HEALTH PROFESSIONS EDUCATION (SEE SCHEDULE O):CONSISTENT WITH ITS CHARITABLE MISSION, MCHS-WAYCROSS PROVIDES COMMUNITY BENEFIT TO THE COMMUNITY IT SERVES. FOR 2014, MCHS-WAYCROSS PROVIDED HEALTH EDUCATION AND HEALTH SUPPORT SERVICES THAT REACHED APPROXIMATELY 15,000 PEOPLE. MANY OF THESE BENEFITS AND SERVICES ARE DESCRIBED BELOW.MCHS-WAYCROSS IS INVOLVED IN MANY ACTIVITIES AIMED AT EDUCATING THE COMMUNITY ABOUT HEALTH-RELATED TOPICS. EXAMPLES OF THESE ACTIVITIES INCLUDE A MONTHLY CALENDAR OF EVENTS AND CLASSES OFFERED AT THE HOSPITAL THAT IS DISTRIBUTED VIA EMAIL AND ADVERTISED IN LOCAL NEWSPAPERS. THE FOLLOWING ARE SOME OF THE CLASSES AND SEMINARS OFFERED DURING 2014. - SENIOR SAFETY DAY - PRENATAL CLASSES - DIABETES CLASSES - SMOKING CESSATION - WOMEN'S HEALTH BLITZ - CANCER SUPPORT GROUPTHE HOSPITAL STAFF PROVIDED BLOOD PRESSURE SCREENINGS, EDUCATIONAL PROGRAMS AND HEALTH SEMINARS TO RESIDENTS IN SCHOOLS, SENIOR CITIZENS CENTERS, SOCIAL CLUBS AND AT HEALTH FAIRS THROUGHOUT THE SERVICE AREA INCLUDING SENIOR SAFETY DAY, SWAMPFEST, AND PIERCE, BRANTLEY AND WARE COUNTY HIGH SCHOOL FOOTBALL GAMES. MCHS-WAYCROSS PROVIDED APPROXIMATELY $37,000 OF STAFF TIME AND SUPPLIES TO HELP 403 PATIENTS ACCESS FREE MEDICATIONS THROUGH PHARMACEUTICAL COMPANIES' PRESCRIPTION ASSISTANCE PROGRAMS. MCHS-WAYCROSS OFFERED ENROLLMENT ASSISTANCE TO 336 PEOPLE IN THE COMMUNITY SO THEY WOULD BE ABLE TO ACCESS PUBLIC HEALTH PROGRAMS SUCH AS MEDICAID. IN 2014, MCHS-WAYCROSS WORKED WITH LOCAL COLLEGES AND TECHNICAL SCHOOLS TO OFFER CLINICAL ROTATIONS FOR A VARIETY OF HEALTHCARE PROFESSIONALS THAT INCLUDED PROVIDING A CLINICAL SETTING FOR STUDENTS THAT INCLUDED SIX HOURS PER STUDENT OF STAFF MENTORING. ORIENTATION, DRUG SCREENS, CRIMINAL BACKGROUND CHECKS AND SOCIAL SECURITY CHECKS WERE PROVIDED FOR ALL STUDENTS. IN ADDITION, RENT-FREE CLASSROOM SPACE WAS PROVIDED. MCHS-WAYCROSS PARTNERS WITH THE MEDICAL COLLEGE OF GEORGIA AT GEORGIA REGENTS UNIVERSITY TO SPONSOR A RESIDENCY PROGRAM. THIS PROGRAM SERVES AS A RESPONSE TO DECLINING NUMBERS OF PRIMARY CARE PHYSICIANS IN RURAL SOUTH GEORGIA COMMUNITIES AND THE REGION AND A DESIRE TO TRAIN PRIMARY CARE PHYSICIANS IN SETTINGS THAT WOULD FACILITATE THE CHOICE OF PRACTICE IN SMALL AND RURAL COMMUNITIES.IN 2014, MCHS-WAYCROSS PROVIDED OVER $75,000 IN CASH DONATIONS TO SATILLA HEALTH FOUNDATION. CONTRIBUTIONS WERE ALSO MADE TO COMMUNITY PARTNERSHIP EVENTS SUCH AS THE AMERICAN CANCER SOCIETY, YMCA, OKEFENOKEE TECHNICAL COLLEGE FOUNDATION AND THE SOUTHEAST CANCER UNIT.AS A CORPORATE CITIZEN, MCHS-WAYCROSS TAKES A LEADERSHIP ROLE AND COLLABORATES WITH OTHER REGIONAL AGENCIES TO INSURE THE COMMUNITY IS PREPARED FOR DISASTER SHOULD IT STRIKE. IN 2014, MCHS-WAYCROSS PROVIDED OVER $78,000 OF SUPPORT TO REGIONAL EMERGENCY PREPAREDNESS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$178,250,016	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	127	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1571	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5075381297	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BURGER MD CHARLES D
DIRECTOR (1/1 - 2/6)	1.00	40.00	Yes (X)	$0	$426,194	$64,549
CALAMIA MD KENNETH T
DIRECTOR/CHAIR/CEO	1.00	40.00	Yes (X)	$0	$402,814	$20,877	Yes (X)
CATCHINGS MD TIMOTHY T
DIRECTOR	40.00	0.00	Yes (X)	$1,177,533	$0	$23,003
DAWSON MD NANCY L
DIRECTOR/VICE CHAIR	1.00	40.00	Yes (X)	$0	$274,236	$64,127	Yes (X)
DYE MD JAMES W
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
HERRIN OWEN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
HOFFMAN MARY J
DIRECTOR/SECRETARY/TREASURER/CAO	1.00	40.00	Yes (X)	$0	$355,974	$61,018	Yes (X)
LANGE MD STEPHEN M
DIRECTOR/VICE CHAIR (1/1 - 2/25)	1.00	40.00	Yes (X)	$0	$572,285	$82,849	Yes (X)
MUSIC ZA
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
SWEAT HOLLI H
DIRECTOR/ASSISTANT SECRETARY	40.00	0.00	Yes (X)	$183,932	$0	$28,448	Yes (X)
WALTERS ROBERT M
DIRECTOR/ ASST SECY (1/1 - 2/25)	1.00	40.00	Yes (X)	$0	$313,249	$67,799	Yes (X)
WATERS MD DONALD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
BRIGHAM ROBERT F
ASSISTANT SECRETARY (1/1 -2/25)	1.00	40.00		$0	$505,135	$27,292	Yes (X)
CROFT CHERYL R
ASSISTANT SECRETARY (1/1 -2/25)	1.00	40.00		$0	$234,574	$52,447	Yes (X)
COCHON MD ARISTOTLE P
PHYSICIAN	40.00	0.00		$379,035	$0	$41,100		Yes (X)
JHA MD ASIT K
PHYSICIAN	40.00	0.00		$736,488	$0	$29,723		Yes (X)
LOTT MD MCGREGOR N
PHYSICIAN	40.00	0.00		$627,518	$0	$44,236		Yes (X)
WYKSTRA MD DAVID J
PHYSICIAN	40.00	0.00		$614,318	$0	$34,327		Yes (X)
BORDERS MD YOLANDA M
PHYSICIAN	40.00	0.00		$716,818	$0	$24,875			Yes (X)
CALDWELL MD CHARLES
PHYSICIAN	40.00	0.00		$480,455	$0	$18,051			Yes (X)
GRIFFIN MD HOWARD
PHYSICIAN	40.00	0.00		$564,548	$0	$1,812			Yes (X)
PILLAI MD DILIP P
PHYSICIAN	40.00	0.00		$645,583	$0	$23,702			Yes (X)
SRINIVASAN MD SRIDHAR
PHYSICIAN	40.00	0.00		$545,852	$0	$23,647			Yes (X)
SMITH JR WINDELL R
FORMER COO	0.00	40.00		$0	$198,042	$49,809				Yes (X)
BAKER MD MICHAEL P
FORMER KEY EMPLOYEE	40.00	0.00		$266,330	$0	$29,252				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,938,410	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,282,503	TotReportableCompRltdOrgAmt
Total Other Compensation	$812,943	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	65	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTHEAST GEORGIA ANESTHESIA ASSOCIATES
1900 TEBEAU STREET	WAYCROSS	GA	31501	ANESTHESIA SERVICES	$2,214,801
ADVANCED ICU CARE INC
1 CITY PLACE DRIVE	ST LOUIS	MO	63141	ICU SERVICES	$1,200,929
SODEXO INC
9801 WASHINGTON BLVD	GAITHERABURY	MD	20878	FOOD SERVICES	$1,079,086
DIAGNOSTIC PET LLC
1256 SHILOH ROAD	ELLAVILLE	GA	31806	PET SCANS	$1,069,804
CERNER HEALTHCARE SOLUTIONS INC
2800 ROCKCREEK PKWY	NORTH KANSAS CITY	MO	64117	BILLING SERVICES	$900,877

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$4,687	FederatedCampaignsAmt
