MAYO CLINIC HEALTH SYSTEM-FRANCISCAN: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MAYO CLINIC HEALTH SYSTEM-FRANCISCAN (EIN 39-1411999)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-06-08
- IRS object ID
- 201231609349300518
- 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 D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-08T13:34:53-05:00 | 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 | 391411999 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN | BusinessNameLine1 |
| Business Name Line2 | HEALTHCARE INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAYO | NameControl |
| Phone | 5075381297 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 WEST AVENUE SOUTH | AddressLine1 |
| City | LA CROSSE | City |
| State | WI | State |
| ZIP Code | 54601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas Tiggelaar | Name |
| Title | CFO | Title |
| Phone | 5075381297 | Phone |
| Date Signed | 2012-06-08 | 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 FRANCISCAN SKEMP HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIMOTHY J JOHNSON MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 WEST AVENUE SOUTH | AddressLine1 |
| City | LA CROSSE | City |
| State | WI | State |
| ZIP Code | 54601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 640800 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MAYOCLINICHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE SUPPORT TO ENTITIES WITHIN THE ORGANIZATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7994 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6748 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 335038 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 634052 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 908012 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1251044 | TotalRevenuePriorYear |
| Total Revenue Current Year | 640800 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1903120 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 98565 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3429055 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4482419 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2672552 | OtherExpensePriorYear |
| Other Expenses Current Year | 1034748 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8004727 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5615732 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6753683 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4974932 | RevenuesLessExpensesCY |
| Total Assets BOY | 38075014 | TotalAssetsBOY |
| Total Assets EOY | 3194075 | TotalAssetsEOY |
| Total Liabilities BOY | 49689933 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19788336 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -11614919 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -16594261 | 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 |
| Revenue | 634052 | Revenue |
| Description | SEE SCHEDULE OMAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC. IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA AND WISCONSIN. AS PART OF MAYO CLINIC, MAYO CLINIC HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO CLINIC HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS HEALTH CARE NEEDS LOCALLY. MAYO CLINIC HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO CLINIC HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.IN 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 ASSOCIATIONS 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 98565 | Expense |
| Grants | 98565 | Grants |
| Description | ORIGINALLY ORGANIZED IN 1982, MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC.'S PRIMARY PURPOSE IS TO PROVIDE COORDINATION, PLANNING, DEVELOPMENT, RESOURCE ALLOCATION AND OTHER ADMINISTRATIVE AND SUPPORT SERVICES TO VARIOUS SUBSIDIARIES AND AFFILIATES WITHIN THE REGIONAL HEALTH CARE DELIVERY SYSTEM. IN 2011, MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE, INC. PROVIDED FINANCIAL SUPPORT TO VARIOUS LOCAL NONPROFIT ORGANIZATIONS BY PROVIDING GRANTS AND SCHOLARSHIPS IN THE AMOUNT OF $98,565. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 98565 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 131 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 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 |
