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MAYO CLINIC HEALTH SYSTEM-AUSTIN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC HEALTH SYSTEM-AUSTIN (EIN 41-0695606)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-28
IRS object ID
201343019349300514
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

FieldValueIRS element (for citing)
Timestamp2013-10-28T09:03:05-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410695606EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-AUSTINBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAYONameControl
Phone5075381297Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 FIRST DRIVE NWAddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK R CIOTA MDName
TitleCEOTitle
Phone5073776352Phone
Date Signed2013-10-28DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Terminated ReturnXTerminatedReturn
Name Of Principal Officer PersonMARK R CIOTA MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 FIRST DRIVE NWAddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
Gross Receipts120557802GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MAYOCLINICHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1896YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF A HOSPITAL AND CLINICS.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees1127TotalNbrEmployees
Total Nbr Volunteers116TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year593023ContributionsGrantsPriorYear
Contributions Grants Current Year2312557ContributionsGrantsCurrentYear
Program Service Revenue Prior Year109138025ProgramServiceRevenuePriorYear
Program Service Revenue CY115678811ProgramServiceRevenueCY
Investment Income Prior Year1488869InvestmentIncomePriorYear
Investment Income Current Year2009501InvestmentIncomeCurrentYear
Other Revenue Prior Year411970OtherRevenuePriorYear
Other Revenue Current Year453147OtherRevenueCurrentYear
Total Revenue Prior Year111631887TotalRevenuePriorYear
Total Revenue Current Year120454016TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year53025GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY40737GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year67344192SalariesEtcPriorYear
Salaries Etc Current Year74885349SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year143555TotalFundrsngExpCurrentYear
Other Expense Prior Year39434975OtherExpensePriorYear
Other Expenses Current Year37489486OtherExpensesCurrentYear
Total Expenses Prior Year106832192TotalExpensesPriorYear
Total Expenses Current Year112415572TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4799695RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8038444RevenuesLessExpensesCY
Total Assets BOY137279966TotalAssetsBOY
Total Assets EOY0TotalAssetsEOY
Total Liabilities BOY13637360TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY123642606NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense102088478Expense
Revenue115131794Revenue
DescriptionPATIENT CARE - SEE SCHEDULE OMAYO 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, MAYO CLINIC HEALTH SYSTEM-AUSTIN (MCHS-AUSTIN) OPERATES A HOSPITAL AND CLINIC IN AUSTIN, MINNESOTA - ALONG WITH REGIONAL CLINICS IN THE MINNESOTA COMMUNITIES OF ADAMS, BLOOMING PRAIRIE, GRAND MEADOW AND LEROY. MCHS-AUSTIN IS PRESENTLY LICENSED FOR 82 BEDS WITH AN AVERAGE DAILY CENSUS OF 36. MCHS-AUSTIN EMPLOYS APPROXIMATELY 1,000 INDIVIDUALS. THIS EMPLOYEE TOTAL INCLUDES, AMONG OTHER STAFF, 69 PHYSICIANS, 5 PHYSICIAN ASSISTANTS, 2 AUDIOLOGISTS, 20 NURSE PRACTITIONERS AND 2 OPTOMETRISTS. MCHS-AUSTIN PRIMARLY SERVES MOWER COUNTY, WHICH HAS A POPULATION OF 39,372, AND THE SURROUNDING RURAL COMMUNITIES.IN 2012, THERE WERE 3,337 PATIENTS ADMITTED, 368,937 ANCILLARY OUTPATIENT PROCEDURES AND 146,183 CLINIC VISITS. IN ADDITION TO PROVIDING PRIMARY CARE (INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS, AND GENERAL SURGERY), MCHS-AUSTIN PROVIDES SPECIALTY CARE SERVICES IN ALLERGY, AUDIOLOGY, BEHAVIORAL HEALTHCARE, CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, ENT, GASTROENTEROLOGY, SLEEP, PAIN, HOME HEALTH/HOSPICE, NEUROLOGY, ONCOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, PODIATRY, PSYCHIATRY, RHEUMATOLOGY, AND UROLOGY. MCHS-AUSTIN ALSO PROVIDES PROGRAMS IN ALTERNATIVE MEDICINE, INCLUDING A PAIN CLINIC, SPORTS MEDICINE, AND MASSAGE THERAPY.MCHS-AUSTIN PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN ADDITION, SERVICES ARE ALSO PROVIDED TO PATIENTS UNDER OTHER MEANS-TESTED GOVERNMENT PROGRAMS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES.IN 2012, MCHS-AUSTIN PROVIDED APPROXIMATELY $1,781,000 (AT COST) OF CHARITY CARE TO PATIENTS. THE UNREIMBURSED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS WAS APPROXIMATELY $2,741,000. THIS SHORTFALL INCLUDES THE MEDICAID SURACHARGE OF $454,654 AND TAXES OF $1,411,569 PAID TO MN CARE FOR PRGRAMS THAT OFFER HEALTHCARE ASSISTANCE TO LOW INCOME POPULATIONS. THE UNREIMBURSED COST OF SERVICES PROVIDED TO PATIENTS UNDER OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS $1,536,000. OTHER PATIENT CARE SERVICES OFFERED BY MCHS-AUSTIN: A TOBACCO CESSATION CLINIC THAT HELPS INDIVIDUALS ON A ONE-ON-ONE BASIS QUIT SMOKING, IN ADDITION TO PROVIDING SUPPORT AND EDUCATION. A LIFE CLINIC HEALTH STATION THAT PROVIDES INFORMATION AND TOOLS THAT ALLOWS THE PATIENT TO MONITOR THEIR OWN HEALTH. IT ALLOWS INDIVIDUALS TO MEASURE BLOOD PRESSURE, PULSE, WEIGHT, AND BODY MASS INDEX.24-HOUR INTERPRETER SERVICE TO PATIENTS, AND A FULLTIME INTERPRETER SERVICE LIAISON TO RUN THE PROGRAM AND PROVIDE CONTINUED IMPROVEMENTS IN PATIENT SATISFACTION. A SUPPORT GROUP FOR FAMILY