MAYO CLINIC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC (EIN 41-1236756)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-08
IRS object ID: 201113129349301026
Schema version: 2010v3.4
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 G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-08T09:46:14-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	411236756	EIN

Name Name

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1025 MARSH STREET	AddressLine1
City	MANKATO	City
State	MN	State
ZIP Code	56002	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES TARASOVITCH	Name
Title	CFO	Title
Phone	5073856449	Phone
Date Signed	2011-11-08	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	fka IMMANUEL-ST JOSEPH'S - MAYO H	BusinessNameLine1

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1025 MARSH STREET	AddressLine1
City	MANKATO	City
State	MN	State
ZIP Code	56002	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	272581467	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAYOHEALTHSYSTEM.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1968	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	HOSPITAL AND CLINICS	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	2738	TotalNbrEmployees
Total Nbr Volunteers	336	TotalNbrVolunteers
Total Gross UBI	6166	TotalGrossUBI
Net Unrelated Business Txbl Income	-558	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4221794	ContributionsGrantsPriorYear
Contributions Grants Current Year	1578600	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	252741900	ProgramServiceRevenuePriorYear
Program Service Revenue CY	267867819	ProgramServiceRevenueCY
Investment Income Prior Year	643711	InvestmentIncomePriorYear
Investment Income Current Year	186872	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1871989	OtherRevenuePriorYear
Other Revenue Current Year	1918722	OtherRevenueCurrentYear
Total Revenue Prior Year	259479394	TotalRevenuePriorYear
Total Revenue Current Year	271552013	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	116060	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	329515	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	138387682	SalariesEtcPriorYear
Salaries Etc Current Year	145330694	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	462275	TotalFundrsngExpCurrentYear
Other Expense Prior Year	107941514	OtherExpensePriorYear
Other Expenses Current Year	114161537	OtherExpensesCurrentYear
Total Expenses Prior Year	246445256	TotalExpensesPriorYear
Total Expenses Current Year	259821746	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13034138	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11730267	RevenuesLessExpensesCY
Total Assets BOY	193789468	TotalAssetsBOY
Total Assets EOY	209573383	TotalAssetsEOY
Total Liabilities BOY	33882851	TotalLiabilitiesBOY
Total Liabilities EOY	37904295	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	159906617	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	171669088	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	231779714	Expense
Grants	212018	Grants
Revenue	262394245	Revenue
Description	PATIENT CARE (SCHEDULE O):PATIENT CARE: MAYO 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 HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS' HEALTH CARE NEEDS LOCALLY. MAYO HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.MAYO HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 800 PHYSICIANS AND 13,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT THE MAYO HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN 70 COMMUNITIES, THE SYSTEM INCLUDES 17 OWNED HOSPITALS, SEVEN OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH THREE ADDITIONAL HOSPITALS, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO HEALTH SYSTEM HAS GROWN FROM A NEW IDEA TO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN AMERICA. MAYO 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 HEALTH SYSTEM THREE TIMES FOR ITS PERFORMANCE EXCELLENCE EFFORTS. INDIVIDUAL MAYO 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 HEALTH SYSTEM AND MAYO CLINIC PARTNER TO ENSURE HEALTHIER LIVES IN THE REGION.IMMANUEL-ST. JOSEPH'S - MAYO HEALTH SYSTEM (ISJ) IS A MEMBER OF THE MAYO HEALTH SYSTEM. PATIENT CARE -- IN 2010, ISJ ADMITTED MORE THAN 10,700 PATIENTS, SERVED OVER 200,000 OUTPATIENTS & SERVED OVER 184,000 CLINIC PATIENT VISITS.PHYSICIAN CLINICS - ISJ OPERATES SEVERAL PRIMARY CARE & MULTI-SPECIALTY CLINICS TO SERVE THE NEEDS OF THE MANKATO AREA. THESE CLINICS INCLUDE APPROXIMATELY 100 PHYSICIAN AND MID-LEVEL PROVIDER. THESE CLINICS ARE LOCATED IN MANKATO, NORTH MANKATO, MADELIA, LAKE CRYSTAL, ST. PETER, & LE SUEUR.ISJ EMPLOYS BOARD CERTIFIED EMERGENCY ROOM PHYSICIANS TO STAFF THE ISJ ER 24 HOURS A DAY, 7 DAYS A WEEK.ISJ CONTRACTS WITH MAYO CLINIC IN ROCHESTER FOR PHYSICIAN SERVICES IN CARDIOLOGY, MEDICAL ONCOLOGY, & RADIATION ONCOLOGY. WITHOUT THESE ARRANGEMENTS, MANKATO AREA PATIENTS WOULD HAVE TO TRAVEL GREATER DISTANCES FROM HOME TO RECEIVE THESE SPECIALTY SERVICES.ISJ PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2010 WAS APPROXIMATELY $1,305,000. THE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $12,100,000. THIS AMOUNT INCLUDES A MEDICAID SURCHARGE OF $1,732,000 AND $2,965,000 PAID TO MINNESOTA CARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS).THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $18,500,000.ISJ ALSO BEGAN PROVIDING DISCOUNTS TO UNINSURED PATIENTS IN 2005. THE TOTAL DISCOUNTS GIVEN IN 2010 WERE $909,000.OPEN DOOR HEALTH CENTER: THE OPEN DOOR HEALTH CENTER IS A PREVENTION AND WELLNESS ORIENTED CENTER DESIGNED TO MEET THE HEALTH NEEDS OF UNDERSERVED PEOPLE. OPEN DOOR BELIEVES THAT HEALTH CARE IS A BASIC RIGHT AND THAT ALL PEOPLE SHOULD HAVE ACCESS TO HEALTH RELATED SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND SAFE. OPEN DOOR BELIEVES THAT THESE SERVICES CAN BE OFFERED EFFECTIVELY IN A NURSE-MANAGED CARE CENTER, WHICH IS A HOLISTIC METHOD OF CARE AND ADDS EDUCATION AND INFORMATION TO EACH VISIT WITH THE NURSE BEING ABLE TO SPEND MORE TIME WITH THE PATIENT TO ANSWER QUESTIONS ABOUT THEIR HEALTH.NO ONE IS DENIED SERVICES BECAUSE THEY ARE UNABLE TO PAY.ALTHOUGH OPEN DOOR HEALTH CENTER IS NOT PART OF ISJ'S CORPORATE STRUCTURE, ISJ PROVIDES PART OF THEIR FUNDING THROUGH THE PROVISION OF UNREIMBURSED SERVICES WHICH AMOUNTED TO $10,000 IN 2010. IN ADDITION, THE CHARITY CARE CHARGES PROVIDED BY ISJ, AS LISTED EARLIER, CONTAIN CHARGES WRITTEN OFF FOR PATIENTS OF OPEN DOOR.HOSPITAL AUXILIARY - THE HOSPITAL AUXILIARY OPERATES UNDER ISJ'S TAX EXEMPT STATUS. THE AUXILIARY'S MAIN SOURCES OF INCOME ARE THE OPERATION OF A GIFT SHOP & FUNDRAISING. THE AUXILIARY & ITS VOLUNTEERS HAVE ENHANCED THE HEALING ENVIRONMENT & SERVICES OFFERED TO PATIENTS, VISITORS & STAFF OF THE HOSPITAL. AUXILIARY MEMBERSHIP TOTALED OVER 300 PEOPLE & THESE MEMBERS CONTRIBUTE THOUSANDS OF HOURS OF SERVICE EACH YEAR. THE MAJOR SERVICES PROVIDED BY AUXILIARY MEMBER VOLUNTEERS ARE AS FOLLOWS: 1. THE GIFT SHOP, PATRONIZED BY PATIENTS, VISITORS MAKING PURCHASES FOR PATIENTS, & EMPLOYEES CONTRIBUTES IMPORTANTLY TO OUR EXEMPT FUNCTION BY IMPROVING PHYSICAL COMFORT & MENTAL WELL BEING OF ITS PATIENTS, THEREBY ENCOURAGING THEIR RECOVERY; AND ALSO KEEPING EMPLOYEES & MEDICAL STAFF ON THE HOSPITAL PREMISES, THEREBY INCREASING THE HOSPITAL'S EFFICIENCY.2. COORDINATION OF THE ANNUAL WOMEN'S SHOW. THE LARGEST EXPO OF ITS KIND IN SOUTHERN MINNESOTA, THIS EVENT TYPICALLY DRAWS SEVERAL THOUSAND PEOPLE FOR A DAY OF EDUCATION, INFORMATION, SEMINARS, HEALTH SCREENINGS, EXHIBIT BOOTHS & FOOD. 3. VOLUNTEERS HAVE ASSEMBLED LARGE NUMBERS OF MAILINGS FOR HOSPITAL DEPARTMENTS AS WELL AS BABY PACKETS FOR DISTRIBUTION TO NEW MOTHERS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1995109	Expense
