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MAYO CLINIC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC (EIN 41-1404075)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-05
IRS object ID
201233109349300848
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-05T15:41:08-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411404075EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM-ALBERT LEABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAYONameControl
Phone5075381297Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1404 WEST FOUNTAIN STREETAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID L PILOTName
TitleCFOTitle
Phone5073774815Phone
Date Signed2012-11-05DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1FKA ALBERT LEA MEDICAL CENTER-MAYO HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK R CIOTA MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1404 WEST FOUNTAIN STREETAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts137252535GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MAYOCLINICHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionHOSPITAL AND CLINICSActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees1389TotalNbrEmployees
Total Nbr Volunteers272TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1348530ContributionsGrantsPriorYear
Contributions Grants Current Year2863950ContributionsGrantsCurrentYear
Program Service Revenue Prior Year129948350ProgramServiceRevenuePriorYear
Program Service Revenue CY131401614ProgramServiceRevenueCY
Investment Income Prior Year1567720InvestmentIncomePriorYear
Investment Income Current Year2085674InvestmentIncomeCurrentYear
Other Revenue Prior Year737772OtherRevenuePriorYear
Other Revenue Current Year720417OtherRevenueCurrentYear
Total Revenue Prior Year133602372TotalRevenuePriorYear
Total Revenue Current Year137071655TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year701582GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY548476GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year78798192SalariesEtcPriorYear
Salaries Etc Current Year80053246SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year46196286OtherExpensePriorYear
Other Expenses Current Year50347066OtherExpensesCurrentYear
Total Expenses Prior Year125696060TotalExpensesPriorYear
Total Expenses Current Year130948788TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7906312RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6122867RevenuesLessExpensesCY
Total Assets BOY153000253TotalAssetsBOY
Total Assets EOY155876941TotalAssetsEOY
Total Liabilities BOY12169183TotalLiabilitiesBOY
Total Liabilities EOY9694149TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY140831070NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY146182792NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense110461531Expense
Revenue131735846Revenue
DescriptionPATIENT CARE (SCHEDULE O)PATIENT CARE: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-ALBERT LEA (MCHS-AL) IS A MINNESOTA NON-PROFIT CORPORATION, TAX EXEMPT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TO JUSTIFY THIS TAX EXEMPT STATUS, MCHS-AL PROVIDES SCHOLARSHIPS, CHARITY CARE, INTERPRETING AND EDUCATIONAL SERVICES, AND VARIOUS OTHER COMMUNITY BENEFITS. MCHS-AL PROVIDES PRIMARY CARE NEEDS, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS AND GENERAL SURGERY. IN ADDITION, MCHS-AL ALSO PROVIDES SPECIALTY CARE IN CARDIOLOGY, DERMATOLOGY, NEUROLOGY, ONCOLOGY, OPHTHALMOLOGY, OPTOMETRY, OCCUPATIONAL HEALTH, PHYSICAL MEDICINE & REHAB, PSYCHIATRY, RHEUMATOLOGY, AUDIOLOGY, ALLERGY, ORTHOPEDICS, ENT, PSYCHOLOGY, PODIATRY, PHYSICAL THERAPY, WOUND CARE, UROLOGY, AND PLASTIC SURGERY. IN 2011, MCHS-AL HAD 165,154 CLINIC VISITS. MCHS-AL OPERATES REGIONAL CLINICS IN ALDEN, KIESTER, NEW RICHLAND, AND WELLS, MINNESOTA AND LAKE MILLS, IOWA.MCHS-AL INCLUDES A 77-BED HOSPITAL. DURING 2011, HOSPITAL INPATIENT DAYS TOTALED 7,141 WITH 862 ADDITIONAL DAYS FOR NEWBORN CARE AND 45,734 OUTPATIENT VISITS. MCHS-AL ALSO OPERATES AN AMBULANCE SERVICE STAFFED BY PARAMEDICS AND EMTS.AS PART OF THE MAYO CLINC HEALTH SYSTEM, MCHS-AL ACCESSES EMERGENCY MEDICAL HELICOPTER SERVICE THROUGHOUT SOUTHERN MINNESOTA AND NORTHERN IOWA. THE HELICOPTER PROVIDES RAPID PATIENT TRANSPORT TO THE APPROPRIATE HEALTH CARE FACILITY ALONG WITH DELIVERING HIGH-LEVEL CRITICAL CARE. MCHS-AL HAS AN ACTIVE NON-PROFIT AFFILIATE, FOUNTAIN LAKE TREATMENT CENTER (FLTC). MCHS-AL PROVIDES MANAGEMENT SERVICES AND SUPPORT SERVICES AND MAINTAINS AND OPERATES THE BUILDINGS THAT HOUSE THIS ENTITY. CONSOLIDATING THESE SERVICES ALLOWS FOR GREATER COST EFFICIENCY, ENABLING THE MCHS-AL AFFILIATE TO ENHANCE THE SCOPE AND AVAILABILITY OF THEIR HEALTH CARE SERVICES. MCHS-AL OPERATES ON A NONDISCRIMINATORY BASIS REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.CHARITY CARE: MCHS-AL PROVIDES A VARIETY OF FINANCIAL ASSISTANCE OPTIONS TO PATIENTS WHO MEET ESTABLISHED CRITERIA. ITS ALMCARE PROGRAM ALLOWS PATIENTS WHO MEET FINANCIAL GUIDELINES TO ENROLL ANNUALLY TO RECEIVE CARE DISCOUNTS FROM 10 TO 100%, WITH A $5 CO-PAY FOR PRESCRIPTIONS. SERVICES ARE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. THE COST OF CHARITY CARE PROVIDED DURING 2011 WAS $2,518,652 AND THE COST OF UNCOMPENSATED MEDICAID FOR 2011 WAS APPROXIMATELY $4,932,705. THE UNREIMBURSED COST OF MEDICARE WAS $10,676,969. ADDITIONALLY, THE UNREIMBURSED COST OF OTHER MEANS TESTED PROGRAMS (INCLUDING MINNESOTA CARE - A PROGRAM THAT OFFERS HEALTHCARE ASSISTANCE TO LOW INCOME POPULATIONS) WAS $1,758,532.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1395243Expense
