MAYO CLINIC HEALTH SYSTEM - OWATONNA: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MAYO CLINIC HEALTH SYSTEM - OWATONNA (EIN 41-1862132)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-09-30
- IRS object ID
- 201322739349300652
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-30T09:31:49-05:00 | 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 | 411862132 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM - OWATONNA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAYO | NameControl |
| Phone | 5075381297 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 26TH STREET NW | AddressLine1 |
| City | OWATONNA | City |
| State | MN | State |
| ZIP Code | 55060 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID W BERG | Name |
| Title | CAO | Title |
| Phone | 5074554441 | Phone |
| Date Signed | 2013-09-27 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BRIAN E BUNKERS MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 26TH STREET NW | AddressLine1 |
| City | OWATONNA | City |
| State | MN | State |
| ZIP Code | 55060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 69549442 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MAYOCLINICHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF A MEDICAL CLINIC | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 504 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | -4506 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -4506 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 84936 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 670830 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 64816791 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 68599452 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 100055 | InvestmentIncomePriorYear |
| Investment Income Current Year | 121115 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 338217 | OtherRevenuePriorYear |
| Other Revenue Current Year | 66825 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 65339999 | TotalRevenuePriorYear |
| Total Revenue Current Year | 69458222 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 98353 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 31301 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 40528945 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40988356 | 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 | 20662594 | OtherExpensePriorYear |
| Other Expenses Current Year | 25238095 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 61289892 | TotalExpensesPriorYear |
| Total Expenses Current Year | 66257752 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4050107 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3200470 | RevenuesLessExpensesCY |
| Total Assets BOY | 48829418 | TotalAssetsBOY |
| Total Assets EOY | 58057684 | TotalAssetsEOY |
| Total Liabilities BOY | 6863652 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8317637 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 41965766 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 49740047 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 54913024 | Expense |
| Revenue | 67308548 | Revenue |
| Description | PATIENT CARE (SEE SCHEDULE O):MAYO CLINIC HEALTH SYSTEM - OWATONNA (MCHS-OWATONNA) IS A MEMBER 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 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.AS PART OF THE MAYO CLINIC HEALTH SYSTEM, MCHS-OWATONNA IS ORGANIZED AND OPERATED AS A NONPROFIT MULTI-SPECIALTY CLINIC PROVIDING HEALTH CARE SERVICES AT ITS MAIN CLINIC FACILITY IN THE CITY OF OWATONNA, MINNESOTA AND OUTREACH AT OTHER CLINIC FACILITIES LOCATED IN THE AREA SURROUNDING OWATONNA. MCHS-OWATONNA STAFF INCLUDES PHYSICIANS IN A VARIETY OF SPECIALTY FIELDS INCLUDING: FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, OBSTETRICIAN/GYNECOLOGY, DERMATOLOGY, OTOLARYNGOLOGY, OPHTHALMOLOGY, ORTHOPEDICS, PEDIATRICS, PLASTIC & RECONSTRUCTIVE SURGERY, UROLOGY, URGENT CARE AND EMERGENCY MEDICINE. MCHS-OWATONNA OFFERS COMPREHENSIVE LABORATORY, DIAGNOSTIC, PAIN MANAGEMENT AND INFUSION THERAPY SERVICES LIKE CHEMOTHERAPY FOR AREA CANCER PATIENTS. SPECIALTY PHYSICIANS IN GENERAL SURGERY, OBSTETRICS, OTOLARYNGOLOGY AND ORTHOPEDIC SURGERY SEE PATIENTS AT OTHER AREA CLINICS AND HOSPITALS PROVIDING SPECIALTY CARE AND CRITICAL ON-CALL SUPPORT. THE HOSPITALS THAT BENEFIT FROM THIS CARE AND ON-CALL SUPPORT ARE EXEMPT UNDER SECTION 501(C)(3) OF THE CODE, AND MANY ARE RELATED HOSPITALS IN THE MAYO CLINIC HEALTH SYSTEM. WHILE PHYSICIANS AT MCHS-OWATONNA MEET THE VAST MAJORITY OF PATIENTS' HEALTHCARE NEEDS IN OWATONNA, A TEAM OF VISITING SPECIALISTS FROM MAYO CLINIC SEE PATIENTS LOCALLY, PROVIDING CONVENIENT CONSULTATION AND CARE IN CARDIOLOGY, ONCOLOGY, NEUROLOGY, NEPHROLOGY, AND DIALYSIS.MCHS-OWATONNA RECORDED 134,214 PRIMARY CARE VISITS AND 251,691 RADIOLOGY AND LAB TESTS FOR 2012. MCHS-OWATONNA PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE ALSO PROVIDED TO BOTH MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2012, MCHS-OWATONNA PROVIDED APPROXIMATELY $400,700 IN FINANCIAL ASSISTANCE (AT COST) TO PATIENTS. THE UNREIMBURSED COST OF SERVICES TO MEDICAID PATIENTS WAS APPROXIMATELY $6,133,400 AND THE UNREIMBURSED COST OF SERVICES TO MEDICARE PATIENTS WAS APPROXIMATELY $9,206,000. MCHS-OWATONNA ALSO PAID $1,074,526 OF MINNESOTACARE TAX, WHICH IS USED TO FUND A STATE PROGRAM FOR PROVIDING MEDICAL CARE TO THE LOW INCOME POPULATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 309676 | Expense |
| Grants | 31301 | Grants |
| Revenue | 591 | Revenue |
| Description | COMMUNITY INVOLVEMENT & EDUCATION (SEE SCHEDULE O):MCHS-OWATONNA'S COMMUNITY INVOLVEMENT AND CHARITABLE CONTRIBUTIONS FOCUS ON:- IMPROVING QUALITY OF LIFE;- PROMOTING YOUTH POTENTIAL; - IMPROVING COMMUNITY HEALTH AND WELLNESS; AND- PARTNERING FOR COMMUNITY GROWTH AND DEVELOPMENT.IN 2012, MCHS-OWATONNA PROVIDED VARIOUS COMMUNITY SERVICES AND EDUCATIONAL OPPORTUNITIES TO AREA RESIDENTS. SOME OF THESE ACTIVITIES ARE DESCRIBED BELOW. OVER 180 WOMEN ATTENDED THE ANNUAL "WOMEN'S HEALTH DAY EDUCATIONAL EVENT". THE EVENT EXISTS TO EDUCATE THE WOMEN OF OWATONNA AND THE SURROUNDING AREA ON HEALTHCARE TOPICS RELATED TO WOMEN. NEARLY 500 LOCAL RESIDENTS ATTENDED THE ANNUAL "HAVE A SAFE SUMMER CHILDREN'S SAFETY FAIR". THE FAIR IS A COMMUNITY PROGRAM THAT IS DESIGNED TO EDUCATE YOUTH ABOUT HEALTH AND SAFETY. THE FAIR IS A PARTNERSHIP WITH THE MEDICAL PROFESSION, LAW ENFORCEMENT, SCHOOLS, PUBLIC SERVICE ORGANIZATIONS, THE CITY OF OWATONNA, STEELE COUNTY PUBLIC HEALTH, AND OTHER COMMUNITY ORGANIZATIONS THAT PROVIDE SAFETY TRAINING AND HEALTHY SUMMER ACTIVITIES FOR YOUTH. THE ANNUAL COMMUNITY WALKING PROGRAM IS DESIGNED TO INCREASE THE PHYSICAL ACTIVITY LEVEL OF STEELE COUNTY RESIDENTS MEASURED BY THE NUMBER OF STEPS THEY WALK IN A DAY. THE PROGRAM IS IN COLLABORATION WITH THE OWATONNA HOSPITAL AND THE CITY OF OWATONNA. OVER 500 PARTICIPATED IN THE 2012 WALKING PROGRAM.MCHS-OWATONNA HELD AN ANNUAL FLU SHOT CLINIC FOR THE COMMUNITY AND WENT ON-SITE TO LOCAL BUSINESSES TO ADMINISTER FLU SHOTS FOR EMPLOYEES. ALSO OFFERED WERE FREE DIABETES AND CANCER SUPPORT GROUP SESSIONS, FREE COLORECTAL SCREENINGS AND EDUCATIONAL SEMINARS.MCHS-OWATONNA PHYSICIANS PROVIDED MEDICAL COVERAGE AT VARIOUS LOCAL HIGH SCHOOL SPORTING EVENTS. IN ADDITION, SPORTS SCREENINGS WERE OFFERED TO LOCAL AND SURROUNDING AREA STUDENTS AT NO CHARGE. MCHS-OWATONNA SPONSORED HAND WASHING STATIONS AT THE STEELE COUNTY FREE FAIR AND STAFF VOLUNTEERED THEIR TIME TO REPRESENT THE CLINIC AT THE FAIR.MCHS-OWATONNA STAFF SPOKE AT SEVERAL