| 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 (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | FormerFormer |
|---|---|---|---|---|---|---|---|
| ALBRIGHT DO ROBERT | |||||||
| DIRECTOR | 1.00 | X | 0 | 253715 | 39054 | ||
| CHAMBERLAIN MARK | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| HOLMES MD DAVID | |||||||
| DIRECTOR | 1.00 | X | 0 | 486684 | 17504 | ||
| JOHANSEN MD KEITH L | |||||||
| DIRECTOR | 1.00 | X | 0 | 280864 | 46446 | ||
| JOHNSON MD TIMOTHY J | |||||||
| PRESIDENT / CEO | 1.00 | X | 0 | 389738 | 16308 | X | |
| KORDUCKI MD JANE | |||||||
| DIRECTOR | 1.00 | X | 0 | 214997 | 19227 | ||
| KRIEN MD JOSEPH S | |||||||
| DIRECTOR | 1.00 | X | 0 | 294427 | 20423 | ||
| KUTT SISTER DAWN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LARSON MD DAVID E | |||||||
| DIRECTOR | 1.00 | X | 0 | 237369 | 1462 | ||
| NIELAND SISTER IRENE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| O'BRIEN MD MICHAEL | |||||||
| DIRECTOR | 1.00 | X | 0 | 262609 | 19768 | ||
| PIERCE FATHER MARK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SLEIK THOMAS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WEISENBECK SISTER MARLENE | |||||||
| VICE CHAIR / SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| WHITED MD BRIAN L | |||||||
| DIRECTOR | 1.00 | X | 0 | 320018 | 37675 | ||
| PACZKOWSKI RONALD R | |||||||
| CAO | 1.00 | 0 | 285273 | 16805 | X | ||
| TIGGELAAR THOMAS H | |||||||
| CFO | 1.00 | 0 | 219530 | 16080 | X | ||
| NESSE MD ROBERT E | |||||||
| FORMER PRESIDENT / CEO | 1.00 | 0 | 750263 | 15004 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3995487 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 265756 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FOWLER & HAMMER INC | |||||
| 157 SUMMER STREET | LACROSSE | WI | 54603 | CONSTRUCTION SERVICES | 4706176 |
| MAYO CLINIC | |||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | ADMINISTRATIVE SERVICES | 3420269 |
| REMEDY MEDICAL SERVICES SC | |||||
| 3587 GATEWAY DRIVE | EAU CLAIRE | WI | 54701 | MEDICAL SERVICES | 2004342 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | LAB SERVICES | 1257415 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 75571 | CHARLOTTE | NC | 28275 | MEDICAL SERVICES | 1019401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 177 | NumberOfContractorsGT100K |
| Related Organizations | 6698 | RelatedOrganizations |
| All Other Contributions | 50 | AllOtherContributions |
| Total Contributions | 6748 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SHARED SERVICES REVENU | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 634052 | TotalRevenueColumn |
| Related Or Exempt Function Income | 634052 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 634052 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 640800 | TotalRevenueColumn |
| Related Or Exempt Function Income | 634052 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98565 | Total |
| Program Services | 98565 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3602708 | Total |
| Management And General | 3602708 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 717824 | Total |
| Management And General | 717824 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161887 | Total |
| Management And General | 161887 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4900 | Total |
| Management And General | 4900 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11286 | Total |
| Management And General | 11286 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140000 | Total |
| Management And General | 140000 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6062 | Total |