Grants	3000	Grants
Revenue	431378	Revenue
Description	EDUCATION (SCHEDULE O):EDUCATION: RURAL FAMILY PRACTICE RESIDENCY PROGRAM - THIS PROGRAM IS BASED ON THE CONCEPT THAT EFFECTIVE TRAINING IN RURAL MEDICINE IS BEST CARRIED OUT IN A RURAL AREA. THE PROGRAM IS BASED IN MANKATO & BEGAN IN 1994. RESIDENTS PARTICIPATE IN A HEALTH CARE DELIVERY SYSTEM THAT LINKS AMBULATORY & INPATIENT SERVICES IN A RURAL COMMUNITY WITH TERTIARY & QUATERNARY CARE IN A MAJOR METROPOLITAN AREA. THE RESIDENCY PROVIDES A SUPPORTIVE ENVIRONMENT TO MAXIMIZE DIDACTIC LEARNING & THE ACQUISITION OF PROCEDURAL & PATIENT-PHYSICIAN COMMUNICATION SKILLS. CLINICAL REFERENCE LIBRARIES & LIBRARY SEARCH SERVICES ARE AVAILABLE AT ALL SITES. EACH RESIDENT IS PROVIDED WITH TRAINING IN COMPUTER SKILLS.DURING THEIR FIRST YEAR, RESIDENTS DEVELOP THEIR OWN PATIENT PANELS MUCH AS THEY WOULD IN A TYPICAL PRACTICE. THe FIRST YEAR OF TRAINING CONSISTS OF INTENSIVE EXPERIENCE IN THE BASIC DISCIPLINES OF INTERNAL MEDICINE, OBSTETRICS, PEDIATRICS, EMERGENCY MEDICINE, SURGERY, GYNECOLOGY & NEUROLOGY. INTEGRATION INTO THE COMMUNITY IS AN IMPORTANT PART OF THE TRAINING. PRACTICE MANAGEMENT & COMMUNITY MEDICINE ARE EMPHASIZED DURING THIS TIME. RESIDENTS ARE ENCOURAGED TO GET INVOLVED WITH COMMUNITY ORGANIZATIONS, CONDUCT EDUCATIONAL EVENTS IN SCHOOLS, & OTHERWISE BE INVOLVED IN CIVIC ORGANIZATIONS.ROTATIONS IN ORTHOPEDICS, SURGERY, OBSTETRICS, INTERNAL MEDICINE, GYNECOLOGY, & AMBULATORY PEDIATRICS OCCUR AT ISJ. IN THE THIRD YEAR, ROTATIONS IN OPHTHALMOLOGY, OTOLARYNGOLOGY, DERMATOLOGY, UROLOGY, & SUBSPECIALTY MEDICINE ARE ALSO CARRIED OUT AT ISJ. BEHAVIORAL MEDICINE IS TAUGHT IN A LONGITUDINAL FASHION OVER ALL THREE YEARS WITH A ONE-MONTH CONCENTRATED EXPERIENCE IN THE SECOND OR THIRD YEAR..ALMOST TWO THIRDS OF THE PHYSICIANS THAT HAVE GRADUATED FROM THE PROGRAM HAVE BEGUN THEIR PRACTICE IN RURAL SETTINGS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	159234	Expense
Revenue	25919	Revenue
Description	RESEARCH (SCHEDULE O)RESEARCH: CLINICAL RESEARCH IN MEDICAL ONCOLOGY IS PROVIDED FOR PHASE III AND IV STUDIES, EMPLOYED RESEARCH ASSOCIATES AND A PHYSICIAN PRINCIPAL INVESTIGATOR COORDINATING THE PROGRAM. CLINICAL RESEARCH ACCRUAL OCCURS THOUGH THE NORTH CENTRAL CANCER TREATMENT GROUP ( NCCTG), CLINICAL TRIALS SUPPORT UNIT (CTSU), MAYO CLINIC CANCER RESEARCH CONSORTIUM (MCCRC), AND RADIATION THERAPY ONCOLOGY GROUP (RTOG) RESEARCH GROUPS. CLINICAL RESEARCH PROTOCOLS AND TRIALS ARE AVAILABLE IN MANY SPECIALTY AREAS WITH NEW STUDIES OPENING ON A REGULAR BASIS. CLINICAL RESEARCH ASSOCIATES WORK WITH THE PHYSICIAN INVESTIGATORS TO COORDINATE THE STUDIES.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	374515	Expense
Grants	114497	Grants
Revenue	6410682	Revenue
Description	COMMUNITY SUPPORT:DIABETES WELLNESS PROGRAM - THE DIABETES & WELLNESS PROGRAM IS A COMMUNITY PROGRAM SPONSORED BY ISJ WHICH IS DESIGNED TO HELP PEOPLE WITH DIABETES BETTER MANAGE THEIR HEALTH. A TEAM OF HEALTH EXPERTS PROVIDES INDIVIDUALIZED CARE TO ANYONE WITH DIABETES INTERESTED IN IMPROVING THEIR HEALTH. MEETINGS CONSIST OF A THREE-HOUR SESSION EVERY SIX MONTHS INCLUDING INDIVIDUAL SESSIONS WITH VARIOUS MEMBERS OF THE DIABETES WELLNESS TEAM & A ONE-HOUR GROUP SESSION WITH OTHER CLIENTS & THEIR SPOUSES/SUPPORT PERSONS. THE DIABETES WELLNESS TEAM INCLUDES A DIABETES NURSE EDUCATOR, DIETITIAN, BEHAVIORAL COUNSELOR, SKIN/WOUND CARE SPECIALIST, EXERCISE SPECIALIST, SOCIAL WORKER, DIABETES CASE MANAGER, PHARMACIST, & OTHERS AS NEEDED. ANYONE 18 YEARS OR OLDER WITH DIABETES IS ENCOURAGED TO PARTICIPATE, ALONG WITH THE SPOUSE OR OTHER SUPPORT PERSON. THIS PROGRAM IS OFFERED AT NO COST TO THE PARTICIPANTS.HEALTH RESOURCE LIBRARY - THE HEALTH RESOURCE LIBRARY IS LOCATED BY THE MAIN ENTRANCE OF THE HOSPITAL & IS OPEN TO THE PUBLIC. IT CONTAINS APPROXIMATELY 1,000 BOOK TITLES & OVER 180 JOURNAL TITLES COVERING MEDICINE, NURSING, & ALLIED HEALTH, ALONG WITH A CONSUMER HEALTH RESOURCE COLLECTION WHICH INCLUDES INFORMATION ON DIABETES, FAMILY HEALTH ISSUES, HEART HEALTH & DISEASE, STRESS, DEPRESSION, CANCER, EPILEPSY, GRIEF & BEREAVEMENT, MULTIPLE SCLEROSIS, WOMEN'S HEALTH ISSUES, & OTHER BASIC HEALTH REFERENCE MATERIAL.STOP! NICOTINE DEPENDENCE PROGRAM - THIS PROGRAM FOCUSES ON COUNSELING, PHARMACOLOGIC THERAPY, & RELAPSE PREVENTION. PARTICIPANTS ARE ENCOURAGED TO BRING A SMOKE-FREE SUPPORT PERSON TO GROUPS. THE STAFF OF STOP! ARE TRAINED IN THE TREATMENT OF NICOTINE DEPENDENCE & WORK IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PHYSICIAN. SEXUAL ASSAULT RESOURCE TEAM - SURVIVORS OF SEXUAL VIOLENCE OFTEN EXPERIENCE FEAR, SHOCK, NUMBNESS, DISBELIEF, SHAME, ANGER, & FEELINGS OF A LOSS OF CONTROL OVER THEIR LIVES. THEY HAVE EXPERIENCED A MAJOR CRISIS IN THEIR LIFE. IT MAY BE DIFFICULT TO TRUST PEOPLE, & TO CONTINUE ON WITH NORMAL ROUTINE MAY REQUIRE TREMENDOUS EFFORT. CRISES OF ANY KIND ARE EASIER TO COPE WITH WHEN THERE ARE SUPPORTIVE PEOPLE CLOSE BY, PEOPLE WHO ACCEPT & UNDERSTAND YOUR FEELINGS, PEOPLE WHO CAN HELP YOU OBTAIN NEEDED INFORMATION, & PEOPLE WHO CARE.THE PRIORITY FOR THE SEXUAL ASSAULT RESOURCE TEAM IS TO ATTEND TO THE PATIENT'S MEDICAL NEEDS IN A SAFE, NON-JUDGMENTAL SETTING. CARING & SUPPORTIVE RESOURCE TEAM ADVOCATES ARE AVAILABLE TO LISTEN TO CONCERNS, ANSWER QUESTIONS & PRESENT VARIOUS OPTIONS. WHILE IN THE EMERGENCY DEPARTMENT, CARE WILL BE PROVIDED BY A NURSE WHO HAS SPECIAL TRAINING IN HELPING VICTIMS OF SEXUAL ASSAULT. THE TEAM NURSE WILL EXPLAIN WHAT WILL HAPPEN WHILE IN THE EMERGENCY DEPARTMENT & WILL ANSWER ANY QUESTIONS. SHE WILL ALSO OFFER EMOTIONAL SUPPORT & GUIDANCE, ALONG WITH PERFORMING THE SPECIAL EXAMS NEEDED.PREADMISSION EDUCATION PROGRAM - PREADMISSION EDUCATION IS PERSONAL TIME WITH A REGISTERED NURSE TO DISCUSS THE HOSPITAL STAY, PAIN MANAGEMENT, AND NURSING CARE. IT IS DESIGNED TO HELP THE PATIENT AND FAMILY PREPARE FOR THE HOSPITAL EXPERIENCE, TO HELP THEM UNDERSTAND WHAT TO EXPECT DURING THE STAY, AND TO HELP THEM PLAN FOR THE EVENTUAL RETURN HOME. A REGISTERED NURSE WILL PROVIDE ONE-ON-ONE INSTRUCTION FOR THE PATIENT AND FAMILY PRIOR TO ADMISSION TO THE HOSPITAL WHERE INFORMATION IS RECEIVED ON PREPARING FOR SURGERY AND THE HOSPITAL STAY. EACH PREADMISSION SESSION IS STRUCTURED SPECIFICALLY FOR THE INDIVIDUAL AND SUBJECTS ROUTINELY COVERED INCLUDE PRE-SURGERY INSTRUCTIONS, PAIN CONTROL, COUGHING, AND DEEP BREATHING TECHNIQUES. THIS PROGRAM IS OFFERED FREE OF CHARGE.YELLOW RIBBON SUICIDE SUPPORT - ISJ PROVIDES A 24-HOUR HOTLINE FOR SUICIDE AND OTHER CRISIS INTERVENTION SUPPORT. THIS SUPPORT ALSO INCLUDES PROVIDING STAFF FOR PROGRAMS CONDUCTED PRIMARILY IN PUBLIC SCHOOLS, COLLEGES AND IN COMMUNITY EVENTS THAT HIGHLIGHT SUICIDE PREVENTION. SUPPORT GROUPS - A NUMBER OF SUPPORT GROUPS