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MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC (EIN 51-0190875)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-04
IRS object ID
201122169349300307
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-04T09:24:34-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510190875EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MAYO CLINIC HEALTH SYSTEM - RED CEDAR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAYONameControl
Phone5075381297Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12321 STOUT ROADAddressLine1
CityMENOMONIECity
StateWIState
ZIP Code54751ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANIE LUBINSKYName
TitleCFOTitle
Phone5075381297Phone
Date Signed2011-08-04DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1FKA RED CEDAR MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEANIE LUBINSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12321 STOUT ROADAddressLine1
CityMENOMONIECity
StateWIState
ZIP Code54751ZIPCode
FieldValueIRS element (for citing)
Gross Receipts82091428GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RCMC-MHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionRED CEDAR MEDICAL CENTER (RCMC) OPERATES A HOSPITAL & CLINIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees740TotalNbrEmployees
Total Nbr Volunteers237TotalNbrVolunteers
Total Gross UBI17949TotalGrossUBI
Net Unrelated Business Txbl Income-445NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year178204ContributionsGrantsPriorYear
Contributions Grants Current Year143199ContributionsGrantsCurrentYear
Program Service Revenue Prior Year77728982ProgramServiceRevenuePriorYear
Program Service Revenue CY80677607ProgramServiceRevenueCY
Investment Income Prior Year383794InvestmentIncomePriorYear
Investment Income Current Year617348InvestmentIncomeCurrentYear
Other Revenue Prior Year595260OtherRevenuePriorYear
Other Revenue Current Year616671OtherRevenueCurrentYear
Total Revenue Prior Year78886240TotalRevenuePriorYear
Total Revenue Current Year82054825TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10650GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7292GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year45525765SalariesEtcPriorYear
Salaries Etc Current Year48072549SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year111079TotalFundrsngExpCurrentYear
Other Expense Prior Year25328792OtherExpensePriorYear
Other Expenses Current Year26256867OtherExpensesCurrentYear
Total Expenses Prior Year70865207TotalExpensesPriorYear
Total Expenses Current Year74336708TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8021033RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7718117RevenuesLessExpensesCY
Total Assets BOY82923904TotalAssetsBOY
Total Assets EOY91745126TotalAssetsEOY
Total Liabilities BOY7246918TotalLiabilitiesBOY
Total Liabilities EOY9400836TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75676986NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY82344290NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense67936458Expense
Grants0Grants
Revenue81221086Revenue
DescriptionPATIENT CARE (SEE SCHEDULE O):RED CEDAR MEDICAL CENTER - MAYO HEALTH SYSTEM (RCMC) IS A MEMBER OF THE MAYO HEALTH SYSTEM. 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. AS PART OF THE MAYO HEALTH SYSTEM, RCMC OPERATES A CLINIC AND A HOSPITAL IN MENOMONIE, WISCONSIN - ALONG WITH REGIONAL CLINICS IN GLENWOOD CITY AND ELMWOOD, WISCONSIN. RCMC'S CLINICS PROVIDE PRIMARY CARE, INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS AND GENERAL SURGERY. IN ADDITION, SPECIALTY CARE IN OCCUPATIONAL MEDICINE, BEHAVIORAL HEALTH, ORTHOPEDICS, PODIATRY AND NUTRITIONAL EDUCATION ARE ALSO PROVIDED. DURING 2010, THERE WERE 98,594 CLINIC VISITS. RCMC'S HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL PROVIDING MEDICAL, SURGICAL, MATERNITY, EMERGENCY AND CRITICAL CARE SERVICES TO AREA RESIDENTS. IN 2010, 2,005 PATIENTS WERE ADMITTED, 3,172 SURGICAL PROCEDURES WERE PERFORMED AND 8,954 PATIENTS USED THE HOSPITAL'S EMERGENCY ROOM.IN CONJUNCTION WITH MAYO CLINIC AND ITS AFFILIATES, RCMC IS ABLE TO PROVIDE EMERGENCY MEDICAL HELICOPTER SERVICE THROUGHOUT THE REGION. THE HELICOPTER PROVIDES RAPID PATIENT TRANSPORT TO THE APPROPRIATE HEALTHCARE FACILITY ALONG WITH DELIVERING HIGH-LEVEL CRITICAL CARE.RCMC ALSO OPERATES LIFELINE (A EASY-TO-USE PERSONAL RESPONSE SERVICE) TO ENSURE THAT OLDER ADULTS LIVING AT HOME CAN GET QUICK ASSISTANCE WHENEVER IT MAY BE NEEDED - 24 HOURS A DAY, 365 DAYS A YEAR. WHEN THE PERSONAL HELP BUTTON IS PRESSED, A RCMC MONITOR RESPONDS, ASSESSES THE SITUATION AND SUMMONS APPROPRIATE HELP. THERE WERE 496 SUBSCRIBERS TO THE PROGRAM DURING 2010.RCMC PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE ALSO PROVIDED TO MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2010, RCMC PROVIDED APPROXIMATELY $945,110 IN FINANCIAL ASSISTANCE TO PATIENTS. THE UNREIMBURSED COST OF MEDICAID PATIENTS WAS APPROXIMATELY $6,230,967.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense174529Expense