Related Organizations	$136,192	RelatedOrganizationsAmt
Government Grants	$1,522,118	GovernmentGrantsAmt
All Other Contributions	$434,774	AllOtherContributionsAmt
Total Contributions	$2,097,771	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	620000	$173,987,511	$173,987,511
EDUCATION REVENUE	611600	$164,674	$164,674

Field	Value	IRS element (for citing)
Total Program Service Revenue	$174,152,185	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$134,487	TotalRevenueColumnAmt
Exclusion	$134,487	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$166,558	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$49,964	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$116,594	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$116,594	TotalRevenueColumnAmt
Exclusion	$116,594	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$110,283	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$184,312	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$74,029	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$74,029	TotalRevenueColumnAmt
Exclusion	-$74,029	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722210	$731,950	$731,950
MISC. REVENUE	900099	$54,242	$783	$53,459
MISCELLANEOUS CONSULTI	541610	$18,890			$18,890

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,045	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,045	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$807,127	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,234,135	TotalRevenueColumnAmt
Related Or Exempt Func Income	$174,886,963	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,890	UnrelatedBusinessRevenueAmt
Exclusion	$230,511	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$164,853	TotalAmt
Program Services	$164,853	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,919,660	TotalAmt
Program Services	$3,919,660	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$561,439	TotalAmt
Program Services	$473,887	ProgramServicesAmt
Management And General	$87,552	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,133,408	TotalAmt
Program Services	$57,305,435	ProgramServicesAmt
Management And General	$4,827,973	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,442,600	TotalAmt
Program Services	$2,260,427	ProgramServicesAmt
Management And General	$182,173	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,903,921	TotalAmt
Program Services	$11,029,266	ProgramServicesAmt
Management And General	$874,655	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,341,455	TotalAmt
Program Services	$4,021,056	ProgramServicesAmt
Management And General	$320,399	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,001	TotalAmt
Program Services	$5,001	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$792,579	TotalAmt
Management And General	$792,579	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,180	TotalAmt
Program Services	$48,180	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,204,572	TotalAmt
Program Services	$17,100,779	ProgramServicesAmt
Management And General	$2,103,793	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$337,704	TotalAmt
Program Services	$35,199	ProgramServicesAmt
Management And General	$302,505	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,298,250	TotalAmt
Program Services	$8,452,234	ProgramServicesAmt
Management And General	$1,846,016	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$102,122	TotalAmt
Program Services	$158	ProgramServicesAmt
Management And General	$101,964	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,953,394	TotalAmt
Program Services	$2,985,288	ProgramServicesAmt
Management And General	$968,106	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$345,915	TotalAmt
Program Services	$265,037	ProgramServicesAmt
Management And General	$80,878	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$488	TotalAmt
Program Services	$488	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,688,534	TotalAmt
Program Services	$6,041,382	ProgramServicesAmt
Management And General	$647,152	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$586,000	TotalAmt
Program Services	$586,000	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$34,151,356	$34,151,356
MEDICAL SUPPLIES	$26,682,675	$26,682,675
MEDICAID SURCHARGE	$1,696,256	$1,696,256
MISCELLANEOUS	$588,616	$500,302	$88,314

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$630,167	TotalAmt
Program Services	$525,097	ProgramServicesAmt
Management And General	$105,070	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$191,579,145	TotalAmt
Program Services	$178,250,016	ProgramServicesAmt
Management And General	$13,329,129	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$172,713	BOYAmt
EOY	$87,818	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,160,441	BOYAmt
EOY	$580,841	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,917,418	BOYAmt
EOY	$36,117,364	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$98,196	BOYAmt
EOY	$55,084	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$635,415	BOYAmt
EOY	$246,600	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,962,791	BOYAmt
EOY	$3,057,772	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$105,546	BOYAmt
EOY	$36,532	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$140,902,019	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$76,722,220	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$60,033,522	BOYAmt
EOY	$64,179,799	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,982,418	BOYAmt
EOY	$435,621	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,255,400	BOYAmt
EOY	$4,362,664	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,154,552	BOYAmt
EOY	$5,394,426	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,478,412	BOYAmt
EOY	$114,554,521	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,867,980	BOYAmt