ARE SUPPORTED AND COORDINATED BY ISJ TO ASSIST PATIENTS AND THEIR FRIENDS AND FAMILY IN DEALING WITH A VARIETY OF MEDICAL ISSUES INCLUDING: ALZHEIMER'S, AIDS, ARTHRITIS/FIBROMYALGIA, BEREAVEMENT, BREAST CANCER, BRAIN INJURY, CANCER, CROHN'S DISEASE, DIABETES, MENTAL ILLNESSES, MULTIPLE SCLEROSIS, OSTOMY, STROKE, AND SUICIDE.BICYCLE SAFETY RALLY -ISJ ANNUALLY SPONSORS A BIKE SAFETY RALLY. THE EVENT FEATURED BIKE HELMETS FOR SALE AT UP TO 85 PERCENT OFF RETAIL PRICE, A BIKE SAFETY CHECK, A BIKE SAFETY RODEO, CHILDREN'S ACTIVITIES, PRIZE GIVEAWAYS AND LIVE RADIO BROADCASTS. OVER 1,000 HELMETS ARE SOLD AT THE EVENT. ISJ STAFF AND VOLUNTEERS PROVIDE OVER 500 HOURS OF TIME TO THIS EVENT. THE RALLY IS ALSO SPONSORED IN PART BY AREA BUSINESSES.DONATIONS - ANNUALLY, ISJ CONTRIBUTES FINANCIALLY TO NUMEROUS LOCAL AGENCIES AND INITIATIVES. DURING 2010, ISJ PROVIDED OVER $110,000 IN DONATIONS.MINNESOTA BREAST AND CERVICAL CANCER CONTROL - ISJ PARTICIPATES AS THE MANKATO FUNDING COORDINATOR FOR THE MINNESOTA BREAST AND CERVICAL CANCER CONTROL PROGRAM, WHICH IS SPONSORED BY THE STATE OF MINNESOTA. THE PROGRAM IS A PARTNERSHIP BETWEEN THE PUBLIC HEALTH AND PRIVATE HEALTH CARE SECTORS. THE GOAL IS TO PROVIDE QUALITY BREAST AND CERVICAL CANCER SCREENING, FREE OF CHARGE, TO LOW AND MODERATE INCOME MINNESOTA WOMEN, AGE 40 AND OVER, WHO ARE UNINSURED OR UNDERINSURED. THIS PROJECT INVOLVES PROVIDING SCREENING AND DIAGNOSTIC MAMMOGRAMS, CLINIC VISITS, COLPOSCOPY, PAP SMEARS AND FINE NEEDLE ASPIRATION OF A BREAST LUMP AT NO COST FOR QUALIFIED INDIVIDUALS. QUALIFICATIONS ARE BASED ON INCOME ELIGIBILITY DETERMINED BY FEDERAL POVERTY GUIDELINES. BORN LEARNING: BORN LEARNING IS A FREE PROGRAM THAT PROVIDES NEW PARENTS WITH USEFUL INFORMATION TO ACHIEVE A HEALTHY CHILD. IT INCLUDES A SERIES OF 18 MONTHLY NEWSLETTERS STARTING WITH BIRTH AND CONTINUING UNTIL AGE THREE. BORN LEARNING INCLUDES INFORMATION ON NUTRITION, DEVELOPMENT, AND HEALTH AND WELLNESS. IT IS SENT QUARTERLY WITH THE UNITED WAY'S POWER OF PARENTING NEWSLETTER. THIS SERVICE IS A JOINT ENDEAVOR WITH THE MANKATO AREA UNITED WAY.PARISH NURSING - THERE ARE A NUMBER OF ACTIVITIES THAT COME UNDER THE UMBRELLA OF THE PARISH NURSING PROGRAM:ART CART: ART SUPPLIES, JOURNALS, AND CHILDREN'S BOOKS ARE HOUSED WITHIN THE ART CART. CALENDAR ARTWORK FOR THE ROOMS WAS DONATED BY STAFF AS A GESTURE OF SUPPORT. A WIDE ARRAY OF PICTORIAL GET-AWAYS ARE STORED IN THE HEALING ARTS CART WHICH MAKES ROUNDS UNDER PASTORAL CARE AND VOLUNTEER SERVICES' SUPERVISION. THERE IS EVIDENCE THAT CREATIVE EXPRESSION ALSO FACILITATES HEALING.VIDEOS / AUDIOS: A DVD/VCR IS AVAILABLE THROUGH VOLUNTEER SERVICES. THE SELECTION OF VIDEOS INCLUDES THE SERIES "HEALING & THE MIND". VARIOUS TYPES OF MUSIC ARE OFFERED THROUGH THE AUDIOS ON THE ART CART (FROM INSTRUMENTAL HYMNS TO 50'S TO COUNTRY WESTERN). LAKE WOBEGON STORIES, SUSPENSE MYSTERIES AND HEALING IMAGERY OPTIONS ARE ALSO AVAILABLE.READING MATERIALS: READING MATERIALS ARE AVAILABLE THROUGH THE VOLUNTEER SERVICES DEPARTMENT. THE MORNING PAPER IS ALSO MADE AVAILABLE EACH MORNING. THE HOSPITAL LIBRARY IS AVAILABLE FOR PATIENT USE.SUPPORTIVE PRAYER AND LISTENING: THIS IS OFFERED THROUGH PASTORAL CARE AS PART OF THE SPIRIT-CENTERED CARE INITIATIVE. STEPHEN MINISTRY: A STEPHEN MINISTER IS SOMEONE WHO HAS 50 HOURS OF TRAINING IN CONFIDENTIAL LISTENING. STEPHEN MINISTERS ARE AVAILABLE TO LISTEN TO A PATIENT'S STORY AFTER RETURNING HOME. WE REALIZE THAT THE PATIENT MAY BE IN THE MIDST OF A LIFE SITUATION THAT HAS BECOME OVERWHELMING AND HAS CONTRIBUTED TO THEIR HOSPITALIZATION. WE CARE ABOUT PATIENTS' SPIRITUAL AND PHYSICAL WELL-BEING AFTER THEY LEAVE THE HOSPITAL. A CHAPLAIN CAN DISCUSS THE POSSIBILITY OF CONNECTING WITH A STEPHEN MINISTER WHO WOULD TOUCH BASE REGULARLY.THE VARIOUS ASPECTS OF THE PARISH NURSING PROGRAM WERE FUNDED BY THE ORGANIZATION AND BY PARTICIPATION BY STAFF AND VOLUNTEERS TO CARRY OUT THE VARIOUS EFFORTS.IN 2010, 336 VOLUNTEERS DONATED 22,329 HOURS OF THEIR TIME, VALUED AT APPROXIMATELY $477,000 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES. ESTIMATED COST OF VARIOUS PROGRAMS, INCLUDING THE DONATIONS IS $409,000.SHARED SERVICES: VARIOUS SHARED SERVICES PROVIDE SUPPORT SERVICES TO AFFILIATES OF ISJ.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	374515	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	114497	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	6410682	TotalOfOtherProgramServiceRev
Total Program Service Expense	234308572	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
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	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	257	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2738	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET 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 (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
AMADIO MD PETER C
DIRECTOR 1/1 - 7/28	1.00	X	0	2033307	140296
BROLSMA GREG
DIRECTOR 7/28-12/31	1.00	X	0	0	0
CARRYER MD PETER W
DIRECTOR 1/1 - 7/28	1.00	X	0	1216809	9629
CRAGUN MD KEVIN
DIRECTOR	1.00	X	0	766625	80563
CREST JEROME
DIR/SECY & CAO 1/1 - 5/30	40.00	X	293503	0	31688	X
DALTON MD ROBERT
DIRECTOR 1/1 - 7/28	1.00	X	0	361530	67752
GAALSWYK MARK
DIRECTOR 7/28-12/31	1.00	X	0	0	0
GRACE RICHARD W
DIR/SECY & CAO 7/28-12/31	40.00	X	173877	72593	16095	X
HAMMELL DO LUCAS
DIRECTOR 7/28-12/31	1.00	X	0	204205	10157
HEBL MD JAMES
DIRECTOR 7/28-12/31	1.00	X	0	475742	52099
HERMAN MD DAVID C
DIRECTOR	1.00	X	0	901932	95441
HORTON DO JENNIFER
DIRECTOR 1/1 - 7/28	40.00	X	178864	0	9284
JOHNSON TOM
DIRECTOR	1.00	X	0	0	0
KIRCHER MIKE
DIRECTOR 7/28-12/31	1.00	X	0	0	0
KOWAL DO GERALD
DIRECTOR 1/1 - 7/28	40.00	X	293121	0	38630
KUTCHER MD GREGORY
DIR/PRES/CEO	40.00	X	383913	0	36179	X
MILLER DENNIS
DIRECTOR/VICE CHAIR	1.00	X	0	0	0	X
MORRIS MD MARIE
DIRECTOR 7/28-12/31	1.00	X	0	353885	57763
NESSE MD ROBERT
DIRECTOR 7/28-12/31	1.00	X	0	1569297	211744
OSLUND GORDON
DIRECTOR 1/1 - 7/28	1.00	X	0	0	0
PAULSEN TAMI
DIRECTOR 1/1 - 7/28	1.00	X	0	0	0
PIESCHEL SHARON
DIRECTOR 7/28-12/31	1.00	X	0	0	0
VUOCOLO MD PHILIP
DIRECTOR 1/1 - 7/28	1.00	X	0	793235	61052
YEAR PAMELA
DIRECTOR	1.00	X	0	0	0
FRATZKE MARK
COO	40.00		189843	0	29562	X
TARASOVITCH JAMES
CFO	40.00		196637	0	15325	X
DEACONSON MD TIMOTHY F
MEDICAL DIRECTOR	40.00		555875	0	34824		X
WHITED MD BRIAN
MEDICAL DIRECTOR	40.00		293376	0	36159		X
CANNELLA MD DOMINIC
PHYSICIAN	40.00		628472	0	29924			X
CHYATTE MD DOUGLAS
PHYSICIAN	40.00		713434	0	23836			X
LI MD SHILUN
PHYSICIAN	40.00		611601	0	34480			X
STANCHFIELD MD WARREN
PHYSICIAN	40.00		610516	0	19231			X
WOLF MD MICHAEL
PHYSICIAN	40.00		571209	0	34599			X
RUPP MD WILLIAM C
FORMER PRES/CEO	1.00		0	820006	49246				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5694241	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9569166	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1225558	TotalOtherCompensation
Number Individuals GT100 K	152	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	MANAGEMENT AND OTHER SERVICES	11867588
BOLDT COMPANY (THE)
2525 N ROEMER ROAD PO BOX 419	APPLETON	WI	54912	CONSTRUCTION	3127591
LCM PATHOLOGISTS PC
304 BELLE AVENUE	MANKATO	MN	56001	PATHOLOGY AND RELATED LAB SERVICES	1621718
HGA
701 WASHINGTON AVE N	MINNEAPOLIS	MN	55401	ARCHITECHT	1492596