Grants7292Grants
Revenue39506Revenue
DescriptionOTHER COMMUNITY PROGRAMS (SEE SCHEDULE O):IN 2010, RCMC PROVIDED VARIOUS COMMUNITY SERVICES AND EDUCATIONAL OFFERINGS TO AREA RESIDENTS. SOME OF THESE ACTIVITIES ARE DESCRIBED BELOW. A FREE CLINIC PROVIDING HEALTH CARE TO THE UNDERPRIVILEGED OF THE COMMUNITY IS HOUSED AT RCMC. OFFICE SPACE, STORAGE AND SERVICES ARE PROVIDED TO THE FREE CLINIC AT OR BELOW COST OR FREE OF CHARGE. RCMC ALSO CONDUCTED THREE BLOOD DRIVES TO BENEFIT THE AMERICAN RED CROSS, DONATING STAFF TIME, FACILITIES AND SUPPORT. THE VALUE OF THE STAFF TIME, FACILITIES AND SUPPORT FOR FOR THESE ACTIVITIES IS APPROXIMATELY $43,771. THE MEDICAL CENTER'S REGISTERED DIETICIAN HAS ESTABLISHED A WORKING RELATIONSHIP WITH THE WISCONSIN INTERSCHOLASTIC ATHLETIC ASSOCIATION, SPEAKING AT SEVERAL CONFERENCES ON THE IMPORTANCE OF PROPER NUTRITION FOR ATHLETES. RCMC ALSO PROVIDED SPORTS PHYSICALS TO 235 STUDENTS AT DISCOUNTED RATES. RCMC SUPPORTS SUCH COMMUNITY PROGRAMS AS THE UNITED WAY AND THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE. IN ADDITION, RCMC DONATED $1,542 TO LOCAL CHARITES/COMMUNITY GROUPS AND PROVIDED $5,750 IN SCHOLARSHIPS TO GRADUATING HIGH SCHOOL SENIORS WHO ARE ENTERING COLLEGE OR A VOCATIONAL PROGRAM FOR A HEALTH-RELATED FIELD OF STUDY. IN ADDITION TO THE ABOVE, RCMC SERVED OVER 8,147 PEOPLE BY SPONSORING THE FOLLOWING PROGRAMS IN 2010:- AQUACISE CLASSES- DIABETES SUPPORT GROUP SESSIONS- DIABETES PREVENTION CLASSES- CAREGIVER SUPPORT GROUP SESSIONS- HEART DISEASE SUPPORT GROUP SESSIONS- BEREAVEMENT SUPPORT GROUP SESSIONS- SMOKING CESSATION - CELIAC DISEASE PRESENTATIONS- CPR / FIRST AID PROGRAMS- FAMILY / PARENTING / PRENATAL EDUCATION PROGRAMS- HEALTH FAIRS- SLEEP APNEA / DEPRIVATION PROGRAMS- BLOOD PRESSURE / BLOOD SUGAR SCREENINGS- WOMEN'S HEALTH EDUCATION PROGRAMS- ATHLETIC TRAINING OUTREACH- COMMUNITY OUTREACH EVENTS- BUSINESS OUTREACH EVENTS- SENIOR EDUCATION & OUTREACH PROGRAMS- CHOLESTEROL SCREENING EVENTS- CHILDREN'S HEALTH & SAFETY EVENTRCMC ALSO RECEIVES DONATED SERVICES FROM THE RED CEDAR MEDICAL CENTER VOLUNTEERS WHICH IS COMPRISED OF INDIVIDUALS AND ORGANIZATIONS THAT HELP ORGANIZE AND MANAGE ACTIVITIES FOR THE BENEFIT OF RCMC'S PATIENTS, PATIENT'S FAMILIES, VISITORS AND STAFF. THE VOLUNTEERS OPERATE A GIFT SHOP, ASSIST PATIENTS AND GREET VISITORS. DURING 2010, VOLUNTEERS DONATED APPROXIMATELY 16,436 HOURS OF SERVICE. BASED ON 2010 INDEPENDENT SECTOR STATISTICS, THE APPROXIMATE VALUE OF THESE SERVICES WERE $351,073.Description
FieldValueIRS element (for citing)
Total Program Service Expense68110987TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees740NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHRISTIE LOHKAMPBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075381297TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CARRYER MD PETER W
DIRECTOR1.00X012168099629
IMSANDE KRISTIN
DIRECTOR1.00X000
JACOBSON ROSEMARY
DIRECTOR1.00X000
JOHNSON ELNA
DIRECTOR1.00X000
LINTON MD RANDALL L
DIRECTOR1.00X051641758816
NESSE MD ROBERT E
DIRECTOR1.00X01569297211744
THOMPSON RALPH
DIRECTOR1.00X000
WITT MD THOMAS J
DIRECTOR1.00X052972979102
FREY NEAL
PAST TREASURER1.00000X
KRYSHAK WILLIAM
TREASURER1.00000X
LINDBERG STEVEN J
CAO40.00181893035735X
LUBINSKY JEANENNE M
CFO40.00143262012894X
NELSON MD CARRIE J
VICE CHAIR40.00215385028984X
RUSTAD CHRISTOPHER D
SECRETARY1.00012062422258X
SIMPSON MD HENRY J
CHAIR / CEO40.00262487049497X
DEYO-SVENDSEN MD MARK E
PHYSICIAN40.00254292025692X
LEE MD ROBERT K
PHYSICIAN40.00351745050827X
MCNALLY DO PAUL D
PHYSICIAN40.00770361049535X
RICH MD NATHAN L
DIRECTOR40.00355936037758X
THIRUMALAI MD SRIDHAR
PHYSICIAN40.00517990046395X
WAHLGREN MD VAN E
PHYSICIAN40.00446235025581X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3499586TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3952876TotalReportableCompFrmRltdOrgs
Total Other Compensation744447TotalOtherCompensation
