MAYO CLINIC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC (EIN 41-0760836)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-06
IRS object ID: 201223119349301282
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-06T14:16:04-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	410760836	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM-FAIRMONT	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MAYO	NameControl
Phone	5075381297	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 MEDICAL CENTER DRIVE	AddressLine1
City	FAIRMONT	City
State	MN	State
ZIP Code	56031	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES J TARASOVITCH	Name
Title	CFO	Title
Phone	5073852646	Phone
Date Signed	2012-11-06	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	FKA FAIRMONT MEDICAL CENTER - MAYO HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREGORY KUTCHER MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	800 MEDICAL CENTER DRIVE	AddressLine1
City	FAIRMONT	City
State	MN	State
ZIP Code	56031	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	77968778	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAYOCLINICHEALTHSYSTEM.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1940	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	HOSPITAL, NURSING HOME, AND CLINICS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	784	TotalNbrEmployees
Total Nbr Volunteers	140	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	383039	ContributionsGrantsPriorYear
Contributions Grants Current Year	687010	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	80313422	ProgramServiceRevenuePriorYear
Program Service Revenue CY	76892396	ProgramServiceRevenueCY
Investment Income Prior Year	-57954	InvestmentIncomePriorYear
Investment Income Current Year	-4866	InvestmentIncomeCurrentYear
Other Revenue Prior Year	389728	OtherRevenuePriorYear
Other Revenue Current Year	346997	OtherRevenueCurrentYear
Total Revenue Prior Year	81028235	TotalRevenuePriorYear
Total Revenue Current Year	77921537	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	12747	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	25909	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	50748434	SalariesEtcPriorYear
Salaries Etc Current Year	49338189	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	223129	TotalFundrsngExpCurrentYear
Other Expense Prior Year	29217930	OtherExpensePriorYear
Other Expenses Current Year	30659676	OtherExpensesCurrentYear
Total Expenses Prior Year	79979111	TotalExpensesPriorYear
Total Expenses Current Year	80023774	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1049124	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-2102237	RevenuesLessExpensesCY
Total Assets BOY	46623017	TotalAssetsBOY
Total Assets EOY	41921968	TotalAssetsEOY
Total Liabilities BOY	19199870	TotalLiabilitiesBOY
Total Liabilities EOY	16681931	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	27423147	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	25240037	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	71999761	Expense
Revenue	77047097	Revenue
Description	PATIENT SERVICES (SEE SCHEDULE O)PATIENT SERVICES: MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA AND WISCONSIN. AS PART OF MAYO CLINIC, MAYO CLINIC HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO CLINIC HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS' HEALTH CARE NEEDS LOCALLY. MAYO CLINIC HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO CLINIC HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.IN 2011, MAYO CLINIC HEALTH SYSTEM SITES EMPLOYED APPROXIMATELY 900 PHYSICIANS AND 13,000 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, SEVEN 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.MAYO CLINIC HEALTH SYSTEM - FAIRMONT IS A MEDICAL CENTER PROVIDING CARE TO PATIENTS IN THE CLINIC SETTING, THE EYE CLINIC, THE HOSPITAL, AND EMERGENCY ROOM. THE MEDICAL CENTER ALSO PROVIDES LONG-TERM CARE AND OTHER MEDICAL SERVICES TO THE COMMUNITY OF FAIRMONT, MINNESOTA, AND THE SURROUNDING SOUTH CENTRAL MINNESOTA AND NORTH CENTRAL IOWA SERVICE AREA. THE MEDICAL CENTER IS A "SOLE COMMUNITY HOSPITAL". THE MEDICAL CENTER'S OPERATIONS CONSIST OF A 57-BED ACUTE CARE HOSPITAL, AN ATTACHED 40-BED SKILLED CARE NURSING HOME, AN ATTACHED PROVIDER-BASED CLINIC WITH SATELLITE REGIONAL CLINICS LOCATED IN SHERBURN, MINNESOTA AND TRUMAN, MINNESOTA, CONVENIENT CARE CLINIC LOCATED IN THE WALMART STORE IN FAIRMONT, MINNESOTA, AND SATELLITE CLINICS LOCATED IN ARMSTRONG, IOWA, AND SWEA CITY, IOWA.THE MEDICAL CENTER'S MISSION, VISION AND VALUES STATEMENT IS LISTED BELOW:MISSION: TO INSPIRE HOPE, AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH.VISION: MAYO CLINIC WILL PROVIDE