EOY	$25,039,029	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$8,964	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,303,061	BOYAmt
EOY	$654,689	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$18,861	BOYAmt
EOY	$22,685	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,260,130	BOYAmt
EOY	$26,145,784	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,450,032	BOYAmt
EOY	$51,871,151	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,989,557	BOYAmt
EOY	$62,605,118	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,823	BOYAmt
EOY	$78,252	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$77,028,380	BOYAmt
EOY	$62,683,370	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$121,478,412	BOYAmt
EOY	$114,554,521	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$14,345,010	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$37,508	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$18,180	OtherActivitiesAmt
Total Lobbying Expenditures	$55,688	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	DURING 2014, MCHS-WAYCROSS OR ITS CONSULTANTS HAD CONTACT WITH STATE GOVERNMENT OFFICIALS AND/OR THEIR STAFF TO DISCUSS VARIOUS HEALTH CARE RELATED ISSUES. THE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,164,759	OtherCostOrOtherBasisAmt
Book Value	$1,164,759	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,064,308	OtherCostOrOtherBasisAmt
Depreciation	$39,113,211	DepreciationAmt
Book Value	$42,951,097	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,787,064	OtherCostOrOtherBasisAmt
Depreciation	$1,022,883	DepreciationAmt
Book Value	$764,181	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,328,277	OtherCostOrOtherBasisAmt
Depreciation	$36,586,126	DepreciationAmt
Book Value	$17,742,151	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,557,611	OtherCostOrOtherBasisAmt
Book Value	$1,557,611	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$64,179,799	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$25,842,154
DEFERRED COMPENSATION LIABILITY	$303,630

Field	Value	IRS element (for citing)
Total Liability	$26,145,784	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	NURSING HOME RESIDENT TRUST ACCOUNT - RESIDENTS' FUNDS.
PART X, LINE 2:	AT DECEMBER 31, 2014 AND 2013, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO LONGER A RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,861,648	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,721,922	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,139,726	NetCommunityBenefitExpnsAmt
Total Expense	0.01990	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,055,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,665,490	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,390,039	NetCommunityBenefitExpnsAmt
Total Expense	0.05330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,917,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,387,412	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,529,765	NetCommunityBenefitExpnsAmt
Total Expense	0.07320	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$303,671	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$303,671	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$700,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$164,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$535,507	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,927,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,270,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,657,181	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$185,919	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$185,919	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,117,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,435,264	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,682,278	NetCommunityBenefitExpnsAmt
Total Expense	0.06780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,034,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,822,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,212,043	NetCommunityBenefitExpnsAmt
Total Expense	0.14100	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,545	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,545	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,517	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$331,140	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$331,140	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$361	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$361	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$412,563	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$412,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$34,151,356	BadDebtExpenseAmt
Reimbursed By Medicare	$37,755,281	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$39,355,324	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,600,043	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 TEBEAU STREET	AddressLine1Txt
City	WAYCROSS	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	31501	ZIPCd

Field	Value	IRS element (for citing)
State License	148-416	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MAYOCLINICHEALTHSYSTEM.ORG/ABOUT-US	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION METHODS INCLUDED INTERVIEWS AND FOCUS GROUPS WITH KEY COMMUNITY REPRESENTATIVES. THE PURPOSE OF THE INTERVIEWS AND FOCUS GROUPS WAS TO GAIN DIRECT INPUT REGARDING HEALTH NEEDS, INCLUDING PRIMARY AND CHRONIC DISEASE NEEDS AND HEALTH ISSUES ASSOCIATED WITH UNINSURED PERSONS, LOW INCOME PERSONS AND MINORITY GROUPS.IN ADDITION, COMMUNITY INPUT WAS GARNERED FROM THE COMMUNITY ADVISORY COMMITTEE, WHICH INCLUDED REPRESENTATIVES FROM THE WARE COUNTY HEALTH DEPARTMENT, THE WARE COUNTY CHILDREN'S INITIATIVE AND OTHER COMMUNITY ORGANIZATIONS.