Number Individuals GT100 K56NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MIDELFORT CLINIC
733 W CLAIREMEONT AVEEAU CLAIREWI54701MEDICAL SERVICES2782935
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905MEDICAL SERVICES1282883
LUTHER HOSPITAL
1221 WHIPPLE STREETEAU CLAIREWI54702MEDICAL SERVICES971233
COMPUTERIZED MEDICAL IMAGING INC
719 W HAMILTON AVE STE BEAU CLAIREWI54701MEDICAL SERVICES681110
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905LAB SERVICES238340
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Federated Campaigns1806FederatedCampaigns
Fundraising Events2933FundraisingEvents
Related Organizations77430RelatedOrganizations
Government Grants61030GovernmentGrants
Noncash Contributions2558NoncashContributions
Total Contributions143199TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6200008041691980416919
LIFELINE621990135409135409
RENTS FROM AFFILIATES531120125279125279
FieldValueIRS element (for citing)
Total Program Service Revenue80677607TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column631915TotalRevenueColumn
Exclusion$631,915ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other14567Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-14567Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-14567TotalRevenueColumn
Exclusion-$14,567ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events5944GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events2933CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses727FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column5217TotalRevenueColumn
Exclusion$5,217ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming3118GrossIncomeGaming
Gaming Direct Expenses3251GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-133TotalRevenueColumn
Exclusion-$133ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory18870GrossSalesOfInventory
Cost Of Goods Sold18058CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column812TotalRevenueColumn
Exclusion$812ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA/VENDING722210275505275505
CONSULTING SERVICES54161023419221901215180
MISC. REVENUE9000996497155130$9,841

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column36107TotalRevenueColumn
Related Or Exempt Function Income33338RelatedOrExemptFunctionIncome
Unrelated Business Revenue2769UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue610775TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column82054825TotalRevenueColumn
Related Or Exempt Function Income81260592RelatedOrExemptFunctionIncome
Unrelated Business Revenue17949UnrelatedBusinessRevenue
Exclusion$633,085ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1542Total
Program Services1542ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5750Total
Program Services5750ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1210121Total
Program Services649147ProgramServices
Management And General560974ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total7945Total
Program Services7945ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35962834Total
Program Services33202064ProgramServices
Management And General2701201ManagementAndGeneral
Fundraising59569Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2924562Total
Program Services2691630ProgramServices
Management And General226667ManagementAndGeneral
Fundraising6265Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5647672Total
Program Services5179689ProgramServices
Management And General440729ManagementAndGeneral
Fundraising27254Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2319415Total
Program Services2096613ProgramServices
Management And General218104ManagementAndGeneral
Fundraising4698Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total269423Total
Management And General269423ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30075Total
Management And General30075ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7821551Total
Program Services7054190ProgramServices
Management And General760818ManagementAndGeneral
Fundraising6543Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total172690Total
Program Services13300ProgramServices
Management And General159390ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10142247Total
Program Services9928211ProgramServices
Management And General208916ManagementAndGeneral
Fundraising5120Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total221910Total
Management And General221910ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1298222Total
