RED WING SEMINARY HOME: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RED WING SEMINARY HOME (EIN 41-1263419)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-30
- IRS object ID
- 201303039349300910
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-30T11:12:20-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411263419 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RED WING SEMINARY HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REDW | NameControl |
| Phone | 5075381297 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 95 - 701 HEWITT BOULEVARD | AddressLine1 |
| City | RED WING | City |
| State | MN | State |
| ZIP Code | 55066 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS J WITT MD | Name |
| Title | CEO | Title |
| Phone | 5075381297 | Phone |
| Date Signed | 2013-10-29 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Terminated Return | X | TerminatedReturn |
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FKA FAIRVIEW SEMINARY HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS J WITT MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 95 - 701 HEWITT BOULEVARD | AddressLine1 |
| City | RED WING | City |
| State | MN | State |
| ZIP Code | 55066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2687995 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MAYOCLINICHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1943 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE EXEMPLARY CARE TO THE WHOLE PERSON, ENCOMPASS BODY, MIND, AND SPIRIT AT EVERY LIFE STAGE. | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11030 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4659 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5629984 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2642633 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 36192 | InvestmentIncomePriorYear |
| Investment Income Current Year | -31033 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10400 | OtherRevenuePriorYear |
| Other Revenue Current Year | 11765 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5687606 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2628024 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2338047 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 74385 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5573677 | OtherExpensePriorYear |
| Other Expenses Current Year | 3095505 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5648062 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5433552 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39544 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2805528 | RevenuesLessExpensesCY |
| Total Assets BOY | 2700415 | TotalAssetsBOY |
| Total Assets EOY | 0 | TotalAssetsEOY |
| Total Liabilities BOY | 465403 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2235012 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 0 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | RED WING SEMINARY HOME'S MISSION IS TO PROVIDE EXEMPLARY CARE TO THE WHOLE PERSON; ENCOMPASSING BODY, MIND, AND SPIRIT, AT EVERY STAGE OF LIFE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 4996740 | Expense |
| Grants | 2338047 | Grants |
| Revenue | 2648331 | Revenue |
| Description | SEE SCHEDULE ORED WING SEMINARY HOME BECAME A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM ON JULY 1, 2012, WITH BENEDICTINE HEALTH SYSTEM MANAGING THE HOME. PRIOR TO THAT THEY WERE PART OF THE FAIRVIEW HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA AND WISCONSIN. AS PART OF MAYO CLINIC, MAYO CLINIC HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO CLINIC HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS' HEALTH CARE NEEDS LOCALLY. MAYO CLINIC HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO CLINIC HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.IN 2012, MAYO CLINIC HEALTH SYSTEM SITES EMPLOYED APPROXIMATELY 1,000 PHYSICIANS AND 14,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT THE MAYO CLINIC HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN 72 COMMUNITIES, THE SYSTEM INCLUDES 18 OWNED HOSPITALS, SIX OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH TWO ADDITIONAL HOSPITALS, AND CONTRACT MANAGEMENT AGREEMENTS WITH AN ADDITIONAL HOSPITAL AND NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO CLINIC HEALTH SYSTEM HAS GROWN FROM A NEW IDEA TO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN AMERICA. MAYO CLINIC HEALTH SYSTEM COMPLETES MORE THAN TWO-MILLION PATIENT VISITS ANNUALLY. IT ALSO SERVES AS A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS BEING RECOGNIZED SIX TIMES BY THE AMERICAN MEDICAL GROUP ASSOCIATION'S ACCLAIM AWARD PROGRAM (2005 ACCLAIM AWARD RECIPIENT AND FIVE-TIME ACCLAIM AWARD HONOREE). THE ACCLAIM AWARDS HONOR PHYSICIAN-LED ORGANIZATIONS DELIVERING CARE ALIGNED WITH THE IDEAL DELIVERY MODEL WHERE PATIENTS EXPERIENCE SAFE, RELIABLE, RESPONSIVE, READILY AVAILABLE AND INTEGRATED CARE. IN ADDITION, THE MINNESOTA COUNCIL FOR QUALITY HAS RECOGNIZED MAYO CLINIC HEALTH SYSTEM THREE TIMES FOR ITS PERFORMANCE EXCELLENCE EFFORTS. INDIVIDUAL MAYO CLINIC HEALTH SYSTEM LOCATIONS HAVE ALSO BEEN HONORED FOR THEIR COMMITMENT TO QUALITY, SAFETY, SERVICE, PERFORMANCE AND THEIR COMMUNITIES.PEOPLE IN MINNESOTA, IOWA AND WISCONSIN CAN HAVE PEACE OF MIND KNOWING THAT MAYO CLINIC HEALTH SYSTEM AND MAYO CLINIC PARTNER TO ENSURE HEALTHIER LIVES IN THE REGION.RED WING SEMINARY HOME OPERATES A HOME FOR THE AGED TO SATISFY THEIR HEALTH CARE AND FINANCIAL SECURITY NEEDS. RED WING SEMINARY HOME PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS AND OPERATES TO PROVIDE QUALITY SERVICE AT THE LOWEST POSSIBLE COST. IN 2012, THE COMMUNITY BENEFIT RELATED TO THE MEDICARE AND MEDICAID PROGRAMS WAS APPROXIMATELY $319,000 AND $322,000, RESPECTIVELY. THE HOME FURNISHES CARE AND HOUSING TO AGED INDIVIDUALS WHO OTHERWISE WOULD BE UNABLE TO PROVIDE FOR THEMSELVES WITHOUT HARDSHIP. THE SERVICES RENDERED ARE NURSING CARE, SOCIAL SERVICES, AND IF DESIRED, SPIRITUAL SUPPORT.ON DECEMBER 31, 2012 THE RED WING SEMINARY HOME MERGED INTO THE MAYO CLINIC HEALTH SYSTEM-RED WING. | Description |