AN UNPARALLELED EXPERIENCE AS THE MOST TRUSTED PARTNER FOR HEALTH CARE.PRIMARY VALUE: THE NEEDS OF THE PATIENT COME FIRST.THE MEDICAL CENTER PROVIDES CHARITY CARE FOR PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE MEDICAL CENTER ALSO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. THE TOTAL COST OF CHARITY CARE PROVIDED IN 2011 WAS APPROXIMATELY $566,400. THE TOTAL COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID AND MINNESOTACARE (A STATE PROGRAM FOR PROVIDING MEDICAL CARE TO THE LOW INCOME POPULATION) WAS APPROXIMATELY $1,506,000. INCLUDED IS THIS AMOUNT IS THE MEDICAID SURCHARGE OF $640,026 AND THE MINNESOTACARE TAX OF $797,922.THE TOTAL UNREIMBURSED COST OF MEDICARE WAS APPROXIMATELY $8,230,000.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	23754	Expense
Grants	18649	Grants
Revenue	755	Revenue
Description	MEDICAL EDUCATON (SEE SCHEDULE O)MEDICAL EDUCATION:MAYO CLINIC HEALTH SYSTEM - FAIRMONT (MCHS-FAIRMONT)PROVIDES CLINICAL EXPERIENCE TO STUDENTS OF IOWA LAKES COMMUNITY COLLEGE, MINNESOTA WEST COMMUNITY COLLEGE, SOUTH CENTRAL COLLEGE, RIVERLAND COMMUNITY COLLEGE, AND PRESENTATION COLLEGE.MCHS - FAIRMONT PROVIDED $18,650 IN SCHOLARSHIPS TO LOCAL COMMUNITY STUDENTS PURSUING A HEALTH-RELATED CAREER.MCHS - FAIRMONT ALSO OFFERED BLOOD PRESSURE SCREENINGS, DEPRESSION SCREENINGS, AND FLU IMMUNIZATIONS TO THE COMMUNITY. MCHS - FAIRMONT OFFERS NUMEROUS EDUCATIONAL SEMINARS, CLASSES AND OPPORTUNITIES FOR ITS PATIENTS, THEIR FAMILIES, EMPLOYEES, COMMUNITY MEMBERS, AND THE GENERAL PUBLIC. THE FOLLOWING IS A SAMPLING OF THE EVENTS THAT WERE OFFERED IN 2011: PARENTING CLASSES, FAMILY FUN FAIR, MARTIN COUNTY FAIR, SUPPORT GROUPS, GRIEF, CANCER, DIABETES, SLEEP APNEA, "SPEAKING OF" HEALTH BROADCAST; ON CAMPUS PRESENTATIONS; HOMETOWN HEALTH NEWSLETTER MAILINGS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	7260	Expense
Grants	7260	Grants
Description	COMMUNITY CONTRIBUTIONS (SEE SCHEDULE O)COMMUNITY CONTRIBUTIONS:MAYO CLINIC HEALTH SYSTEM - FAIRMONT (MCHS-FAIRMONT) OFFERED BLOOD PRESSURE SCREENINGS, DEPRESSION SCREENINGS, AND FLU IMMUNIZATIONS TO THE COMMUNITY.MCHS-FAIRMONT PROVIDES FINANCIAL SUPPORT TO THE AMERICAN CANCER SOCIETY, MARCH OF DIMES, PRESENTATION COLLEGE, AND AREA SCHOOLS FOR ATHLETIC AND OTHER YOUTH PROGRAMS. TOTAL DONATIONS IN 2011 WERE APPROXIMATELY $7,260.IN 2011, MCHS-FAIRMONT RECEIVED DONATED SERVICES FROM 135 VOLUNTEERS, WHO PROVIDED 15,700 VOLUNTEER HOURS, VALUED AT APPROXIMATELY $342,103 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTAMATED HOURLY VALUE OF SUCH SERVICE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Revenue	171729	Revenue
Description	MCHS-FAIRMONT LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Rev	171729	TotalOfOtherProgramServiceRev
Total Program Service Expense	72030775	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	50	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	784	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE TAX UNIT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5075381297	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 FIRST ST SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55905	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BROLSMA GREG
DIRECTOR	1.00	X	0	0	0
BUNKERS MD BRIAN E
DIRECTOR	1.00	X	0	324931	4710
GAALSWYK MARK
DIRECTOR	1.00	X	0	0	0
GREEN MD JEFFREY P
DIRECTOR/VICE CHAIR	40.00	X	205462	0	25086	X
KUTCHER MD GREGORY
DIRECTOR/PRESIDENT/CEO	5.00	X	0	423800	42574	X
LARSON MARY
DIRECTOR (10/24 - 12/31)	1.00	X	0	0	0
MANSKE LYNN
DIRECTOR (1/1 - 4/1)	1.00	X	0	0	0
MORRIS MD MARIE E
DIRECTOR/CHAIR	40.00	X	346759	0	36031	X
STRUCK ALLEN W
DIRECTOR/SECY/TREAS	1.00	X	0	0	0	X
GRACE RICHARD W
CAO, SW MN REGION	5.00		0	296178	28627	X
TARASOVITCH JAMES J
CFO	5.00		0	230999	25645	X
BERTHELSEN MD STEPHEN O
PHYSICIAN	40.00		513879	0	33910		X
HANSEN GAYLE
SENIOR VP	40.00		201480	0	45589		X
RODRIGUEZ MD RUFUS
CHIEF OF MEDICAL AFFAIRS	40.00		1106707	0	45800		X
SUTER BRIAN
INTERIM ADMINISTRATOR 1/1-4/25	40.00		179365	0	37985		X
GRAN MD CHRISTOPHER
PHYSICIAN	40.00		416815	0	22620			X
HODGES MD LEROY W
PHYSICIAN	40.00		608421	0	53497			X
KIM MD HYUN I
PHYSICIAN	40.00		545635	0	34323			X
NEIST MD ROGER L
PHYSICIAN	40.00		514254	0	48867			X
SZUTZ TIMOTHY
PHYSICIAN	40.00		862044	0	47923			X
HAGEDORN MD STEVEN D
FMR DIR/FMR VICE CHAIR	0.00		0	221641	62202				X
VUOCOLO MD PHILIP
FORMER DIR/PRESIDENT	0.00		236303	0	802				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5737124	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1497549	TotalReportableCompFrmRltdOrgs
Total Other Compensation	596191	TotalOtherCompensation
Number Individuals GT100 K	51	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO CLINIC HEALTH SYSTEM - MANKATO
