2011-11-08T09:46:14-06:00 2010-12-31 990 2010-01-01 411236756 MAYO CLINIC HEALTH SYSTEM-MANKATO MAYO 5075381297 1025 MARSH STREET MANKATO MN 56002 JAMES TARASOVITCH 5073856449 2011-11-08 2010 2016-03-07 17:11:31Z fka IMMANUEL-ST JOSEPH'S - MAYO H GREGORY KUTCHER MD 1025 MARSH STREET MANKATO MN 56002 272581467 0 X WWW.MAYOHEALTHSYSTEM.ORG X 1968 MN HOSPITAL AND CLINICS 15 6 2738 336 6166 -558 4221794 1578600 252741900 267867819 643711 186872 1871989 1918722 259479394 271552013 116060 329515 0 0 138387682 145330694 0 0 462275 107941514 114161537 246445256 259821746 13034138 11730267 193789468 209573383 33882851 37904295 159906617 171669088 X 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. 0 0 231779714 212018 262394245 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. 1995109 3000 431378 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. 159234 25919 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. 374515 114497 6410682 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. 374515 114497 6410682 234308572 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 257 0 2738 1 1 1 0 0 0 0 0 0 0 0 0 X 15 6 1 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 1 MN X CORPORATE TAX UNIT 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 X AMADIO MD PETER C 1.00 X 0 2033307 140296 BROLSMA GREG 1.00 X 0 0 0 CARRYER MD PETER W 1.00 X 0 1216809 9629 CRAGUN MD KEVIN 1.00 X 0 766625 80563 CREST JEROME 40.00 X X 293503 0 31688 DALTON MD ROBERT 1.00 X 0 361530 67752 GAALSWYK MARK 1.00 X 0 0 0 GRACE RICHARD W 40.00 X X 173877 72593 16095 HAMMELL DO LUCAS 1.00 X 0 204205 10157 HEBL MD JAMES 1.00 X 0 475742 52099 HERMAN MD DAVID C 1.00 X 0 901932 95441 HORTON DO JENNIFER 40.00 X 178864 0 9284 JOHNSON TOM 1.00 X 0 0 0 KIRCHER MIKE 1.00 X 0 0 0 KOWAL DO GERALD 40.00 X 293121 0 38630 KUTCHER MD GREGORY 40.00 X X 383913 0 36179 MILLER DENNIS 1.00 X X 0 0 0 MORRIS MD MARIE 1.00 X 0 353885 57763 NESSE MD ROBERT 1.00 X 0 1569297 211744 OSLUND GORDON 1.00 X 0 0 0 PAULSEN TAMI 1.00 X 0 0 0 PIESCHEL SHARON 1.00 X 0 0 0 VUOCOLO MD PHILIP 1.00 X 0 793235 61052 YEAR PAMELA 1.00 X 0 0 0 FRATZKE MARK 40.00 X 189843 0 29562 TARASOVITCH JAMES 40.00 X 196637 0 15325 DEACONSON MD TIMOTHY F 40.00 X 555875 0 34824 WHITED MD BRIAN 40.00 X 293376 0 36159 CANNELLA MD DOMINIC 40.00 X 628472 0 29924 CHYATTE MD DOUGLAS 40.00 X 713434 0 23836 LI MD SHILUN 40.00 X 611601 0 34480 STANCHFIELD MD WARREN 40.00 X 610516 0 19231 WOLF MD MICHAEL 40.00 X 571209 0 34599 RUPP MD WILLIAM C 1.00 X 0 820006 49246 5694241 9569166 1225558 152 1 1 0 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 45 2116 36905 874188 662978 2413 1578600 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 267867819 538604 538604 979477 479431 500046 500046 500046 26347 378079 -351732 -351732 -351732 5290 36905 17314 -12024 -12024 184759 154630 30129 30129 CAFETERIA/VENDING 722210 1085818 1085818 MED RECORD/TRANSCR FEE 541900 205473 205473 MISC. REVENUE 900099 90317 90624 -307 18963 12490 6473 1400571 271552013 269262224 6166 705023 326515 326515 3000 3000 2252294 1110598 1141696 461248 461248 117905550 110388011 7210690 306849 3671004 3402718 258675 9611 13411241 12539056 837581 34604 7629357 7086987 522940 19430 469022 268534 200488 109454 109454 26277966 21101571 5157172 19223 427116 86229 336292 4595 45109934 42594511 2461886 53537 3873110 3873110 6143234 5723449 418080 1705 716806 556469 150216 10121 509158 506380 2778 141907 141907 10769814 9547014 1221128 1672 2349146 1434284 914862 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 23215 23215 259821746 234308572 25050900 462275 5813 5220 52733 58963 43546718 34716219 8328 3324 3649504 3311964 1283601 5422981 174108286 83438599 92147648 90669687 46672842 68453335 6422281 6931690 193789468 209573383 27032530 30576945 691700 629736 2515621 2449614 3643000 4248000 33882851 37904295 X 159906617 171669088 159906617 171669088 193789468 209573383 X 11730267 32204 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7494553 7494553 363532 74789399 29569361 45583570 91460802 53869238 37591564 90669687 MAYO POOLED INVESTMENTS 67254140 F ASSETS HELD BY TRUSTEES 1199195 F 68453335 DEFERRED COMPENSATION RESERVE 4248000 4248000 Description of Uncertain Tax Positions Under FIN 48: Part X: AT DECEMBER 31, 2010 AND 2009, THERE WAS NO MATERIAL LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION. WOMEN'S SHOW 36905 36905 17314 TREE OF LIGHTS 5290 0 5290 42195 36905 5290 17314 17314 -12024 1 1 0 1 X 450.000000000000 1 1 1 0 1 1 1305012 1305012 0.00520 31560879 19461429 12099450 0.04850 32865891 19461429 13404462 0.05370 120000 120000 0.00050 1995109 431378 1563731 0.00630 6993833 3365256 3628577 0.01460 159234 25919 133315 0.00050 24104 24104 0.00010 9292280 3822553 5469727 0.02200 42158171 23283982 18874189 0.07570 98383 98383 0.00040 98383 98383 0.00040 0 5305494 46873456 50580608 -3707152 X 1 1 1 1 IMMANUEL ST JOSEPH'S - MAYO HEALTH SYSTE