UNIVERSITY OF MN REGENTS
516 DELAWARE ST SE	MINNEAPOLIS	MN	55455	PHYSICIANS & RESIDENTS	1362224

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	45	NumberOfContractorsGT100K
Membership Dues	2116	MembershipDues
Fundraising Events	36905	FundraisingEvents
Related Organizations	874188	RelatedOrganizations
Government Grants	662978	GovernmentGrants
All Other Contributions	2413	AllOtherContributions
Total Contributions	1578600	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE REVENUE	620000	260999840	260999840
SHARED SERVICES REVENU	561000	6187102	6187102
EDUCATION REVENUE	611600	431378	431378
RENT FROM AFFILIATES	531120	223580	223580
RESEARCH REVENUE	541700	25919	25919

Field	Value	IRS element (for citing)
Total Program Service Revenue	267867819	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	538604	TotalRevenueColumn
Exclusion	$538,604	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	979477	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	479431	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	500046	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	500046	TotalRevenueColumn
Exclusion	$500,046	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	26347	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	378079	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-351732	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-351732	TotalRevenueColumn
Exclusion	-$351,732	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	5290	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	36905	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	17314	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-12024	TotalRevenueColumn
Exclusion	-$12,024	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	184759	GrossSalesOfInventory
Cost Of Goods Sold	154630	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	30129	TotalRevenueColumn
Exclusion	$30,129	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA/VENDING	722210	1085818	1085818
MED RECORD/TRANSCR FEE	541900	205473	205473
MISC. REVENUE	900099	90317	90624	-307

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18963	TotalRevenueColumn
Related Or Exempt Function Income	12490	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6473	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	1400571	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	271552013	TotalRevenueColumn
Related Or Exempt Function Income	269262224	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6166	UnrelatedBusinessRevenue
Exclusion	$705,023	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	326515	Total
Program Services	326515	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3000	Total
Program Services	3000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2252294	Total
Program Services	1110598	ProgramServices
Management And General	1141696	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	461248	Total
Program Services	461248	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	117905550	Total
Program Services	110388011	ProgramServices
Management And General	7210690	ManagementAndGeneral
Fundraising	306849	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3671004	Total
Program Services	3402718	ProgramServices
Management And General	258675	ManagementAndGeneral
Fundraising	9611	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13411241	Total
Program Services	12539056	ProgramServices
Management And General	837581	ManagementAndGeneral
Fundraising	34604	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7629357	Total
Program Services	7086987	ProgramServices
Management And General	522940	ManagementAndGeneral
Fundraising	19430	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	469022	Total
Program Services	268534	ProgramServices
Management And General	200488	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	109454	Total
Management And General	109454	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	26277966	Total
Program Services	21101571	ProgramServices
Management And General	5157172	ManagementAndGeneral
Fundraising	19223	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	427116	Total
Program Services	86229	ProgramServices
Management And General	336292	ManagementAndGeneral
Fundraising	4595	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	45109934	Total
Program Services	42594511	ProgramServices
Management And General	2461886	ManagementAndGeneral
Fundraising	53537	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3873110	Total
Management And General	3873110	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6143234	Total
Program Services	5723449	ProgramServices
Management And General	418080	ManagementAndGeneral
Fundraising	1705	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	716806	Total
Program Services	556469	ProgramServices
Management And General	150216	ManagementAndGeneral
Fundraising	10121	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	509158	Total
Program Services	506380	ProgramServices
Management And General	2778	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	141907	Total
Program Services	141907	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10769814	Total
Program Services	9547014	ProgramServices
Management And General	1221128	ManagementAndGeneral
Fundraising	1672	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2349146	Total
Program Services	1434284	ProgramServices
Management And General	914862	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	10595949	10595949
MN CARE TAX	2964975	2964975
MEDICAID SURCHARGE	1732625	1732625
EMPLOYEE RELATED	1461072	1376655	84342	75
DUES/LICENSES/SUBSCR	487034	336671	149510	853

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	23215	Total
Program Services	23215	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	259821746	Total
Program Services	234308572	ProgramServices
Management And General	25050900	ManagementAndGeneral
Fundraising	462275	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5813	BOY
EOY	5220	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	52733	BOY
EOY	58963	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	43546718	BOY
EOY	34716219	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	8328	BOY
EOY	3324	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3649504	BOY
EOY	3311964	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1283601	BOY
EOY	5422981	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	174108286	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	83438599	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	92147648	BOY
EOY	90669687	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	46672842	BOY
EOY	68453335	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6422281	BOY
EOY	6931690	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	193789468	BOY
EOY	209573383	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27032530	BOY
EOY	30576945	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	691700	BOY
EOY	629736	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2515621	BOY
EOY	2449614	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3643000	BOY
EOY	4248000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	33882851	BOY
EOY	37904295	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	159906617	BOY