| Total Program Service Expense | 4996740 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 1 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORPORATE TAX | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5075381297 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 FIRST STREET SW | AddressLine1 |
| City | ROCHESTER | City |
| State | MN | State |
| ZIP Code | 55905 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| AGERTER MD DAVID C | ||||||||
| REGION CEO/DIRECTOR (7/1/12-12/31/12) | 1.00 | 40.00 | X | X | 0 | 483600 | 35091 | |
| ALEXANDER MD JACK W | ||||||||
| DIRECTOR (7/1/12-12/31/12) | 1.00 | 40.00 | X | 0 | 313346 | 38280 | ||
| ANDERST DONNA | ||||||||
| DIRECTOR (7/1/12-12/31/12) | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| BECK JENNIFER | ||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| BODENSTEINER RICHARD | ||||||||
| DIRECTOR (7/1/12-12/31/12) | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DEJONG MD AMY A | ||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 236073 | 35015 | ||
| DOHERTY JOHN | ||||||||
| DIRECTOR (1/1/12-6/30/12) | 1.00 | 40.00 | X | 0 | 310405 | 41762 | ||
| FOOT III SILAS B | ||||||||
| TREASURER(1/1/12-6/30/12) DIRECTOR | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |
| HALEY BARBARA | ||||||||
| CHAIR/DIRECTOR (1/1/12-6/30/12) | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |
| HANSON JOHN O | ||||||||
| DIRECTOR (1/1/12-6/30/12) | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| KETCHAM MD JEFFREY M | ||||||||
| SECRETARY(1/1/12-6/30/12) DIRECTOR | 1.00 | 40.00 | X | X | 0 | 618288 | 31879 | |
| KOCH MARK B | ||||||||
| DIRECTOR (7/1/12-9/26/12) | 1.00 | 40.00 | X | 0 | 289086 | 16795 | ||
| MURPHY DAVID D | ||||||||
| DIRECTOR (1/1/12-6/30/12) | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| PARKS DOUGLAS A | ||||||||
| DIRECTOR/SECTY/REGION CAO (7/1-12/31/12) | 1.00 | 40.00 | X | X | 0 | 189781 | 44522 | |
| PHILLIPPE PAULA | ||||||||
| DIRECTOR (1/1/12-6/30/12) | 1.00 | 40.00 | X | 0 | 430949 | 63998 | ||
| RIEGELMAN ROBERT | ||||||||
| VICE CHAIR/DIRECTOR (1/1/12-6/30/12) | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |
| SIMPSON MD HENRY J | ||||||||
| DIRECTOR (9/27/12-12/31/12) | 1.00 | 40.00 | X | 0 | 299001 | 45476 | ||
| WILLIAMS MD AMY W | ||||||||
| DIRECTOR (7/1/12-12/31/12) | 1.00 | 40.00 | X | 0 | 242537 | 31959 | ||
| WITT MD THOMAS J | ||||||||
| PRESIDENT/CEO/DIRECTOR (7/1/12-12/31/12) | 1.00 | 40.00 | X | X | 0 | 452522 | 63616 | |
| WORDELMAN SCOTT R | ||||||||
| PRESIDENT/CEO/DIRECTOR (1/1/12-6/30/12) | 1.00 | 40.00 | X | X | 0 | 413997 | 39152 | |
| LARSON MICHAEL J | ||||||||
| TREASURER(7/1/12-12/31/12) CFO | 1.00 | 40.00 | X | 0 | 247605 | 38437 | ||
| PILOT DAVID L | ||||||||
| REGION CFO (7/1/12-12/31/12) | 1.00 | 40.00 | X | 0 | 196045 | 33934 | ||
| DIMUNATION NANCY | ||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | 0 | 209166 | 25139 | X | ||
| EICH MD MATTHEW A | ||||||||
| FORMER HIGHEST PAID | 0.00 | 40.00 | 0 | 621666 | 29044 | X | ||
| HUGHES MD EVERETT M | ||||||||
| FORMER HIGHEST PAID | 0.00 | 40.00 | 0 | 616027 | 36155 | X | ||
| JOHNSON MD MICHAEL R | ||||||||
| FORMER HIGHEST PAID | 0.00 | 40.00 | 0 | 520271 | 35589 | X | ||
| MCDEVITT MD CHRISTOPHER | ||||||||
| FORMER HIGHEST PAID | 0.00 | 40.00 | 0 | 425153 | 37879 | X | ||
| SAWHNEY MD JASWIN S | ||||||||
| FORMER HIGHEST PAID | 0.00 | 40.00 | 0 | 392818 | 33986 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7508336 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 757708 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EBENEZER MANAGEMENT SERVICES | |||||
| 2722 PARK AVENUE | MINEAPOLIS | MN | 55407 | STAFFING SERVICES | 2103111 |
| AEGIS THERAPIES INC | |||||
| 1000 FIANNA WAY | FORT SMITH | AZ | 72919 | REHAB SERVICES | 231577 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 4659 | AllOtherContributions |
| Total Contributions | 4659 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT CARE | 620000 | 2553131 | 2553131 |
| RESIDENT REVENUE | 623000 | 60810 | 60810 |
| MEALS ON WHEELS | 624210 | 28692 | 28692 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2642633 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26755 | TotalRevenueColumn |
| Exclusion | $26,755 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 8250 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2183 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6067 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6067 | TotalRevenueColumn |
| Exclusion | $6,067 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 57788 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -57788 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -57788 | TotalRevenueColumn |