Grants7000Grants
Revenue8198Revenue
DescriptionEDUCATION AND SUPPORT SERVICES (SCHEDULE O): EDUCATION AND SUPPORT SERVICES: MCHS-AL PROVIDES CONTINUING MEDICAL EDUCATION TO ITS STAFF. THERE ARE NUMEROUS HEALTH AND WELLNESS EDUCATION PROGRAMS, CLASSES AND SUPPORT GROUPS PROVIDED TO THE COMMUNITY THROUGHOUT THE YEAR. THESE CLASSES/SUPPORT GROUPS INCLUDE CHILDBIRTH PREPARATION CLASS, BABY PLACE TOURS, PRENATAL BREASTFEEDING EDUCATION, YOUNG PARENT CLASSES, INFANT & CHILD CARE SAFETY AND CPR, PRENATAL DIET HEALTH EDUCATION, BEREAVEMENT EDUCATION SUPPORT SERIES, CANCER SUPPORT GROUP, DIABETES SUPPORT GROUP, HYPERTENSION CLASS, PULMONARY/CARDIAC REHAB SUPPORT GROUP, RTS BEREAVEMENT SERVICES, STROKE SUPPORT GROUP, OSTOMY SUPPORT GROUP, MENTORS FOR HOPE, TOBACCO CESSATION SERVICES, SPORTS SCREENINGS, INDIVIDUAL SPORTS CONDITIONING AND SPORTS INJURY EVALUATIONS, ALL AT NO CHARGE.MCHS-AL PROVIDES CLASSES THROUGHOUT SOUTHEASTERN MINNESOTA. MCHS-AL ALSO PROVIDES FIRST AID, CPR, AND DEFIBRILLATOR TRAINING TO DAYCARE PROVIDERS AND INDUSTRIES IN THE AREA AND HELPS MAINTAIN THEIR SKILLS ON A REGULAR BASIS. MCHS-AL, VIA THE COMMUNITY TRAINING CENTER (IN ASSOCIATION WITH THE AMERICAN HEART ASSOCIATION), PROVIDES CPR AND ACLS CLASSES AND SUPPORT TO AREA BASIC LIFE SUPPORT AND ADVANCE LIFE SUPPORT PROVIDERS AND INSTRUCTORS. IN COLLABORATION WITH LOCAL AGENCIES AND GOVERNMENT, WE PROVIDE EMERGENCY PREPAREDNESS TRAINING. MCHS-AL AMBULANCE ALSO PROVIDES FREE EVENT COVERAGE FOR VARIOUS COMMUNITY ACTIVITIES. MCHS-AL'S PATIENT EDUCATION CENTER PROVIDES FREE BLOOD PRESSURE CHECKS AND HEALTH RESOURCES FOR THE COMMUNITY. LOCATED WITHIN THE FRONT CORRIDOR, THE CENTER'S LIBRARY AREA INCLUDES EASY ACCESS FOR COMMUNITY MEMBERS TO WRITTEN LITERATURE, DVDS, VCR TAPES, AND AUDIOTAPES AND USE OF FOUR PUBLIC COMPUTERS ALLOW PATIENTS A DIVERSE MEANS OF GETTING AND RECEIVING PATIENT EDUCATION ON A VARIETY OF MEDICAL AND HEALTH-RELATED SUBJECTS. ALSO LOCATED IN THE PATIENT EDUCATION CENTER IS MCHS-AL'S PATIENT ADVOCATE. SHE IS A CERTIFIED SENIOR HEALTH INSURANCE PROGRAM VOLUNTEER WHO FACILITATES MEDICATION ASSISTANCE FOR THOSE UNABLE TO AFFORD MEDICATION PRESCRIBED. SHE ALSO ASSISTS MEDICARE PARTICIPANTS ENROLLING IN THE PART D PLAN. EXPLAINING INSURANCE AND CLARIFYING INSURANCE ISSUES ARE ALSO OFFERED THROUGH THE PATIENT ADVOCATE. WITH THE DEVELOPMENT OF ALMCARE, SHE WORKS CLOSELY WITH THE FINANCE DEPARTMENT IN EDUCATING AND FOLLOWING UP WITH UNINSURED OR UNDERINSURED PATIENTS THAT ARE ACCEPTED INTO THIS PROGRAM.FREE EDUCATION PROGRAMS INCLUDE: - 10 HEALTH EDUCATION PROGRAMS - 52 HEALTH TALK RADIO PROGRAMS - 4 WELLNESS FAIRS AT LOCAL BUSINESSES - 1 WOMEN'S HEALTH SYMPOSIUM MCHS-AL ALSO PROVIDES PATIENT & FAMILY SOCIAL SERVICES, FREE HEALTH ASSESSMENTS AND SCREENINGS, COUNSELING SERVICES, FREE INTERPRETING SERVICES, AND SPACE FOR COMMUNITY MEETINGS AND SUPPORT GROUPS. SOME EXAMPLES OF THESE SERVICES ARE PROVIDED BELOW.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense379449Expense
Grants257090Grants
Revenue48067Revenue
DescriptionCOMMUNITY SUPPORT (SCHEDULE O): COMMUNITY SUPPORT: MCHS-AL HAS A HOME HEALTH PROGRAM IN WHICH PRIMARILY ELDERLY PATIENTS WITH CIRCULATORY, RESPIRATORY AND OTHER HEALTH PROBLEMS ARE PROVIDED ASSISTANCE WITH PERSONAL CARES AND ACTIVITIES OF DAILY LIVING. DURING 2011, THE HOME HEALTH PROGRAM SERVED 346 PATIENTS.MCHS-AL ALSO PROVIDES A HOSPICE FOR THE FAMILIES OF TERMINAL PATIENTS. IN 2011, 215 FAMILIES WERE SERVICED BY THIS HOSPICE.MCHS-AL OPERATES A PAIN CLINIC THAT SERVES THOSE INDIVIDUALS WITH PAIN UNRESPONSIVE TO CONVENTIONAL PAIN CONTROL MEASURES. DURING THE YEAR 2011, THE PROGRAM'S ANESTHESIOLOGIST AND THE ASSISTING RN'S HELPED 819 PATIENTS.MCHS-AL PROVIDES FREE SPORTS PHYSICALS TO STUDENT ATHLETES. DURING 2011, IT PROVIDED PHYSICALS TO 327 CHILDREN.MCHS-AL SPONSORS A SCHOLARSHIP PROGRAM FOR HIGH SCHOOL SENIORS AND NON-TRADITIONAL STUDENTS FROM THE MCHS-AL SERVICE AREA WHO ARE ENTERING THE HEALTHCARE FIELD. IN THE YEAR ENDING DECEMBER 31, 2011, 10 SCHOLARSHIPS WERE AWARDED TOTALING $7,000. IN ADDITION, MCHS-AL PROVIDES MEETING SPACE AND SPONSORS VARIOUS "ON-SITE" EDUCATION PROGRAMS INCLUDING SHADOWING, PRECEPTORSHIPS, AND INTERNSHIPS. THE ESTIMATED COST OF SUPERVISION AND SPACE FOR THESE PROGRAMS IS $1,401,172. MCHS-AL IS AN ACTIVE MEMBER OF THE COMMUNITY, SUPPORTING SUCH COMMUNITY SERVICES AS SENIOR RESOURCES, FREEBORN COUNTY FAMILY SERVICES COLLABORATIVE, RIVERLAND COMMUNITY COLLEGE, UNITED WAY, ALBERT LEA FAMILY Y, AREA FOOD SHELVES, MEALS ON WHEELS, NUMEROUS YOUTH ACTIVITIES, AND SEVERAL OTHER HEALTH-RELATED ORGANIZATIONS. DURING 2011, MCHS-AL MADE CASH AND EQUIPMENT DONATIONS TOTALING OVER $257,000 TO VARIOUS CHARITABLE AND COMMUNITY ORGANIZATIONS. ITS COMMUNITY INVOLVEMENT PROGRAM ALLOWS STAFF TO VOLUNTEER EIGHT HOURS ANNUALLY DURING WORK TIME. IN 2011, 89 MCHS-AL VOLUNTEERS PROVIDED 452 HOURS OF SERVICES TO ENDORSED COMMUNITY PROGRAMS AND PROJECTS. THE VALUE OF THIS DONATED TIME IS $9,850 BASED ON THE INDEPENDENT SECTORS AVERAGE ESTIMATED VALUE OF SUCH SERVICES. MCHS-AL ALSO BENEFITS FROM COMMUNITY VOLUNTEERS IN ITS AUXILIARY, HOSPICE AND FLTC PROGRAMS AND AS MOVERS AT THE FRONT INFORMATION DESK. DURING 2011, VOLUNTEERS DONATED APPROXIMATELY 14,282 HOURS TO THE MEDICAL CENTER. THE VALUE OF THIS DONATED TIME IS $311,205 BASED ON THE INDEPENDENT SECTORS AVERAGE ESTIMATED VALUE OF SUCH SERVICES. THESE SERVICE HOURS WERE PRIMARILY SPENT ORGANIZING AND MANAGING ACTIVITIES FOR THE BENEFIT OF THE MEDICAL CENTER'S PATIENTS, PATIENTS' FAMILIES, VISITORS, AND STAFF.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense339457Expense