EOY	171669088	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	159906617	BOY
EOY	171669088	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	193789468	BOY
EOY	209573383	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11730267	ReconcilationRevenueExpenses
Reconcilation Other Changes	32204	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7494553	OtherCostOrOtherBasis
Book Value	7494553	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	363532	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	74789399	OtherCostOrOtherBasis
Depreciation	29569361	Depreciation
Book Value	45583570	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	91460802	OtherCostOrOtherBasis
Depreciation	53869238	Depreciation
Book Value	37591564	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	90669687	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
MAYO POOLED INVESTMENTS	67254140	F
ASSETS HELD BY TRUSTEES	1199195	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	68453335	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DEFERRED COMPENSATION RESERVE	Description
Amount	$4,248,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4248000	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, 2010 AND 2009, THERE WAS NO MATERIAL LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	WOMEN'S SHOW	NameOfEvent1
Gross Receipts Event1	36905	GrossReceiptsEvent1
Charitable Contributions Event1	36905	CharitableContributionsEvent1
Other Direct Expenses Event1	17314	OtherDirectExpensesEvent1
Name Of Event2	TREE OF LIGHTS	NameOfEvent2
Gross Receipts Event2	5290	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	5290	GrossRevenueEvent2
Gross Receipts Total	42195	GrossReceiptsTotal
Charitable Contributions Total	36905	CharitableContributionsTotal
Gross Revenue Total Events	5290	GrossRevenueTotalEvents
Other Direct Expenses Total Events	17314	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	17314	DirectExpenseSummaryEvents
Net Income Summary	-12024	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	0	FPGReferenceFreeCare
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1305012	TotalCommunityBenefitExpense
Net Community Benefit Expense	1305012	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31560879	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19461429	DirectOffsettingRevenue
Net Community Benefit Expense	12099450	NetCommunityBenefitExpense
Percent Of Total Expense	0.04850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32865891	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19461429	DirectOffsettingRevenue
Net Community Benefit Expense	13404462	NetCommunityBenefitExpense
Percent Of Total Expense	0.05370	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	120000	TotalCommunityBenefitExpense
Net Community Benefit Expense	120000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1995109	TotalCommunityBenefitExpense
Direct Offsetting Revenue	431378	DirectOffsettingRevenue
Net Community Benefit Expense	1563731	NetCommunityBenefitExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6993833	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3365256	DirectOffsettingRevenue
Net Community Benefit Expense	3628577	NetCommunityBenefitExpense
Percent Of Total Expense	0.01460	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	159234	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25919	DirectOffsettingRevenue
Net Community Benefit Expense	133315	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24104	TotalCommunityBenefitExpense
Net Community Benefit Expense	24104	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9292280	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3822553	DirectOffsettingRevenue
Net Community Benefit Expense	5469727	NetCommunityBenefitExpense
Percent Of Total Expense	0.02200	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42158171	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23283982	DirectOffsettingRevenue
Net Community Benefit Expense	18874189	NetCommunityBenefitExpense
Percent Of Total Expense	0.07570	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	98383	TotalCommunityBuildingExpense
Net Community Building Expense	98383	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	98383	TotalCommunityBuildingExpense
Net Community Building Expense	98383	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$5,305,494	BadDebtExpenseAmount
Amount Reimbursed By Medicare	46873456	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	50580608	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3707152	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	IMMANUEL ST JOSEPH'S - MAYO HEALTH SYSTE	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1025 MARSH ST	AddressLine1
City	MANKATO	City
State	MN	State
ZIP Code	56002	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NOT REQUIRED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
EASTRIDGE CLINIC
101 MARTIN LUTHER KING JR DRIVE	MANKATO	MN	56001	CLINIC
NORTHRIDGE CLINIC
1695 LOR RAY DRIVE	NORTH MANKATO	MN	56003	CLINIC
ST PETER CLINIC
622 SUNRISE DRIVE	ST PETER	MN	56082	CLINIC
MADISON EAST DME SITE
MADISON AVENUE	MANKATO	MN	56001	DME
MADISON EAST PT SITE
MADISON AVENUE	MANKATO	MN	56001	PT
MADELIA CLINIC
115 DREW AVENUE SE	MADELIA	MN	56062	CLINIC
LE SUEUR CLINIC
625 SOUTH 4TH STREET	LE SUEUR	MN	56058	CLINIC
NEW ULM RENAL DIALYSIS
1324 5TH NORTH	NEW ULM	MN	56073	DIALYSIS
PARKVIEW CLINIC
102 SOUTH MAIN STREET	LAKE CRYSTAL	MN	56055	CLINIC
MADISON EAST HHAHOSPICE SITE
MADISON AVENUE	MANKATO	MN	56001	HHA/HOSPICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation
Part I, Line 3c: THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES TO SET A MAXIMUM PAYMENT IN RELATION TO THE PATIENT'S INCOME. CONSIDERATION FOR 100% CHARITY CARE ADJUSTMENT (FREE CARE) IS GIVEN FOR CIRCUMSTANCES WHERE THE PATIENT IS UNEMPLOYED OR HAS NO SOURCE OF INCOME, DOES NOT HAVE A CURRENT PERMANENT RESIDENCE, OR HAS OTHER SIGNIFICANT FINANCIAL HARDSHIPS.
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: THERE IS NO NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC INCLUDED AS SUBSIDIZED HEALTH SERVICES.
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 $ 10595949.
Part II: THE MISSION OF MAYO CLINIC AND ITS AFFILIATES IS TO PUT THE NEEDS OF THE PATIENT FIRST. WE BELIEVE THAT MISSION IS BEST ACCOMPLISHED WITHIN HEALTHY, WELCOMING AND THRIVING COMMUNITIES. TO DELIVER ON THAT BELIEF, IMMANUEL ST. JOSEPH'S - MAYO HEALTH SYSTEM COLLABORATES WITH PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS TO SUSTAIN AND ENHANCE THE COMMUNITIES IT SERVES.
Part III, Line 4: 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.FROM CONSOLIDATED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES - ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.ISJ REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
Part III, Line 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $18,500,000. 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 THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED, INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY. 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 VI LINE 7: 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 TO THE MINNESOTA HOSPITAL ASSOCIATION.