| Exclusion | -$57,788 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 5698 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5698 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5698 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2628024 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2648331 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$24,966 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2338047 | Total |
| Program Services | 2338047 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74157 | Total |
| Management And General | 74157 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2246110 | Total |
| Program Services | 1954228 | ProgramServices |
| Management And General | 291882 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1079 | Total |
| Management And General | 1079 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188538 | Total |
| Program Services | 169864 | ProgramServices |
| Management And General | 18674 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113217 | Total |
| Program Services | 113217 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18279 | Total |
| Program Services | 16945 | ProgramServices |
| Management And General | 1334 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106460 | Total |
| Program Services | 106460 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57943 | Total |
| Program Services | 23795 | ProgramServices |
| Management And General | 34148 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAID SURCHARGE | 118230 | 118230 | |
| MEDICAL SUPPLIES | 108824 | 108824 | |
| BAD DEBT EXPENSE | 45486 | 45486 | |
| DUES, LICENSES & SUBSCR | 9805 | 9805 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7377 | Total |
| Program Services | 1644 | ProgramServices |
| Management And General | 5733 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5433552 | Total |
| Program Services | 4996740 | ProgramServices |
| Management And General | 436812 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 661474 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 676180 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60249 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 0 | LandBuildingsEquipmentBasis |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 769362 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 527090 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6060 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2700415 | BOY |
| EOY | 0 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 464703 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 465403 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2232291 | BOY |
| EOY | 0 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2721 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2235012 | BOY |
| EOY | 0 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2700415 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2805528 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -2015 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 572531 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2287 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4325 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5431 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11030 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4659 | CurrentTaxYear |
| Total | 27732 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5020849 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5505265 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5712087 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5629984 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2648331 | CurrentTaxYear |
| Total | 24516516 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5023136 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5509590 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5717518 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5641014 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2652990 | CurrentTaxYear |
| Total | 24544248 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 24544248 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19686 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1652 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17135 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 36192 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35005 | CurrentTaxYear |
| Total | 109670 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19686 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1652 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17135 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 36192 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35005 | CurrentTaxYear |
| Total | 109670 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5042822 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5511242 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5734653 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5677206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2687995 | CurrentTaxYear |