Grants284386Grants
Revenue293236Revenue
DescriptionRESEARCH AND OTHER ACTIVITIES: MCHS-AL STAFF WORK WITH MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM PHYSICIAN INVESTIGATORS TO COORDINATE CLINICAL RESEARCH STUDIES. IN 2011, MCHS-AL PARTICIPATED IN A NUMBER OF RESEARCH PROJECTS TO IMPROVE THE HEALTH OF OUR COMMUNITIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp339457TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt284386TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev293236TotalOfOtherProgramServiceRev
Total Program Service Expense112575680TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1389NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CORPORATE TAX UNITBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075381297TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 FIRST STREET SWAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55905ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
AGERTER MD DAVID C
DIRECTOR1.00X043928746318
CIOTA MD MARK R
CHAIR / CEO / DIRECTOR40.00X861046044353X
CRUZ-LARES LINDA
DIRECTOR1.00X000
FUNK MICHAEL S
DIRECTOR1.00X000
GABRIELSON SHARON R
DIRECTOR1.00X016666036971
HEINZ MD DIETER
VICE CHAIR / DIRECTOR40.00X351109043573X
KEPPLE-JOHNSON JANE K
DIRECTOR1.00X000
MILLER MD ROBERT C
TREASURER / DIRECTOR1.00X048936642689X
RIZZO MD MARCO
DIRECTOR1.00X052913938256
ROUTH LORI J
DIRECTOR40.00X134972011866
SAVELKOUL DONALD
DIRECTOR1.00X000
VERDOORN JUDY D
SECRETARY / DIRECTOR1.00X000X
PARKS DOUGLAS A
REGION CAO4.00017459936434X
PILOT DAVID L
CFO16.00187660033075X
WALDHOFF STEPHEN C
SITE CAO40.00024904954308X
BUCKMASTER DPM ROY W
PHYSICIAN40.00259694035478X
ECKSTROM MD MICHAEL T
PHYSICIAN40.00867368042930X
GRZYBOWSKI MD JOHN A
PHYSICIAN / EX-OFFICIO40.00317418041072X
LARSON VIRGINIA
CLINIC ADMINISTRATOR40.00156852034288X
LOMBARDI MD JOSEPH M
PHYSICIAN40.00334140040908X
STOLTENBERG MD HEIDI G
PHYSICIAN40.00193285033912X
ULRICH MD MICHAEL D
PHYSICIAN40.00337537043958X
UNDERDAHL STEVE L
ADMINISTRATOR40.00163150013886X
WAGGONER MD JULIAN R
PHYSICIAN40.00517999050052X
BOYCE MD CORY A
PHYSICIAN40.00646445041828X
GUJRAL MD SAROJ K
PHYSICIAN40.00574508036717X
LOTTS MD JEFFREY P
PHYSICIAN40.00577024047798X
SKORIN JR DO LEONID
PHYSICIAN40.00750460035549X
THORN MD STEPHEN
PHYSICIAN40.00559160014720X
SHELHAMER MD LEONARD E
FORMER VICE CHAIR40.00236575033500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8026402TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2048100TotalReportableCompFrmRltdOrgs
Total Other Compensation934439TotalOtherCompensation
Number Individuals GT100 K79NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905PATIENT/ADMIN SERVICES4721527
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905LAB SERVICES780887
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIAN SERVICES636057
SERVICE 1ST BANK OF NEVADA
8363 W SUNSET RD STE 350LAS VEGASNV89113LOAN COLLECTION463183
MASON CITY CLINIC
250 S CRESCENT DRMASON CITYIA50401MEDICAL SERVICES438552
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Membership Dues2370MembershipDues
Fundraising Events7689FundraisingEvents
Related Organizations2839891RelatedOrganizations
Government Grants14000GovernmentGrants
Total Contributions2863950TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE620000128821084128821084
SHARED SERVICES56100022392842239284
RENT FROM AFFILIATES531120284981284981
MEALS ON WHEELS6242104806748067
EDUCATION REVENUE61160081988198
FieldValueIRS element (for citing)
Total Program Service Revenue131401614TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2128378TotalRevenueColumn
Exclusion$2,128,378ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5670Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real45027Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-39357Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-39357TotalRevenueColumn
Exclusion-$39,357ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other443Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other43147Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-42704Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-42704TotalRevenueColumn
Exclusion-$42,704ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events7839GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7689CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column7839TotalRevenueColumn
Exclusion$7,839ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming445GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column445TotalRevenueColumn
Exclusion$445ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory152263GrossSalesOfInventory
Cost Of Goods Sold92706CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column59557TotalRevenueColumn
Exclusion$59,557ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CAFETERIA/VENDING REVE722210587487587487
MEDICAL RECORD/TRANSCR5419008799187991
MISC. REVENUE900099104558255$2,200

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6000TotalRevenueColumn
Exclusion$6,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue691933TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column137071655TotalRevenueColumn
Related Or Exempt Function Income132085347RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,122,358ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total541476Total
Program Services541476ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7000Total