EVENTS DURING THE YEAR AND SERVED ON THE BOARDS OF VARIOUS AGENCIES IN THE COMMUNITY.MCHS-OWATONNA DISTRIBUTES A QUARTERLY NEWSLETTER "HOMETOWN HEALTH" TO ALL MAILBOXES IN ITS SERVICE AREA TO KEEP EVERYONE INFORMED OF NEW SERVICES, NEW PROVIDERS, EDUCATION/PREVENTION AND PATIENT CARE RELATED INFORMATION. MCHS-OWATONNA PROVIDED CLINICAL EXPERIENCE FOR NURSING AND HEALTH RELATED CAREERS WHICH WERE OFFERED THROUGH A LOCAL COMMUNITY COLLEGE. DURING 2012, STUDENTS WERE PROVIDED THE OPPORTUNITY FOR JOB SHADOWING. MCHS-OWATONNA ALSO PROVIDED CLINICALS FOR RESIDENTS.IN ADDITION TO THE ABOVE ACTIVITIES, MCHS-OWATONNA GAVE $31,301 IN GRANTS TO CHARITIES AND COMMUNITY ORGANIZATIONS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | 1290809 | Revenue |
| Description | MCHS-OWATONNA LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Rev | 1290809 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 55222700 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | 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 | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 504 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | 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 | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | 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 | MAYO CORPORATE TAX UNIT | 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 (32 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 | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| AGERTER MD DAVID C | ||||||||||
| DIRECTOR/REGIONAL CEO | 1.00 | 40.00 | X | X | 0 | 483600 | 35091 | |||
| BERG DAVID W | ||||||||||
| DIRECTOR/CAO | 40.00 | 0.00 | X | X | 203776 | 0 | 16878 | |||
| BUNKERS MD BRIAN E | ||||||||||
| DIRECTOR/CHAIR/CEO/PHYSICIAN | 40.00 | 0.00 | X | X | 347327 | 0 | 11421 | |||
| CROCKETT ERIC D | ||||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 132841 | 31469 | ||||
| GROFF STAN | ||||||||||
| DIRECTOR/VICE CHAIR | 1.00 | 0.00 | X | X | 0 | 0 | 0 | |||
| HERZOG JAMES | ||||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| HOWELL MD THOMAS G | ||||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 445497 | 59261 | ||||
| MCGRAW COLLEEN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| PLATE MD REINOLD H | ||||||||||
| DIR/SECRETARY/TREASURER/PHYSICIAN | 40.00 | 0.00 | X | X | 321748 | 0 | 14377 | |||
| JOHNSON KRISTIN S | ||||||||||
| CFO | 40.00 | 0.00 | X | 161080 | 0 | 10844 | ||||
| KOCH MARK B | ||||||||||
| ASSISTANT SECRETARY | 1.00 | 40.00 | X | 0 | 289086 | 16795 | ||||
| PARKS DOUGLAS A | ||||||||||
| REGIONAL CAO | 1.00 | 40.00 | X | 0 | 189781 | 44522 | ||||
| PILOT DAVID L | ||||||||||
| REGIONAL CFO | 1.00 | 40.00 | X | 0 | 196045 | 33934 | ||||
| BECKMAN MD JANET M | ||||||||||
| PHYSICIAN-URGENT CARE | 40.00 | 0.00 | 321176 | 0 | 8420 | X | ||||
| BEYER MD DEREK A | ||||||||||
| PHYSICIAN-OB/GYN | 40.00 | 0.00 | 501448 | 0 | 15485 | X | ||||
| BLOMQUIST MD KARL L | ||||||||||
| PHYSICIAN-FAMILY PRACTICE | 40.00 | 0.00 | 286593 | 0 | 27921 | X | ||||
| GRIFFIN MD LORRAINE J | ||||||||||
| PHYSICIAN-DERMATOLOGY | 40.00 | 0.00 | 279534 | 0 | 5156 | X | ||||
| HUANG MD ALLEN T | ||||||||||
| PHYSICIAN-OPHTHALOMOGY | 40.00 | 0.00 | 502038 | 0 | 53614 | X | ||||
| IVANCE MD DAVID W | ||||||||||
| PHYSICIAN-ORTHOPEDICS | 40.00 | 0.00 | 605526 | 0 | 9967 | X | ||||
| MULET MD MIGUEL E | ||||||||||
| PHYSICIAN-OPHTHALOMOGY | 40.00 | 0.00 | 568282 | 0 | 12598 | X | ||||
| OLSON MD KEITH J | ||||||||||
| PHYSICIAN-EMERGENCY MEDICINE | 40.00 | 0.00 | 277267 | 0 | 7666 | X | ||||
| SANDHOFER MD CHARLES R | ||||||||||
| PHYSICIAN-INTERNAL MEDICINE | 40.00 | 0.00 | 288492 | 0 | 8376 | X | ||||
| SNEIDERS MD ALEX | ||||||||||
| PHYSICIAN-UROLOGY | 40.00 | 0.00 | 463451 | 0 | 32732 | X | ||||
| WALLNER MD DIANE E | ||||||||||