| Total | 24653918 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99560 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99240 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00440 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00760 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | AT DECEMBER 31, 2012 AND 2011, 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM - RED WING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 HEWITT BLVD | AddressLine1 |
| City | RED WING | City |
| State | MN | State |
| ZIP Code | 55066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 411713783 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 159495 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 2178552 | AmountOfNonCashAssistance |
| Method Of Valuation | BOOK | MethodOfValuation |
| Description Of Non Cash Assistance | MERGER OF NON-CASH ASSETS AND LIABILITIES | DescriptionOfNonCashAssistance |
| Purpose Of Grant | SUPPORT MISSION | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS 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 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AGERTER MD DAVID C | ||||||||||||||
| REGION CEO/DIRECTOR (7/1/12-12/31/12 | 0 | 449783 | 0 | 0 | 0 | 33817 | 0 | 19707 | 0 | 15384 | 0 | 518691 | 0 | 0 |
| ALEXANDER MD JACK W | ||||||||||||||
| DIRECTOR (7/1/12-12/31/12) | 0 | 254104 | 0 | 58792 | 0 | 450 | 0 | 17500 | 0 | 20780 | 0 | 351626 | 0 | 0 |
| DEJONG MD AMY A | ||||||||||||||
| DIRECTOR | 0 | 227969 | 0 | 6585 | 0 | 1519 | 0 | 16992 | 0 | 18023 | 0 | 271088 | 0 | 0 |
| DOHERTY JOHN | ||||||||||||||
| DIRECTOR (1/1/12-6/30/12) | 0 | 300485 | 0 | 9920 | 0 | 0 | 0 | 29076 | 0 | 12686 | 0 | 352167 | 0 | 0 |
| KETCHAM MD JEFFREY M | ||||||||||||||
| SECRETARY(1/1/12-6/30/12) DIRECTOR | 0 | 606149 | 0 | 6851 | 0 | 5288 | 0 | 10000 | 0 | 21879 | 0 | 650167 | 0 | 0 |
| KOCH MARK B | ||||||||||||||
| DIRECTOR (7/1/12-9/26/12) | 0 | 279804 | 0 | 0 | 0 | 9282 | 0 | 322 | 0 | 16473 | 0 | 305881 | 0 | 0 |
| PARKS DOUGLAS A | ||||||||||||||
| DIRECTOR/SECTY/REGION CAO (7/1-12/31 | 0 | 188612 | 0 | 0 | 0 | 1169 | 0 | 20335 | 0 | 24187 | 0 | 234303 | 0 | 0 |
| PHILLIPPE PAULA | ||||||||||||||
| DIRECTOR (1/1/12-6/30/12) | 0 | 417642 | 0 | 12320 | 0 | 987 | 0 | 34756 | 0 | 29242 | 0 | 494947 | 0 | 0 |
| SIMPSON MD HENRY J | ||||||||||||||
| DIRECTOR (9/27/12-12/31/12) | 0 | 299001 | 0 | 0 | 0 | 0 | 0 | 22500 | 0 | 22976 | 0 | 344477 | 0 | 0 |
| WILLIAMS MD AMY W | ||||||||||||||
| DIRECTOR (7/1/12-12/31/12) | 0 | 234905 | 0 | 0 | 0 | 7632 | 0 | 29895 | 0 | 2064 | 0 | 274496 | 0 | 0 |
| WITT MD THOMAS J | ||||||||||||||
| PRESIDENT/CEO/DIRECTOR (7/1/12-12/31 | 0 | 410870 | 0 | 0 | 0 | 41652 | 0 | 42967 | 0 | 20649 | 0 | 516138 | 0 | 0 |
| WORDELMAN SCOTT R | ||||||||||||||
| PRESIDENT/CEO/DIRECTOR (1/1/12-6/30/ | 0 | 269926 | 0 | 69900 | 0 | 74171 | 0 | 26466 | 0 | 12686 | 0 | 453149 | 0 | 43393 |
| LARSON MICHAEL J | ||||||||||||||
| TREASURER(7/1/12-12/31/12) CFO | 0 | 203859 | 0 | 43246 | 0 | 500 | 0 | 17500 | 0 | 20937 | 0 | 286042 | 0 | 0 |
| PILOT DAVID L | ||||||||||||||
| REGION CFO (7/1/12-12/31/12) | 0 | 196045 | 0 | 0 | 0 | 0 | 0 | 13937 | 0 | 19997 | 0 | 229979 | 0 | 0 |
| DIMUNATION NANCY | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 160824 | 0 | 47842 | 0 | 500 | 0 | 14743 | 0 | 10396 | 0 | 234305 | 0 | 0 |
| EICH MD MATTHEW A | ||||||||||||||
| FORMER HIGHEST PAID | 0 | 614581 | 0 | 6585 | 0 | 500 | 0 | 17500 | 0 | 11544 | 0 | 650710 | 0 | 0 |
| HUGHES MD EVERETT M | ||||||||||||||
| FORMER HIGHEST PAID | 0 | 587148 | 0 | 6585 | 0 | 22294 | 0 | 17500 | 0 | 18655 | 0 | 652182 | 0 | 0 |
| JOHNSON MD MICHAEL R | ||||||||||||||
| FORMER HIGHEST PAID | 0 | 490331 | 0 | 6585 | 0 | 23355 | 0 | 17500 | 0 | 18089 | 0 | 555860 | 0 | 0 |
| MCDEVITT MD CHRISTOPHER | ||||||||||||||
| FORMER HIGHEST PAID | 0 | 418447 | 0 | 6256 | 0 | 450 | 0 | 17500 | 0 | 20379 | 0 | 463032 | 0 | 0 |
| SAWHNEY MD JASWIN S | ||||||||||||||
| FORMER HIGHEST PAID | 0 | 377354 | 0 | 6616 | 0 | 8848 | 0 | 17500 | 0 | 16486 | 0 | 426804 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). DAVID C. AGERTER, M.D. $27,454 MARK B. KOCH $8,013 AMY W. WILLIAMS, M.D. $6,177 THOMAS J. WITT, M.D. $30,605 IN ADDITION, PRIOR TO AFFILIATION WITH MAYO CLINIC, SCOTT WORDELMAN PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $43,393 THROUGH FAIRVIEW HEALTH SERVICES. | |
| PART III | PART I, LINE 3: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. | SUPPLEMENTAL INFORMATION |
Schedule N IRS990ScheduleN
Liquidation Table LiquidationTable
Liquidation Detail LiquidationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | ALL ASSETS, LIABILITIES AND NET ASSETS MERGED INTO PARENT | DescriptionOfAsset |
| Date Of Distribution | 2012-12-31 | DateOfDistribution |
| FMV Of Asset | 2338047 | FMVOfAsset |
| Method Of FMV Determination | BOOK VALUE AT END OF YEAR | MethodOfFMVDetermination |
| EIN | 411713783 | EIN |
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM-RED WING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 HEWITT BLVD | AddressLine1 |
| City | RED WING | City |
| State | MN | State |
| ZIP Code | 55066 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | 1 | DirectorOfSuccessor |
| Employee Of Successor | 1 | EmployeeOfSuccessor |
| Owner Of Successor | 0 | OwnerOfSuccessor |
| Receive Compensation | 0 | ReceiveCompensation |
| Assets Distributed | 1 | AssetsDistributed |
| Required To Notify AG | 1 | RequiredToNotifyAG |
| AG Notified | 1 | AGNotified |
| Liabilities Paid | 1 | LiabilitiesPaid |