Program Services1298222ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total282698Total
Program Services245265ProgramServices
Management And General37408ManagementAndGeneral
Fundraising25Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21956Total
Program Services21956ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2414231Total
Program Services2267422ProgramServices
Management And General145710ManagementAndGeneral
Fundraising1099Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total568447Total
Program Services568447ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE25647852564785
DUES, LICENSES, ETC.17720714741329288506
MEDICAID SURCHARGE120735120735
EMPLOYEE EXPENSES1076221348594137
MISC. EXPENSE43068331769892

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total74336708Total
Program Services68110987ProgramServices
Management And General6114642ManagementAndGeneral
Fundraising111079Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3461BOY
EOY3230EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1113730BOY
EOY412070EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY77027BOY
EOY10720EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9155400BOY
EOY10207491EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY25000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY308250BOY
EOY174500EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1554655BOY
EOY1615290EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY156226BOY
EOY1215713EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49719333LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21333969LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28362829BOY
EOY28385364EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY38090950BOY
EOY48683068EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4101376BOY
EOY1012680EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY82923904BOY
EOY91745126EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6599431BOY
EOY8325906EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16862BOY
EOY141534EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY630625BOY
EOY933396EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7246918BOY
EOY9400836EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY75599959BOY
EOY82333570EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY77027BOY
EOY10720EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75676986BOY
EOY82344290EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82923904BOY
EOY91745126EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7718117ReconcilationRevenueExpenses
Reconcilation Other Changes-1050813ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2230745BeginningOfYearBalance
Investment Earnings Or Losses304769InvestmentEarningsOrLosses
Grants Or Scholarships111659GrantsOrScholarships
Administrative Expenses4131AdministrativeExpenses
End Of Year Balance2419724EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1730538BeginningOfYearBalance
Investment Earnings Or Losses516013InvestmentEarningsOrLosses
Administrative Expenses15806AdministrativeExpenses
End Of Year Balance2230745EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2748041BeginningOfYearBalance
Investment Earnings Or Losses-863469InvestmentEarningsOrLosses
Grants Or Scholarships137402GrantsOrScholarships
Administrative Expenses16632AdministrativeExpenses
End Of Year Balance1730538EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis608398OtherCostOrOtherBasis
Book Value608398BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35264866OtherCostOrOtherBasis
Depreciation11272183Depreciation
Book Value23992683BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13532253OtherCostOrOtherBasis
Depreciation10061786Depreciation
Book Value3470467BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis313816OtherCostOrOtherBasis
Book Value313816BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28385364TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMAYO CLINIC POOLED INVESTMENTSDescription
Book Value48683068BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities48683068TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$27,716
DEFERRED COMPENSATION LIABILITY$905,680
FieldValueIRS element (for citing)
Total Of Amounts933396TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:TO SUPPORT MEDICAL PROGRAMS AND RELATED SERVICES THAT BENEFIT THE COMMUNITY SERVED BY RED CEDAR MEDICAL CENTER - MAYO HEALTH SYSTEM.