MEMBERS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IS PROVIDED BY MCHS-AUSTIN'S HOSPICE PROGRAM. OTHER SERVICES THAT ARE PROVIDED BY THE HOSPICE PROGRAM INCLUDE HOSPICE CARE, SKILLED NURSING CARE, PERSONAL CARE/HOME MAKER SERVICES, THERAPY, NUTRITION SUPPORT, PHARMACY SERVICES, MEDICAL SOCIAL WORK SERVICES, PHYSICIAN DIRECTED SERVICES, CLERGY VOLUNTEERS, AND BEREAVEMENT SUPPORT. MCHS-AUSTIN'S CRIME VICTIMS RESOURCE CENTER (CVRC) PROVIDES SUPPORT, EDUCATION, AND ADVOCACY TO VICTIMS OF CRIME. CVRC IS FUNDED THROUGH A STATE GRANT AND THROUGH THE UNITED WAY OF MOWER COUNTY. PROGRAMS INCLUDE THE GENERAL CRIME, DOMESTIC VIOLENCE COMMUNITY ADVOCACY AND SEXUAL ASSAULT COMMUNITY ADVOCACY. MCHS-AUSTIN HAS A GREETER AT THE FRONT ENTRANCE TO HELP PATIENTS IN AND OUT OF VEHICLES AND DIRECTS THEM TO THEIR DESTINATIONS WITHIN THE MEDICAL CENTER. MCHS-AUSTIN ALSO OFFERS FREE TRANSPORTATION TO AND FROM THE MEDICAL CENTER FOR THOSE AGES 65 OR OLDER OR FOR THOSE WITH A DISABILITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense96736Expense
DescriptionHEALTH PROFESSIONAL EDUCATION - SEE SCHEDULE OMCHS-AUSTIN PROVIDES CLINICAL EXPERIENCE FOR THE REGISTERED NURSE AND LICENSED PRACTICAL NURSE PROGRAMS, WHICH ARE OFFERED THROUGH AREA COLLEGES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense420541Expense
Grants40737Grants
Revenue63340Revenue
DescriptionCOMMUNITY OUTREACH - SEE SCHEDULE O PHYSICIANS AND PHYSICAL THERAPISTS FROM MCHS-AUSTIN PROVIDED MEDICAL COVERAGE AT VARIOUS LOCAL HIGH SCHOOL SPORTING EVENTS, IN ADDITION, MCHS-AUSTIN'S MEDICAL TRAINER HAS OFFICE HOURS AT THE AUSTIN HIGH SCHOOL THROUGHOUT THE YEAR SO KIDS CAN COME IN AFTER SCHOOL TO HAVE ISSUES LOOKED AT THAT MAY HAVE HAPPENED AT AN EVENT OR PRACTICE. MCHS-AUSTIN'S PHYSICAL THERAPY DEPARTMENTS IN THE REHAB SERVICES AREA GAVE SPORTS PHYSICALS TO LOCAL AND SURROUNDING AREA STUDENT ATHLETES. A FEW MCHS-AUSTIN PHYSICIANS PARTICIPATE IN THE PUBLIC HEALTH "OPEN DOOR CLINIC". THE "OPEN DOOR CLINIC" PROVIDES ANNUAL EXAMS AND VARIOUS TESTING TO TEENAGERS THROUGH AGE 24 IN THE COMMUNITY. MCHS-AUSTIN STAFF VOLUNTEERED AND PARTICIPATED AS A TEAM IN THE MARCH OF DIMES WALK AMERICA WALK-A-THON AND IN THE MOWER COUNTY RELAY FOR LIFE EVENT THAT HELPS RAISE FUNDS FOR CANCER RESEARCH AND EDUCATION. IN ADDITION, MCHS-AUSTIN PARTICIPATED IN THE ANNUAL UNITED WAY CAMPAIGN. MCHS-AUSTIN SPONSORS A "HEART N' SOLE" MALL WALKING PROGRAM. "HEART N' SOLE" IS A FREE PROGRAM FOR ANYONE INTERESTED IN PARTICIPATING AT THE OAK PARK MALL IN AUSTIN. PARTICIPANTS KEEP TRACK OF THEIR TIMES THEY WALK AND CAN RECEIVE A FREE PROGRAM T-SHIRT, ALONG WITH BEING ENTERED INTO A MONTHLY DRAWING FOR A $25 MALL GIFT CERTIFICATE. MCHS-AUSTIN TEAMED WITH THE MOWER COUNTY FAIR BOARD TO HELP SPONSOR HAND-WASHING STATIONS AT THE MOWER COUNTY FAIR.MCHS-AUSTIN HOSPICE HELD AN ANNUAL "MEMORIAL" SERVICE. THE HOSPICE MEMORIAL CELEBRATION IS AN OPPORTUNITY FOR GRIEVING PEOPLE TO COME TOGETHER FOR A TIME OF SHARING, HEALING, PRAYER, AND FELLOWSHIP.THE TOBACCO CESSATION CLINIC OFFERED FREE CARBON MONOXIDE SCREENING TO ALL STAFF AND VISITORS DURING THE GREAT AMERICAN SMOKEOUT. MCHS-AUSTIN STAFF SPOKE AT SEVERAL EVENTS DURING THE YEAR AND SERVED ON THE BOARDS OF VARIOUS AGENCIES IN THE COMMUNITY. MCHS-AUSTIN ALSO PREPARED THE MEALS FOR THE LOCAL "MEALS ON WHEELS" PROGRAM AND DONATED USED EQUIPMENT TO VARIOUS ENTITIES DURING THE YEAR.MCHS-AUSTIN SPONSORS PRENATAL CLASSES, SIBLING CLASSES, ADOLESCENT HEALTH AWARENESS CLASSES, SMOKING CESSATION CLASSES AND WELLNESS PROGRAMS FOR COMMUNITY PARTICIPATION.MCHS-AUSTIN SENDS OUT A QUARTERLY NEWSLETTER "HOMETOWN HEALTH" TO ALL MAILBOXES IN ITS SERVICE AREA TO KEEP EVERYONE INFORMED OF NEW SERVICES, EDUCATION/PREVENTION AND PATIENT CARE RELATED INFORMATION.THE CRIME VICTIMS RESOURCE CENTER (CVRC) OF MCHS-AUSTIN GOES INTO THE SCHOOL SYSTEM AND PRESENTS THE EDUCATION ON TOUCH. THIS INCLUDES TWO DVDS ON APPROPRIATE TOUCH, INAPPROPRIATE TOUCH AND PERSONAL BODY SAFETY. THERE IS ALSO A QUESTION AND ANSWER SESSION THE STUDENTS PARTICIPATE IN.THE DAWN PROJECT (DEPRESSION AWARENESS AND WELLNESS NETWORK) SPONSORED ONE DAY OF CODE YELLOW TRAINING TO AREA STUDENTS IN THE SURROUNDING AREA. THE CODE YELLOW TRAINING IS AN ALL DAY WORKSHOP WHERE YOUTH LEARN ABOUT THE WARNING SIGNS, SYMPTOMS, CAUSES AND TREATMENT OPTIONS FOR DEPRESSION. THE STUDENTS ALSO LEARN ABOUT SUICIDAL THOUGHTS AND BEHAVIORS AND HOW TO PREVENT SUICIDE.MCHS-AUSTIN PHYSICIANS AND STAFF HELD THEIR 12TH ANNUAL "WOMEN'S WORKSHOP" TO DISCUSS CANCER SCREENINGS, MEMORY AND AGING, AND MAKING HEALTHY FOOD CHOICES. OTHER TOPICS INCLUDED DISCUSSIONS ON HOW WOMEN CAN HELP WITH BEING MORE SATISIFIED WITH THEIR SERVICE AT MCHS-AUSTIN.MCHS-AUSTIN NURSES HAVE TAKEN ON AN INITATIVE CALLED ENCARE (EMERGENCY NURSES CANCEL ALCOHOL RELATED EMERGENCIES) TO EDUCATE YOUNG ADULTS IN THE AREA ON THE CONSEQUENCES OF ALCOHOL. THE NURSES PRESENTED TO STUDENTS AGES 14 TO 18 IN MANY AREA SCHOOLS. TOPICS COVERED DURING THE PRESENTATIONS INCLUDE THE IMPORTANCE OF SEAT BELTS, DRINKING AND DRIVING, PEER PRESSURE, CRASH CONTRIBUTIONS OF SLEEPINESS AND INATTENTIVE DRIVING, AND VARIOUS CRASH CONDITIONS.MCHS-AUSTIN AUDIOLOGY AND SPEECH PATHOLOGY HELD AN OPEN HOUSE FOR BETTER HEARING AND SPEECH MONTH AND SCHEDULED FREE HEARING SCREENINGS FOR STAFF AND THE PUBLIC.MCHS-AUSTIN ALSO PROVIDED PATIENT EDUCATION AND PURCHASED VARIOUS EDUCATIONAL AND INFORMATIONAL ADVERTISMENTS.IN 2012, MCHS-AUSTIN RECEIVED DONATED SERVICES FROM 105 AUXILIARY MEMBERS, WHO PROVIDED 9,975 VOLUNTEER HOURS, VALUED AT APPROXIMATELY $220,847 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICE.IN 2012, MCHS-AUSTIN'S CVRC RECEIVED DONATED SERVICES FROM 6 VOLUNTEERS, WHO PROVIDED 6,644 VOLUNTEER HOURS, VALUED AT APPROXIMATELY $147,098 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICE. MCHS-AUSTIN COLLABORATES WITH INDIVIDUALS, GROUPS AND ORGANIZATIONS WITHIN MOWER COUNTY TO PROMOTE WELL LIVING. THIS INITIATIVE, KNOWN AS MOWER REFRESHED, PROMOTES AND SUPPORTS EFFORTS THAT MAKES THE HEALTHY CHOICE EASIER FOR EVERY CITIZEN. MOWER REFRESHED FOCUSES ON 4 STRATEGIC GROUPS: HEALTHIER CHOICES, MENTAL FITNESS, WORKFORCE WELLNESS, AND COMMUNITY CONNECTIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Revenue942498Revenue