Part VI, Line 2: IMMANUEL ST. JOSEPH'S - MAYO HEALTH SYSTEM (ISJ) ADMINISTRATION AND ITS BOARD OF DIRECTORS ALONG WITH COMMUNITY STAKEHOLDERS, WORK CLOSELY WITH LOCAL EDUCATIONAL INSTITUTIONS, OPEN DOOR HEALTH CENTER, CHARITIES, AND HEALTH DEPARTMENTS TO ASSESS HEALTHCARE NEED. ISJ DEVELOPS A STRATEGIC PLAN TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BASED ON THE INPUT RECEIVED. SERVICES, EDUCATION, VOLUNTEERS, IN KIND SUPPORT, MONETARY DONATIONS AND GOODS ARE SUPPLIED ONCE THOSE NEEDS ARE ASSESSED. REQUESTS FOR ASSISTANCE ARE TRIAGED THROUGH THE CORPORATE COMMUNICATION AND ADMINISTRATION DEPARTMENTS, AND EVALUATED BASED ON THE STRATEGIC PLAN
Part VI, Line 3: ELIGIBILITY: THE CHARITY CARE INFORMATION BROCHURE IS PROMINENTLY DISPLAYED IN REGISTRATION AND PATIENT-ACCOUNT WAITING AREAS. THE BROCHURE EXPLAINS THE CHARITY CARE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. IDENTIFICATION: THERE ARE A NUMBER OF WAYS A PATIENT CAN BE IDENTIFIED AND EVALUATED FOR CHARITY CARE ASSISTANCE.1. PATIENTS MAY REQUEST FINANCIAL ASSISTANCE.2. MAYO CLINIC EMPLOYEES MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.3. COLLECTION AGENCIES MAY REFER PATIENTS.4. THE BUSINESS SERVICES/PATIENT FINANCIAL SERVICES DEPARTMENT MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.5. REFERRING PHYSICIANS MAY REFER PATIENTS.6. MAYO PHYSICIANS MAY REFER PATIENTS.7. LOCAL GOVERNMENT AGENCIES MAY REFER PATIENTS.INDIGENT CARE: EMERGENCY ROOM PATIENTS WHO CANNOT PAY THEIR BILLS MAY BE CLASSIFIED AS "CHARITY" IF THEY DO NOT HAVE A JOB, MAILING ADDRESS, RESIDENCE OR INSURANCE. CONSIDERATION MUST ALSO BE GIVEN TO CLASSIFYING EMERGENCY ROOM ONLY PATIENTS AS CHARITY IF THEY DO NOT PROVIDE ADEQUATE INFORMATION AS TO THEIR FINANCIAL STATUS. IN MANY INSTANCES, THESE PATIENTS ARE HOMELESS AND HAVE FEW RESOURCES TO COVER THE COST OF THEIR CARE.GOVERNMENTAL ASSISTANCE: IN DETERMINING WHETHER AN INDIVIDUAL QUALIFIES FOR CHARITY CARE, OTHER COUNTY OR GOVERNMENTAL ASSISTANCE PROGRAMS SHOULD ALSO BE CONSIDERED. MANY APPLICANTS ARE NOT AWARE THAT THEY MAY BE ELIGIBLE FOR PUBLIC HEALTH INSURANCE PROGRAMS.1. MAYO CLINIC STAFF WILL HELP THE INDIVIDUAL DETERMINE ELIGIBILITY FOR GOVERNMENTAL OR OTHER ASSISTANCE, AS APPROPRIATE.2. PERSONS WHO ARE ELIGIBLE FOR PROGRAMS (SUCH AS STATE-SPONSORED MEDICAID) BUT WHO WERE NOT COVERED AT THE TIME THAT MEDICAL SERVICES WERE GRANTED MAY BE GRANTED CHARITY CARE, PROVIDED THAT THE PATIENT NOW APPLIES FOR GOVERNMENT ASSISTANCE. THIS MAY BE PRUDENT, ESPECIALLY IF THE PATIENT REQUIRES ONGOING SERVICES.
Part VI, Line 4: IMMANUEL ST. JOSEPH'S - MAYO HEALTH SYSTEM (ISJ) IS LOCATED IN MANKATO, MINESOTA. ITS SERVICE AREA INCLUDES BLUE EARTH, NICOLLET AND OTHER SURROUNDING COUNTIES IN SOUTHERN MINNESOTA. ISJ IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL AND A RURAL REFERRAL CENTER FOR MEDICARE PURPOSES. ISJ IS THE ONLY HOSPITAL IN BLUE EARTH COUNTY. THE POPULATION OF BLUE EARTH AND NICOLLET COUNTY (WHICH COMPRISES A LARGE PORTION OF ISJ'S SERVICE AREA) IS APPROXIMATELY 100,000. ACCORDING TO 2008 CENSUS DATA, APPROXIMATELY 13% OF INDIVIDUALS IN THE TWO COUNTIES ARE LIVING BELOW POVERTY LEVEL. APPROXIMATELY 11% OF INDIVIDUALS IN THE TWO COUNTIES ARE ABOVE AGE 65 AND APPROXIMATELY 9% OF THE POPULATION WAS UNINSURED.
Part VI, Line 6: THIS HOSPITAL 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 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 7: THIS ORGANIZATION IS A PART OF MAYO HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant
OPEN DOOR HEALTH CENTER
309 HOLLY LANE	MANKATO	MN	56001	411461726	501(C)(3)	5703	FMV	SUPPLIES AND PHONE	SUPPORT THEIR EXEMPT PURPOSE
GREATER MANKATO AREA UNITED WAY INC
101 NORTH 2ND STREET 100	MANKATO	MN	56001	416008819	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	8400
MANKATO AREA FOUNDATION
1631 PREMIER DR SUITE 100	MANKATO	MN	56001	410011094	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	17500
GREATER MANKATO DIVERSITY COUNCIL
PO BOX 166	MANKATO	MN	560020166	204627525	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	5000
AMERICAN RED CROSS - SOUTH CENTRAL MN CHAPTER
105 HOMESTEAD DRIVE	MANKATO	MN	56001	410693840	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	5000
CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA
PO BOX 3103	MANKATO	MN	560023103	204351801	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	5000
SOUTH CENTRAL COLLEGE NORTH MANKATO CAMPUS FOUNDATION
1920 LEE BOULEVARD	NORTH MANKATO	MN	56003	411649572	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	5000
FAIRMONT MEDICAL CENTER - MAYO HEALTH SYSTEM
800 CLINIC CIRCLE	FAIRMONT	MN	56031	410760836	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	25341
SPRINGFIELD MEDICAL CENTER - MAYO HEALTH SYSTEM
625 NORTH JACKSON	SPRINGFIELD	MN	56087	411893827	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	22501
ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM
1207 6TH AVE S	ST JAMES	MN	56081	410797368	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	29375
WASECA MEDICAL CENTER - MAYO HEALTH SYSTEM
100 5TH AVE NW	WASECA	MN	56093	363606405	501(C)(3)				SUPPORT THEIR EXEMPT PURPOSE	19601
GLENCOE REGIONAL HEALTH SERVICES
1805 HENNEPIN AVENUE SOUTH	GLENCOE	MN	553361416	411949230	501(C)(3)				BIOTERRORISM GRANT	11500
HUTCHINSON HEALTH CARE
1095 HIGHWAY 15 SOUTH	HUTCHINSON	MN	55350	841715908	501(C)(3)				BIOTERRORISM GRANT	12000
MADELIA COMMUNITY HOSPITAL
121 DREW AVENUE SOUTHEAST	MADELIA	MN	56062	410758512	501(C)(3)				BIOTERRORISM GRANT	11500
MEEKER COUNTY MEMORIAL HOSPITAL
612 SOUTH SIBLEY AVENUE	LITCHFIELD	MN	55355	410837659	MEEKER COUNTY				BIOTERRORISM GRANT	11500
MINNESOTA VALLEY HEALTH CENTER INC
621 SOUTH 4TH STREET	LE SUEUR	MN	56058	410837659	501(C)(3)				BIOTERRORISM GRANT	12000
NEW ULM MEDICAL CENTER
1324 5TH STREET NORTH	NEW ULM	MN	56073	363261413	501(C)(3)				BIOTERRORISM GRANT	12000
SIBLEY MEDICAL CENTER
601 WEST CHANDLER PO BOX 620	ARLINGTON	MN	55307	411384056	501(C)(3)				BIOTERRORISM GRANT	11500
SLEEPY EYE MEDICAL CENTER
400 4TH AVENUE NW	SLEEPY EYE	MN	56085	416005545	CITY OF SLEEPY EYE				BIOTERRORISM GRANT	12000
RIVERS EDGE HOSPITAL & CLINIC
1900 NORTH SUNRISE DRIVE	ST PETER	MN	56082	416006852	CITY OF ST PETER				BIOTERRORISM GRANT	12000
UNITED HOSPITAL DISTRICT
515 SOUTH MOORE STREET	BLUE EARTH	MN	56013	410910520	GOV'T DISTRICT				BIOTERRORISM GRANT	9200