| Bonds Outstanding | 0 | BondsOutstanding |
Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 2E: THE BOARD OF DIRECTORS FOR RED WING SEMINARY HOME ARE THE SAME MEMBERS FOR MAYO CLINIC HEALTH SYSTEM-RED WING, WHICH IS THE SURVIVING ENTITY IN THE MERGER OF THE TWO ORGANIZATIONS. |
| PART I, LINE 7C: THE REPORTING ORGANIZATION DID NOT HAVE ANY TAX EXEMPT BOND LIABILITIES. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | RED WING SEMINARY HOME BECAME A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM ON JULY 1, 2012, PRIOR TO THAT THEY WERE PART OF THE FAIRVIEW HEALTH SYSTEM. ON DECEMBER 31, 2012 RED WING SEMINARY HOME MERGED INTO THE MAYO CLINIC HEALTH SYSTEM-RED WING. |
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: ALEXANDER M.D., JACK W. DEJONG M.D., AMY A. DIMUNATION, NANCY DOHERTY, JOHN EICH M.D., MATTHEW A. HUGHES M.D., EVERETT M. JOHNSON M.D., MICHAEL R. KETCHAM M.D., JEFFREY M. LARSON, MICHAEL J. MCDEVITT M.D., CHRISTOPHER PHILLIPPE, PAULA SAWHNEY M.D., JASWIN S. WORDELMAN, SCOTT R. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: AGERTER M.D., DAVID C. ALEXANDER M.D., JACK W. ANDERST, DONNA BECK, JENNIFER BODENSTEINER, RICHARD DEJONG M.D., AMY A. DIMUNATION, NANCY DOHERTY, JOHN EICH M.D., MATTHEW A. FOOT III., SILAS B. HALEY, BARBARA HANSON, JOHN O. HUGHES M.D., EVERETT M. JOHNSON M.D., MICHAEL R. KETCHAM M.D., JEFFREY M. KOCH, MARK B. LARSON, MICHAEL J. MCDEVITT M.D., CHRISTOPHER MURPHY, DAVID D. PARKS, DOUGLAS A. PHILLIPPE, PAULA PILOT, DAVID L. RIEGELMAN, ROBERT SIMPSON M.D., HENRY J. WILLIAMS M.D., AMY W. WITT M.D., THOMAS J. WORDELMAN, SCOTT R. THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: PILOT, DAVID L. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: AGERTER M.D., DAVID C. KOCH, MARK B. PARKS, DOUGLAS A. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: SIMPSON M.D., HENRY J. WITT M.D., THOMAS J. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: SIMPSON M.D., HENRY J. WITT M.D., THOMAS J. THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: WITT M.D., THOMAS J. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: AGERTER M.D., DAVID C. KOCH, MARK B. PARKS, DOUGLAS A. PILOT, DAVID L. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: DOHERTY, JOHN PHILLIPPE, PAULA WORDELMAN, SCOTT R. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE. DOHERTY, JOHN FOOT III., SILAS B. PHILLIPPE, PAULA WORDELMAN, SCOTT R. MURPHY, DAVID D. | |
| 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 HEALTH SYSTEM-RED WING ALSO PROVIDES MANAGEMENT SERVICES ON A REGIONAL BASIS THAT INCLUDES THE FILING ORGANIZATION. PRIOR TO THE MAYO CLINIC HEALTH SYSTEM MERGER IN JULY 2012, EBENEZER MANAGEMENT SERVICES MANAGED THE FILING ORGANIZATION UNDER THE DIRECTION OF FAIRVIEW RED WING HEALTH SERVICES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. | |
| FORM 990, PART VI, SECTION A, LINE 4 | ON JULY 1, 2012 THE ORGANIZATION CHANGED ITS NAME TO RED WING SEMINARY HOME. ON DECEMBER 31, 2012 RED WING SEMINARY HOME MERGED INTO ITS PARENT ORGANIZATION MAYO CLINIC HEALTH SYSTEM-RED WING. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS MAYO CLINIC HEALTH SYSTEM-RED WING. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD SHALL CONSIST OF THOSE PERSONS WHO ARE CONTEMPORANEOUSLY MEMBERS OF THE BOARD OF DIRECTORS OF MCHS-RED WING AND THEREFORE ELECTED PURSUANT TO THE ARTICLES AND BYLAWS OF THE SOLE MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ARTICLES AND BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT, AMENDMENT OF THE ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. DUE TO THE MERGER AT THE END OF THE REPORTING YEAR, THE GOVERNING BODY THAT REVIEWED THE FILING ORGANIZATION'S 990 WAS MAYO CLINIC HEALTH SYSTEM-RED WING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FILING ORGANIZATION BECAME AN AFFILIATE OF MAYO CLINIC ON JULY 1, 2012. 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. PRE-AFFILIATION WITH MAYO CLINIC, MANAGERS, DIRECTORS, AND SENIOR MANAGEMENT OF THE REPORTING ORGANIZATION WERE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTEREST BY BOARD MEMBERS ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR SPECIFIC REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS, DIRECTORS, AND SENIOR MANAGEMENT WHICH IS ALSO PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONLFICTS AS NECESSARY DURING THE YEAR. | |
| AS OF JULY 1, 2012, 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 MAYO-EMPLOYED PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE REGIONAL CEO AND CAO, SITE CEO AND CAO, ALONG WITH PHYSICIAN LEADERS ON THE BOARD OF THE FILING ORGANIZATION WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO CLINIC HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE THEN REVIEWS AND APPROVES THE COMPENSATION. FOR THOSE INDIVIDUALS FOR WHICH THE MAYO CLINIC HEALTH SYSTEM COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. PRE-AFFILIATION WITH MAYO CLINIC THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION WAS PROCESSED BY THE FAIRVIEW HEALTH SERVICES HUMAN RESOURCES EXECUTIVE COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. | |