DescriptionMCHS-AUSTIN LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE. IN ADDITION, IN 2012 MCHS-AUSTIN MERGED WITH MAYO CLINIC HEALTH SYSTEM-ALBERT LEA, TRANSFERRING ALL ASSETS AND LIABILITIES TOTALING $134,395,080.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Rev942498TotalOfOtherProgramServiceRev
Total Program Service Expense102605755TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated1Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1127NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAYO CORPORATE TAX UNITBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075381297TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 FIRST STREET SWAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55905ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
AGERTER MD DAVID C
DIRECTOR/CHAIR/CEO (01/01-10/22/12)/REGION CEO1.0040.00XX048360035091
ALBERTS JOHN
DIRECTOR/TREASURER1.000.00XX000
BUNKERS MD BRIAN E
DIRECTOR/SECRETARY1.0040.00XX034732711421
CIOTA MD MARK R
DIRECTOR/CHAIR/CEO (10/23-12/31/12)1.0040.00XX078732545329
CRANDALL DAVE
DIRECTOR/VICE CHAIR1.000.00XX000
CUNNINGHAM MD PETER L
DIRECTOR/PHYSICIAN40.000.00X325718040794
FLINCHBAUGH DO ROBERT T
DIRECTOR1.0040.00X023588849009
GABRIELSON SHARON R
DIRECTOR1.0040.00X018455247325
MONSON REV GLENN L
DIRECTOR1.000.00X000
POTACH BRENDA
DIRECTOR1.000.00X000
RAY GARY
DIRECTOR1.000.00X000
DANKERT SHERI S
VICE PRESIDENT/SITE CFO40.000.00X146790031966
KOCH MARK B
ASSISTANT SECRETARY1.0040.00X028908616795
PARKS DOUGLAS A
REGIONAL CAO1.0040.00X018978144522
PILOT DAVID L
REGIONAL CFO1.0040.00X019604533934
REES ADAM C
CAO40.000.00X259999041801
ACCURSO MD JOSEPH M
PHYSICIAN20.0020.0025865035446241111X
COPPES MD JOHN B
PHYSICIAN/MEDICAL DIRECTOR40.000.00337198037346X
HOLTZ MD SCOTT A
PHYSICIAN40.000.00308394040098X
KLEIS DO KEITH R
PHYSICIAN40.000.00293680043630X
KUBAS MD STEVE M
PHYSICIAN40.000.00256201040758X
NORDENG RODNEY L
VICE PRESIDENT40.000.00150269032893X
WOLD MD LESTER E
PATHOLOGIST40.000.0029325660021099X
YOUNG DO NATHAN P
PHYSICIAN40.000.00266549020890X
ENGMAN MD STEVEN J
PHYSICIAN40.000.00678774042202X
HECTORNE MD KATHLEEN J
PHYSICIAN40.000.00483022029801X
KIRSCH MD MATTHEW J
PHYSICIAN40.000.00733102042462X
MIZRACHI MD VICTOR N
PHYSICIAN40.000.00607862045983X
STOFFEY DO ROBERT D
PHYSICIAN40.000.00606665040566X
JOHNSON MD TIMOTHY J
FORMER CHAIR/CEO0.0040.00041940849471X
DUBE MD CYNTHIA M
FORMER KEY EMPLOYEE40.000.00232336027651X
HOLTZ MD CAROL P
FORMER KEY EMPLOYEE40.000.00187792020632X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6426257TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3488074TotalReportableCompFrmRltdOrgs
Total Other Compensation974580TotalOtherCompensation
Number Individuals GT100 K102NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905ADMIN & MEDICAL SERVICES4307637
MEDICAL DOCTOR ASSOCIATES
PO BOX 277185ATLANTAGA30384MEDICAL SERVICES780234
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905LAB SERVICES484028
MASON CITY CLINIC PC
250 S CRESENT DRMASON CITYIA50401COLLECTION SERVICE270958
CEDAR VALLEY SERVICES INC
2111 4TH ST NWAUSTINMN55912LAUNDRY SERVICES268968
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Federated Campaigns25386FederatedCampaigns
Membership Dues755MembershipDues
Related Organizations352288RelatedOrganizations
Government Grants1933248GovernmentGrants
All Other Contributions880AllOtherContributions
Total Contributions2312557TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE620000114699808114699808
SHARED SERVICES REVENUE561000861398861398
RENTAL REVENUE FROM AFFILIATES5311208110081100
MEALS ON WHEELS REVENUE6242103558435584
EDUCATION REVENUE611600921921
FieldValueIRS element (for citing)
Total Program Service Revenue115678811TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2002754TotalRevenueColumn
Exclusion$2,002,754ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real17457Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real27114Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-9657Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-9657TotalRevenueColumn
Exclusion-$9,657ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other7727Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other980Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6747Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6747TotalRevenueColumn
Exclusion$6,747ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events2576GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column2576TotalRevenueColumn
Exclusion$2,576ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory77099GrossSalesOfInventory
Cost Of Goods Sold75692CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1407TotalRevenueColumn
Exclusion$1,407ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/VENDING REVENUE722210421455421455
MEDICAL RECORD/TRANSCRIPTION FEES5419003124531245
MISC. REVENUE90009961216121
FieldValueIRS element (for citing)
Total Other Revenue458821TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column120454016TotalRevenueColumn