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	21	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. 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)
Travel For Companions	X	TravelForCompanions
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 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
AMADIO MD PETER C
0	480604	0	0	0	1552703	0	124907	0	15389	0	2173603	0	197241
CARRYER MD PETER W
0	227574	0	0	0	989235	0	60	0	9569	0	1226438	0	421371
CRAGUN MD KEVIN
0	495045	0	0	0	271580	0	53170	0	27393	0	847188	0	120642
CREST JEROME
266836	0	26667	0	0	0	12250	0	19438	0	325191	0	0	0
DALTON MD ROBERT
0	328651	0	0	0	32879	0	51628	0	16124	0	429282	0	2634
GRACE RICHARD W
173877	56488	0	0	0	16105	517	216	10574	4788	184968	77597	0	0
HAMMELL DO LUCAS
0	204205	0	0	0	0	0	972	0	9185	0	214362	0	0
HEBL MD JAMES
0	397920	0	0	0	77822	0	27798	0	24301	0	527841	0	0
HERMAN MD DAVID C
0	419134	0	0	0	482798	0	67476	0	27965	0	997373	0	53259
HORTON DO JENNIFER
178864	0	0	0	0	0	7065	0	2219	0	188148	0	0	0
KOWAL DO GERALD
293121	0	0	0	0	0	12250	0	26380	0	331751	0	0	0
KUTCHER MD GREGORY
346309	0	37604	0	0	0	12250	0	23929	0	420092	0	0	0
MORRIS MD MARIE
0	321246	0	0	0	32639	0	34471	0	23292	0	411648	0	0
NESSE MD ROBERT
0	448868	0	0	0	1120429	0	193896	0	17848	0	1781041	0	370682
VUOCOLO MD PHILIP
0	421658	0	0	0	371577	0	36704	0	24348	0	854287	0	0
FRATZKE MARK
184839	0	5004	0	0	0	7546	0	22016	0	219405	0	0	0
TARASOVITCH JAMES
192924	0	0	0	3713	0	0	0	15325	0	211962	0	0	0
DEACONSON MD TIMOTHY F
555875	0	0	0	0	0	9800	0	25024	0	590699	0	0	0
WHITED MD BRIAN
293376	0	0	0	0	0	12250	0	23909	0	329535	0	0	0
CANNELLA MD DOMINIC
628472	0	0	0	0	0	4900	0	25024	0	658396	0	0	0
CHYATTE MD DOUGLAS
713434	0	0	0	0	0	4900	0	18936	0	737270	0	0	0
LI MD SHILUN
611601	0	0	0	0	0	9800	0	24680	0	646081	0	0	0
STANCHFIELD MD WARREN
610516	0	0	0	0	0	9800	0	9431	0	629747	0	0	0
WOLF MD MICHAEL
571209	0	0	0	0	0	9800	0	24799	0	605808	0	0	0
RUPP MD WILLIAM C
0	694131	0	0	0	125875	0	40938	0	8308	0	869252	0	118772

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	TRAVEL FOR COMPANIONS WAS PROVIDED TO BOARD MEMBERS AND SELECTED SENIOR LEADERS TO ATTEND THE INSTITUTE FOR HEALTH CARE IMPROVEMENT ANNUAL MEETING. SEVERAL OF THE CURRENT OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED ON THIS RETURN RECEIVED THIS BENEFIT, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. J. TARASOVITCH RECEIVED A HOUSING ALLOWANCE FOR TEMPORARY HOUSING DURING HIS RELOCATION TO THE AREA. THE ALLOWANCE WAS TREATED AS TAXABLE COMPENSATION.
Part I, Line 1b	PAYMENTS AND REIMBURSEMENTS THAT ARE NOT COVERED BY A POLICY ARE APPROVED BY THE CEO AND CAO.
Part I, Lines 4a-b	IN 2010, PHILIP VUOCOLO RECEIVED A SEVERENCE PAYMENT OF $361,333. 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). IN 2010, THE COMPONENT OF THIS SRP BENEFIT THAT WAS DEFERRED COMPENSATION SUBJECT TO SECTIONS 409A AND 457(f) OF THE INTERNAL REVENUE CODE WAS TERMINATED. THIS PLAN TERMINATION TRIGGERED THE IMMEDIATE TAXATION OF THE ENTIRE SRP BENEFIT THAT HAS BEEN ACCRUED AND DEFERRED OVER EACH PARTICIPANT'S CAREER AT MAYO. STARTING JANUARY 1, 2011, ALL FUTURE SRP BENEFIT WILL BE PAID AS AN ANNUAL TAXABLE CASH PAYMENT THAT HAS NO SUBSTANTIAL RISK OF FORFEITURE. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN EITHER AS A RESULT OF THE NORMAL OPERATION OF PLAN TERMS OR BECAUSE OF THE TERMINATION OF THE 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. THESE AMOUNTS HAVE BEEN ACCRUED OVER THE SPAN OF THE INDIVIDUAL'S CAREER AT MAYO. PETER AMADIO, M.D. $1,542,790 PETER CARRYER, M.D. 982,163 KEVIN CRAGUN, M.D. 269,843 ROBERT DALTON, M.D. 22,765 JAMES HEBL, M.D. 76,367 DAVID HERMAN, M.D. 479,900 MARIE MORRIS, M.D. 30,918 ROBERT NESSE, M.D. 1,055,162 WILLIAM RUPP, M.D. 111,567 PHILIP VUOCOLO, M.D. 7,125
Part I, Line 7	A PORTION OF COMPENSATION PAID TO GREGORY KUTCHER, M.D. AND JEROME CREST IS BASED UPON A REVIEW BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AS TO WHETHER EACH HAS ACHIEVED SPECIFIED FINANCIAL, OPERATIONAL AND STRATEGIC PERFORMANCE GOALS WHICH WERE ESTABLISHED IN THE PRIOR YEAR.
Part III	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.	Supplemental Information

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	MARK FRATZKE	NamePerson
Purpose Of Loan	SIGN ON LOAN	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$15,000	OriginalPrincipalAmount
Balance Due	3324	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	3324	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
PAULSEN ARCHITECTS
BOARD OVERLAP	17120	ARCHITECTURAL SERVICES	0
MAYO COLLABORATIVE SERVICES INC
BOARD OVERLAP	852958	PURCHASED SERVICES	0
HEATHER HAMMELL
SPOUSE OF DIRECTOR LUCAS HAMMELL, D.O.	40862	EMPLOYMENT	0
SHERYL DEACONSON
SPOUSE OF KEY EMPLOYEE TIMOTHY DEACONSON, M.D.	12708	EMPLOYMENT	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 2	DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, ROBERT NESSE, M.D. HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: PETER AMADIO, M.D. PETER CARRYER, M.D. KEVIN CRAGUN, M.D. ROBERT DALTON, M.D. RICHARD GRACE JAMES HEBL, M.D. DAVID HERMAN, M.D. DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: RICHARD GRACE GREGORY KUTCHER, M.D. GORDON OSLUND JAMES TARASOVITCH HAVE A BUSINESS RELATIONSHIP WITH LUCAS HAMMELL, D.O. DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: GREG BROLSMA MARK GAALSWYK RICHARD GRACE GREGORY KUTCHER, M.D. MARIE MORRIS, M.D. JAMES TARASOVITCH PHILIP VUOCOLO HAVE A BUSINESS RELATIONSHIP WITH MARIE MORRIS, M.D. PHILIP VUOCOLO, M.D.
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 6	THE SOLE MEMBER OF THE CORPORATION IS MAYO CLINIC.
Form 990, Part VI, Section A, line 7a	THE SOLE MEMBER ELECTS THE MEMBER DIRECTORS. THE SOLE MEMBER ELECTS THE COMMUNITY DIRECTORS THAT HAVE BEEN APPROVED BY THE BOARD OF DIRECTORS AND NOMINATED BY VARIOUS NOMINATING GROUPS.
Form 990, Part VI, Section A, line 7b	THE BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS DEBT, AMENDMENT OF THE BYLAWS, MERGERS, AND NEW SERVICES.
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 VICE PRESIDENT OF FINANCE, THE CFO AND THE ADMINISTRATOR. THE VICE PRESIDENT OF FINANCE, CFO AND/OR ADMINISTRATOR PRESENT HIGHLIGHTS OF THE 990 TO THE FINANCE COMMITTEE PRIOR TO THE FILING OF THE RETURNS. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE 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.