| OTHER FEES | FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 65,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,142. STAFFING SERVICES: PROGRAM SERVICE EXPENSES 1,700,110. MANAGEMENT AND GENERAL EXPENSES 201,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,901,342. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 14,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,439. CONTRACTED NUTRITION SERVICES: PROGRAM SERVICE EXPENSES 10,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,398. FAIRVIEW FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,508. THERAPY AND X-RAYS: PROGRAM SERVICE EXPENSES 229,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,281. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | MARKET ADJUSTMENT RELATED TO MERGER VALUATION 572,531. |
| IN REGARDS TO FILING CERTAIN FOREIGN FORMS | SCHEDULE F, PART IV, LINES 3, 5, & 6 | 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 HOLDING COMPANY (EIN: 41-1578020) 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
Form990 Schedule R Part II Form990ScheduleRPartII (53 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLOOMER LAKEVIEW INC | |||||||||||||||
| 2110 DUNCAN ROAD | BLOOMER | WI | 54724 | 391450617 | LOW INCOME HOUSING | WI | 501(C)(3) | 7 | MCHS--CHIPPEWA VALLEY INC | 1 | |||||
| CHARTERHOUSE INC | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411405254 | RETIREMENT LIVING CENTER | MN | 501(C)(3) | 9 | MAYO CLINIC | 1 | |||||
| FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC | |||||||||||||||
| 464 SOUTH ST JOSEPH AVENUE | ARCADIA | WI | 54612 | 391322480 | FUNDRAISING FOUNDATION | WI | 501(C)(3) | 9 | MCHS--FRANCISCAN HEALTHCARE INC | 1 | |||||
| GOLD CROSS AMBULANCE SERVICE | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411917516 | AMBULANCE SERVICE | MN | 501(C)(3) | 9 | MFMER | 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 | 1 | |||||
| MAYO CLINIC | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 416011702 | PATIENT CARE - CLINIC | MN | 501(C)(3) | 9 | 1 | N/A | |||||
| MAYO CLINIC -- METHODIST HOSPITAL | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 410739106 | HOSPITAL | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC -- SAINT MARYS HOSPITAL | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 410944601 | HOSPITAL | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC ARIZONA | |||||||||||||||
| 13400 EAST SHEA BOULEVARD | SCOTTSDALE | AZ | 85259 | 860800150 | HOSPITAL AND CLINIC | AZ | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) | |||||||||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 590714831 | HOSPITAL | FL | 501(C)(3) | 3 | MAYO CLINIC JACKSONVILLE | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC | |||||||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 581667166 | HOSPITAL | GA | 501(C)(3) | 3 | MAYO CLINIC JACKSONVILLE | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--ALBERT LEA | |||||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 411404075 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--AUSTIN | |||||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 410695606 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION | |||||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 300107471 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MCHS--AUSTIN | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--CANNON FALLS | |||||||||||||||
| 1116 WEST MILL STREET | CANNON FALLS | MN | 55009 | 204156428 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC | |||||||||||||||
| 1501 THOMPSON STREET | BLOOMER | WI | 54724 | 390980343 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--EAU CLAIRE HOSPITAL INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--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 | |||||
| MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC | |||||||||||||||
| 733 W CLAIREMONT AVE PO BOX 1510 | EAU CLAIRE | WI | 54702 | 391633407 | GRANTMAKING FOUNDATION | WI | 501(C)(3) | 11-I | MCHS--EAU CLAIRE CLINIC INC | 0 | |||||
| MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC | |||||||||||||||
| 1221 WHIPPLE STREET | EAU CLAIRE | WI | 54703 | 390813418 | HOSPITAL | WI | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--FAIRMONT | |||||||||||||||
| 800 MEDICAL CENTER DRIVE PO BOX 800 | FAIRMONT | MN | 56031 | 410760836 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC | |||||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 391186647 | FUNDRAISING FOUNDATION | WI | 501(C)(3) | 7 | MCHS--FRANCISCAN HEALTHCARE INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC | |||||||||||||||
| 310 WEST MAIN STREET | SPARTA | WI | 54656 | 391423234 | FUNDRAISING FOUNDATION | WI | 501(C)(3) | 9 | MCHS--FRANCISCAN HEALTHCARE INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC | |||||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 391411999 | HEALTHCARE SYSTEM PARENT | WI | 501(C)(3) | 11-I | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC | |||||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 390806374 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--FRANCISCAN HEALTHCARE INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC | |||||||||||||||
| PO BOX 2060 | EAU CLAIRE | WI | 54702 | 391491516 | HOME HEALTH AND HOSPICE CARE | WI | 501(C)(3) | 9 | MCHS--EAU CLAIRE HOSPITAL INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--LAKE CITY | |||||||||||||||
| 500 WEST GRANT STREET | LAKE CITY | MN | 55041 | 411906820 | HOSPITAL | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--MANKATO | |||||||||||||||
| 1025 MARSH STREET | MANKATO | MN | 56002 | 411236756 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION | |||||||||||||||