Related Or Exempt Function Income116137632RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,003,827ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total40737Total
Program Services40737ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3275386Total
Program Services2611668ProgramServices
Management And General663718ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total631403Total
Program Services533760ProgramServices
Fundraising97643Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total55864727Total
Program Services53032131ProgramServices
Management And General2817894ManagementAndGeneral
Fundraising14702Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3807560Total
Program Services3585357ProgramServices
Management And General222203ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7547343Total
Program Services7102331ProgramServices
Management And General440168ManagementAndGeneral
Fundraising4844Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3758930Total
Program Services3532457ProgramServices
Management And General218924ManagementAndGeneral
Fundraising7549Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total228233Total
Management And General228233ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46970Total
Management And General46970ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total770Total
Management And General770ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8757852Total
Program Services8373709ProgramServices
Management And General384143ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total95446Total
Program Services22713ProgramServices
Management And General60777ManagementAndGeneral
Fundraising11956Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4178213Total
Program Services3216798ProgramServices
Management And General956892ManagementAndGeneral
Fundraising4523Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2959647Total
Management And General2959647ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2217278Total
Program Services2209297ProgramServices
Management And General7961ManagementAndGeneral
Fundraising20Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total73837Total
Program Services73837ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total648367Total
Program Services563560ProgramServices
Management And General84079ManagementAndGeneral
Fundraising728Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1810Total
Program Services1810ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3371821Total
Program Services2909036ProgramServices
Management And General462785ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total867138Total
Program Services867138ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES1068122710681227
MN CARE TAX14115691411569
BAD DEBT EXPENSE12049781204978
MEDICAID SURCHARGE454654454654

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total289676Total
Program Services176988ProgramServices
Management And General111098ManagementAndGeneral
Fundraising1590Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total112415572Total
Program Services102605755ProgramServices
Management And General9666262ManagementAndGeneral
Fundraising143555Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3227BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY22500BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17849867BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1799250BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1980464BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42937138BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY65312963BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7374557BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY137279966BOY
EOY0EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9387608BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY95195BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15442BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4139115BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13637360BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY112247155BOY
EOY0EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11334687BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY60764BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY123642606BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY137279966BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8038444ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2691135ReconciliationUnrealizedInvest
Reconcilation Other Changes-134372185ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$770OtherActivitiesAmount
Total Lobbying Expenditures IIB770TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE AMOUNT IN "OTHER ACTIVITIES" REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance60764BeginningOfYearBalance
Investment Earnings Or Losses8850InvestmentEarningsOrLosses
Grants Or Scholarships69614GrantsOrScholarships

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance58770BeginningOfYearBalance
Investment Earnings Or Losses1994InvestmentEarningsOrLosses
End Of Year Balance60764EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance52823BeginningOfYearBalance
Contributions1075Contributions
Investment Earnings Or Losses4872InvestmentEarningsOrLosses
End Of Year Balance58770EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance46888BeginningOfYearBalance
Contributions886Contributions
Investment Earnings Or Losses5049InvestmentEarningsOrLosses
End Of Year Balance52823EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance68353BeginningOfYearBalance