| Management And General | 6062 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298199 | Total |
| Management And General | 298199 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21530 | Total |
| Management And General | 21530 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243456 | Total |
| Management And General | 243456 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36364 | Total |
| Management And General | 36364 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203617 | Total |
| Management And General | 203617 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 532 | Total |
| Management And General | 532 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1002 | Total |
| Management And General | 1002 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26022 | Total |
| Management And General | 26022 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUES, LICENSES AND SUBS | Description |
| Total | 41778 | Total |
| Management And General | 41778 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5615732 | Total |
| Program Services | 98565 | ProgramServices |
| Management And General | 5517167 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26553 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186844 | BOY |
| EOY | 143543 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1226612 | BOY |
| EOY | 1300730 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 102332 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 96952 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6382 | BOY |
| EOY | 5380 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20548894 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16079729 | BOY |
| EOY | 1744422 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38075014 | BOY |
| EOY | 3194075 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6574734 | BOY |
| EOY | 2840376 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1138422 | BOY |
| EOY | 1046160 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41976777 | BOY |
| EOY | 15901800 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49689933 | BOY |
| EOY | 19788336 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -11614919 | BOY |
| EOY | -16594261 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -11614919 | BOY |
| EOY | -16594261 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38075014 | BOY |
| EOY | 3194075 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4974932 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4410 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| MAYO CLINC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC | |||||
| 390806374 | 3 | 1 | 1 | 1 | $98,565 |
| FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC | |||||
| 391322480 | 9 | 1 | 0 | 1 | $0 |
| FRANCISCAN HEALTHCARE FOUNDATION-SPARTA | |||||
| 391423234 | 9 | 1 | 0 | 1 | $0 |
| MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE FOUNDATION INC | |||||
| 391186647 | 7 | 1 | 0 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 98565 | SumOfAmounts |
| General Explanation | Schedule A, Part IV, Supplemental Information: SCHEDULE A, PART I, LINE 11H (VIII) MAYO CLINIC HEALTH SYSTEM-FRANCISCAN HEALTHCARE INC., IN SUPPORT OF THE PROGRAMS AND PURPOSES OF MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC., PROVIDED GRANTS TO THE LACROSSE MEDICAL HEALTH SCIENCE CONSORTIUM TO SUPPORT REGIONAL HEALTHCARE INITIATIVES, THE LACROSSE COMMUNITY THEATRE AND THE MYRICK HIXON ECOPARK WHICH IS AN INDEPENDENT, NON-PROFIT ORGANIZATION THAT HAS EDUCATED MORE THAN 120,000 CHILDREN WITH PROGRAMS THAT ARE DESIGNED TO ENHANCE LEARNING THROUGH HANDS-ON, EXPERIENTIAL INQUIRY AND PLAY BASED EDUCATION. IN ADDITION, FRANCISCAN HEALTHCARE PROVIDES MANAGEMENT, ADMINISTRATIVE AND PURCHASING SERVICES FOR THE BENEFIT OF ITS SUPPORTING ORGANIZATIONS, FRANCISCAN MEDICAL CENTER AND THE RELATED FOUNDATIONS. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 102332 | OtherCostOrOtherBasis |
| Depreciation | 96952 | Depreciation |