| PHYSICIAN-FAMILY PRACTICE | 40.00 | 0.00 | 413618 | 0 | 16283 | X | ||||
| WRAY-RAABOLLE MD JASON T | ||||||||||
| PHYSICIAN-FAMILY PRACTICE | 40.00 | 0.00 | 335296 | 0 | 11942 | X | ||||
| JONES MD GREGORY C | ||||||||||
| PHYSICIAN-OTORHINOLARYNGOLOGY | 40.00 | 0.00 | 504162 | 0 | 4814 | X | ||||
| PENN MD DAVID M | ||||||||||
| PHYSICIAN-RADIOLOGY | 40.00 | 0.00 | 628074 | 0 | 27699 | X | ||||
| PINO MD WILBERT B | ||||||||||
| PHYSICIAN-ORTHOPEDICS | 40.00 | 0.00 | 558126 | 0 | 6209 | X | ||||
| REIMER MD MARK B | ||||||||||
| PHYSICIAN-OB/GYN | 40.00 | 0.00 | 571580 | 0 | 19095 | X | ||||
| STEINLE MD JASON W | ||||||||||
| PHYSICIAN-RADIOLOGY | 40.00 | 0.00 | 630001 | 0 | 27358 | X | ||||
| PALEY MD KEITH H | ||||||||||
| FORMER TREASURER | 40.00 | 0.00 | 473936 | 0 | 38154 | X | ||||
| PALEY MD DANIEL S | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | 365474 | 0 | 28553 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9608005 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1736850 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 636634 | TotalOtherCompensation |
| Number Individuals GT100 K | 72 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MAYO CLINIC | |||||
| 200 1ST ST SW | ROCHESTER | MN | 55905 | MEDICAL AND SUPPORT SERVICES | 1577098 |
| SHARED HEALTH SERVICES LLC | |||||
| 134 SOUTHVIEW ST | OWATONNA | MN | 55060 | MEDICAL SERVICES | 760175 |
| TOP-NOTCH CLEANING | |||||
| 785 22ND ST SE | OWATONNA | MN | 55060 | JANITORIAL SERVICES | 524602 |
| MAYO CLINIC HEALTH SYSTEM-FARIBAULT | |||||
| 300 STATE AVE | FARIBAULT | MN | 55021 | MEDICAL SERVICES | 467904 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | ROCHESTER | MN | 55905 | LAB SERVICES | 459076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Government Grants | 670830 | GovernmentGrants |
| Total Contributions | 670830 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 67308548 | 67308548 |
| SHARED SERVICES REVENUE | 561000 | 1019098 | 1019098 |
| RENTAL REVENUE FROM AFFILIATES | 531120 | 271215 | 271215 |
| EDUCATION REVENUE | 611600 | 591 | 591 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 68599452 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 117805 | TotalRevenueColumn |
| Exclusion | $117,805 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 70835 | Real |
| Personal | 74265 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 78771 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 70835 | Real |
| Personal | -4506 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66329 | TotalRevenueColumn |
| Unrelated Business Revenue | -4506 | UnrelatedBusinessRevenue |
| Exclusion | $70,835 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15759 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 12449 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3310 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3310 | TotalRevenueColumn |
| Exclusion | $3,310 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC. REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 496 | TotalRevenueColumn |
| Related Or Exempt Function Income | 496 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 496 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69458222 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68599948 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -4506 | UnrelatedBusinessRevenue |
| Exclusion | $191,950 | 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 | 31301 | Total |
| Program Services | 31301 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6140336 | Total |
| Program Services | 5747757 | ProgramServices |
| Management And General | 392579 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2126115 | Total |