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	PART V, SECTION B, LINE 11: TO ADDRESS THE NEEDS OF OUR COMMUNITY'S TOBACCO USAGE AND OBESITY, WE PARTNERED WITH LOCAL SCHOOLS (MEMORIAL DRIVE AND BLACKSHEAR ELEMENTARY) IN A COLLABORATIVE EFFORT AND ENGAGED IN EDUCATIONAL PROGRAMS ABOUT OBESITY AND TOBACCO AS PART OF A SOLUTION TO EDUCATE OUR YOUTH ON THE IMPORTANCE OF HEALTHY EATING AND LIFESTYLES. MCHS IN WAYCROSS AND THE SCHOOL SYSTEMS IN WARE AND PIERCE COUNTIES HAVE ALSO PARTNERED TOGETHER TO HELP OUR LOCAL COMMUNITY SCHOOLS. WE CONTINUE TO PARTNER WITH THE YMCA IN SUPPORT OF CAMP REVEILLE, A CAMP FOR UNDERSERVED CHILDREN, TO PROMOTE HEALTHY EATING AND EXERCISE. TO ADDRESS THE ADULT POPULATION, WE HAVE REACHED OUT TO COMMUNITY MEMBERS AND COMMUNITY ORGANIZATIONS BY USING EDUCATIONAL TALKS, LECTURES AND PRESENTATIONS ON HEALTH ISSUES CONDUCTED BY PHYSICIANS AND CLINICAL STAFF. TO ADDRESS THE ACCESS TO HEALTH CARE WE ARE VERY LIMITED TO WHAT WE ARE CAPABLE OF DOING. WE HAVE RECRUITED TWO NEW PRIMARY CARE PHYSICIANS AND A PHYSICIAN ASSISTANT. AT THE REQUEST OF THE PIERCE COUNTY CHAMBER, A MEDICARE SEMINAR WAS PROVIDED IN PIERCE COUNTY AT A LOCAL CHURCH AS MANY CITIZENS WANTED TO BETTER UNDERSTAND THE WAY MEDICARE WORKS WHEN USING OUR SERVICES. TRANSPORTATION FOR THE CITIZENS OF WARE AND PIERCE COUNTIES IS PROVIDED BY A LOCAL BUSINESS GROUP. THESE SERVICES TAKE THE ELDERLY AND UNDERSERVED CITIZENS TO DOCTOR APPOINTMENTS AND OTHER FUNCTIONS AS NEEDED. SUBSTANCE ABUSE AND MENTAL HEALTH WERE MENTIONED BY MANY FOCUS GROUP AND INTERVIEW PARTICIPANTS AS SIGNIFICANT HEALTH ISSUES IN WARE AND PIERCE COUNTIES. ALTHOUGH THERE IS LITTLE SECONDARY DATA TO SUPPORT THESE CONCERNS, IT IS APPARENT THAT TREATMENT OPTIONS TO ADDRESS THESE HEALTH ISSUES ARE LIMITED. DUE TO SEVERAL FACTORS, INCLUDING A LIMITED OPPORTUNITY TO INTERVENE AT THE PREVENTION LEVEL, RELATIVELY LOW EXPECTED EFFECTIVENESS OF POSSIBLE INTERVENTIONS AND LACK OF COMPETENCY TO ADDRESS THESE NEEDS BEYOND THE SERVICES PROVIDED THROUGH ITS SENIOR BEHAVIORAL UNIT, MCHS IN WAYCROSS BELIEVES IT IS MOST APPROPRIATE TO FOCUS ITS EFFORTS ON SMOKING/TOBACCO CESSATION, OBESITY AND ACCESS TO HEALTH CARE.
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	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.
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	PART V, SECTION B, LINE 16I: WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.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.
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	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 AND STATEMENTS. IN ADDITION, SIGNS ARE POSTED 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.
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS	PART V, SECTION B, LINE 22D: THE POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 40% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN USING THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS PART V, SECTION B, LINE 16A WEBSITE:	SEE PART VI
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS PART V, SECTION B, LINE 16B WEBSITE:	SEE PART VI
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS PART V, SECTION B, LINE 16C WEBSITE:	SEE PART VI

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SATILLA CARE CENTER
1600 RIVERSIDE AVENUE	WAYCROSS	GA	31501	SKILLED NURSING FACILITY
PIERCE COUNTY NURSING HOME
221 EAST CARTER AVENUE	BLACKSHEAR	GA	31516	SKILLED NURSING FACILITY
SATILLA REGIONAL REHAB INSTITUTE
2500 SATILLA PARKWAY	WAYCROSS	GA	31501	REHAB UNIT
SENIOR BEHAVIORAL UNIT
1900 TEBEAU STREET	WAYCROSS	GA	31501	PSYCHIATRIC UNIT / BEHAVIORAL HEALTH
MCHSW - FAMILY PSYCHIATRY
1707 CITY BOULEVARD SQUARE	WAYCROSS	GA	31501	PSYCHIATRY CLINIC
MCHSW - NEUROLOGY
2101 TEBEAU STREET	WAYCROSS	GA	31501	NEUROLOGY CLINIC
MCHSW - PULMONOLOGY
2005 PIONEER STREET	WAYCROSS	GA	31501	PULMONOLOGY CLINIC
MCHSW - SURGICAL ASSOCIATES
1908 ALICE STREET	WAYCROSS	GA	31501	SURGICAL OFFICE
MCHSW - ORTHOPEDICS
305 PINEVIEW DRIVE	WAYCROSS	GA	31501	ORTHOPEDICS CLINIC
MCHSW - OPHTHALMOLOGY
413 LISTER STREET	WAYCROSS	GA	31501	OPTHALMOLOGY CLINIC
MCHSW - CARDIOLOGY
2004 PIONEER STREET	WAYCROSS	GA	31501	CARDIOLOGY CLINIC
MCHSW - INFECTIOUS DISEASES
411 LISTER STREET	WAYCROSS	GA	31501	INFECTIOUS DISEASES CLINIC
MCHSW - OBGYN
505 CITY BLVD	WAYCROSS	GA	31501	OB/GYN CLINIC
MCHSW - FAMILY MEDICINE
1921 ALICE STREET	WAYCROSS	GA	31501	FAMILY MEDICINE CLINIC
MCHSW - CONVENIENT CARE
1921 ALICE STREET	WAYCROSS	GA	31501	CONVENIENT CARE CLINIC
MCHSW - HEMATOLOGYONCOLOGY
1706 ALICE STREET	WAYCROSS	GA	31501	HEMATOLOGY/ONCOLOGY CLINIC
MCHSW - RADIATION ONCOLOGY
1451 CHURCH STREET	WAYCROSS	GA	31501	RADIATION ONCOLOGY CLINIC
MCHSW - HEMATOLOGYONCOLOGY - DOUGLAS
SHIRLEY AVENUE SUITES XXX-XX-XXXX	DOUGLAS	GA	31535	HEMATOLOGY/ONCOLOGY CLINIC
MCHSW - OUTREACH CLINIC
396 KINGSLAND DRIVE	FOLKSTON	GA	31537	OUTREACH CLINIC
MCSHW - FAMILY MEDICINE
808 BEACON STREET	WAYCROSS	GA	31501	PRIMARY CARE CLINIC
MCSHW - HEMATOLOGYONCOLOGY
1206 ALICE STREET	WAYCROSS	GA	31501	HEMATOLOGY/ONCOLOGY CLINIC
MCHSW - HEMATOLOGYONCOLOGY
101 SEYMOUR ST	DOUGLAS	GA	31533	HEMATOLOGY/ONCOLOGY CLINIC
MCHSW - OUTPATIENT IMAGING CENTER
410 ZACHARY STREET	WAYCROSS	GA	31501	RADIOLOGY/IMAGING

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 34,151,356.