1025 MARSH STREET	MANKATO	MN	56002	MEDICAL SERVICES	774894
WEATHERBY LOCUMS
PO BOX 972633	DALLAS	TX	75397	LOCUM PHYSICIANS	306334
MEDICAL DOCTOR ASSOCIATES
PO BOX 277185	ATLANTA	GA	30384	LOCUM PHYSICIANS	291061
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	55480	LAB SERVICES	272645
DR JOHN D HOLSTINE
800 MEDICAL CENTER DRIVE	FAIRMONT	MN	56031	UROLOGIST	241068

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Related Organizations	357313	RelatedOrganizations
Government Grants	144364	GovernmentGrants
All Other Contributions	185333	AllOtherContributions
Total Contributions	687010	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	620000	74708373	74708373
LAB REVENUE	621510	2004539	2004539
RENT FROM AFFILIATES	531120	162105	162105
SHARED SERVICES REV	561000	9624	9624
LIFELINE	621990	7000	7000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	755	TotalRevenueColumn
Related Or Exempt Function Income	755	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	76892396	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16947	TotalRevenueColumn
Exclusion	$16,947	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	13762	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	974	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	12788	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	12788	TotalRevenueColumn
Exclusion	$12,788	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	10341	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	32154	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-21813	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-21813	TotalRevenueColumn
Exclusion	-$21,813	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	21137	GrossSalesOfInventory
Cost Of Goods Sold	14113	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	7024	TotalRevenueColumn
Exclusion	$7,024	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA/VENDING	722210	276945	276945
MED REC/TRANSCRIPTION	541900	48518	48518
MISC. REVENUE	900099	1722	1722

Field	Value	IRS element (for citing)
Total Other Revenue	327185	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	77921537	TotalRevenueColumn
Related Or Exempt Function Income	77219581	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$14,946	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	7260	Total
Program Services	7260	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	18649	Total
Program Services	18649	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2778052	Total
Program Services	799507	ProgramServices
Management And General	1978545	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	477865	Total
Program Services	477865	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	34949120	Total
Program Services	33107654	ProgramServices
Management And General	1729711	ManagementAndGeneral
Fundraising	111755	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2615572	Total
Program Services	2353491	ProgramServices
Management And General	254414	ManagementAndGeneral
Fundraising	7667	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6088748	Total
Program Services	5470502	ProgramServices
Management And General	600159	ManagementAndGeneral
Fundraising	18087	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2428832	Total
Program Services	2185462	ProgramServices
Management And General	236250	ManagementAndGeneral
Fundraising	7120	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	63176	Total
Management And General	63176	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7809401	Total
Program Services	6095509	ProgramServices
Management And General	1699439	ManagementAndGeneral
Fundraising	14453	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	225923	Total
Program Services	8503	ProgramServices
Management And General	170141	ManagementAndGeneral
Fundraising	47279	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3990406	Total
Program Services	3396285	ProgramServices
Management And General	582089	ManagementAndGeneral
Fundraising	12032	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	73820	Total
Management And General	73820	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2235070	Total
Program Services	2015741	ProgramServices
Management And General	219329	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	318264	Total
Program Services	247876	ProgramServices
Management And General	66643	ManagementAndGeneral
Fundraising	3745	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	171963	Total
Program Services	164827	ProgramServices
Management And General	6205	ManagementAndGeneral
Fundraising	931	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	488722	Total
Program Services	488722	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2669836	Total