| Program Services | 2126115 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24149765 | Total |
| Program Services | 20352413 | ProgramServices |
| Management And General | 3797352 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2533946 | Total |
| Program Services | 2281588 | ProgramServices |
| Management And General | 252358 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4181488 | Total |
| Program Services | 3473968 | ProgramServices |
| Management And General | 707520 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1856706 | Total |
| Program Services | 1642594 | ProgramServices |
| Management And General | 214112 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106086 | Total |
| Management And General | 106086 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56408 | Total |
| Management And General | 56408 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7848507 | Total |
| Program Services | 5645048 | ProgramServices |
| Management And General | 2203459 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183346 | Total |
| Management And General | 183346 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1941608 | Total |
| Program Services | 643682 | ProgramServices |
| Management And General | 1297926 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1145981 | Total |
| Program Services | 33206 | ProgramServices |
| Management And General | 1112775 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1141640 | Total |
| Program Services | 1057560 | ProgramServices |
| Management And General | 84080 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3943 | Total |
| Program Services | 3943 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 673557 | Total |
| Program Services | 449876 | ProgramServices |
| Management And General | 223681 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1822795 | Total |
| Program Services | 1445060 | ProgramServices |
| Management And General | 377735 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307091 | Total |
| Program Services | 303308 | ProgramServices |
| Management And General | 3783 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 6073897 | 6073897 | |
| BAD DEBT EXPENSE | 2626857 | 2626857 | |
| MN CARE TAX | 1074526 | 1074526 | |
| EMPLOYEE RELATED EXPENS | 179349 | 164356 | 14993 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52504 | Total |
| Program Services | 45645 | ProgramServices |
| Management And General | 6859 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66257752 | Total |
| Program Services | 55222700 | ProgramServices |
| Management And General | 11035052 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -11880 | BOY |
| EOY | 3659 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4714 | BOY |
| EOY | 185455 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8751596 | BOY |
| EOY | 11554095 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99693 | BOY |
| EOY | 119103 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 434714 | BOY |
| EOY | 696912 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 937373 | BOY |
| EOY | 786114 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 39117975 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16331878 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20767635 | BOY |
| EOY | 22786097 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135307 | BOY |
| EOY | 348820 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16849367 | BOY |
| EOY | 19216932 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 731430 | BOY |
| EOY | 832124 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129469 | BOY |
| EOY | 1528373 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48829418 | BOY |
| EOY | 58057684 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6590216 | BOY |