Program Services7000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5151582Total
Program Services4321249ProgramServices
Management And General830333ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1899108Total
Program Services180272ProgramServices
Management And General1718836ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54802429Total
Program Services49045695ProgramServices
Management And General5756734ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3863811Total
Program Services3452333ProgramServices
Management And General411478ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10492655Total
Program Services9375391ProgramServices
Management And General1117264ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3843661Total
Program Services3434329ProgramServices
Management And General409332ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total739675Total
Management And General739675ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94349Total
Management And General94349ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5571Total
Management And General5571ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9410285Total
Program Services7271106ProgramServices
Management And General2139179ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total165006Total
Program Services11098ProgramServices
Management And General153908ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5649797Total
Program Services4216607ProgramServices
Management And General1433190ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3022941Total
Management And General3022941ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2557515Total
Program Services2428112ProgramServices
Management And General129403ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total558441Total
Program Services452632ProgramServices
Management And General105809ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total247303Total
Program Services245340ProgramServices
Management And General1963ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total45712Total
Program Services45712ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5315779Total
Program Services5145787ProgramServices
Management And General169992ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1268155Total
Program Services1268155ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES1624233016242330
BAD DEBT EXPENSE21730562173056
MN CARE TAX15213581521358
MEDICAID SURCHARGE467429467429

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total862364Total
Program Services729213ProgramServices
Management And General133151ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total130948788Total
Program Services112575680ProgramServices
Management And General18373108ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY535539BOY
EOY237343EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20655239BOY
EOY25537157EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2506561BOY
EOY2531108EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3080860BOY
EOY2657360EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis100451658LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec44393589LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY58242191BOY
EOY56058069EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY59836100BOY
EOY61405884EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8143763BOY
EOY7450020EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY153000253BOY
EOY155876941EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9307871BOY
EOY6705759EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2861312BOY
EOY2988390EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12169183BOY
EOY9694149EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY139494445BOY
EOY145194739EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1035082BOY
EOY686510EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY301543BOY
EOY301543EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY140831070BOY
EOY146182792EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY153000253BOY
EOY155876941EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6122867ReconcilationRevenueExpenses
Reconcilation Other Changes-771145ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance301543BeginningOfYearBalance
End Of Year Balance301543EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance301543BeginningOfYearBalance
End Of Year Balance301543EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance230192BeginningOfYearBalance
Investment Earnings Or Losses71351InvestmentEarningsOrLosses
End Of Year Balance301543EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance299260BeginningOfYearBalance
Investment Earnings Or Losses-69068InvestmentEarningsOrLosses
End Of Year Balance230192EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4192536OtherCostOrOtherBasis
Book Value4192536BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis62247027OtherCostOrOtherBasis
Depreciation25677492Depreciation
Book Value36569535BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis34012095OtherCostOrOtherBasis
Depreciation18716097Depreciation
Book Value15295998BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings56058069TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMAYO CLINIC INVESTMENT POOLDescription
Book Value61405884BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities61405884TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION LIABILITY$1,783,208
DUE TO AFFILIATES$192,996
ASSET RETIREMENT OBLIGATION$1,012,187