Program Services	2669836	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	384361	Total
Program Services	384361	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	7070873	7070873
BAD DEBT	3389202	3389202
MN CARE TAX	797922	797922
MEDICAID SURCHARGE	640026	640026

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	330711	Total
Program Services	240702	ProgramServices
Management And General	89949	ManagementAndGeneral
Fundraising	60	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	80023774	Total
Program Services	72030775	ProgramServices
Management And General	7769870	ManagementAndGeneral
Fundraising	223129	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3637188	BOY
EOY	173886	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	128180	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13029451	BOY
EOY	14228440	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1671412	BOY
EOY	1664016	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1962249	BOY
EOY	1516889	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	54080849	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	32806800	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	23177098	BOY
EOY	21274049	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3017439	BOY
EOY	3064688	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	46623017	BOY
EOY	41921968	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5143492	BOY
EOY	5715493	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	3248	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14056378	BOY
EOY	10963190	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	19199870	BOY
EOY	16681931	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25433785	BOY
EOY	23274350	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1411066	BOY
EOY	1330339	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	578296	BOY
EOY	635348	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	27423147	BOY
EOY	25240037	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	46623017	BOY
EOY	41921968	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-2102237	ReconcilationRevenueExpenses
Reconcilation Other Changes	-80873	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	0	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	MAYO CLINIC HEALTH SYSTEM - MANKATO (MCHS-MANKATO), THE PARENT COMPANY OF THE FILING ORGANIZATION, PROVIDES SUPPORT SERVICES TO THE FILING ORGANIZATION THAT INCLUDES PROVIDING INFORMATION OR EXPRESSING ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2011, MCHS - MANKATO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2103153	BeginningOfYearBalance
Contributions	468387	Contributions
Investment Earnings Or Losses	-570	InvestmentEarningsOrLosses
Other Expenditures	605282	OtherExpenditures
End Of Year Balance	1965688	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1776123	BeginningOfYearBalance
Contributions	261963	Contributions
Investment Earnings Or Losses	229353	InvestmentEarningsOrLosses
Other Expenditures	164286	OtherExpenditures
End Of Year Balance	2103153	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1466513	BeginningOfYearBalance
Contributions	429655	Contributions
Investment Earnings Or Losses	54803	InvestmentEarningsOrLosses
Other Expenditures	174848	OtherExpenditures
End Of Year Balance	1776123	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1922455	BeginningOfYearBalance
Investment Earnings Or Losses	-281424	InvestmentEarningsOrLosses
Other Expenditures	174518	OtherExpenditures
End Of Year Balance	1466513	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.32000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.68000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	99580	OtherCostOrOtherBasis
Book Value	99580	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38320680	OtherCostOrOtherBasis
Depreciation	21272710	Depreciation
Book Value	17047970	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15660589	OtherCostOrOtherBasis
Depreciation	11534090	Depreciation
Book Value	4126499	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	21274049	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	58774
DEFERRED COMPENSATION	1082662
INTEREST IN NET ASSETS OF FDN	1923252

Field	Value	IRS element (for citing)
Total Book Value Other Assets	3064688	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$9,833,526
DEFERRED COMPENSATION LIABILITY	$1,082,662
ASSET RETIREMENT OBLIGATION	$47,003

Field	Value	IRS element (for citing)
Total Of Amounts	10963190	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART IV, LINE 2B:	FAIRMONT MEDICAL CENTER HAS A 40 BED SKILLED NURSING HOME. THEY MAINTAIN A "RESIDENT TRUST" ACCOUNT/BANK ACCOUNT FOR THE NURSING HOME RESIDENTS.