PART II, COMMUNITY BUILDING ACTIVITIES:	THROUGH IN-KIND DONATIONS AND GRANTS TO PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS, THE FILING ORGANIZATION ASSISTS WITH SUSTAINING AND ENHANCING THE COMMUNITIES IT SERVES BY ASSISTING IN COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS AND COMMUNITY IMPROVEMENT ADVOCACY.
PART III, LINE 2:	METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, SECTION A, LINE 1:	THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
PART III, LINE 4:	FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 5, 7, 8 AND 9 OF MAYO CLINIC'S 2014 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF $11,010,600 AS REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SURPLUS REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL REPORTED ON THE CORE FORM, PART III 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.REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR 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 PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. 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:	CONSISTENT WITH ITS CHARITABLE MISSION, MAYO CLINIC HEALTH SYSTEM IN WAYCROSS (MCHS-WAYCROSS) PROVIDES COMMUNITY BENEFIT TO THE COMMUNITY IT SERVES. A COMMUNITY BENEFIT IS A PLANNED, MANAGED, ORGANIZED, AND MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS. IT INVOLVES THE PARTICIPATION OF THE HEALTHCARE ORGANIZATION WORKING WITH THE COMMUNITY TO BENEFIT ITS RESIDENTS THROUGH PROGRAMS AND SERVICES THAT IMPROVE THEIR HEALTH STATUS AND QUALITY OF LIFE. MCHS-WAYCROSS IMPROVES THE HEALTH AND WELL BEING OF THE NINE-COUNTY SERVICE AREA IN SOUTHEAST GEORGIA THAT IT SERVES THROUGH CLINICAL SERVICES, EDUCATION, AND PARTNERSHIPS THAT BUILD HEALTH CAPACITY IN THE COMMUNITY. COMMUNITY BENEFITS ARE PROVIDED FOR ALL CITIZENS AS WELL AS FOR THE MEDICALLY UNDERSERVED. THE ORGANIZATION PAYS CLOSE ATTENTION TO THE NEEDS OF LOW INCOME AND OTHER VULNERABLE PERSONS AND THE COMMUNITY AT LARGE. THE HOSPITAL WORKS WITH COMMUNITY GROUPS TO IDENTIFY NEEDS, STRENGTHEN EXISTING COMMUNITY PROGRAMS AND PLAN NEWLY NEEDED SERVICES. IT PROVIDES A WIDE ARRAY OF COMMUNITY BENEFIT SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH AND THE HEALTH OF INDIVIDUALS. MCHS-WAYCROSS WORKS TO INCREASE ACCESS TO HEALTH CARE, IN ADDITION TO PROVIDING FREE AND DISCOUNTED SERVICES TO PEOPLE WHO ARE UNINSURED AND UNDERINSURED. THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO RESPOND TO ASSESSED NEEDS AND ARE FOCUSED ON PREVENTION AND EDUCATION.
PART VI, LINE 3:	MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE BY POSTING IT ON THEIR WEBPAGE 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. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. 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.
PART VI, LINE 4:	MCHS-WAYCROSS SERVES A NINE-COUNTY REGION IN SOUTHEAST GEORGIA. THE MAIN CAMPUS IS LOCATED IN WAYCROSS, GEORGIA (WARE COUNTY) AND INCLUDES A HOSPITAL, A SKILLED NURSING FACILITY, A REHAB UNIT AND A PSYCHIATRIC UNIT. AN ADDITIONAL SKILLED NURSING FACILITY IS LOCATED IN BLACKSHEAR, GEORGIA (PIERCE COUNTY).ACCORDING TO THE UNITED STATES CENSUS BUREAU, THE 2013 POPULATION ESTIMATE FOR WARE COUNTY (WHICH COMPRISES MOST OF WAYCROSS'S SERVICE AREA) IS 35,709. THE CENSUS BUREAU REPORTS THAT 23.5% OF THE POPULATION IS UNDER 18 YEARS OLD AND 15.5% IS 65 YEARS OLD OR OLDER. AN ESTIMATED 23.6% OF INDIVIDUALS ARE LIVING BELOW THE POVERTY LEVEL.