| Book Value | 5380 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5380 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 144422 |
| INVESTMENT IN LACROSSE HEALTH SCIENCE CONSORTIUM | 1600000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1744422 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $15,901,800 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15901800 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | AT DECEMBER 31, 2011 AND 2010, THERE WAS NO SIGNIFICANT LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| LACROSSE MEDICAL HEALTH SCIENCE CONSORTIUM INC | |||||||
| 1725 STATE STREET MAIN HALL 105 | LACROSSE | WI | 54601 | 391804725 | 501(c)(3) | 50000 | SUPPORT OF REGIONAL HEALTHCARE INITIATIVES |
| LACROSSE COMMUNITY THEATRE | |||||||
| 118 5TH AVENUE NORTH | LACROSSE | WI | 54601 | 391035843 | 501(c)(3) | 35916 | SUPPORT OF COMMUNITY NON-PROFIT THEATRE |
| MYRICK HIXON ECOPARK INC | |||||||
| 789 MYRICK PARK DRIVE | LACROSSE | WI | 54601 | 391476960 | 501(c)(3) | 10000 | SUPPORT OF COMMUNITY NON-PROFIT PARK |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. ALL GRANTS ISSUED MUST MEET THE GUIDELINES OF THE FRANCISCAN HEALTHCARE FOUNDATION'S GRANT ALLOCATION POLICY. ALL SUCCESSFUL GRANT APPLICANTS WILL RECEIVE A GRANT EVALUATION FORM APPROXIMATELY SIX MONTHS AFTER FUNDS ARE ALLOCATED BY THE FOUNDATION. INPUT RECEIVED THROUGH THE EVALUATION PROCESS WILL BE USED TO ASSESS THE EFFECTIVENESS OF THE FOUNDATION'S GRANT-MAKING PROGRAM. THE FOUNDATION'S GRANT ALLOCATIONS PROGRAM OPERATES IN CONFORMANCE WITH FEDERAL, STATE, AND OTHER LEGAL REQUIREMENTS, AND IN ACCORD WITH THE ORGANIZATION'S ARTICLES OF INCORPORATION. AT NO TIME WILL THE FOUNDATION AWARD OR DISTRIBUTE FUNDS IN A MANNER THAT WOULD JEOPARDIZE THE ORGANIZATION'S NOT-FOR-PROFIT STATUS, OR UTILIZE FUNDS IN A MANNER INCONSISTENT WITH BENEFACTOR INTENT. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALBRIGHT DO ROBERT | |||||||||||||
| 0 | 252820 | 0 | 0 | 0 | 895 | 0 | 19026 | 0 | 20028 | 0 | 292769 | 0 | 0 |
| HOLMES MD DAVID | |||||||||||||
| 0 | 467102 | 0 | 5000 | 0 | 14582 | 0 | 0 | 0 | 17504 | 0 | 504188 | 0 | 0 |
| JOHANSEN MD KEITH L | |||||||||||||
| 0 | 249414 | 0 | 2250 | 0 | 29200 | 0 | 29442 | 0 | 17004 | 0 | 327310 | 0 | 26236 |
| JOHNSON MD TIMOTHY J | |||||||||||||
| 0 | 389568 | 0 | 0 | 0 | 170 | 0 | 0 | 0 | 16308 | 0 | 406046 | 0 | 0 |
| KORDUCKI MD JANE | |||||||||||||
| 0 | 214714 | 0 | 0 | 0 | 283 | 0 | 0 | 0 | 19227 | 0 | 234224 | 0 | 0 |
| KRIEN MD JOSEPH S | |||||||||||||
| 0 | 280071 | 0 | 0 | 0 | 14356 | 0 | 0 | 0 | 20423 | 0 | 314850 | 0 | 13457 |
| LARSON MD DAVID E | |||||||||||||
| 0 | 226160 | 0 | 0 | 0 | 11209 | 0 | 0 | 0 | 1462 | 0 | 238831 | 0 | 0 |
| O'BRIEN MD MICHAEL | |||||||||||||
| 0 | 262300 | 0 | 0 | 0 | 309 | 0 | 0 | 0 | 19768 | 0 | 282377 | 0 | 230 |
| WHITED MD BRIAN L | |||||||||||||
| 0 | 320018 | 0 | 0 | 0 | 0 | 0 | 12250 | 0 | 25425 | 0 | 357693 | 0 | 0 |
| PACZKOWSKI RONALD R | |||||||||||||
| 0 | 285030 | 0 | 0 | 0 | 243 | 0 | 0 | 0 | 16805 | 0 | 302078 | 0 | 0 |
| TIGGELAAR THOMAS H | |||||||||||||
| 0 | 219167 | 0 | 0 | 0 | 363 | 0 | 0 | 0 | 16080 | 0 | 235610 | 0 | 0 |
| NESSE MD ROBERT E | |||||||||||||
| 0 | 546068 | 0 | 0 | 0 | 204195 | 0 | 0 | 0 | 15004 | 0 | 765267 | 0 | 193896 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(a)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). A PORTION OF THE AMOUNT MAY BE INCLUDED IN SCHEDULE J, PART II, COLUMN (F) IF DISCLOSED ON A PRIOR YEARS FORM 990. KEITH L. JOHANSEN M.D. $26,236 JOSEPH S. KRIEN M.D. $13,457 ROBERT E. NESSE M.D. $193,896 MICHAEL O'BRIEN M.D. $230 | |
| Part III | THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE THE DISCLOSURE ON SCHEDULE O FOR THE 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
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH TRADITION HEALTH PLAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | TAXABLE AFFILIATE WITH BOARD OVERLAP | Relationship |
| Amount Of Transaction | 145957 | AmountOfTransaction |