FieldValueIRS element (for citing)
Total Of Amounts2988390TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR EDUCATION AND PATIENT SUPPORT.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:AT DECEMBER 31, 2011 AND 2010, THERE WAS NO MATERIAL LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WALK/RUNNameOfEvent1
Gross Receipts Event12859GrossReceiptsEvent1
Charitable Contributions Event12859CharitableContributionsEvent1
Name Of Event2MEMORIES AGLOWNameOfEvent2
Gross Receipts Event24830GrossReceiptsEvent2
Charitable Contributions Event24830CharitableContributionsEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events7839GrossReceiptsOtherEvents
Gross Revenue Other Events7839GrossRevenueOtherEvents
Gross Receipts Total15528GrossReceiptsTotal
Charitable Contributions Total7689CharitableContributionsTotal
Gross Revenue Total Events7839GrossRevenueTotalEvents
Net Income Summary7839NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense2518652TotalCommunityBenefitExpense
Net Community Benefit Expense2518652NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense16865985TotalCommunityBenefitExpense
Direct Offsetting Revenue11933280DirectOffsettingRevenue
Net Community Benefit Expense4932705NetCommunityBenefitExpense
Percent Of Total Expense0.03830PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2652147TotalCommunityBenefitExpense
Direct Offsetting Revenue893615DirectOffsettingRevenue
Net Community Benefit Expense1758532NetCommunityBenefitExpense
Percent Of Total Expense0.01370PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense22036784TotalCommunityBenefitExpense
Direct Offsetting Revenue12826895DirectOffsettingRevenue
Net Community Benefit Expense9209889NetCommunityBenefitExpense
Percent Of Total Expense0.07160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Persons Served75511PersonsServed
Total Community Benefit Expense122359TotalCommunityBenefitExpense
Net Community Benefit Expense122359NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served218PersonsServed
Total Community Benefit Expense1388243TotalCommunityBenefitExpense
Direct Offsetting Revenue8198DirectOffsettingRevenue
Net Community Benefit Expense1380045NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6603170TotalCommunityBenefitExpense
Direct Offsetting Revenue3848629DirectOffsettingRevenue
Net Community Benefit Expense2754541NetCommunityBenefitExpense
Percent Of Total Expense0.02140PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense55071TotalCommunityBenefitExpense
Direct Offsetting Revenue51063DirectOffsettingRevenue
Net Community Benefit Expense4008NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served506PersonsServed
Total Community Benefit Expense257090TotalCommunityBenefitExpense
Net Community Benefit Expense257090NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served76235PersonsServed
Total Community Benefit Expense8425933TotalCommunityBenefitExpense
Direct Offsetting Revenue3907890DirectOffsettingRevenue
Net Community Benefit Expense4518043NetCommunityBenefitExpense
Percent Of Total Expense0.03510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs46NumberOfActivitiesOrPrograms
Persons Served76235PersonsServed
Total Community Benefit Expense30462717TotalCommunityBenefitExpense
Direct Offsetting Revenue16734785DirectOffsettingRevenue
Net Community Benefit Expense13727932NetCommunityBenefitExpense
Percent Of Total Expense0.10670PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense399TotalCommunityBuildingExpense
Net Community Building Expense399NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense38475TotalCommunityBuildingExpense
Net Community Building Expense38475NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served55PersonsServed
Total Community Building Expense4158TotalCommunityBuildingExpense
Net Community Building Expense4158NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense1673TotalCommunityBuildingExpense
Net Community Building Expense1673NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served150PersonsServed
Total Community Building Expense1236TotalCommunityBuildingExpense
Net Community Building Expense1236NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served205PersonsServed
Total Community Building Expense45941TotalCommunityBuildingExpense
Net Community Building Expense45941NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,173,056BadDebtExpenseAmount
Amount Reimbursed By Medicare23031783AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare30584141CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7552358MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM - ALBERT LEABusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1404 WEST FOUNTAIN STREETAddressLine1
CityALBERT LEACity
StateMNState
ZIP Code56007ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM - ALBERT LEABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MCHS AT HEALTH REACH
1705 SE BROADWAYALBERT LEAMN56007OUTPATIENT PHYSICAL THERAPY
MCHS - ALBERT LEA IN LAKE MILLS
309 S 10TH AVELAKE MILLSIA50450CLINIC
MCHS - ALBERT LEA IN NEW RICHLAND
318 FIRST ST SWNEW RICHLANDMN56072CLINIC
MCHS - ALBERT LEA IN ALDEN
192 WASHINGTON AVEALDENMN56009CLINIC
MCHS - ALBERT LEA IN WELLS
301 S BROADWAYWELLSMN56097CLINIC
MCHS - ALBERT LEA IN KIESTER
120 N MAIN STKIESTERMN56051CLINIC
MCHS - EXPRESS CARE IN ALBERT LEA
2708 BRIDGE AVEALBERT LEAMN56007EXPRESS CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7G: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $1,638,157.
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 $ 2173056.