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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense945110TotalCommunityBenefitExpense
Net Community Benefit Expense945110NetCommunityBenefitExpense
Percent Of Total Expense0.01320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10950600TotalCommunityBenefitExpense
Direct Offsetting Revenue4719633DirectOffsettingRevenue
Net Community Benefit Expense6230967NetCommunityBenefitExpense
Percent Of Total Expense0.08680PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11895710TotalCommunityBenefitExpense
Direct Offsetting Revenue4719633DirectOffsettingRevenue
Net Community Benefit Expense7176077NetCommunityBenefitExpense
Percent Of Total Expense0.10000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense130758TotalCommunityBenefitExpense
Direct Offsetting Revenue39506DirectOffsettingRevenue
Net Community Benefit Expense91252NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5750TotalCommunityBenefitExpense
Net Community Benefit Expense5750NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9132351TotalCommunityBenefitExpense
Direct Offsetting Revenue6395707DirectOffsettingRevenue
Net Community Benefit Expense2736644NetCommunityBenefitExpense
Percent Of Total Expense0.03810PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense45313TotalCommunityBenefitExpense
Net Community Benefit Expense45313NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9314172TotalCommunityBenefitExpense
Direct Offsetting Revenue6435213DirectOffsettingRevenue
Net Community Benefit Expense2878959NetCommunityBenefitExpense
Percent Of Total Expense0.04010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21209882TotalCommunityBenefitExpense
Direct Offsetting Revenue11154846DirectOffsettingRevenue
Net Community Benefit Expense10055036NetCommunityBenefitExpense
Percent Of Total Expense0.14010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,391,913BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare12650770AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12326126CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall324644MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1RED CEDAR MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12321 STOUT ROADAddressLine1
CityMENOMONIECity
StateWIState
ZIP Code54751ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
GLENWOOD CITY CLINIC
219 EAST OAK AVENUEGLENWOODWI54013CLINIC
ELMWOOD CLINIC
236 EAST SPRINGER AVENUEELMWOODWI54740CLINIC
RED CEDAR MEDICAL CENTER
2321 STOUT ROADMENOMONIEWI54751CLINIC, PHARMACY, PHYSICAL REHAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation
Part I, Line 6a: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
Part I, Line 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
Part I, Line 7g: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS THAT WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES WERE $687,000.
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 $ 2564785.
Part III, Line 4: FOOTNOTE FROM MAYO CLINIC CONSOLIDATED AUDITED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.BAD DEBT EXPENSE AT COST IS DETERMINED USING THE SAME COST TO CHARGE RATIO THAT IS USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
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).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 CHARITY CARE 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 CHARITY CARE 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 ON THE MINNESOTA HOSPITAL ANNUAL REPORT OR TO THE WISCONSIN HOSPITAL ASSOCIATION.
Part VI, Line 2: RCMC'S VISION STATEMENT SPEAKS TO CREATING A HEALTHIER COMMUNITY BY PROVIDING EXCEPTIONAL CARE. WHILE RCMC'S PATIENT CARE EFFORTS FOCUS ON THOSE WHO UTILIZE ITS SERVICES, RCMC'S COMMUNITY SUPPORT EXTENDS TO THE POPULATION AT LARGE. IN ITS CURRENT STRATEGIC PLAN, RCMC IDENTIFIED UNMET COMMUNITY HEALTH NEEDS AS A STRATEGIC ISSUE, AND ESTABLISHED A COMMUNITY HEALTH DISCOVERY TEAM. THIS TEAM (CONSISTING OF REPRESENTATIVES FROM THE FREE CLINIC OF THE GREATER MENOMONIE AREA, THE MENOMONIE COMMUNITY HEALTH FOUNDATION, THE DUNN COUNTY HEALTH DEPARTMENT, AND RCMC) IS CHARGED WITH IDENTIFYING, EVALUATING, AND PRIORITIZING UNMET COMMUNITY HEALTH NEEDS, AND MAKING RECOMMENDATIONS TO RCMC'S OPERATIONS COMMITTEE AND BOARD OF DIRECTORS ABOUT INTERVENTIONS THAT RCMC SHOULD CONSIDER.RCMC'S COMMUNITY HEALTH DISCOVERY TEAM HAS STRATIFIED HEALTH CARE NEED WITHIN OUR GEOGRAPHIC REGION BASED ON MULTIPLE INPUTS INCLUDING: 2006 DUNN COUNTY COMMUNITY HEALTH ASSESSMENT, FOCUS GROUPS, INTERVIEWS WITH KEY PLAYERS, AND REVIEW OF PERTINENT LITERATURE ("WE CAN DO BETTER-IMPROVING THE HEALTH OF THE AMERICAN PEOPLE," NEJM, 9/07). THESE IDENTIFIED NEEDS ARE THEN FILTERED AND PRIORITIZED BASED ON CONSISTENCY WITH RCMC'S VISION/MISSION/VALUES, ABILITY OF RCMC TO IMPACT NEED IDENTIFIED, AND PATIENT COMMUNITY/BENEFIT.RCMC'S COMMUNITY EDUCATION COMMITTEE DEVELOPED A PROCESS TO DELIVER EDUCATIONAL PROGRAMMING AND FREE OR LOW-COST HEALTH SCREENINGS TO THE COMMUNITY AT LARGE, WITH A SUBSET OF PROGRAMMING TARGETING WOMEN WITHIN THE SERVICE AREA THROUGH WOMEN'S CIRCLE OF CARE PROGRAMMING. COMMUNITY EDUCATION OFFERINGS ARE WELL-RECEIVED.