| 1025 MARSH STREET | MANKATO | MN | 56002 | 411663357 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MCHS--MANKATO | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE | |||||||||||||||
| 301 SECOND STREET NE | NEW PRAGUE | MN | 56071 | 410723639 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC | |||||||||||||||
| 1222 EAST WOODLAND AVENUE | BARRON | WI | 54812 | 390920634 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MCHS--EAU CLAIRE HOSPITAL INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--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 | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--OWATONNA | |||||||||||||||
| 134 SOUTHVIEW ST | OWATONNA | MN | 55060 | 411862132 | PATIENT CARE - CLINIC | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC | |||||||||||||||
| 2321 STOUT ROAD | MENOMONIE | WI | 54751 | 510190875 | HOSPITAL AND CLINIC | WI | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--RED WING | |||||||||||||||
| 701 HEWITT BOULEVARD | RED WING | MN | 55066 | 411713783 | PATIENT CARE SERVICES | MN | 501(C)(3) | 3 | MAYO CLINIC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE | |||||||||||||||
| 701 HEWITT BOULEVARD | RED WING | MN | 55066 | 411539756 | HOME HEALTHCARE SERVICES | MN | 501(C)(3) | 7 | MCHS--RED WING | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD | |||||||||||||||
| 625 NORTH JACKSON AVENUE | SPRINGFIELD | MN | 56087 | 411893827 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--ST JAMES | |||||||||||||||
| 1101 MOULTON PARSONS DR PO BOX 460 | ST JAMES | MN | 56081 | 410797368 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION | |||||||||||||||
| 1101 MOULTON PARSONS DR PO BOX 460 | ST JAMES | MN | 56081 | 411444129 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MCHS--ST JAMES | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC | |||||||||||||||
| PO BOX 2060 | EAU CLAIRE | WI | 54702 | 391686673 | HOME HEALTH CARE | WI | 501(C)(3) | 9 | MCHS--EAU CLAIRE HOSPITAL INC | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--WASECA | |||||||||||||||
| 501 NORTH STATE STREET | WASECA | MN | 56093 | 363606405 | HOSPITAL AND CLINIC | MN | 501(C)(3) | 3 | MCHS--MANKATO | 1 | |||||
| MAYO CLINIC JACKSONVILLE | |||||||||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 593337028 | PATIENT CARE - CLINIC | FL | 501(C)(3) | 7 | MAYO CLINIC | 1 | |||||
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411506440 | CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES | MN | 501(C)(3) | 9 | MAYO CLINIC | 1 | |||||
| MAYO KLINIK STIFTUNG | |||||||||||||||
| FUNDRAISING FOUNDATION | MFMER | 1 | 60486 FRANKFURT AM MAIN | FRANKFURT | GM | GM | |||||||||
| MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 412020392 | SUPPORT RESEARCH, PRACTICE & EDUCATION | MN | 501(C)(3) | 11-I | MAYO CLINIC | 1 | |||||
| POVERELLO FOUNDATION | |||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411494881 | FUNDRAISING FOUNDATION | MN | 501(C)(3) | 7 | MAYO CLINIC -- SAINT MARYS HOSPITAL | 1 | |||||
| RED WING SEMINARY HOME | |||||||||||||||
| 701 HEWITT BOULEVARD | RED WING | MN | 55066 | 411263419 | RESIDENT CARE AND HOUSING | MN | 501(C)(3) | 9 | MCHS--RED WING | 1 | |||||
| SATILLA HEALTH MANAGEMENT INC | |||||||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 581717889 | HEALTHCARE SERVICES | GA | 501(C)(3) | 3 | MCHS IN WAYCROSS INC | 1 | |||||
| THE DOWNTOWN PLAZA | |||||||||||||||
| 701 HEWITT BOULEVARD | RED WING | MN | 55066 | 411532554 | ELDERLY HOUSING | MN | 501(C)(3) | 9 | MCHS--RED WING | 1 | |||||
| FAIRVIEW FOUNDATION | |||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 411573810 | FUNDRAISING TO SUPPORT FAIRVIEWS MISSION | MN | 501(C)(3) | 7 | FAIRVIEW HEALTH SERVICES | 1 | |||||
| FAIRVIEW HEALTH SERVICES | |||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 410991680 | HOSPITAL PATIENT SERVICES | MN | 501(C)(3) | 3 | FAIRVIEW HEALTH SERVICES | 1 | |||||
| FAIRVIEW HOME CARE AND HOSPICE | |||||||||||||||
| 2450 26TH AVE SOUTH | MINNEAPOLIS | MN | 55406 | 411434246 | HOME HEALTH CARE | MN | 501(C)(3) | 9 | FAIRVIEW HEALTH SERVICES | 1 | |||||
| FAIRVIEW PHYSICIAN ASSOCIATES NETWORK | |||||||||||||||
| 3400 WEST 66TH STREET | MINNEAPOLIS | MN | 55435 | 411753325 | CLINICAL INTEGRATION | MN | 501(C)(3) | 9 | FAIRVIEW HEALTH SERVICES | 1 | |||||
| RANGE REGIONAL HEALTH SERVICES | |||||||||||||||
| 750 EAST 34TH STREET | HIBBING | MN | 55746 | 411293970 | HOSPITAL PATIENT SERVICES | MN | 501(C)(3) | 3 | FAIRVIEW HEALTH SERVICES | 1 | |||||
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| FRANKLIN HEATING STATION | |||||||
| 119 THIRD ST SW | ROCHESTER | MN | 55902 | 410264830 | UTILITY | MN | N/A |
| PHYSICIAN SOFTWARE SYSTEMS LLC | |||||||
| 3333 WARRENVILLE ROAD SUITE 200 | LISLE | IL | 60532 | 453414836 | HEALTHCARE RELATED SOFTWARE | IL | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (43 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH TRADITION HEALTH PLAN | ||||||||||||||
| 1808 EAST MAIN STREET | ONALASKA | WI | 54650 | 391545987 | MEDICAL SERVICES COMPANY | WI | N/A | C | 1 | |||||
| LOBSS NETWORK SUPPORT 2002 INC | ||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 481276150 | ADMINISTRATIVE SERVICES | MN | N/A | C | 1 | |||||
| MAYO CLINIC GBS MAURITIUS | ||||||||||||||