1025 MARSH ST MANKATO MN 56002

X X X X NOT REQUIRED 1 10 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 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. 1 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) 8400 SUPPORT THEIR EXEMPT PURPOSE MANKATO AREA FOUNDATION 1631 PREMIER DR SUITE 100 MANKATO MN 56001 410011094 501(C)(3) 17500 SUPPORT THEIR EXEMPT PURPOSE GREATER MANKATO DIVERSITY COUNCIL PO BOX 166 MANKATO MN 560020166 204627525 501(C)(3) 5000 SUPPORT THEIR EXEMPT PURPOSE AMERICAN RED CROSS - SOUTH CENTRAL MN CHAPTER 105 HOMESTEAD DRIVE MANKATO MN 56001 410693840 501(C)(3) 5000 SUPPORT THEIR EXEMPT PURPOSE CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA PO BOX 3103 MANKATO MN 560023103 204351801 501(C)(3) 5000 SUPPORT THEIR EXEMPT PURPOSE SOUTH CENTRAL COLLEGE NORTH MANKATO CAMPUS FOUNDATION 1920 LEE BOULEVARD NORTH MANKATO MN 56003 411649572 501(C)(3) 5000 SUPPORT THEIR EXEMPT PURPOSE FAIRMONT MEDICAL CENTER - MAYO HEALTH SYSTEM 800 CLINIC CIRCLE FAIRMONT MN 56031 410760836 501(C)(3) 25341 SUPPORT THEIR EXEMPT PURPOSE SPRINGFIELD MEDICAL CENTER - MAYO HEALTH SYSTEM 625 NORTH JACKSON SPRINGFIELD MN 56087 411893827 501(C)(3) 22501 SUPPORT THEIR EXEMPT PURPOSE ST JAMES MEDICAL CENTER - MAYO HEALTH SYSTEM 1207 6TH AVE S ST JAMES MN 56081 410797368 501(C)(3) 29375 SUPPORT THEIR EXEMPT PURPOSE WASECA MEDICAL CENTER - MAYO HEALTH SYSTEM 100 5TH AVE NW WASECA MN 56093 363606405 501(C)(3) 19601 SUPPORT THEIR EXEMPT PURPOSE GLENCOE REGIONAL HEALTH SERVICES 1805 HENNEPIN AVENUE SOUTH GLENCOE MN 553361416 411949230 501(C)(3) 11500 BIOTERRORISM GRANT HUTCHINSON HEALTH CARE 1095 HIGHWAY 15 SOUTH HUTCHINSON MN 55350 841715908 501(C)(3) 12000 BIOTERRORISM GRANT MADELIA COMMUNITY HOSPITAL 121 DREW AVENUE SOUTHEAST MADELIA MN 56062 410758512 501(C)(3) 11500 BIOTERRORISM GRANT MEEKER COUNTY MEMORIAL HOSPITAL 612 SOUTH SIBLEY AVENUE LITCHFIELD MN 55355 410837659 MEEKER COUNTY 11500 BIOTERRORISM GRANT MINNESOTA VALLEY HEALTH CENTER INC 621 SOUTH 4TH STREET LE SUEUR MN 56058 410837659 501(C)(3) 12000 BIOTERRORISM GRANT NEW ULM MEDICAL CENTER 1324 5TH STREET NORTH NEW ULM MN 56073 363261413 501(C)(3) 12000 BIOTERRORISM GRANT SIBLEY MEDICAL CENTER 601 WEST CHANDLER PO BOX 620 ARLINGTON MN 55307 411384056 501(C)(3) 11500 BIOTERRORISM GRANT SLEEPY EYE MEDICAL CENTER 400 4TH AVENUE NW SLEEPY EYE MN 56085 416005545 CITY OF SLEEPY EYE 12000 BIOTERRORISM GRANT RIVERS EDGE HOSPITAL & CLINIC 1900 NORTH SUNRISE DRIVE ST PETER MN 56082 416006852 CITY OF ST PETER 12000 BIOTERRORISM GRANT UNITED HOSPITAL DISTRICT 515 SOUTH MOORE STREET BLUE EARTH MN 56013 410910520 GOV'T DISTRICT 9200 BIOTERRORISM GRANT 21 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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. X X 0 1 X X X X 1 1 0 0 0 0 0 1 0 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 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. Supplemental Information 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. MARK FRATZKE SIGN ON LOAN X 15000 3324 0 1 1 3324 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 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. Form 990, Part VI, Section B, line 12c MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. 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. Form 990, Part VI, Section C, line 19 THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO 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. AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION PART VII SECTION A 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 Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 32,204. PART XI LINE 2C THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR. 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 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 1 FRANKLIN HEATING STATION 119 THIRD ST SW ROCHESTER MN 55902 410264830 UTILITY MN N/A 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 CJ N/A C 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 1 1 1 0 0 0 0 0 0 1 1 1 0 1 0 1 1 1 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