Part VI, Line 3: ELIGIBILITY: THE CHARITY CARE INFORMATION BROCHURE IS PROMINENTLY DISPLAYED IN REGISTRATION AND PATIENT 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. STAFF MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.3. COLLECTION AGENCIES MAY REFER PATIENTS.4. BUSINESS/PATIENT FINANCIAL SERVICES MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.5. PHYSICIANS MAY REFER PATIENTS.6. 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. 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: RED CEDAR MEDICAL CENTER (RCMC) IS LOCATED IN MENOMONIE, WISCONSIN. ITS SERVICE AREA INCLUDES PORTIONS OF DUNN, ST. CROIX, PEPIN AND PIERCE COUNTIES IN WESTERN WISCONSIN. RCMC HAS THE ONLY ACUTE CARE HOSPITAL IN MENOMONIE,WHICH IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES. IT ALSO HAS A CLINIC IN MENOMONIE, ELMWOOD AND GLENWOOD CITY. ACCORDING TO 2000 CENSUS DATA, THE POPULATION OF DUNN COUNTY, WHICH COMPRISES MOST OF RCMC'S SERVICE AREA, IS APPROXIMATELY 40,000. ACCORDING TO 2005 CENSUS DATA, APPROXIMATELY 9.4% OF DUNN COUNTY INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. IN ADDITION, ACCORDING TO THE 2005-2007 WISCONSIN FAMILY HEALTH SURVEY, APPROXIMATELY 14% OF THE DUNN COUNTY POPULATION WAS UNINSURED FOR ALL OR PART OF THE PAST YEAR. DUNN COUNTY IS A FEDERALLY-DESIGNATED MEDICALLY-UNDERSERVED AREA (OR STATE-DESIGNED HEALTH PROFESSIONAL SHORTAGE AREA).
Part VI, Line 6: THIS FILING ORGANIZATION IS AN AFFILIATE OF THE 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.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. THE FILING ORGANIZATION'S STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.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 FILING ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.SPECIFICALLY, THE FILING ORGANIZATION PROVIDES HOSPITAL AND CLINIC SERVICES FOR MENOMONIE, WISCONSIN AND THE SURROUNDING AREA.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O).

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPS FOR STUDENTS ENTERING INTO A HEALTH CARE RELATED FIELD OF STUDY.TypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant5750AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION, THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. THE FILING ORGANIZATION MAINTAINS 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. HEALTH CAREER SCHOLARSHIP AWARDEES MUST SUBMIT GRADES/TRANSCRIPTS AND PROOF OF REGISTRATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CARRYER MD PETER W
022757400098923506009569012264380421371
LINTON MD RANDALL L
05051630850002754025170033646057523300
NESSE MD ROBERT E
044886800011204290193896017848017810410370682
WITT MD THOMAS J
03318340001978950682030108990608831052480
LINDBERG STEVEN J
1816430250000168770188580217628000
LUBINSKY JEANENNE M
143012025000012894000156156000
NELSON MD CARRIE J
215135025000019502094820244369000
SIMPSON MD HENRY J
2622370250000220500274470311984000
DEYO-SVENDSEN MD MARK E
254042025000022050036420279984000
LEE MD ROBERT K
326090025655000189310318960402572000
MCNALLY DO PAUL D
7701110250000220500274850819896000
RICH MD NATHAN L
355686025000095100282480393694000
THIRUMALAI MD SRIDHAR
5177400250000220500243450564385000
WAHLGREN MD VAN E
445985025000022050035310471816000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aGROUP TERM LIFE INSURANCE GROSSED UP FOR PHYSICIANS AND ADMINISTRATOR.
Part I, Line 1bFOR 2010, THE FILING ORGANIZATION FOLLOWED AN UNWRITTEN POLICY THAT PROVIDED GROSS-UP PAYMENTS FOR GROUP TERM LIFE INSURANCE FOR PHYSICIANS AND ADMINISTRATOR. FOR FUTURE YEARS, THE ABOVE POLICY WILL BE WRITTEN AND STATE THE CONDITIONS, ELIGIBILITY AND TREATMENT OF ANY GROSS-UP PAYMENTS PROVIDED.