PART VI, LINE 5:	THE FILING ORGANIZATION IS AN AFFILIATE OF THE 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 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, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY. OPEN VS. CLOSED STAFF MODEL - THE FILING ORGANIZATION'S STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.EMERGENCY ROOM - THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6:	THIS ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.
PART VI, LINE 7	NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SATILLA HEALTH FOUNDATION INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	582008998	501(C)(3)	$75,751	GENERAL SUPPORT
OKEFENOKEE TECHNICAL COLLEGE FOUNDATION
1701 CARSWELL AVENUE	WAYCROSS	GA	31501	580974519	501(C)(3)	$65,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. NO ADDITIONAL MONITORING IS PERFORMED. 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 FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BURGER MD CHARLES D
DIRECTOR (1/1 - 2/6)	$0	$385,135	$0	$0	$0	$41,059	$0	$35,489	$0	$29,060	$0	$490,743	$0	$0
CALAMIA MD KENNETH T
DIRECTOR/CHAIR/CEO	$0	$365,900	$0	$0	$0	$36,914	$0	$654	$0	$20,223	$0	$423,691	$0	$0
CATCHINGS MD TIMOTHY T
DIRECTOR	$1,137,631	$0	$0	$0	$39,902	$0	$11,500	$0	$11,503	$0	$1,200,536	$0	$0	$0
DAWSON MD NANCY L
DIRECTOR/VICE CHAIR	$0	$269,330	$0	$0	$0	$4,906	$0	$47,942	$0	$16,185	$0	$338,363	$0	$0
HOFFMAN MARY J
DIRECTOR/SECRETARY/TREASURER/CAO	$0	$329,027	$0	$0	$0	$26,947	$0	$36,686	$0	$24,332	$0	$416,992	$0	$0
LANGE MD STEPHEN M
DIRECTOR/VICE CHAIR (1/1 - 2/25)	$0	$494,851	$0	$0	$0	$77,434	$0	$47,302	$0	$35,547	$0	$655,134	$0	$0
SWEAT HOLLI H
DIRECTOR/ASSISTANT SECRETARY	$183,466	$0	$0	$0	$466	$0	$1,902	$0	$26,546	$0	$212,380	$0	$0	$0
WALTERS ROBERT M
DIRECTOR/ ASST SECY (1/1 - 2/25)	$0	$298,863	$0	$0	$0	$14,386	$0	$47,440	$0	$20,359	$0	$381,048	$0	$0
BRIGHAM ROBERT F
ASSISTANT SECRETARY (1/1 -2/25)	$0	$451,717	$0	$0	$0	$53,418	$0	$538	$0	$26,754	$0	$532,427	$0	$0
CROFT CHERYL R
ASSISTANT SECRETARY (1/1 -2/25)	$0	$233,144	$0	$0	$0	$1,430	$0	$35,114	$0	$17,333	$0	$287,021	$0	$0
COCHON MD ARISTOTLE P
PHYSICIAN	$371,376	$0	$0	$0	$7,659	$0	$8,750	$0	$32,350	$0	$420,135	$0	$0	$0
JHA MD ASIT K
PHYSICIAN	$726,048	$0	$0	$0	$10,440	$0	$3,762	$0	$25,961	$0	$766,211	$0	$0	$0
LOTT MD MCGREGOR N
PHYSICIAN	$612,306	$0	$0	$0	$15,212	$0	$8,750	$0	$35,486	$0	$671,754	$0	$0	$0
WYKSTRA MD DAVID J
PHYSICIAN	$602,851	$0	$0	$0	$11,467	$0	$8,750	$0	$25,577	$0	$648,645	$0	$0	$0
BORDERS MD YOLANDA M
PHYSICIAN	$659,734	$0	$0	$0	$57,084	$0	$8,750	$0	$16,125	$0	$741,693	$0	$0	$0
CALDWELL MD CHARLES
PHYSICIAN	$472,714	$0	$0	$0	$7,741	$0	$0	$0	$18,051	$0	$498,506	$0	$0	$0
GRIFFIN MD HOWARD
PHYSICIAN	$548,000	$0	$0	$0	$16,548	$0	$0	$0	$1,812	$0	$566,360	$0	$0	$0
PILLAI MD DILIP P
PHYSICIAN	$608,678	$0	$12,500	$0	$24,405	$0	$0	$0	$23,702	$0	$669,285	$0	$0	$0
SRINIVASAN MD SRIDHAR
PHYSICIAN	$545,398	$0	$0	$0	$454	$0	$0	$0	$23,647	$0	$569,499	$0	$0	$0
SMITH JR WINDELL R
FORMER COO	$0	$197,562	$0	$0	$0	$480	$0	$22,721	$0	$27,088	$0	$247,851	$0	$0
BAKER MD MICHAEL P
FORMER KEY EMPLOYEE	$234,988	$0	$0	$0	$31,342	$0	$4,787	$0	$24,465	$0	$295,582	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	DR. MICHAEL BAKER AND DR. YOLANDA BORDERS RECEIVED LOAN FORGIVENESS WHICH WAS TREATED AS TAXABLE INCOME AND WAS GROSSED-UP. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2014, DR. DILIP PILLAI RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME. AS A BENEFIT TO ITS EMPLOYEES, THE FILING ORGANIZATION SUBSIDIZED EMPLOYEE MEMBERSHIPS TO THE YMCA AND SIMILAR HEALTH/FITNESS FACILITIES. SUCH SUBSIDIES ARE TAXABLE AND AVAILABLE TO ALL EMPLOYEES. FOR 2014, DR. ARISTOTLE COCHON RECEIVED THIS BENEFIT.
PART I, LINE 3	THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.