Investment Earnings Or Losses-10465InvestmentEarningsOrLosses
Grants Or Scholarships11000GrantsOrScholarships
End Of Year Balance46888EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR SCHOLARSHIP PROGRAMS. THE ENDOWMENT FUNDS WERE MERGED INTO MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN AT YEAR END AND ARE THERFORE SHOWING A ZERO ENDING BALANCE ON THIS RETURN.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2: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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1780759TotalCommunityBenefitExpense
Net Community Benefit Expense1780759NetCommunityBenefitExpense
Percent Of Total Expense0.01600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense16397368TotalCommunityBenefitExpense
Direct Offsetting Revenue13657058DirectOffsettingRevenue
Net Community Benefit Expense2740310NetCommunityBenefitExpense
Percent Of Total Expense0.02460PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2376843TotalCommunityBenefitExpense
Direct Offsetting Revenue841064DirectOffsettingRevenue
Net Community Benefit Expense1535779NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20554970TotalCommunityBenefitExpense
Direct Offsetting Revenue14498122DirectOffsettingRevenue
Net Community Benefit Expense6056848NetCommunityBenefitExpense
Percent Of Total Expense0.05440PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense384367TotalCommunityBenefitExpense
Direct Offsetting Revenue26835DirectOffsettingRevenue
Net Community Benefit Expense357532NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense96736TotalCommunityBenefitExpense
Net Community Benefit Expense96736NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense20408381TotalCommunityBenefitExpense
Direct Offsetting Revenue13425436DirectOffsettingRevenue
Net Community Benefit Expense6982945NetCommunityBenefitExpense
Percent Of Total Expense0.06280PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense36174TotalCommunityBenefitExpense
Net Community Benefit Expense36174NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20925658TotalCommunityBenefitExpense
Direct Offsetting Revenue13452271DirectOffsettingRevenue
Net Community Benefit Expense7473387NetCommunityBenefitExpense
Percent Of Total Expense0.06720PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense41480628TotalCommunityBenefitExpense
Direct Offsetting Revenue27950393DirectOffsettingRevenue
Net Community Benefit Expense13530235NetCommunityBenefitExpense
Percent Of Total Expense0.12160PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served25000PersonsServed
Total Community Building Expense512TotalCommunityBuildingExpense
Net Community Building Expense512NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served15009PersonsServed
Total Community Building Expense7972TotalCommunityBuildingExpense
Net Community Building Expense7972NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served40009PersonsServed
Total Community Building Expense8484TotalCommunityBuildingExpense
Net Community Building Expense8484NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,204,978BadDebtExpenseAmount
Amount Reimbursed By Medicare16693143AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20481501CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3788358MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-AUSTINBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 FIRST DRIVE NWAddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM - AUSTINBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MCHS-AUSTIN EYE CLINIC
510 SECOND STREET NWAUSTINMN55912EYE CLINIC
MCHS-AUSTIN-ADAMS
908 WEST MAIN STREETADAMSMN55909REGIONAL CLINIC
MCHS-AUSTIN WEST CAMPUS
101 14TH STREET NWAUSTINMN55912CHEMICAL DEPENDENCY
MCHS-AUSTIN HOME HEALTH
408 4TH AVENUE NWAUSTINMN55912HOME HEALTH AND HOSPICE OFFICES
MCHS-AUSTIN-GRAND MEADOW
113 MAIN STREETGRAND MEADOWMN55936REGIONAL CLINIC
MCHS-AUSTIN-LEROY
671 EAST MAINLEROYMN55951REGIONAL CLINIC
MCHS-AUSTIN-BLOOMING PRAIRIE
405 EAST MAINBLOOMING PRAIRIEMN55917REGIONAL CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7G: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $2,155,564.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1204978.
PART II: THE ORGANIZATION'S COMMUNITY SUPPORT EXPENSES RELATE TO THE AUSTIN CHAMBER OF COMMERCE AMBASSADORS, THE HORMEL NATURE CENTER, THE MOWER COUNTY RED CROSS BLOOD DRIVE AND THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE IN MOWER COUNTY. THE ORGANIZATION'S ECONOMIC DEVELOPMENT EXPENSES RELATE TO THE DEVELOPMENT CORPORATION OF AUSTIN.
PART III, LINE 4: FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 6, 8 AND 9 OF MAYO CLINIC'S 2012 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF $4,310,000 AS REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL REPORTED ON THE CORE FORM, PART III INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.REASONS WHY MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT.
PART V, SECTION B, LINE 14G: WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.MAYO CLINIC HEALTH SYSTEM - AUSTIN
PART V, SECTION B, LINE 18E: FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS AND STATEMENTS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVENMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.MAYO CLINIC HEALTH SYSTEM - AUSTIN
PART V, SECTION B, LINE 20D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 10% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.MAYO CLINIC HEALTH SYSTEM - AUSTIN