Part I, Line 4bTHIS 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 CARRYER, M.D. - $982,163 ROBERT NESSE, M.D. - $1,055,162 THOMAS WITT, M.D. - $167,417
Part IIIPart I, Line 3: IN ADDITION TO THE PROCESS FOLLOWED BY THE FILING ORGANIZTION, 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
Part IIIPart II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.Supplemental Information

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonROBERT LEE MDNamePerson
Purpose Of LoanRECRUITMENTPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$50,000OriginalPrincipalAmount
Balance Due25000BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due25000TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MAYO COLLABORATIVE SERVICES INC
BOARD OVERLAP238340LAB SERVICES0
ANNA FREY
FAMILY RELATIONSHIP5972EMPLOYMENT0
LEE ANN FREY
FAMILY RELATIONSHIP46520EMPLOYEMENT0
BREMER BANK
BOARD OVERLAP48620BANKING TRANSACTIONS0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT BY RELATED EXEMPT ENTITY, DR. ROBERT NESSE HAS A BUSINESS RELATIONSHIP WITH DR. PETER CARRYER AND CHRISTOPHER RUSTAD.
Form 990, Part VI, Section A, line 3THE FILING ORGANIZATION IS AFFILIATED WITH MAYO CLINIC. MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
Form 990, Part VI, Section A, line 4THE BYLAWS WERE CHANGED TO DELETE SECTIONS RELATED TO THE DISSOLUTION OF THE MENOMONIE COMMUNITY HEALTH FOUNDATION, A SUPPORTING ORGANIZATION.
Form 990, Part VI, Section A, line 6THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION IS MAYO CLINIC.
Form 990, Part VI, Section A, line 7aMAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION ELECTS THE COMMUNITY DIRECTORS, THE MAYO DIRECTORS, AND THE VOTING PHYSICIAN DIRECTORS.
Form 990, Part VI, Section A, line 7bTHE ARTICLES AND BYLAWS OF THE FILING ORGANIZATION PROVIDE THE SOLE CORPORATE MEMBER, MAYO CLINIC, CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT, AMENDMENT OF ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS.
Form 990, Part VI, Section B, line 11THE FORM 990 FOR THE FILING ORGANIZATION IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. HIGHLIGHTS ARE PRESENTED TO BOARD MEMBERS, AND THE REVIEW IS DOCUMENTED IN MEETING MINUTES. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
THE FILING ORGANIZATION IS AFFILIATED WITH MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.Form 990, Part VI, Section B, line 12c
THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY. THE SALARY OF THE CEO, CAO, AND BOARD VICE CHAIR WERE REVIEWED BY THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO HEALTH SYSTEM PHYSICIANS. 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. IN ADDITION TO THE ABOVE COORDINATED REVIEW PROCESSES CONDUCTED BY MAYO CLINIC AND ITS AFFILIATES, THE FILING ORGANIZATION ALSO HAS ITS OWN COMPENSATION REVIEW PROCESS THAT INCLUDES REVIEW BY AN INDEPENDENT COMPENSATION COMMITTEE AND BENCHMARK/COMPARABILITY DATA. THE FILING ORGANIZATION'S REVIEW PROCESS COVERS BOTH A PHYSICIAN COMPENSATION PLAN AND AN ADMINISTRATOR COMPENSATION PLAN.Form 990, Part VI, Section B, line 15
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
Form 990, Part VII, Section A, Average Hours Per Week Devoted to Position with Related Organizations: PETER CARRYER, M.D. - 40 HOURS RANDALL LINTON, M.D. - 40 HOURS ROBERT NESSE, M.D. - 40 HOURS THOMAS WITT, M.D. - 40 HOURS CHRISTOPHER RUSTAD - 40 HOURS
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 156,577. CHANGE IN THE NET ASSETS OF FOUNDATION -1,207,390. Total to Form 990, Part XI, Line 5: -1,050,813.Form 990, Part XI, line 5:
Form 990, Part XII, Line 2c: THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (44 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404075HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM
1000 FIRST DRIVE NWAUSTINMN55912410695606HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
AUSTIN MEDICAL CENTER FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(c)(3)7AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM1
BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM
1222 EAST WOODLAND AVEBARRONWI54812390920634HOSPITAL AND CLINICWI501(c)(3)3LUTHER HOSPITAL1
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(c)(3)7BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM1
BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(c)(3)3LUTHER HOSPITAL1
CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(c)(3)9MAYO CLINIC1
FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404076CHEMICAL DEPENDENCY TREATMENTMN501(c)(3)3ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREETARCADIAWI54612391322480FUNDRAISING FOUNDATIONWI501(c)(3)9FRANCISCAN SKEMP HEALTHCARE INC1
FRANCISCAN SKEMP FOUNDATION OF SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(c)(3)9FRANCISCAN SKEMP HEALTHCARE INC1