PART I, LINE 4B	THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). BRIGHAM, ROBERT F. $50,028 BURGER M.D., CHARLES D. $27,992 CALAMIA M.D., KENNETH T. $29,292 DAWSON M.D., NANCY L. $ 1,609 HOFFMAN, MARY J. $10,683 LANGE M.D., STEPHEN M. $60,033 WALTERS, ROBERT M. $10,705
PART II:	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	DR MICHAEL BAKER	PersonNm
Relationship With Org	FORMER KEY EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	SIGN-ON BONUS SET-UP AS A FORGIVABLE LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$205,000	OriginalPrincipalAmt
Balance Due	$55,084	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	0	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$55,084	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	LYNN BAKER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY RELATIONSHIP WITH DR. MICHAEL BAKER, FORMER KEY EMPLOYEE	RelationshipDescriptionTxt
Transaction	$23,288	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: WALTERS, ROBERT M. LANGE M.D., STEPHEN M. HOFFMAN, MARY J. DAWSON M.D., NANCY L. CROFT, CHERYL R. CALAMIA M.D., KENNETH T. BURGER M.D., CHARLES D. BRIGHAM, ROBERT F. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: LANGE M.D., STEPHEN M. HOFFMAN, MARY J. DAWSON M.D., NANCY L. BRIGHAM, ROBERT F.
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. MAYO CLINIC JACKSONVILLE ALSO PROVIDES MANAGEMENT SERVICES ON A REGIONAL BASIS THAT INCLUDES THE FILING ORGANIZATION. 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 6	THE SOLE MEMBER OF THIS CORPORATION SHALL BE MAYO CLINIC JACKSONVILLE (A NONPROFIT CORPORATION).
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE CORPORATE MEMBER APPOINTS MEMBERS TO THE BOARD OF DIRECTORS THROUGH MULTIPLE PROCESSES AS SPECIFIED IN THE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7B	THE ARTICLES AND BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT, AMENDMENT OF THE ARTICLES AND BYLAWS AND GENERAL OPERATION DECISIONS. THE COMMUNITY DIRECTORS HAVE THE AUTHORITY TO ENFORCE CERTAIN PROVISIONS OF THE INTEGRATION AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE CHIEF ADMINISTRATIVE OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS, EXECUTIVE 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 SALARIES AND BENEFIT PROGRAMS OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF ADMINISTRATIVE OFFICER (CAO) WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR SENIOR ADMINISTRATIVE LEADERSHIP. THE COMPENSATION AND BENEFIT PROGRAMS FOR SENIOR ADMINISTRATIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR PHYSICIANS FROM ALL CAMPUSES, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (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.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART IX, LINE 11G	I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,721,603. MANAGEMENT AND GENERAL EXPENSES 262,397. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,984,000. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 15,379,176. MANAGEMENT AND GENERAL EXPENSES 1,841,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,220,572.
FILING OF CERTAIN FOREIGN FORMS	DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 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 FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, 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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BLOOMER LAKEVIEW INC
2110 DUNCAN ROAD	BLOOMER	WI	54724	391450617	LOW INCOME HOUSING	WI	501(C)(3)	7	MCHS--CHIPPEWA VALLEY INC	Yes (1)
CHARTERHOUSE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411405254	RETIREMENT LIVING CENTER	MN	501(C)(3)	9	MAYO CLINIC	Yes (1)
DESTINATION MEDICAL CENTER EDA
50 SOUTH SIXTH STREET SUITE 1500	MINNEAPOLIS	MN	554021498	464893585	ECONOMIC DEVELOPMENT	MN	501(C)(3)	11-I	MAYO CLINIC	Yes (1)
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SW	ROCHESTER	MN	55905	411917516	AMBULANCE SERVICE	MN	501(C)(3)	9	MFMER	Yes (1)
LUTHER LAKESIDE APARTMENTS INC
PO BOX 1510	EAU CLAIRE	WI	54702	391409024	LOW INCOME HOUSING FOR ELDERLY	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(C)(3)	9		Yes (1)	N/A
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	860800150	HOSPITAL AND CLINIC	AZ	501(C)(3)	3	MAYO CLINIC	Yes (1)
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	590714831	HOSPITAL	FL	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	Yes (1)
MAYO CLINIC HOSPITAL -- ROCHESTER
200 FIRST STREET SW	ROCHESTER	MN	55905	410944601	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	593337028	PATIENT CARE - CLINIC	FL	501(C)(3)	7	MAYO CLINIC	Yes (1)
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SW	ROCHESTER	MN	55905	411506440	CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES	MN	501(C)(3)	9	MAYO CLINIC	Yes (1)
MAYO KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MFMER	Yes (1)		60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM
MCHS IN WAYCROSS INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581667166	HOSPITAL	GA	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	Yes (1)
MCHS--ALBERT LEA AND AUSTIN
1000 FIRST DRIVE NW	AUSTIN	MN	55912	411404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--AUSTIN FOUNDATION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	300107471	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--ALBERT LEA AND AUSTIN	Yes (1)
MCHS--CANNON FALLS
32021 COUNTY ROAD 24 BLVD	CANNON FALLS	MN	55009	204156428	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--CHIPPEWA VALLEY INC
1501 THOMPSON STREET	BLOOMER	WI	54724	390980343	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MCHS--EAU CLAIRE CLINIC INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391735831	PATIENT CARE - CLINIC	WI	501(C)(3)	3	MAYO CLINIC	0
MCHS--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391633407	GRANTMAKING FOUNDATION	WI	501(C)(3)	11-I	MCHS--EAU CLAIRE CLINIC INC	0
MCHS--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	390813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800	FAIRMONT	MN	56031	410760836	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes (1)
MCHS--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(C)(3)	7	MCHS--FRANCISCAN HEALTHCARE INC	Yes (1)