PART VI, LINE 2: THE MISSION, VISION AND VALUES OF MAYO CLINIC HEALTH SYSTEM-AUSTIN (MCHS-AUSTIN), ITS NON-PROFIT STATUS AND COMMUNITY BOARD MEMBERSHIP ALL WORK TOGETHER TO FOCUS MCHS-AUSTIN ON THE HEALTH AND WELL-BEING OF ITS COMMUNITIES. THE FOUNDATION OF MCHS-AUSTIN'S BUSINESS IS PRIMARY CARE; ALL COMMUNITIES WHERE MCHS-AUSTIN HAS A PRESENCE ARE KEY COMMUNITIES.MCHS-AUSTIN ANTICIPATES COMMUNITY CONCERNS BY UTILIZING INPUT FROM COMMUNITY-BASED BOARD OF TRUSTEE MEMBERS, PATIENT FOCUS GROUPS, PATIENT SURVEYS AND MEETINGS WITH MAJOR EMPLOYERS IN ITS SERVICE AREA. ALL OF THESE RESOURCES HELP ALIGN MCHS-AUSTIN'S PLANNING PROCESSES TO ADDRESS FUTURE COMMUNITY NEEDS.MCHS-AUSTIN'S VALUE OF CARING FOR THE COMMUNITY REPRESENTS ITS COMMITMENT TO MAKING THE COMMUNITY A HEALTHIER PLACE FOR ALL. THIS COMMITMENT IS EXHIBITED THROUGH MCHS-AUSTIN'S PROVISION OF HIGH-QUALITY HEALTH CARE SERVICES AND TO ITS COMMITMENT OF CONTRIBUTING TO A HEALTHY ENVIRONMENT. ANY AREAS OF CONCERN OR IDENTIFIED ISSUES WOULD BE BROUGHT THROUGH THE STRATEGIC PLANNING PROCESS AS PART OF THE STRENGTHS / WEAKNESSES / OPPORTUNITIES / THREATS (SWOT) ANALYSIS.BOARD MEMBERS ALSO ARE INFORMED BY EXTERNAL REPORTING FROM SOURCES SUCH AS THE JC, CAP, AND HEALTHGRADES. MANY OF THESE REPORTS INCLUDE BENCHMARK COMPARISONS. PERHAPS THE MOST IMPORTANT SOURCE OF INFORMATION FOR MCHS-AUSTIN'S BOARD IS THEIR ABILITY TO LISTEN TO THE VOICE OF THE COMMUNITY. FIFTY PERCENT OF MCHS-AUSTIN'S BOARD MEMBERSHIP IS MADE UP OF INDEPENDENT COMMUNITY MEMBERS FROM VARIED BACKGROUNDS.MINNESOTA DEPARTMENT OF HEALTH STATISTICS ARE ALSO USED TO IDENTIFY KEY COMMUNITY HEALTH CARE NEEDS AND POTENTIAL GAPS. DATA IS REVIEWED TO DETERMINE AREAS OF NEED WHICH ARE THEN INCORPORATED INTO THE STRATEGIC PLANNING PROCESS. THESE NEEDS ARE DISCUSSED AND PRIORITIZED AT ANNUAL STRATEGIC PLANNING SESSIONS.MANY TIMES COMMUNITY NEEDS ARE OBVIOUS, SUCH AS A LARGE ELDERLY AND NURSING HOME POPULATION. OTHER NEEDS ARE IDENTIFIED THROUGH RECOGNIZED DEMOGRAPHIC CHANGES AND SHIFTS IN THE PATIENT POPULATION, SUCH AS THE INCREASE IN HISPANIC AND NON-WHITE PATIENTS. ADDITIONALLY, NEEDS ARE IDENTIFIED BY LISTENING TO PATIENTS, EMPLOYERS, SCHOOLS AND THE LARGER VOICE OF SOCIETY AS THEY EXPRESS AREAS OF CONCERN.MCHS-AUSTIN'S STRATEGIC CHALLENGES: IMPROVING PATIENT SATISFACTION, IMPROVING QUALITY AND SAFETY, IMPROVING PATIENT ACCESS, AND SUCCESSFUL IMPLEMENTATION OF STANDARIZED ELECTRONIC MEDICAL RECORD(EMR) WERE IDENTIFIED THROUGH THE STRATEGIC PLANNING PROCESS AS AN OUTCOME OF THE SWOT ANALYSIS. THROUGH THIS PROCESS MCHS-AUSTIN REVIEWS DATA ON A LOCAL BASIS (SCHOOL DISTRICT, MAYO CLINIC HEALTH SYSTEM, PUBLIC HEALTH PARTNERSHIPS, ETC.), A STATEWIDE BASIS (MN HOSPITAL ASSOCIATION, MN DEPARTMENT OF HEALTH, LEGISLATIVE UPDATES, ETC.) AND A NATIONAL BASIS (PRESS GANEY, HEALTHCARE ADVISORY BOARD, ETC.) TO DETERMINE HOW IT IS PERFORMING AND TO IDENTIFY IMPROVEMENTS NEEDED TO ACHIEVE ITS MISSION, VISION AND VALUES. THESE ARE THEN RESTATED AS STRATEGIC CHALLENGES.COMMON TRENDS OR THEMES ARE SUMMARIZED AND PRESENTED AT THE STRATEGIC PLANNING RETREAT. THESE TRENDS ARE PULLED FROM LOCAL, STATE, AND NATIONAL DATA. SMALL GROUPS OR BREAKOUT TEAMS ARE ASKED TO HIGHLIGHT ANY MISSING SWOT ISSUES NOT PREVIOUSLY IDENTIFIED AND THEN TO IDENTIFY 3 TO 5 OF THE MOST CRITICAL OR IMPORTANT SWOT ELEMENTS TO BE CONSIDERED. FINALLY, A VOTING PROCESS IS UTILIZED TO HIGHLIGHT THE MOST CRITICAL ITEMS TO BE ADDRESSED AS ACTION PLANS AND STRATEGIES ARE DEVELOPED FOR THE UPCOMING CYCLE.EARLY INDICATIONS OF RISKS OR MAJOR SHIFTS ARE IDENTIFIED THROUGH ANALYSIS AND PRESENTATION PRIOR TO STRATEGIC PLANNING SESSIONS. INFORMATION IS GATHERED AND BINDERS ARE SHARED WITH RETREAT PARTICIPANTS. PLANNING FOR 2012 HIGHLIGHTED THE FOLLOWING TOPICS:- NATIONAL TRENDS- STATE AND LOCAL DATA- ACO'S AND MEDICAL HOME OVERVIEW- OUT-MIGRATION MARKET SHARE- QUALITY UPDATE - MAYO EXPECTATIONS- SERVICE UPDATE - MAYO EXPECTATIONS- FINANCE UPDATE - MAYO EXPECTATIONS- MAYO CLINIC HEALTH SYSTEM REGIONALIZATION EFFORTS- INPUT FROM DEPARTMENTS REGARDING CHALLENGES AND OPPORTUNITIESDURING THE ANNUAL BUDGETING PROCESS AND ON AN ONGOING BASIS, SERVICE LINE LEADERS EVALUATE SUSTAINABILITY. THE BUDGETING PROCESS FORCES LEADERS TO DETERMINE IF IT IS FEASIBLE TO MAINTAIN A SERVICE WITHIN THE ORGANIZATION AND IDENTIFY NEW SERVICES THAT SHOULD BE CONSIDERED TO SERVE COMMUNITY NEEDS.
PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.
PART VI, LINE 4: MAYO CLINIC HEALTH SYSTEM-AUSTIN (MCHS-AUSTIN) HAS LOCATIONS IN THE MINNESOTA COMMUNITIES OF AUSTIN, BLOOMING PRAIRIE, LEROY, ADAMS AND GRAND MEADOW. THE MAJORITY OF MCHS-AUSTIN'S SERVICE AREA INCLUDES MOWER, EASTERN FREEBORN, AND SOUTHERN STEELE COUNTIES IN SOUTH CENTRAL MINNESOTA AND NORTHERN MITCHELL COUNTY IN IOWA. ITS MAIN CAMPUS, LOCATED IN AUSTIN, INCLUDES A CLINIC AND A HOSPITAL THAT SERVES AUSTIN AND SURROUNDING COMMUNITIES.ACCORDING TO THE UNITED STATES CENSUS BUREAU, THE 2011 POPULATION ESTIMATE FOR MOWER COUNTY (WHICH COMPRISES MOST OF MCHS-AUSTIN'S SERVICE AREA) IS 39,427. A 2011 ESTIMATE REPORTS THAT 25.1% OF THE POPULATION IS UNDER 18 YEARS OLD AND 17.8% IS 65 YEARS OLD OR OLDER. THE 2011 MEDIAN HOUSEHOLD INCOME IS $46,827 AND AN ESTIMATED 14.2% OF INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL.
PART VI, LINE 5: THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDSMAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. COMMUNITY REPRESENTATION ON GOVERNING BODYTHE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY. OPEN V. CLOSED STAFF MODEL STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.EMERGENCY ROOM THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6: MAYO CLINIC HEALTH SYSTEM:THIS ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.
NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED ON THE MINNESOTA HOSPITAL ANNUAL REPORT OR TO THE WISCONSIN HOSPITAL ASSOCIATION.SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNITED WAY OF MOWER COUNTY
PO BOX 605AUSTINMN55912410831896501(C)(3)8000SUPPORT OF MISSION
THE HORMEL FOUNDATION
329 N MAIN ST SUITE 102LAUSTINMN55912410694716501(C)(3)10000CHILD CARE EXPANSION PROJECT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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 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. 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AGERTER MD DAVID C
DIRECTOR/CHAIR/CEO (01/01-10/22/12)/044978300033817019707015384051869100
BUNKERS MD BRIAN E
DIRECTOR/SECRETARY034609800012290750003921035874800
CIOTA MD MARK R
DIRECTOR/CHAIR/CEO (10/23-12/31/12)07873250000017500027829083265400
CUNNINGHAM MD PETER L
DIRECTOR/PHYSICIAN3251640554000200000207940366512000
FLINCHBAUGH DO ROBERT T
DIRECTOR02347310001157025008024001028489700
GABRIELSON SHARON R
DIRECTOR0183859000693021238026087023187700
DANKERT SHERI S
VICE PRESIDENT/SITE CFO14509901691000115660204000178756000
KOCH MARK B
ASSISTANT SECRETARY027980400092820322016473030588100
PARKS DOUGLAS A
REGIONAL CAO01886120001169020335024187023430300
PILOT DAVID L
REGIONAL CFO01960450000013937019997022997900
REES ADAM C
CAO25707602923000200000218010301800000
ACCURSO MD JOSEPH M
PHYSICIAN2572422858671408006859520000074071370428605736816600
COPPES MD JOHN B
PHYSICIAN/MEDICAL DIRECTOR33530301895000200000173460374544000
HOLTZ MD SCOTT A
PHYSICIAN3077590635000200000200980348492000
KLEIS DO KEITH R
PHYSICIAN29246401216000200000236300337310000
KUBAS MD STEVE M
PHYSICIAN2554740727000200000207580296959000
NORDENG RODNEY L
VICE PRESIDENT14853501734000118690210240183162000
WOLD MD LESTER E
PATHOLOGIST28743660058200002000001099031435560000
YOUNG DO NATHAN P
PHYSICIAN26597505740002000008900287439000
ENGMAN MD STEVEN J
PHYSICIAN67737601398000200000222020720976000
HECTORNE MD KATHLEEN J
PHYSICIAN4817400128200020000098010512823000
KIRSCH MD MATTHEW J
PHYSICIAN73106002042000200000224620775564000
MIZRACHI MD VICTOR N
PHYSICIAN60645401408000200000259830653845000
STOFFEY DO ROBERT D
PHYSICIAN60525701408000200000205660647231000
JOHNSON MD TIMOTHY J
FORMER CHAIR/CEO04004400001896804197807493046887900
DUBE MD CYNTHIA M
FORMER KEY EMPLOYEE231841049500018206094450259987000
HOLTZ MD CAROL P
FORMER KEY EMPLOYEE187437035500014939056930208424000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BTHIS 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
PART IIIPART 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RHODA REES
SPOUSE OF OFFICER, ADAM REES65349EMPLOYMENT0
CAROL P HOLTZ MD
SPOUSE OF KEY EMPLOYEE, SCOTT A. HOLTZ, M.D.208424EMPLOYMENT0
SCOTT A HOLTZ MD
SPOUSE OF FORMER KEY EMPLOYEE, CAROL P. HOLTZ, M.D.348492EMPLOYMENT0

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

FieldValueIRS element (for citing)
Description Of AssetALL ASSETS, LIABILITIES AND NET ASSETS WERE MERGED INTO RELATED ENTITYDescriptionOfAsset
Date Of Distribution2012-12-31DateOfDistribution
FMV Of Asset134395080FMVOfAsset
Method Of FMV DeterminationBOOK VALUE AT END OF YEARMethodOfFMVDetermination
EIN411404075EIN

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTINBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 1ST DRIVE NWAddressLine1
CityAUSTINCity
StateMNState
ZIP Code55912ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor1DirectorOfSuccessor
Employee Of Successor1EmployeeOfSuccessor
Owner Of Successor0OwnerOfSuccessor
Receive Compensation0ReceiveCompensation
Assets Distributed1AssetsDistributed
Required To Notify AG1RequiredToNotifyAG
AG Notified1AGNotified
Liabilities Paid1LiabilitiesPaid
Bonds Outstanding0BondsOutstanding

Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)

ExplanationExplanation
PART I, LINE 2E: SOME OF THE BOARD OF DIRECTORS FOR MAYO CLINIC HEALTH SYSTEM-AUSTIN ARE THE SAME MEMBERS FOR MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN, 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 (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2THE FOLLOWING INDIVIDUAL IS EMPLOYED BY A RELATED ORGANIZATION: BUNKERS M.D., BRIAN E. 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: CIOTA M.D., MARK R. 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. CIOTA M.D., MARK R. GABRIELSON, SHARON R. KOCH, MARK B. PARKS, DOUGLAS A. PILOT, DAVID L. BRIAN E. BUNKERS, 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. RODNEY L. NORDENG AND GARY RAY HAVE A BUSINESS RELATIONSHIP AS THEY SERVE ON THE AUSTIN COMMUNITY BANK ADVISORY BOARD.
FORM 990, PART VI, SECTION A, LINE 3MAYO 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 4ARTICLES OF MERGER WERE PREPARED FOR MAYO CLINIC HEALTH SYSTEM-AUSTIN'S MERGER WITH AND INTO MAYO CLINIC HEALTH SYSTEM-ALBERT LEA.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER IS MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE FILING ORGANIZATION'S BYLAWS PROVIDE MAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET AND DEBT DECISIONS. MAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, MAY AMEND THE FILING ORGANIZATION'S ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 ORGANIZATIONS GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CMAYO 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.
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 SALARIES OF THE CEO, REGION CAO, ALONG WITH PHYSICIAN BOARD LEADERSHIP 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). 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.