PART V, LINE 4:	ENDOWMENTS ARE USED TO FURTHER THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSE OF THE MEDICAL CENTER.	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X:	AT DECEMBER 31, 2011 AND 2010, THERE WAS NO SIGNIFICANT LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	450.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	566374	TotalCommunityBenefitExpense
Net Community Benefit Expense	566374	NetCommunityBenefitExpense
Percent Of Total Expense	0.00740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12584216	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11078239	DirectOffsettingRevenue
Net Community Benefit Expense	1505977	NetCommunityBenefitExpense
Percent Of Total Expense	0.01970	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13150590	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11078239	DirectOffsettingRevenue
Net Community Benefit Expense	2072351	NetCommunityBenefitExpense
Percent Of Total Expense	0.02710	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	56884	TotalCommunityBenefitExpense
Net Community Benefit Expense	56884	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5855	TotalCommunityBenefitExpense
Net Community Benefit Expense	5855	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1676518	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1635455	DirectOffsettingRevenue
Net Community Benefit Expense	41063	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7260	TotalCommunityBenefitExpense
Net Community Benefit Expense	7260	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1746517	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1635455	DirectOffsettingRevenue
Net Community Benefit Expense	111062	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14897107	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12713694	DirectOffsettingRevenue
Net Community Benefit Expense	2183413	NetCommunityBenefitExpense
Percent Of Total Expense	0.02850	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$3,389,202	BadDebtExpenseAmount
Amount Reimbursed By Medicare	17772229	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	21270680	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3498451	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM-FAIRMONT	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	800 MEDICAL CENTER DRIVE	AddressLine1
City	FAIRMONT	City
State	MN	State
ZIP Code	56031	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	CLINIC, NURSING HOME	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM-FAIRMONT	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	450.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
412 6TH STREET	ARMSTRONG	IA	50514	CLINIC
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
32 N MAIN STREET	SHERBURN	MN	56171	CLINIC
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
401 N 4TH AVE E	TRUMAN	MN	56088	CLINIC
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
411 S GROVE ST SUITE 3	BLUE EARTH	MN	56013	PSYCHOLOGY SERVICES CLINIC
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
207 3RD STREET NORTH	SWEA CITY	IA	50590	CLINIC
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
1250 GOEMANN ROAD	FAIRMONT	MN	56013	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return 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 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 $ 3389202.
PART III, LINE 4: 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.FOOTNOTE FROM MAYO CLINIC 2011 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES - ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, 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 APPROXIMATELY $8,230,000 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 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 EVERY REASONABLE ATTEMPT 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. 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 13G: 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-FAIRMONT
PART V, SECTION B, LINE 19D: 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-FAIRMONT
PART VI, LINE 2: MAYO CLINIC HEALTH SYSTEM - FAIRMONT (MCHS-FAIRMONT) COLLABORATES WITH PUBLIC AND PRIVATE GROUPS IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. MCHS-FAIRMONT WORKS CLOSELY WITH THE HEALTH AND HUMAN SERVICES AGENCY THAT SERVES MARTIN AND FARIBAULT COUNTIES (MINNESOTA) WHICH IS MCHS-FAIRMONT'S MAIN SERVICE AREA, IN UNDERSTANDING THE NEEDS. DATA IS ALSO RESEARCHED, STUDIED, AND USED IN STRATEGIC PLANNING. DATA SOURCES INCLUDE COUNTY DATA, STATE DATA, AND MINNESOTA HOSPITAL ASSOCIATION DATA. IN ADDITION, MCHS-FAIRMONT PRESENTS PUBLIC EDUCATION EVENTS THROUGHOUT THE YEAR AND HAS LOCAL CABLE INFORMATIVE PROGRAMS.