MCHS--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MCHS--FRANCISCAN HEALTHCARE INC	Yes (1)
MCHS--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391411999	HEALTHCARE SYSTEM PARENT	WI	501(C)(3)	11-I	MAYO CLINIC	Yes (1)
MCHS--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	390806374	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--FRANCISCAN HEALTHCARE INC	Yes (1)
MCHS--HOME HEALTH & HOSPICE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MCHS--LAKE CITY
500 WEST GRANT STREET	LAKE CITY	MN	55041	411906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--MANKATO
1025 MARSH STREET	MANKATO	MN	56002	411236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREET	MANKATO	MN	56002	411663357	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--MANKATO	Yes (1)
MCHS--NEW PRAGUE
301 SECOND STREET NE	NEW PRAGUE	MN	56071	410723639	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes (1)
MCHS--NORTHLAND INC
1222 EAST WOODLAND AVENUE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MCHS--OAKRIDGE INC
13025 EIGHTH STREET PO BOX 70	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MCHS--OWATONNA
134 SOUTHVIEW ST	OWATONNA	MN	55060	411862132	PATIENT CARE - CLINIC	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--RED CEDAR INC
2321 STOUT ROAD	MENOMONIE	WI	54751	510190875	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--RED WING
701 HEWITT BOULEVARD	RED WING	MN	55066	411713783	PATIENT CARE SERVICES	MN	501(C)(3)	3	MAYO CLINIC	Yes (1)
MCHS--SPRINGFIELD
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes (1)
MCHS--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	410797368	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes (1)
MCHS--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--ST JAMES	Yes (1)
MCHS--SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	Yes (1)
MCHS--WASECA
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	Yes (1)
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SW	ROCHESTER	MN	55905	412020392	SUPPORT RESEARCH, PRACTICE & EDUCATION	MN	501(C)(3)	11-I	MAYO CLINIC	Yes (1)
POVERELLO FOUNDATION
200 FIRST STREET SW	ROCHESTER	MN	55905	411494881	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC HOSPITAL - ROCHESTER	Yes (1)
SATILLA HEALTH FOUNDATION INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	582008998	FUNDRAISING FOUNDATION	GA	501(C)(3)	11-III-FI		0	N/A
SATILLA REGIONAL MEDICAL CENTER AUXILIARY
410 DARLING AVENUE	WAYCROSS	GA	31501	586066381	PROMOTE AND COMPLEMENT HEALTH CARE	GA	501(C)(3)	11-I		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
FRANKLIN HEATING STATION
119 THIRD ST SW	ROCHESTER	MN	55902	410264830	UTILITY	MN	N/A
LATIGO PETROLEUM LLC
PO BOX 14230	ODESSA	TX	79768	364767494	OIL & GAS EXPLORATION	DE	N/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200	LISLE	IL	60532	453414836	HEALTHCARE RELATED SOFTWARE	IL	N/A
WATERSHED CAP INSTL PRTNRS III LP
ONE MARITIME PLAZA SUITE 1525	SAN FRANCISCO	CA	94111	462982848	INVESTMENT ACTIVITIES	DE	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct
BWL HOLDINGS INC
1209 ORANGE STREET	WILMINGTON	DE	19801	472413749	OIL & GAS EXPLORATION	DE	N/A	C	Yes (1)
AMBIENT CLINICAL ANALYTICS INC
221 1ST AVE SW SUITE 202	ROCHESTER	MN	55902	800928405	SOFTWARE	DE	N/A	C	Yes (1)
CAVALRY CLO III LTD
					INVESTMENT ACTIVITIES		N/A	C	Yes (1)	PO BOX 1093 GT QUEENSGATE HOUSE S	GRAND CAYMAN	CJ	CJ
CAVALRY CLO IV LTD
					INVESTMENT ACTIVITIES		N/A	C	Yes (1)	PO BOX 1093 GT QUEENSGATE HOUSE S	GRAND CAYMAN	CJ	CJ
GMO GLOBAL BOND INVESTMENT FUND
					OTHER FINANCIAL INVESTMENT ACTIVITIES		N/A		Yes (1)	78 SIR JOHN ROGERSONS QUAY	DUBLIN 2	EI	EI
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	MEDICAL SERVICES COMPANY	WI	N/A	C	Yes (1)
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	ADMINISTRATIVE SERVICES	MN	N/A	C	Yes (1)
MAYO CLINIC GBS MAURITIUS
					HEALTHCARE MANAGEMENT		N/A	C	Yes (1)	2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MP	MP
MAYO CLINIC SUPPORT SERVICES TEXAS
200 FIRST STREET SW	ROCHESTER	MN	55905	471751102	HEALTH SERVICES	TX	N/A	C	Yes (1)
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C	Yes (1)
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	Yes (1)				CJ
MCHS--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C	Yes (1)
MCHS--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C	Yes (1)
MMSI INC
21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C	Yes (1)
RESOUNDANT INC
221 1ST AVE SW	ROCHESTER	MN	55902	461661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	N/A	C	Yes (1)
ROCHESTER AIRPORT COMPANY
ROUTE 2	ROCHESTER	MN	55902	410506870	AIRPORT MANAGEMENT	MN	N/A	C	Yes (1)
SATILLA HEALTHNET INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	582151076	HEALTH SERVICES	GA		C	Yes (1)					MCHS IN WAYCROSS INC	1.00000
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C	Yes (1)
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C	Yes (1)
CHARITABLE LEAD TRUST
					CHARITABLE TRUST	CA	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	ND	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	AZ	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	LA	N/A	T	Yes (1)
PERPETUAL TRUST (2)
					CHARITABLE TRUST	MA	N/A	T	Yes (1)
PERPETUAL TRUST
					CHARITABLE TRUST	MO	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	AZ	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	CO	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (9)
					CHARITABLE TRUST	FL	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	LA	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (73)
					CHARITABLE TRUST	MN	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	NC	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	NM	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	NV	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	NY	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	TX	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	WI	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	CO	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	IL	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	MI	N/A	T	Yes (1)
CHARITABLE REMAINDER TRUST (70)
					CHARITABLE TRUST	MN	N/A	T	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
P	$217,998	GAAP
MMSI
S	$5,526,865	GAAP