| EOY | 7555554 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58335 | BOY |
| EOY | 71514 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215101 | BOY |
| EOY | 690569 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6863652 | BOY |
| EOY | 8317637 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41965766 | BOY |
| EOY | 49740047 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41965766 | BOY |
| EOY | 49740047 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48829418 | BOY |
| EOY | 58057684 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3200470 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 161572 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 4412239 | 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1562494 | OtherCostOrOtherBasis |
| Book Value | 1562494 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24196898 | OtherCostOrOtherBasis |
| Depreciation | 7751591 | Depreciation |
| Book Value | 16445307 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7283301 | OtherCostOrOtherBasis |
| Depreciation | 5172894 | Depreciation |
| Book Value | 2110407 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6075282 | OtherCostOrOtherBasis |
| Depreciation | 3407393 | Depreciation |
| Book Value | 2667889 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22786097 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MAYO POOLED INVESTMENTS | Description |
| Book Value | 19216932 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 19216932 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $119,776 |
| DEFERRED COMPENSATION LIABILITY | $348,820 |
| OTHER LIABILITIES RELATED TO FARIBAULT MERGER | $221,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 690569 | TotalOfAmounts |
| 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 (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| OWATONNA FOUNDATION | |||||||
| PO BOX 642 | OWATONNA | MN | 55060 | 416038547 | 501(C)(3) | 5000 | SUPPORT EXEMPT PURPOSE |
| OWATONNA AREA CHAMBER FOUNDATION | |||||||
| 320 HOFFMAN DRIVE | OWATONNA | MN | 55060 | 363319497 | 501(C)(3) | 5000 | SUPPORT EXEMPT PURPOSE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
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. TRANSFERS OR GRANTS TO 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) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (29 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 | ||||||||||||||
| DIRECTOR/REGIONAL CEO | 0 | 449783 | 0 | 0 | 0 | 33817 | 0 | 19707 | 0 | 15384 | 0 | 518691 | 0 | 0 |
| BERG DAVID W | ||||||||||||||
| DIRECTOR/CAO | 202139 | 0 | 507 | 0 | 1130 | 0 | 6378 | 0 | 10500 | 0 | 220654 | 0 | 0 | 0 |
| BUNKERS MD BRIAN E | ||||||||||||||
| DIRECTOR/CHAIR/CEO/PHYSICIAN | 346098 | 0 | 0 | 0 | 1229 | 0 | 7500 | 0 | 3921 | 0 | 358748 | 0 | 0 | 0 |
| CROCKETT ERIC D | ||||||||||||||
| DIRECTOR | 0 | 132414 | 0 | 0 | 0 | 427 | 0 | 9484 | 0 | 21985 | 0 | 164310 | 0 | 0 |
| HOWELL MD THOMAS G | ||||||||||||||
| DIRECTOR | 0 | 385179 | 0 | 0 | 0 | 60318 | 0 | 29725 | 0 | 29536 | 0 | 504758 | 0 | 0 |
| PLATE MD REINOLD H | ||||||||||||||
| DIR/SECRETARY/TREASURER/PHYSICIAN | 318780 | 0 | 0 | 0 | 2968 | 0 | 7463 | 0 | 6914 | 0 | 336125 | 0 | 0 | 0 |
| JOHNSON KRISTIN S | ||||||||||||||
| CFO | 160274 | 0 | 406 | 0 | 400 | 0 | 4983 | 0 | 5861 | 0 | 171924 | 0 | 0 | 0 |
| KOCH MARK B | ||||||||||||||
| ASSISTANT SECRETARY | 0 | 279804 | 0 | 0 | 0 | 9282 | 0 | 322 | 0 | 16473 | 0 | 305881 | 0 | 0 |
| PARKS DOUGLAS A | ||||||||||||||
| REGIONAL CAO | 0 | 188612 | 0 | 0 | 0 | 1169 | 0 | 20335 | 0 | 24187 | 0 | 234303 | 0 | 0 |
| PILOT DAVID L | ||||||||||||||
| REGIONAL CFO | 0 | 196045 | 0 | 0 | 0 | 0 | 0 | 13937 | 0 | 19997 | 0 | 229979 | 0 | 0 |
| BECKMAN MD JANET M | ||||||||||||||