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 WILL WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES WILL MAKE A COPY 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 - FAIRMONT IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT SERVES THE RESIDENTS OF MARTIN, FARIBAULT, WATONWAN, AND JACKSON COUNTIES IN MINNESOTA AND KOSSUTH, EMMETT, AND PALO ALTO COUNTIES IN IOWA. THE MAIN CITY SERVED IS FAIRMONT, MINNESOTA WITH THE BALANCE OF THE SERVICE AREA BEING SMALL TOWNS OR RURAL AGRICULTURAL AREAS. THE AREA POPULATION IS TRENDING OLDER THAN THE STATEWIDE AVERAGE. THE MAIN INDUSTRY IN THE SERVICE AREA IS AGRICULTURAL BASED.
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 FUNDS:MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. COMMUNITY REPRESENTATION ON GOVERNING BODY:THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY. OPEN 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: 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.		PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	6	NumberOfRecipients
Amount Of Cash Grant	18649	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. SCHOLARSHIPS ARE FOR TUITION AND ARE PAID DIRECTLY TO THE COLLEGE THE RECIPIENT IS ATTENDING.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	1	InitialContractException
Rebuttable Presumption Procedure	1	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BUNKERS MD BRIAN E
0	204710	0	0	0	120221	0	731	0	3979	0	329641	0	0
GREEN MD JEFFREY P
200969	0	0	0	4493	0	16685	0	8401	0	230548	0	3100	0
KUTCHER MD GREGORY
0	363800	0	60000	0	0	0	12250	0	30324	0	466374	0	0
MORRIS MD MARIE E
283799	0	0	0	62960	0	27630	0	8401	0	382790	0	10622	0
GRACE RICHARD W
0	263178	0	33000	0	0	0	12250	0	16377	0	324805	0	0
TARASOVITCH JAMES J
0	230999	0	0	0	0	0	9316	0	16329	0	256644	0	0
BERTHELSEN MD STEPHEN O
487479	0	0	0	26400	0	27768	0	6142	0	547789	0	21091	0
HANSEN GAYLE
199089	0	0	0	2391	0	24668	0	20921	0	247069	0	0	0
RODRIGUEZ MD RUFUS
732458	0	0	0	374249	0	35899	0	9901	0	1152507	0	226810	0
SUTER BRIAN
157645	0	0	0	21720	0	14404	0	23581	0	217350	0	0	0
GRAN MD CHRISTOPHER
406832	0	0	0	9983	0	19820	0	2800	0	439435	0	8151	0
HODGES MD LEROY W
580790	0	0	0	27631	0	29076	0	24421	0	661918	0	21384	0
KIM MD HYUN I
486375	0	0	0	59260	0	24922	0	9401	0	579958	0	55432	0
NEIST MD ROGER L
430330	0	0	0	83924	0	40725	0	8142	0	563121	0	73276	0
SZUTZ TIMOTHY
679841	0	0	0	182203	0	36522	0	11401	0	909967	0	166497	0
HAGEDORN MD STEVEN D
0	217027	0	0	0	4614	0	34634	0	27568	0	283843	0	0
VUOCOLO MD PHILIP
46072	0	0	0	190231	0	0	0	802	0	237105	0	9204	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	IN 2011, HEALTH CLUB DUES TO "ANYTIME FITNESS" WERE PAID BY FAIRMONT MEDICAL CENTER ON BEHALF OF PAID EMPLOYEES WHO MET THE ATTENDANCE REQUIRMENTS. THREE OF THE LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD.
PART I, LINE 3	THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.