	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.	Form 990, Part VI, Section B, line 12c
	FORM 990,PART VI, SECTION B, LINES 15A AND 15B: THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY. THE SALARIES OF THE CEO AND CAO WERE REVIEWED BY THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO HEALTH SYSTEM - PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO 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. ISJ HAS A COMPENSATION COMMITTEE CHARGED WITH THE RESPONSIBILITY TO RECOMMEND TO THE SOUTHWEST MINNESOTA REGION BOARD OF DIRECTORS ON AN ANNUAL BASIS THE APPROPRIATE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER AND TOTAL COMPENSATION STRATEGY FOR THE ORGANIZATION. THE COMPENSATION COMMITTEE IS CREATED BY A BOARD RESOLUTION. CORE PURPOSE: a. REVIEW AND RECOMMEND TO THE BOARD THE TOTAL COMPENSATION STRATEGY OF THE SOUTHWEST MINNESOTA REGION, CONSISTENT WITH THE ORGANIZATION'S MISSION AND VALUES. b. REVIEW AND RECOMMEND TO THE BOARD THE TOTAL COMPENSATION PROPOSALS TO ENSURE SUPPORT OF ORGANIZATIONAL STRATEGY. c. REVIEW COMPENSATION AND BENEFITS DATA IN CONJUNCTION WITH MAYO CLINIC SHARED SERVICES GOALS IN MAKING RECOMMENDATIONS TO THE BOARD FOR TOTAL COMPENSATION PLANS. d. REVIEW AND RECOMMEND TO THE BOARD FOR APPROVAL EXECUTIVE COMPENSATION INCLUDING INCENTIVE PLANS FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER. e. REVIEW AND RECOMMEND TO THE BOARD ORGANIZATIONAL SEVERANCE GUIDELINES. f. MANAGEMENT MEMBERS OF THE COMMITTEE MAY NOT VOTE ON ACTIONS RELATED DIRECTLY TO MANAGEMENT COMPENSATION. g. ANNUALLY REVIEW THE PHYSICIAN COMPENSATION STRATEGY AND ITS EFFECTIVENESS. RECOMMEND TO THE BOARD THE STRATEGIES AND GUIDELINES FOR MERIT PAY, INCENTIVES, SEVERANCE PAY, CONTRACTUAL RELATIONSHIPS AND OTHER UNUSUAL COMPENSATION ARRANGEMENTS THAT MAY ARISE. h. PERFORM ANY OTHER DUTIES AND RESPONSIBILITIES AS THE BOARD MAY DEEM NECESSARY, ADVISABLE OR APPROPRIATE FOR THE COMMITTEE TO PERFORM. i. ANNUALLY REVIEW THE COMPENSATION COMMITTEE CHARTER AND RECOMMEND CHANGES TO THE BOARD.
	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.	Form 990, Part VI, Section C, line 19
AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION	PETER C. AMADIO, M.D. 40 HOURS PETER W. CARRYER, M.D. 40 HOURS KEVIN CRAGUN, M.D. 40 HOURS ROBERT DALTON, M.D. 40 HOURS LUCAS HAMMELL, D.O. 40 HOURS JAMES HEBL, M.D. 40 HOURS DAVID C. HERMAN, M.D. 40 HOURS MARIE MORRIS, M.D. 40 HOURS ROBERT NESSE, M.D. 40 HOURS WILLIAM C. RUPP, M.D. 40 HOURS PHILIP VUOCOLO, M.D. 40 HOURS	PART VII SECTION A
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 32,204.	Form 990, Part XI, line 5:
	THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR.	PART XI LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (43 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
ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404075	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM
1000 FIRST DRIVE NW	AUSTIN	MN	55912	410695606	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
AUSTIN MEDICAL CENTER FOUNDATION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	300107471	FUNDRAISING FOUNDATION	MN	501(c)(3)	7	AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM	1
BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM
1222 EAST WOODLAND AVE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(c)(3)	3	LUTHER HOSPITAL	1
BLOOMER LAKEVIEW INC
2110 DUNCAN ROAD	BLOOMER	WI	54724	391450617	LOW INCOME HOUSING	WI	501(c)(3)	7	BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM	1
BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
1501 THOMPSON STREET	BLOOMER	WI	54724	390980343	HOSPITAL AND CLINIC	WI	501(c)(3)	3	LUTHER HOSPITAL	1
CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM
1116 WEST MILL STREET	CANNON FALLS	MN	55009	204156428	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
CHARTERHOUSE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411405254	RETIREMENT LIVING CENTER	MN	501(c)(3)	9	MAYO CLINIC	1
FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM
800 MEDICAL CENTER DRIVE PO BOX 800	FAIRMONT	MN	56031	410760836	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404076	CHEMICAL DEPENDENCY TREATMENT	MN	501(c)(3)	3	ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM	1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREET	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(c)(3)	9	FRANCISCAN SKEMP HEALTHCARE INC	1
FRANCISCAN SKEMP FOUNDATION OF SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(c)(3)	9	FRANCISCAN SKEMP HEALTHCARE INC	1
FRANCISCAN SKEMP FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(c)(3)	11-II	FRANCISCAN SKEMP HEALTHCARE INC	1
FRANCISCAN SKEMP HEALTHCARE INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391411999	HEALTHCARE SYSTEM PARENT	WI	501(c)(3)	11-I	MAYO CLINIC	1
FRANCISCAN SKEMP MEDICAL CENTER INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	390806374	HOSPITAL AND CLINIC	WI	501(c)(3)	3	FRANCISCAN SKEMP 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
IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM
1025 MARSH STREET	MANKATO	MN	56002	411236756	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM
1025 MARSH STREET	MANKATO	MN	56002	411663357	FUNDRAISING FOUNDATION	MN	501(c)(3)	7	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM
500 WEST GRANT STREET	LAKE CITY	MN	55041	411906820	HOSPITAL	MN	501(c)(3)	3	MAYO CLINIC	1
LUTHER HOSPITAL
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	390813418	HOSPITAL	WI	501(c)(3)	3	MAYO CLINIC	1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREET	EAU CLAIRE	WI	54701	391409024	LOW INCOME HOUSING	WI	501(c)(3)	9	LUTHER HOSPITAL	1
LUTHER MIDELFORT FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391633407	GRANTMAKING FOUNDATION	WI	501(c)(3)	PF	MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM	0
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 JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	593337028	PATIENT CARE - CLINIC	FL	501(c)(3)	7	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
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(c)(3)	9	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 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
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
PO BOX 1510	EAU CLAIRE	WI	54702	391735831	PATIENT CARE - CLINIC	WI	501(c)(3)	3	MAYO CLINIC	0
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
NORTHWEST WISCONSIN HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(c)(3)	9	LUTHER HOSPITAL	1
NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(c)(3)	9	LUTHER HOSPITAL	1
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
PO BOX 70 / 13025 EIGHTH STREET	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(c)(3)	3	LUTHER HOSPITAL	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
RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
2321 STOUT ROAD	MENOMONIE	WI	54751	510190875	HOSPITAL AND CLINIC	WI	501(c)(3)	3	MAYO CLINIC	1
SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(c)(3)	3	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	410797368	HOSPITAL AND CLINIC	MN	501(c)(3)	3	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
ST JAMES MEDICAL CENTER FOUNDATION INC
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(c)(3)	7	ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM	1
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(c)(3)	3	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
MAYO KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1	60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM

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 (18 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
CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM
635 FIRST STREET SE	FARIBAULT	MN	55021	411817179	PATIENT CARE - CLINIC	MN	N/A	C
DECORAH CLINIC -- MAYO HEALTH SYSTEM
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
NORTHWEST HEALTH VENTURES INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C
OWATONNA CLINIC -- MAYO HEALTH SYSTEM
134 SOUTHVIEW	OWATONNA	MN	55060	411862132	PATIENT CARE - CLINIC	MN	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

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	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MAYO CLINIC
A	256081	GAAP
IMMANUEL-ST JOSEPH'S FOUNDATION - MAYO HEALTH SYSTEM
C	801086	GAAP
MAYO CLINIC
C	73102	GAAP
MAYO CLINIC
K	853364	GAAP
SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM
K	977777	GAAP
ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM
K	826473	GAAP
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
K	569265	GAAP
GOLD CROSS AMBULANCE SERVICE
L	68813	GAAP
MAYO CLINIC
L	11850619	GAAP
MAYO COLLABORATIVE SERVICES INC
L	852988	GAAP
MMSI INC
L	435543	GAAP
FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM
N	389032	GAAP
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
N	1274981	GAAP
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
P	81907	GAAP
MAYO CLINIC
R	626252	GAAP