FRANCISCAN SKEMP FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(c)(3)11-IIFRANCISCAN SKEMP HEALTHCARE INC1
FRANCISCAN SKEMP HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(c)(3)11-IMAYO CLINIC1
FRANCISCAN SKEMP MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(c)(3)3FRANCISCAN SKEMP HEALTHCARE INC1
GCAS
200 FIRST STREET SWROCHESTERMN55905411917517AMBULANCE SERVICEMN501(c)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(c)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SWROCHESTERMN55905391942957AMBULANCE SERVICEMN501(c)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(c)(3)7IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(c)(3)3MAYO CLINIC1
LUTHER HOSPITAL
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(c)(3)3MAYO CLINIC1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREETEAU CLAIREWI54701391409024LOW INCOME HOUSINGWI501(c)(3)9LUTHER HOSPITAL1
LUTHER MIDELFORT FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(c)(3)PFMIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM0
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(c)(3)3MAYO CLINIC1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(c)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(c)(3)7MAYO CLINIC1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410739106HOSPITALMN501(c)(3)3MAYO CLINIC1
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(c)(3)9MAYO CLINIC1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(c)(3)3MAYO CLINIC1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(c)(3)9MAYO CLINIC1
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(c)(3)3MAYO CLINIC0
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(c)(3)11-IMAYO CLINIC1
NORTHWEST WISCONSIN HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(c)(3)9LUTHER HOSPITAL1
NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(c)(3)9LUTHER HOSPITAL1
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
PO BOX 70 / 13025 EIGHTH STREETOSSEOWI54758391029430HOSPITAL AND CLINICWI501(c)(3)3LUTHER HOSPITAL1
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(c)(3)11-IMAYO CLINIC -- SAINT MARYS HOSPITAL1
RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(c)(3)3MAYO CLINIC1
SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(c)(3)3IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(c)(3)3IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
ST JAMES MEDICAL CENTER FOUNDATION INC
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(c)(3)7ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM1
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(c)(3)3IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
MENOMONIE COMMUNITY HEALTH FOUNDATION INC
PO BOX 237MENOMONIEWI54751391895685GRANTMAKING FOUNDATIONWI501(c)(3)11-IRED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM1
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH060486 FRANKFURT AM MAINFRANKFURTGMGM

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FRANKLIN HEATING STATIONBusinessNameLine1

Address US AddressUS

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM
635 FIRST STREET SEFARIBAULTMN55021411817179PATIENT CARE - CLINICMNN/AC
DECORAH CLINIC -- MAYO HEALTH SYSTEM
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC
FIOS THERAPEUTICS INC
200 FIRST STREET SWROCHESTERMN55905711029189RESEARCHMNN/AC
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411346366REFERENCE LAB SERVICESMNN/AC
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/ACCJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREETWILMINGTONMA01887043323713LABORATORY SERVICESMAN/AC
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259061190278THIRD PARTY ADMINISTRATION SERVICESAZN/AC
MHS SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411282517EQUIPMENT & REAL ESTATE LEASINGMNN/AC
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC
NORTHWEST HEALTH VENTURES INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC
OWATONNA CLINIC -- MAYO HEALTH SYSTEM
134 SOUTHVIEWOWATONNAMN55060411862132PATIENT CARE - CLINICMNN/AC
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROADJACKSONVILLEFL32224930926631HEALTH SERVICESFLN/AC
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LUTHER HOSPITAL
K12491GAAP
LUTHER HOSPITAL
I33419GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
K13113GAAP
MIDELFORT CLINIC LTD - MAYO HEALTH SYSTEM
K2923GAAP
MIDELFORT CLINIC LTD - MAYO HEALTH SYSTEM
I91860GAAP
MAYO CLINIC
K77187GAAP
MAYO CLINIC
R601065GAAP
MENOMONIE COMMUNITY HEALTH FOUNDATION
C17360GAAP
MENOMONIE COMMUNITY HEALTH FOUNDATION
R2208297GAAP
LUTHER HOSPITAL
L971233GAAP
MAYO COLLABORATIVE SERVICES INC
L238340GAAP
MIDELFORT CLINIC LTD - MAYO HEALTH SYSTEM
L2782935GAAP
MMSI INC
Q5620377GAAP
MAYO CLINIC
L1282883GAAP
MAYO CLINIC
Q1141768GAAP