PART I, LINES 4A-B	IN 2011, DR. PHILIP VUOCOLO RECEIVED A SEVERENCE PAYMENT IN THE AMOUNT OF $180,667. THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). A PORTION OF THE AMOUNT MAY BE INCLUDED IN SCHEDULE J, PART II, COLUMN (F) IF DISCLOSED ON A PRIOR YEARS FORM 990. JEFFREY P. GREEN, M.D. $ 3,100 MARIE E. MORRIS, M.D. $ 10,622 STEPHEN O. BERTHELSEN, M.D. $ 21,091 RUFUS RODRIGUEZ, M.D. $226,810 CHRISTOPHER GRAN, M.D. $ 8,151 LEROY W. HODGES, M.D. $ 21,834 HYUN I. KIM, M.D. $ 55,432 ROGER L. NEIST, M.D. $ 73,276 TIMOTHY SZUTZ, M.D. $166,497 PHILIP VUOCOLO, M.D. $ 9,204
PART I, LINE 8	A PORTION OF THE COMPENSATION PAID IN 2011 TO THE ORGANIZATION'S FORMER CEO, DR. PHILIP VUOCOLO, WAS EARNED IN 2010 WHEN DR. VUOCOLO WAS WORKING UNDER HIS INITIAL CONTRACT SIGNED IN 2008.
PART III	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.	SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: GREGORY KUTCHER, M.D. JAMES TARASOVITCH RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: GREGORY KUTCHER, M.D. MARIE MORRIS, M.D. JAMES TARASOVITCH
FORM 990, PART VI, SECTION A, LINE 3	MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 4	THE FILING ORGANIZATION CHANGED ITS GOVERNING DOCUMENTS IN 2011 TO REFLECT A NAME CHANGE. THIS NAME CHANGE WAS PREVIOUSLY COMMUNICATED TO AND APPROVED BY THE IRS DURING THE TAX YEAR.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER IS MAYO CLINIC HEALTH SYSTEM - MANKATO.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE CORPORATE MEMBER SHALL APPOINT/REPLACE THREE MEMBERS OF THE BOARD. THE REMAINING MEMBERS OF THE BOARD ARE NOMINATED THROUGH VARIOUS PROCESSES WITH APPROVAL BY THE BOARD OF DIRECTORS AND THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT DECISIONS AND AMENDMENT OF ARTICLES AND BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. HIGHLIGHTS ARE PRESENTED TO BOARD MEMBERS, AND THE REVIEW IS DOCUMENTED IN MEETING MINUTES. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
	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. THE SALARY OF THE CEO AND CAO WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO CLINIC HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE THEN REVIEWS AND APPROVES THE COMPENSATION. FOR THOSE INDIVIDUALS FOR WHICH THE MAYO CLINIC HEALTH SYSTEM COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINICS 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 VIII, SECTION A	BRIAN E. BUNKERS M.D. 40.0 RICHARD W. GRACE 35.0 STEVEN HAGEDORN M.D. 40.0 GREGORY KUTCHER M.D. 35.0 JAMES J. TARASOVITCH 35.0	AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -12,622. CHANGE IN INTEREST IN ASSETS HELD BY THE FOUNDATION -66,110. ALLOWANCE FOR DOUBTFUL PLEDGES -2,141. TOTAL TO FORM 990, PART XI, LINE 5: -80,873.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (46 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROAD	BLOOMER	WI	54724	391450617	LOW INCOME HOUSING	WI	501(C)(3)	7	MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC	1
CHARTERHOUSE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411405254	RETIREMENT LIVING CENTER	MN	501(C)(3)	9	MAYO CLINIC	1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404076	CHEMICAL DEPENDENCY TREATMENT	MN	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--ALBERT LEA	1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREET	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC	1
GCAS
200 FIRST STREET SW	ROCHESTER	MN	55905	411917517	AMBULANCE SERVICE	MN	501(C)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SW	ROCHESTER	MN	55905	411917516	AMBULANCE SERVICE	MN	501(C)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	391942957	AMBULANCE SERVICE	MN	501(C)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREET	EAU CLAIRE	WI	54701	391409024	LOW INCOME HOUSING	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(C)(3)	9	MAYO CLINIC	1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410739106	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410944601	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVD	SCOTTSDALE	AZ	85259	860800150	HOSPITAL AND CLINIC	AZ	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	590714831	HOSPITAL	FL	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NW	AUSTIN	MN	55912	410695606	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	300107471	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC HEALTH SYSTEM--AUSTIN	1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREET	CANNON FALLS	MN	55009	204156428	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREET	BLOOMER	WI	54724	390980343	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