PART II: COMMUNITY BUILDING IS AN ESSENTIAL MAYO CLINIC HEALTH SYSTEM - ALBERT LEA (MCHS-AL) ACTIVITY. ON ITS LEADERSHIP DASHBOARD, BOTH COMMUNITY BUILDING AND COMMUNITY INVOLVEMENT ARE METRICS MEASURED MONTHLY. THE ORGANIZATION'S COMMUNITY INVOLVEMENT POLICY ENCOURAGES STAFF TO VOLUNTEER EIGHT HOURS ANNUALLY DURING WORK TIME. STAFF MAY CHOOSE FROM MCHS-AL ENDORSED COMMUNITY PROGRAMS AND RECEIVE THEIR REGULAR SALARIES WHILE VOLUNTEERING ON WORK TIME.IN 2011, OVER 129 STAFF VOLUNTEERED A TOTAL OF 636 HOURS FOR COMMUNITY PROGRAMS AND PROJECTS SUCH AS SALVATION ARMY, RED CROSS, SCHOOL PROJECTS, FOOD SHELVES AND CAR SEAT CLINICS. CRITERIA FOR COMMUNITY INVOLVEMENT:CANCER-RELATED ACTIVITY CHAMBER OR COMMUNITY BUILDING ACTIVITY HEALTH EDUCATION OR HEALTH SCREENING ACTIVITYSENIOR RESOURCES OR NURSING HOME/ASSISTED LIVING ACTIVITYSOCIAL SERVICES ACTIVITYYOUTH-RELATED OR SCHOOL ACTIVITYMCHS-AL'S 2011 LEADERSHIP ROLE AND STAFF INVOLVEMENT IN THE COMMUNITY'S BLUE ZONES/VITALITY PROJECT, FOR EXAMPLE, HELPED CREATE WALKING MOAIS (NEIGHBORHOOD OR WORK GROUPS THAT SOCIALIZE THROUGH WALKING,) WALKING SCHOOL BUSES, COMMUNITY GARDENING, PURPOSE WORKSHOPS, OPEN DOOR FAITH INITIATIVES, TOBACCO-FREE WORKPLACES AND SCHOOL FOOD IMPLEMENTED BY COMMUNITY VOLUNTEERS. ONGOING RECRUITMENT OF PARTICIPANTS COULD YIELD UP TO 33% PARTICIPATION TO THE CITY'S ADULT POPULATION WHICH, IN TURN, COULD LEAD TO AS MANY AS 10,000 YEARS ADDED TO PEOPLE'S LIVES, AS THEY COMMIT TO MAKING HEALTHY LIFESTYLE CHANGES. IN ADDITION, MCHS-AL ENCOURAGES INVOLVEMENT IN COMMUNITY BOARDS AND SPECIAL PROJECTS, LENDING EXPERTISE TO OUTSIDE GROUPS AND BRINGING BACK FRESH PERSPECTIVES AND FEEDBACK TO MCHS-AL INITIATIVES AND OPERATIONS. IN 2011, MCHS-AL STAFF PARTICIPATED IN THESE LOCAL BOARDS: ALBERT LEA BUSINESS DEVELOPMENT CENTER, ALBERT LEA PORT AUTHORITY, CONVENTION AND VISITOR'S BUREAU, CHAMBER OF COMMERCE, COMMUNITY FOUNDATION, EDUCATION FOUNDATION, FAMILY "Y", CURRICULUM COMMITTEE, COMMUNITY CHILD CARE BOARD, RED CROSS, MARCH OF DIMES, RELAY FOR LIFE, SALVATION ARMY, BOARD OF AGING, UNITED WAY, RIVERLAND FOUNDATION, FREEBORN COUNTY FAMILY SERVICES COLLABORATIVE, THORNECREST RETIREMENT CENTER, ALONG WITH OTHER SPECIAL PROJECT COMMITTEES.
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.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.BAD DEBT EXPENSE AT COST IS DETERMINED USING THE SAME COST-TO-CHARGE RATIO THAT IS USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.
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 $10,676,969 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 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 NUMBEROUS 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 - ALBERT LEA
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 - ALBERT LEA
PART VI, LINE 2: MAYO CLINIC HEALTH SYSTEM - ALBERT LEA'S COMMUNITY RELATIONS COMMITTEE SETS PRIORITY AREAS FOR MCHS-AL INVOLVEMENT AND CHARITABLE CONTRIBUTIONS. CURRENT CRITERIA FOR CONTRIBUTIONS INCLUDE:1. IMPROVING QUALITY OF LIFE2. PROMOTING YOUTH POTENTIAL3. IMPROVING COMMUNITY HEALTH AND WELLNESS4. PARTNERING FOR COMMUNITY GROWTH AND DEVELOPMENTMAYO CLINIC HEALTH SYSTEM - ALBERT LEA (MCHS-AL) PARTNERS WITH LOCAL GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICE AGENCIES, SCHOOLS, VITALITY PROJECT AND OTHER GROUPS TO DETERMINE COMMUNITY NEEDS. ALTHOUGH MCHS-AL DOES NOT CONDUCT AN INDEPENDENT ANNUAL NEEDS ASSESSMENT, THE ORGANIZATION REVIEWS LOCAL DATA AND ANECDOTAL INFORMATION FROM ITS PARTNERS TO SET PRIORITY AREAS FOR COMMUNITY NEED. BASED ON THAT INFORMATION, THE FIT FOREVER CHILDHOOD OBESITY PREVENTION PROGRAM WAS DEVELOPED IN 2008 WITH MANY OF THOSE PARTNERS, WHERE MCHS-AL TOOK THE LEAD AND CONTINUES TO DONATE RESOURCES AND STAFF TIME WITH IDENTIFIED INITIATIVES. IN ADDITION, MCHS-AL'S COMMUNITY INVOLVEMENT PROGRAM, WHERE STAFF IS ALLOWED EIGHT HOURS ANNUALLY TO VOLUNTEER DURING WORK TIME, IS ALSO BASED ON IDENTIFIED COMMUNITY NEEDS.
PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES 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 - ALBERT LEA IS THE SOLE HEALTH CARE PROVIDER IN FREEBORN COUNTY AND THE ONLY PROVIDER IN THE COMMUNITIES OF ALDEN, KIESTER AND NEW RICHLAND, MINNESOTA. FOUNTAIN CENTERS, AS A REGIONAL CHEMICAL DEPENDENCY TREATMENT CENTER, SERVES PATIENTS WITHIN AN 80 MILE RADIUS OF ALBERT LEA.MCHS-AL'S PRIMARY SERVICE AREA IS FREEBORN COUNTY, WITH A POPULATION OF ABOUT 31,000. AN ESTIMATED 21,000 UNIQUE PATIENTS WERE SEEN ANNUALLY AT MCHS-AL FROM 2007 THROUGH 2009. THE VARIANCE AMONG THOSE YEARS IS LESS THAN 2%. CUSTOMER GROUPS ARE COMPRISED OF MEDICARE PATIENTS, BUSINESS AND INDUSTRY LOCATED WITHIN A 20-MILE RADIUS, HEALTH PLANS INCLUDING MCHS-AL AND, GENERALLY, INDIVIDUAL PATIENTS SEEKING PRIMARY CARE. MAYO CLINIC HEALTH SYSTEM - ALBERT LEA, CARDIOLOGY, FOUNTAIN CENTERS, ORTHOPEDICS, OB/GYN AND WOUND CARE DEPARTMENTS REPRESENT UNIQUE SPECIALTY MARKETS REACHING BEYOND MCHS-AL'S TRADITIONAL MARKET AREA.FREEBORN COUNTY POPULATION CHARACTERISTICS (2010 ESTIMATE)AGE:PEOPLE UNDER 5 YEARS - 6.3% PEOPLE UNDER 18 YEARS - 20.8%PEOPLE 65 AND OLDER - 20.3%ALL OTHERS - 52.6% ETHNICITY:BLACK - 0.7%HISPANIC OR LATINO - 7.3%WHITE, NON HISPANIC - 90.7%ASIAN - .7%ALL OTHERS - .6%HOUSEHOLDS:TOTAL HOUSEHOLDS - 13,375 PERSONS PER HOUSEHOLD - 2.4MEDIAN HOUSEHOLD INCOME - $43,637PEOPLE BELOW POVERTY LEVEL - 8.6%
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. 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 PHSYICIANS 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ALBERT LEA FAMILY YMCA
2021 W MAIN STALBERT LEAMN56007411000679501(C)(3)10000FURTHER EXEMPT PURPOSE
UNITED WAY OF FREEBORN COUNTY
341 S BROADWAYALBERT LEAMN56007410956396501(C)(3)18000FURTHER EXEMPT PURPOSE
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404076501(C)(3)397868FURTHER EXEMPT PURPOSE
CITY OF ALBERT LEA
221 E CLARK STREETALBERT LEAMN56007416004922GOVT5000COMMUNITY BENEFIT
FREEBORN COUNTY HISTORICAL SOCIETY
1031 BRIDGE AVENUEALBERT LEAMN56007410872543501(C)(3)7000COMMUNITY BENEFIT
NAEVE HEALTH CARE FOUNDATION
404 WEST FOUNTAIN STREETALBERT LEAMN56007411989509501(C)(3)10000FURTHER EXEMPT PURPOSE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients10NumberOfRecipients
Amount Of Cash Grant7000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AGERTER MD DAVID C
0341092000981950321940141240485605094907
CIOTA MD MARK R
86104600000171500272030905399000
GABRIELSON SHARON R
01656580001002015443021528020363100
HEINZ MD DIETER
35110900000171500264230394682000
MILLER MD ROBERT C
0444151000452150212210214680532055043178
RIZZO MD MARCO
0498493000306460182880199680567395028294
PARKS DOUGLAS A
01731830001416013141023293021103300
PILOT DAVID L
18766000000133740197010220735000
WALDHOFF STEPHEN C
0243356000569303810401620403033570638
BUCKMASTER DPM ROY W
25969400000171500183280295172000
ECKSTROM MD MICHAEL T
86736800000171500257800910298000
GRZYBOWSKI MD JOHN A
31741800000171500239220358490000
LARSON VIRGINIA
15685200000111500231380191140000
LOMBARDI MD JOSEPH M
33414000000171500237580375048000
STOLTENBERG MD HEIDI G
19328500000138590200530227197000
ULRICH MD MICHAEL D
33753700000171500268080381495000
UNDERDAHL STEVE L
1631500000011285026010177036000
WAGGONER MD JULIAN R
51799900000171500329020568051000
BOYCE MD CORY A
64644500000171500246780688273000
GUJRAL MD SAROJ K
57450800000171500195670611225000
LOTTS MD JEFFREY P
57702400000171500306480624822000
SKORIN JR DO LEONID
75046000000171500183990786009000
THORN MD STEPHEN
11687900044228108182065380573880000
SHELHAMER MD LEONARD E
23657500000164170170830270075000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BIN 2011, DR. STEPHEN THORN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $442,821. 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 YEAR'S FORM 990. DAVID C. AGERTER, M.D. $ 94,907 ROBERT C. MILLER, M.D. $ 43,178 MARCO RIZZO, M.D. $ 28,294 STEPHEN C. WALDHOFF $ 638
PART IIITHE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JULIE C SAVELKOUL
SPOUSE OF DONALD SAVELKOUL, BOARD MEMBER35285EMPLOYMENT0
BEVERLY A LOMBARDI MD
SPOUSE OF JOSEPH M. LOMBARDI M.D., KEY EMPLOYEE92766EMPLOYMENT0
PHILLIP HANSON
SPOUSE OF HEIDI G. STOLTENBERG M.D., KEY EMPLOYEE42798EMPLOYMENT0
PETERSON SAVELKOUL KOLKER HAEDT & BENDA LTD
DON SAVELKOUL IS A LISTED PERSON AND MEMBER OF THE BOARD10003LEGAL SRVC0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
FORM 990, PART VI, SECTION A, LINE 4THE FILING ORGANIZATION MERGED WITH FOUNTAIN LAKE TREATMENT CENTER (FLTC) AT YEAR END OF 2011 AND EXERCISED THE ARTICLES OF MERGER.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER IS MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER ELECTS TRUSTEES TO THE BOARD
FORM 990, PART VI, SECTION A, LINE 7BAMENDMENT OF ARTICLES OR BYLAWS REQUIRE APPROVAL BY BOTH THE GOVERNING BODY AND THE SOLE CORPORATE MEMBER. THE BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, AND DEBT DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE SITE FINANCE STAFF AND THE SITE ADMINISTRATOR. 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 12CMAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEAR'S COMPENSATION. THE SALARY OF THE CEO, CAO, BOARD VICE CHAIR, TREASURER AND SEVERAL BOARD MEMBERS WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM PHYSICIANS. 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. IN ADDITION TO THE ABOVE COORDINATED REVIEW PROCESSES CONDUCTED BY MAYO CLINIC AND ITS AFFILIATES, MCHS-AL ALSO HAS ITS OWN COMPENSATION REVIEW PROCESS THAT INCLUDES REVIEW BY AN INDEPENDENT COMPENSATION COMMITTEE, BENCHMARK/COMPARABILITY DATA, AND DETERMINATION OF REASONABLENESS. MCHS-AL REVIEW PROCESS COVERS BOTH THE PHYSICIAN COMPENSATION PLAN AND THE ADMINISTRATOR COMPENSATION PLAN.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