| PHYSICIAN-URGENT CARE | 319810 | 0 | 0 | 0 | 1366 | 0 | 7500 | 0 | 920 | 0 | 329596 | 0 | 0 | 0 |
| BEYER MD DEREK A | ||||||||||||||
| PHYSICIAN-OB/GYN | 470806 | 0 | 0 | 0 | 30642 | 0 | 7500 | 0 | 7985 | 0 | 516933 | 0 | 0 | 0 |
| BLOMQUIST MD KARL L | ||||||||||||||
| PHYSICIAN-FAMILY PRACTICE | 280985 | 0 | 0 | 0 | 5608 | 0 | 5096 | 0 | 22825 | 0 | 314514 | 0 | 0 | 0 |
| GRIFFIN MD LORRAINE J | ||||||||||||||
| PHYSICIAN-DERMATOLOGY | 267544 | 0 | 0 | 0 | 11990 | 0 | 4529 | 0 | 627 | 0 | 284690 | 0 | 0 | 0 |
| HUANG MD ALLEN T | ||||||||||||||
| PHYSICIAN-OPHTHALOMOGY | 462205 | 0 | 0 | 0 | 39833 | 0 | 7500 | 0 | 46114 | 0 | 555652 | 0 | 0 | 0 |
| IVANCE MD DAVID W | ||||||||||||||
| PHYSICIAN-ORTHOPEDICS | 586089 | 0 | 0 | 0 | 19437 | 0 | 5223 | 0 | 4744 | 0 | 615493 | 0 | 0 | 0 |
| MULET MD MIGUEL E | ||||||||||||||
| PHYSICIAN-OPHTHALOMOGY | 425967 | 0 | 0 | 0 | 142315 | 0 | 5723 | 0 | 6875 | 0 | 580880 | 0 | 0 | 0 |
| OLSON MD KEITH J | ||||||||||||||
| PHYSICIAN-EMERGENCY MEDICINE | 233779 | 0 | 0 | 0 | 43488 | 0 | 6789 | 0 | 877 | 0 | 284933 | 0 | 0 | 0 |
| SANDHOFER MD CHARLES R | ||||||||||||||
| PHYSICIAN-INTERNAL MEDICINE | 265730 | 0 | 0 | 0 | 22762 | 0 | 7500 | 0 | 876 | 0 | 296868 | 0 | 0 | 0 |
| SNEIDERS MD ALEX | ||||||||||||||
| PHYSICIAN-UROLOGY | 447606 | 0 | 0 | 0 | 15845 | 0 | 7500 | 0 | 25232 | 0 | 496183 | 0 | 0 | 0 |
| WALLNER MD DIANE E | ||||||||||||||
| PHYSICIAN-FAMILY PRACTICE | 315223 | 0 | 0 | 0 | 98395 | 0 | 3543 | 0 | 12740 | 0 | 429901 | 0 | 0 | 0 |
| WRAY-RAABOLLE MD JASON T | ||||||||||||||
| PHYSICIAN-FAMILY PRACTICE | 310664 | 0 | 0 | 0 | 24632 | 0 | 7484 | 0 | 4458 | 0 | 347238 | 0 | 0 | 0 |
| JONES MD GREGORY C | ||||||||||||||
| PHYSICIAN-OTORHINOLARYNGOLOGY | 501909 | 0 | 0 | 0 | 2253 | 0 | 3178 | 0 | 1636 | 0 | 508976 | 0 | 0 | 0 |
| PENN MD DAVID M | ||||||||||||||
| PHYSICIAN-RADIOLOGY | 626805 | 0 | 0 | 0 | 1269 | 0 | 6070 | 0 | 21629 | 0 | 655773 | 0 | 0 | 0 |
| PINO MD WILBERT B | ||||||||||||||
| PHYSICIAN-ORTHOPEDICS | 557923 | 0 | 203 | 0 | 0 | 0 | 0 | 0 | 6209 | 0 | 564335 | 0 | 0 | 0 |
| REIMER MD MARK B | ||||||||||||||
| PHYSICIAN-OB/GYN | 558915 | 0 | 0 | 0 | 12665 | 0 | 7500 | 0 | 11595 | 0 | 590675 | 0 | 0 | 0 |
| STEINLE MD JASON W | ||||||||||||||
| PHYSICIAN-RADIOLOGY | 628642 | 0 | 0 | 0 | 1359 | 0 | 7500 | 0 | 19858 | 0 | 657359 | 0 | 0 | 0 |
| PALEY MD KEITH H | ||||||||||||||
| FORMER TREASURER | 347738 | 0 | 0 | 0 | 126198 | 0 | 7438 | 0 | 30716 | 0 | 512090 | 0 | 0 | 0 |
| PALEY MD DANIEL S | ||||||||||||||
| FORMER KEY EMPLOYEE | 362832 | 0 | 0 | 0 | 2642 | 0 | 7442 | 0 | 21111 | 0 | 394027 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | TWO OF THE LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. | |
| 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 THOMAS HOWELL, M.D. - $24,360 MARK B. KOCH - $8,013 | |
| PART III | PART I, LINE 3: IN ADDITION TO COMPENSATION REVIEW PROCESSES ON A SITE LEVEL, 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 III: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MAYO CLINIC HEALTH SYSTEM - FARIBAULT | |||
| BUSINESS RELATIONSHIP - BOARD OVERLAP | 665972 | SERVICES | 0 |
| KARI BUNKERS | |||
| FAMILY MEMBER OF BRIAN BUNKERS, OFFICER | 240003 | EMPLOYMENT | 0 |
| RICHARD GRIFFIN | |||
| FAMILY MEMBER OF LORRAINE GRIFFIN, OFFICER | 370107 | EMPLOYMENT | 0 |
| ANN SNEIDERS | |||
| FAMILY MEMBER OF ALEX SNEIDERS, KEY EMPLOYEE | 167914 | EMPLOYMENT | 0 |
| MICHAEL SCHOENEMAN | |||
| FAMILY MEMBER OF DIANE WALLNER, KEY EMPLOYEE | 168418 | EMPLOYMENT | 0 |
| LINDA WALLNER | |||
| FAMILY MEMBER OF DIANE WALLNER, KEY EMPLOYEE | 273556 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | 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. BRIAN E. BUNKERS, M.D., THOMAS G. HOWELL, M.D., AND MARK B. KOCH HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC HEALTH SYSTEM-FARIBAULT, A RELATED TAXABLE ENTITY. | |