FORM 990, PART VI, SECTION C, LINE 19THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART XI, LINE 9:MCHS-AUSTIN MERGER INTO MCHS-ALBERT LEA -134,395,080. CHANGE IN NET ASSETS OF AUSTIN FOUNDATION 22,895.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE F, PART IV, LINES 3, 5, & 6DISCLOSURE 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-FILEDIN REGARDS TO FILING CERTAIN FOREIGN FORMS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (50 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNAAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(C)(3)7MCHS--CHIPPEWA VALLEY INC1
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(C)(3)9MAYO CLINIC1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH ST JOSEPH AVENUEARCADIAWI54612391322480FUNDRAISING FOUNDATIONWI501(C)(3)9MCHS--FRANCISCAN HEALTHCARE INC1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(C)(3)9MFMER1
LUTHER LAKESIDE APARTMENTS INC
PO BOX 1510EAU CLAIREWI54702391409024LOW INCOME HOUSING FOR ELDERLYWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(C)(3)91N/A
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410739106HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(C)(3)3MAYO CLINIC1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(C)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC
1900 TEBEAU STREETWAYCROSSGA31501581667166HOSPITALGA501(C)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
1000 FIRST DRIVE NWAUSTINMN55912411404075HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NWAUSTINMN55912410695606HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--AUSTIN1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(C)(3)3MAYO CLINIC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(C)(3)11-IMCHS--EAU CLAIRE CLINIC INC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(C)(3)7MCHS--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(C)(3)9MCHS--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(C)(3)11-IMAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(C)(3)3MCHS--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NENEW PRAGUEMN56071410723639HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVENUEBARRONWI54812390920634HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
13025 EIGHTH STREET PO BOX 70OSSEOWI54758391029430HOSPITAL AND CLINICWI501(C)(3)3MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEW STOWATONNAMN55060411862132PATIENT CARE - CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED WING
701 HEWITT BOULEVARDRED WINGMN55066411713783PATIENT CARE SERVICESMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE
701 HEWITT BOULEVARDRED WINGMN55066411539756HOME HEALTHCARE SERVICESMN501(C)(3)7MCHS--RED WING1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(C)(3)7MCHS--ST JAMES1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(C)(3)9MCHS--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(C)(3)3MCHS--MANKATO1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(C)(3)7MAYO CLINIC1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(C)(3)9MAYO CLINIC1
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMFMER160486 FRANKFURT AM MAINFRANKFURTGMGM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(C)(3)11-IMAYO CLINIC1
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC -- SAINT MARYS HOSPITAL1
RED WING SEMINARY HOME
701 HEWITT BOULEVARDRED WINGMN55066411263419RESIDENT CARE AND HOUSINGMN501(C)(3)9MCHS--RED WING1
SATILLA HEALTH MANAGEMENT INC
1900 TEBEAU STREETWAYCROSSGA31501581717889HEALTHCARE SERVICESGA501(C)(3)3MCHS IN WAYCROSS INC1
THE DOWNTOWN PLAZA
701 HEWITT BOULEVARDRED WINGMN55066411532554ELDERLY HOUSINGMN501(C)(3)9MCHS--RED WING1
HIRSH FAMILY FOUNDATION
108 NORTH MAIN STREETAUSTINMN55912411749842FUNDRAISING FOUNDATIONMN501(C)(3)11-I0
HORMEL FOUNDATION
329 N MAIN ST SUITE 102LAUSTINMN55912410694716FUNDRAISING FOUNDATIONMN501(C)(3)11-I0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
FRANKLIN HEATING STATION
119 THIRD ST SWROCHESTERMN55902410264830UTILITYMNN/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200LISLEIL60532453414836HEALTHCARE RELATED SOFTWAREILN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryPostal CodeAddressForeign/PostalCode
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC1
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC1
MAYO CLINIC GBS MAURITIUS
HEALTHCARE MANAGEMENTN/AC12ND FLOOR EBENE MEWS 57EBENE CYBERCITYMPMP
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC1
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SEFARIBAULTMN55021411817179PATIENT CARE - CLINICMNN/AC1
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC1
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411346366REFERENCE LAB SERVICESMNN/AC1
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC1
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/AC1CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREETWILMINGTONMA01887043323713LABORATORY SERVICESMAN/AC1
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259061190278THIRD PARTY ADMINISTRATION SERVICESAZN/AC1
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC1
RESOUNDANT INC
221 1ST AVE SWROCHESTERMN55902461661978MANUFACTURING MEDICAL DEVICE COMPONENTMNN/AC1
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC1
SATILLA HEALTH ENTERPRISES INC
1900 TEBEAU STREETWAYCROSSGA31501581717222HEALTHCAREGAN/AC1
SATILLA HEALTHNET INC
1900 TEBEAU STREETWAYCROSSGA31501582151076HEALTH SERVICESGAN/AC1
SATILLA REGIONAL SPECIALTY PHYSICIANS INC
1900 TEBEAU STREETWAYCROSSGA31501204363143PHYSICIAN OFFICESGAN/AC1
SIT ALPHA II BOND FUND LTD
980648163INVESTMENT MANAGEMENTN/AC1CLIFTON HOUSE 75 FORTH STGRAND CAYMANCJCJKY1-1108
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC1
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC1
CHARITABLE LEAD TRUST
CHARITABLE TRUSTCAN/AT1
PERPETUAL TRUST
CHARITABLE TRUSTNDN/AT1
PERPETUAL TRUST
CHARITABLE TRUSTLAN/AT1
PERPETUAL TRUST (2)
CHARITABLE TRUSTMAN/AT1
PERPETUAL TRUST
CHARITABLE TRUSTMON/AT1
PERPETUAL TRUST
CHARITABLE TRUSTAZN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTCON/AT1
CHARITABLE REMAINDER TRUST (6)
CHARITABLE TRUSTFLN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTFLN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTILN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTLAN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTMIN/AT1
CHARITABLE REMAINDER TRUST (68)
CHARITABLE TRUSTMNN/AT1
CHARITABLE REMAINDER TRUST (77)
CHARITABLE TRUSTMNN/AT1
CHARITABLE REMAINDER TRUST
CHARITABLE TRUSTNCN/AT1
CHARITABLE REMAINDER TRUST (2)
CHARITABLE TRUSTTXN/AT1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
O295154GAAP
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
P589022GAAP
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
C352048GAAP
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
Q132098GAAP
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
L76710GAAP
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
Q64727GAAP
MAYO CLINIC HEALTH SYSTEM--OWATONNA
O86612GAAP
MAYO CLINIC HEALTH SYSTEM--OWATONNA
Q50698GAAP
MAYO COLLABORATIVE SERVICES INC
M484028GAAP
MMSI INC
M241108GAAP
MMSI INC
S7245331GAAP