PART VII SECTION ASHARON GABRIELSON 40.00 DAVID C. AGERTER, M.D. 40.00 ROBERT C. MILLER, M.D. 40.00 MARCO RIZZO, M.D. 40.00 DOUGLAS A. PARKS 37.00 DAVID L. PILOT 25.00 STEPHEN C. WALDHOFF 1.00AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -614,807. OTHER CHANGES IN NET ASSETS-990 -156,338. TOTAL TO FORM 990, PART XI, LINE 5: -771,145.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PART VI LINE 1BTHE BOARD OF TRUSTEES OF MAYO CLINIC, THE PARENT ENTITY OF THE MAYO CLINIC-AFFILIATED ENTITIES, IS COMPRISED OF MORE THAN 50% PUBLIC TRUSTEES.INDEPENDENCE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (46 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(C)(3)7MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC1
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(C)(3)9MAYO CLINIC1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404076CHEMICAL DEPENDENCY TREATMENTMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--ALBERT LEA1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREETARCADIAWI54612391322480FUNDRAISING FOUNDATIONWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
GCAS
200 FIRST STREET SWROCHESTERMN55905411917517AMBULANCE SERVICEMN501(C)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(C)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SWROCHESTERMN55905391942957AMBULANCE SERVICEMN501(C)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREETEAU CLAIREWI54701391409024LOW INCOME HOUSINGWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(C)(3)9MAYO CLINIC1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410739106HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(C)(3)3MAYO CLINIC1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(C)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404075HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NWAUSTINMN55912410695606HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HEALTH SYSTEM--AUSTIN1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(C)(3)3MAYO CLINIC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(C)(3)PFMAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(C)(3)11-IIMAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(C)(3)11-IMAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NORTHEASTNEW PRAGUEMN56071410723639HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVEBARRONWI54812390920634HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
PO BOX 70 / 13025 EIGHTH STREETOSSEOWI54758391029430HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEWOWATONNAMN55060411862132PATIENT CARE - CLINICMN501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(C)(3)3MAYO CLINIC1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(C)(3)7MAYO CLINIC HEALTH SYSTEM--ST JAMES1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(C)(3)9MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(C)(3)3MAYO CLINIC HEALTH SYSTEM--MANKATO1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(C)(3)7MAYO CLINIC1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(C)(3)9MAYO CLINIC1
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH160486 FRANKFURT AM MAINFRANKFURTGMGM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(C)(3)11-IMAYO CLINIC1
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(C)(3)11-IMAYO CLINIC -- SAINT MARYS HOSPITAL1
SOUTHERN METRO MEDICAL CLINICS INC
301 MAIN STREETNEW PRAGUEMN56071411623632FAMILY PRACTICE CLINICSMN501(C)(3)9MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FRANKLIN HEATING STATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1119 THIRD ST SWAddressLine1
CityROCHESTERCity
StateMNState
ZIP Code55902ZIPCode
FieldValueIRS element (for citing)
EIN410264830EIN
Primary ActivityUTILITYPrimaryActivity
Legal Domicile StateMNLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (34 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountryAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/Country
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SEFARIBAULTMN55021411817179PATIENT CARE - CLINICMNN/AC
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC
FIOS THERAPEUTICS INC
200 FIRST STREET SWROCHESTERMN55905711029189RESEARCHMNN/AC
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411346366REFERENCE LAB SERVICESMNN/AC
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/ACCJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREETWILMINGTONMA01887043323713LABORATORY SERVICESMAN/AC
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259061190278THIRD PARTY ADMINISTRATION SERVICESAZN/AC
MHS SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411282517EQUIPMENT & REAL ESTATE LEASINGMNN/AC
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROADJACKSONVILLEFL32224930926631HEALTH SERVICESFLN/AC
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC
MAYO CLINIC GBS MAURITIUS
HEALTHCARE MANAGEMENTN/ACMP2ND FLOOR EBENE MEWS 57EBENE CYBERCITYMP
CHARITABLE LEAD TRUST (1)
CHARITABLE TRUSTCAN/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTNDN/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTLAN/AT
PERPETUAL TRUST (2)
CHARITABLE TRUSTMAN/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTMON/AT
PERPETUAL TRUST (1)
CHARITABLE TRUSTAZN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTCON/AT
CHARITABLE REMAINDER TRUST (6)
CHARITABLE TRUSTFLN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTFLN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTILN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTLAN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTMIN/AT
CHARITABLE REMAINDER TRUST (66)
CHARITABLE TRUSTMNN/AT
CHARITABLE REMAINDER TRUST (82)
CHARITABLE TRUSTMNN/AT
CHARITABLE REMAINDER TRUST (1)
CHARITABLE TRUSTNCN/AT
CHARITABLE REMAINDER TRUST (2)
CHARITABLE TRUSTTXN/AT
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MAYO CLINIC -- METHODIST HOSPITAL
A128457GAAP
MMSI INC
R6120903GAAP
MAYO CLINIC HEALTH SYSTEM--AUSTIN
P79379GAAP
FOUNTAIN LAKE TREATMENT CENTER
P1703677GAAP
FOUNTAIN LAKE TREATMENT CENTER
G2047902GAAP
MAYO CLINIC -- SAINT MARYS HOSPITAL
L182145GAAP
MAYO COLLABORATIVE SERVICES INC
L780868GAAP
MMSI INC
Q11130681GAAP
MAYO CLINIC HEALTH SYSTEM--AUSTIN
O130048GAAP
MAYO CLINIC HEALTH SYSTEM--AUSTIN
N446132GAAP