| FORM 990, PART VI, SECTION A, LINE 3 | MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. | |
| FORM 990, PART VI, SECTION A, LINE 4 | ARTICLES OF MERGER BETWEEN THE FILING ORGANIZATION AND MAYO CLINIC HEALTH SYSTEM-FARIBAULT WERE APPROVED AND SIGNED IN 2012 WITH AN EFFECTIVE DATE OF JANUARY 1, 2013. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION IS MAYO CLINIC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS ARE ELECTED OR REMOVED BY THE SOLE CORPORATE MEMBER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMUNITY DIRECTORS ARE NOMINATED BY A NOMINATING COMMITTEE. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN TRANSACTIONS REQUIRE APPROVAL BY THE MEMBER BEFORE ACTION CAN BE TAKEN SUCH AS AMENDMENT TO THE ARTICLES AND BYLAWS, MERGER OR OTHER RESTRUCTURING, AND INCURRENCE OF DEBT. | |
| 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 U.S. 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 | THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE CEO, CAO, AND BOARD VICE CHAIR WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIAN 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). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO 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. IN ADDITION TO THE ABOVE COORDINATED REVIEW PROCESSES CONDUCTED BY MAYO CLINIC AND ITS AFFILIATES, THE FILING ORGANIZATION ALSO HAS ITS OWN COMPENSATION REVIEW PROCESS THAT INCLUDES REVIEW BY THE FILING ORGANIZATION'S COMPENSATION COMMITTEE, BENCHMARK/COMPARABILITY DATA AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE. THE FILING ORGANIZATION'S REVIEW PROCESS COVERS BOTH A PHYSICIAN COMPENSATION PLAN AND AN ADMINISTRATOR COMPENSATION PLAN. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FILING ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. | |
| FORM 990, PART IX, LINE 11G | OTHER FEES : PROGRAM SERVICE EXPENSES 1,873,010. MANAGEMENT AND GENERAL EXPENSES 2,203,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,076,469. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 2,397,663. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,397,663. LAB FEES: PROGRAM SERVICE EXPENSES 850,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 850,084. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 524,291. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 524,291. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | FARIBAULT MERGER 4,412,239. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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 | IN REGARDS TO FILING CERTAIN FOREIGN FORMS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (48 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 | |||||
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 (36 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 | |||||
| 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 | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MAYO CLINIC - METHODIST HOSPITAL | ||
| A | 52500 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--ALBERT LEA | ||
| Q | 184444 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--AUSTIN | ||
| O | 86612 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--AUSTIN | ||
| P | 50698 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--CANNON FALLS | ||
| L | 104110 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--FAIRBAULT | ||
| L | 198067 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--FARIBAULT | ||
| M | 467905 | GAAP |
| MAYO COLLABORATIVE SERVICES INC | ||
| M | 459076 | GAAP |
| MMSI INC | ||
| R | 4603836 | GAAP |
| MMSI INC | ||
| S | 2158163 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--FAIRBAULT | ||
| S | 5906543 | GAAP |