| Description Of Transaction | MANAGEMENT FEE | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | DUE TO OVERLAP OF MAYO CLINIC BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUAL: NESSE M.D., ROBERT E. HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: ALBRIGHT D.O., ROBERT HOLMES M.D., DAVID JOHANSEN M.D., KEITH L LARSON M.D., DAVID E DUE TO OVERLAP OF MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: JOHNSON M.D., TIMOTHY J. KORDUCKI M.D., JANE M. KRIEN M.D., JOSEPH S. LARSON M.D., DAVID E. NESSE M.D., ROBERT E. PACZKOWSKI, RONALD R. TIGGELAAR, THOMAS H. HAVE A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: JOHNSON M.D., TIMOTHY J. KORDUCKI M.D., JANE M. KRIEN M.D., JOSEPH S. O'BRIEN M.D., MICHAEL PACZKOWSKI, RONALD R. TIGGELAAR, THOMAS H. DUE TO OVERLAP OF MAYO CLINIC HEALTH SYSTEM-MANKATO BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUAL: NESSE M.D., ROBERT E. HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL: WHITED M.D., BRIAN L. DUE TO OVERLAP OF HEALTH TRADITION HEALTH PLAN BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: JOHNSON M.D., TIMOTHY J. TIGGELAAR, THOMAS H. WHITED M.D., BRIAN L. HAVE A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: JOHNSON M.D., TIMOTHY J. TIGGELAAR, THOMAS H. WHITED M.D., BRIAN L. | |
| 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 | THERE ARE TWO MEMBERS OF THE CORPORATION, MAYO CLINIC AND THE CONGREGATION OF SISTERS OF THE THIRD ORDER OF SAINT FRANCIS OF PERPETUAL ADORATION. | |
| Form 990, Part VI, Section A, line 7a | MEMBERS SHALL MAKE APPOINTMENTS TO THE BOARD OF DIRECTORS | |
| Form 990, Part VI, Section A, line 7b | BOTH MEMBERS RETAIN CERTAIN RESERVED POWERS EITHER SOLELY, OR REQUIRING UNANIMOUS APPROVAL OF BOTH MEMBERS. THE AREAS COVERED BY THESE RESERVED POWERS INCLUDE MISSION, VISION, AND VALUES, AMENDMENT OF GOVERNING DOCUMENTS, COMPENSATION, AND INCURRENCE OF DEBT. CERTAIN ACTIONS ARE SUBJECT TO EXCLUSIVE CONTROL OF THE CLASS A MEMBER. CERTAIN ACTIONS ARE SUBJECT TO EXCLUSIVE CONTROL OF THE CLASS B MEMBER. | |
| 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 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 THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. | |
| FORM 990, PART VI, SECTION B, LINES 15A-B: 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 YEARS COMPENSATION. THE SALARIES OF THE CEO, THE CAO, AND SEVERAL BOARD MEMBERS WERE REVIEWED BY THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO HEALTH SYSTEM PHYSICIAN AND ADMINSTRATIVE 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 ORGANIZATIONS GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC, THE FORM 990 AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. | |
| FORM 990 PART VII SECTION A | AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION: ROBERT C. ALBRIGHT, D.O. 40.0 DAVID HOLMES, M.D. 40.0 KEITH L. JOHANSEN, M.D. 40.0 TIMOTHY J. JOHNSON M.D. 40.0 JANE KORDUCKI, M.D. 40.0 JOSEPH S. KRIEN, M.D. 40.0 DAVID E. LARSON, M.D. 40.0 ROBERT E. NESSE, M.D. 40.0 MICHAEL O'BRIEN, M.D. 40.0 RONALD R. PACZKOWSKI 40.0 THOMAS H. TIGGELAAR 40.0 BRIAN L. WHITED M.D. 40.0 | |
| Form 990, Part XI, line 5: | Net unrealized losses on investments: -4,410. | 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 | MU | 2ND FLOOR EBENE MEWS 57 | EBENE CYBERCITY | MU | ||||||
| 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 | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 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 (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HEALTH TRADITION HEALTH PLAN | ||
| K | 145957 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS | ||
| K | 92799 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC | ||
| O | 4514762 | GAAP |
| HEALTH TRADITION HEALTH PLAN | ||
| Q | 25752984 | GAAP |
| MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC | ||
| R | 27864118 | GAAP |
| MAYO COLLABORATIVE SERVICES INC | ||
| Q | 1257415 | GAAP |
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | ||
| K | 67689 | GAAP |