PO BOX 1510	EAU CLAIRE	WI	54702	391735831	PATIENT CARE - CLINIC	WI	501(C)(3)	3	MAYO CLINIC	0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391633407	GRANTMAKING FOUNDATION	WI	501(C)(3)	PF	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC	0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	390813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800	FAIRMONT	MN	56031	410760836	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(C)(3)	11-II	MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391411999	HEALTHCARE SYSTEM PARENT	WI	501(C)(3)	11-I	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	390806374	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREET	LAKE CITY	MN	55041	411906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREET	MANKATO	MN	56002	411236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREET	MANKATO	MN	56002	411663357	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC HEALTH SYSTEM--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NORTHEAST	NEW PRAGUE	MN	56071	410723639	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
PO BOX 70 / 13025 EIGHTH STREET	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEW	OWATONNA	MN	55060	411862132	PATIENT CARE - CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROAD	MENOMONIE	WI	54751	510190875	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	410797368	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC HEALTH SYSTEM--ST JAMES	1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC HEALTH SYSTEM--MANKATO	1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	593337028	PATIENT CARE - CLINIC	FL	501(C)(3)	7	MAYO CLINIC	1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SW	ROCHESTER	MN	55905	411506440	CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES	MN	501(C)(3)	9	MAYO CLINIC	1
MAYO KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1	60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SW	ROCHESTER	MN	55905	412020392	SUPPORT RESEARCH, PRACTICE & EDUCATION	MN	501(C)(3)	11-I	MAYO CLINIC	1
POVERELLO FOUNDATION
200 FIRST STREET SW	ROCHESTER	MN	55905	411494881	FUNDRAISING FOUNDATION	MN	501(C)(3)	11-I	MAYO CLINIC -- SAINT MARYS HOSPITAL	1
SOUTHERN METRO MEDICAL CLINICS INC
301 MAIN STREET	NEW PRAGUE	MN	56071	411623632	FAMILY PRACTICE CLINICS	MN	501(C)(3)	9	MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE	1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FRANKLIN HEATING STATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	119 THIRD ST SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55902	ZIPCode

Field	Value	IRS element (for citing)
EIN	410264830	EIN
Primary Activity	UTILITY	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SE	FARIBAULT	MN	55021	411817179	PATIENT CARE - CLINIC	MN	N/A	C
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C
FIOS THERAPEUTICS INC
200 FIRST STREET SW	ROCHESTER	MN	55905	711029189	RESEARCH	MN	N/A	C
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	MEDICAL SERVICES COMPANY	WI	N/A	C
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	ADMINISTRATIVE SERVICES	MN	N/A	C
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411346366	REFERENCE LAB SERVICES	MN	N/A	C
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREET	WILMINGTON	MA	01887	043323713	LABORATORY SERVICES	MA	N/A	C
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	061190278	THIRD PARTY ADMINISTRATION SERVICES	AZ	N/A	C
MHS SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411282517	EQUIPMENT & REAL ESTATE LEASING	MN	N/A	C
MMSI INC
21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	930926631	HEALTH SERVICES	FL	N/A	C
ROCHESTER AIRPORT COMPANY
ROUTE 2	ROCHESTER	MN	55902	410506870	AIRPORT MANAGEMENT	MN	N/A	C
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C
MAYO CLINIC GBS MAURITIUS
					HEALTHCARE MANAGEMENT		N/A	C	MP	2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MP
CHARITABLE LEAD TRUST (1)
					CHARITABLE TRUST	CA	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	ND	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	LA	N/A	T
PERPETUAL TRUST (2)
					CHARITABLE TRUST	MA	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	MO	N/A	T
PERPETUAL TRUST (1)
					CHARITABLE TRUST	AZ	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	CO	N/A	T
CHARITABLE REMAINDER TRUST (6)
					CHARITABLE TRUST	FL	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	FL	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	IL	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	LA	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	MI	N/A	T
CHARITABLE REMAINDER TRUST (66)
					CHARITABLE TRUST	MN	N/A	T
CHARITABLE REMAINDER TRUST (82)
					CHARITABLE TRUST	MN	N/A	T
CHARITABLE REMAINDER TRUST (1)
					CHARITABLE TRUST	NC	N/A	T
CHARITABLE REMAINDER TRUST (2)
					CHARITABLE TRUST	TX	N/A	T

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MAYO CLINIC - METHODIST HOSPITAL
A	88309	GAAP
MAYO COLLABORATIVE SERVICES INC
L	272645	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Q	74175	GAAP
MMSI INC
Q	5733745	GAAP
MMSI INC
R	2704470	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
N	36932811	GAAP