| HEALTHCARE MANAGEMENT | N/A | C | 1 | 2ND FLOOR EBENE MEWS 57 | EBENE CYBERCITY | MP | MP | |||||||
| MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS | ||||||||||||||
| 907 MONTGOMERY STREET | DECORAH | IA | 52101 | 411711329 | PATIENT CARE - CLINIC | IA | N/A | C | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--FARIBAULT | ||||||||||||||
| 635 FIRST STREET SE | FARIBAULT | MN | 55021 | 411817179 | PATIENT CARE - CLINIC | MN | N/A | C | 1 | |||||
| MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC | ||||||||||||||
| 1221 WHIPPLE STREET | EAU CLAIRE | WI | 54703 | 391528920 | PHARMACY SERVICES | WI | N/A | C | 1 | |||||
| MAYO COLLABORATIVE SERVICES INC | ||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411346366 | REFERENCE LAB SERVICES | MN | N/A | C | 1 | |||||
| MAYO HOLDING COMPANY | ||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411578020 | HOLDING COMPANY | MN | N/A | C | 1 | |||||
| MAYO INSURANCE COMPANY LTD | ||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | SELF INSURANCE POOL | N/A | C | 1 | CJ | ||||||
| MAYO MEDICAL LABORATORIES NEW ENGLAND INC | ||||||||||||||
| 265 BALLARDVALE STREET | WILMINGTON | MA | 01887 | 043323713 | LABORATORY SERVICES | MA | N/A | C | 1 | |||||
| MAYO REGIONAL PRACTICES OF ARIZONA | ||||||||||||||
| 13400 EAST SHEA BOULEVARD | SCOTTSDALE | AZ | 85259 | 061190278 | THIRD PARTY ADMINISTRATION SERVICES | AZ | N/A | C | 1 | |||||
| MMSI INC | ||||||||||||||
| 21 FIRST STREET SW | ROCHESTER | MN | 55905 | 411547003 | THIRD PARTY ADMINISTRATION SERVICES | MN | N/A | C | 1 | |||||
| RESOUNDANT INC | ||||||||||||||
| 221 1ST AVE SW | ROCHESTER | MN | 55902 | 461661978 | MANUFACTURING MEDICAL DEVICE COMPONENT | MN | N/A | C | 1 | |||||
| ROCHESTER AIRPORT COMPANY | ||||||||||||||
| ROUTE 2 | ROCHESTER | MN | 55902 | 410506870 | AIRPORT MANAGEMENT | MN | N/A | C | 1 | |||||
| SATILLA HEALTH ENTERPRISES INC | ||||||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 581717222 | HEALTHCARE | GA | N/A | C | 1 | |||||
| SATILLA HEALTHNET INC | ||||||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 582151076 | HEALTH SERVICES | GA | N/A | C | 1 | |||||
| SATILLA REGIONAL SPECIALTY PHYSICIANS INC | ||||||||||||||
| 1900 TEBEAU STREET | WAYCROSS | GA | 31501 | 204363143 | PHYSICIAN OFFICES | GA | N/A | C | 1 | |||||
| SIT ALPHA II BOND FUND LTD | ||||||||||||||
| 980648163 | INVESTMENT MANAGEMENT | N/A | C | 1 | CLIFTON HOUSE 75 FORTH ST | GRAND CAYMAN | CJ | CJ | KY1-1108 | |||||
| SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION | ||||||||||||||
| 13400 E SHEA BLVD | SCOTTSDALE | AZ | 85259 | 860870505 | COMMERCIAL PROPERTY OWNERS ASSOCIATION | AZ | N/A | C | 1 | |||||
| THE STABILE BUILDING OWNERS' ASSOCIATION | ||||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 208994499 | COMMERCIAL PROPERTY OWNERS ASSOCIATION | MN | N/A | C | 1 | |||||
| BEHAVIORAL HEALTHCARE PROVIDERS | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 411805759 | MENTAL HEALTH PRACTITIONERS | MN | N/A | C | 1 | |||||
| FAIRVIEW CLINICS | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 411761760 | PHYSICIAN SERVICES | MN | N/A | C | 1 | |||||
| FAIRVIEW PHYSICIAN AND CLINIC SERVICES | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 411544996 | PHYSICIAN SERVICES | MN | N/A | C | 1 | |||||
| FAIRVIEW SUBSIDIARY III (EXPRESS CARE) | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 205996177 | PHYSICIAN SERVICES | MN | N/A | C | 1 | |||||
| MINNESOTA HEART | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 411598660 | MEDICAL SERVICES | MN | N/A | C | 1 | |||||
| RIDGES DEVELOPMENT CO & SUBSIDIARY | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 411568579 | LEASEHOLD MANAGEMENT | MN | N/A | C | 1 | |||||
| SURGICAL CONSULTANTS | ||||||||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 410877307 | MEDICAL SERVICES | MN | N/A | C | 1 | |||||
| CHARITABLE LEAD TRUST | ||||||||||||||
| CHARITABLE TRUST | CA | N/A | T | 1 | ||||||||||
| PERPETUAL TRUST | ||||||||||||||
| CHARITABLE TRUST | ND | N/A | T | 1 | ||||||||||
| PERPETUAL TRUST | ||||||||||||||
| CHARITABLE TRUST | LA | N/A | T | 1 | ||||||||||
| PERPETUAL TRUST (2) | ||||||||||||||
| CHARITABLE TRUST | MA | N/A | T | 1 | ||||||||||
| PERPETUAL TRUST | ||||||||||||||
| CHARITABLE TRUST | MO | N/A | T | 1 | ||||||||||
| PERPETUAL TRUST | ||||||||||||||
| CHARITABLE TRUST | AZ | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST | ||||||||||||||
| CHARITABLE TRUST | CO | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST (6) | ||||||||||||||
| CHARITABLE TRUST | FL | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST | ||||||||||||||
| CHARITABLE TRUST | FL | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST | ||||||||||||||
| CHARITABLE TRUST | IL | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST | ||||||||||||||
| CHARITABLE TRUST | LA | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST | ||||||||||||||
| CHARITABLE TRUST | MI | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST (68) | ||||||||||||||
| CHARITABLE TRUST | MN | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST (77) | ||||||||||||||
| CHARITABLE TRUST | MN | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST | ||||||||||||||
| CHARITABLE TRUST | NC | N/A | T | 1 | ||||||||||
| CHARITABLE REMAINDER TRUST (2) | ||||||||||||||
| CHARITABLE TRUST | TX | N/A | T | 1 | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |