MAYO CLINIC HEALTH SYSTEM-AUSTIN: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MAYO CLINIC HEALTH SYSTEM-AUSTIN (EIN 41-0695606)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-05
- IRS object ID
- 201132789349300703
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-05T08:11:03-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410695606 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CLINIC HEALTH SYSTEM-AUSTIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAYO | NameControl |
| Phone | 5075381297 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 FIRST DRIVE NW | AddressLine1 |
| City | AUSTIN | City |
| State | MN | State |
| ZIP Code | 55912 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID AGERTER MD | Name |
| Title | PRESIDENT | Title |
| Phone | 5075381297 | Phone |
| Date Signed | 2011-10-05 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FKA AUSTIN MEDICAL CENTER-MAYO HEALT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID AGERTER MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 FIRST DRIVE NW | AddressLine1 |
| City | AUSTIN | City |
| State | MN | State |
| ZIP Code | 55912 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 112280040 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AUSTINMEDICALCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1896 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF A HOSPITAL AND CLINIC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1082 | TotalNbrEmployees |
| Total Nbr Volunteers | 105 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 964986 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 997143 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 106680842 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 109339246 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 220738 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1243526 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 442151 | OtherRevenuePriorYear |
| Other Revenue Current Year | 434980 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 108308717 | TotalRevenuePriorYear |
| Total Revenue Current Year | 112014895 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 46335 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 30656 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 62122664 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 65471313 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 142391 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38236818 | OtherExpensePriorYear |
| Other Expenses Current Year | 38402172 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 100405817 | TotalExpensesPriorYear |
| Total Expenses Current Year | 103904141 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7902900 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8110754 | RevenuesLessExpensesCY |
| Total Assets BOY | 119711057 | TotalAssetsBOY |
| Total Assets EOY | 130478580 | TotalAssetsEOY |
| Total Liabilities BOY | 12006383 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12932837 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 107704674 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 117545743 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 96341522 | Expense |
| Revenue | 109694257 | Revenue |
| Description | PATIENT CARE - SEE SCHEDULE OMAYO 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, AUSTIN MEDICAL CENTER (AMC) OPERATES A HOSPITAL AND CLINIC IN AUSTIN, MINNESOTA - ALONG WITH REGIONAL CLINICS IN THE MINNESOTA COMMUNITIES OF ADAMS, BLOOMING PRAIRIE, GRAND MEADOW AND LEROY. AMC IS PRESENTLY LICENSED FOR 82 BEDS WITH AN AVERAGE DAILY CENSUS OF 35. AMC EMPLOYS APPROXIMATELY 971 INDIVIDUALS. THIS EMPLOYEE TOTAL INCLUDES, AMONG OTHER STAFF, 67 PHYSICIANS, 9 PHYSICIAN ASSISTANTS, 2 AUDIOLOGISTS, 14 NURSE PRACTITIONERS AND 1 OPTOMETRIST. AMC HAS A PRIMARY SERVICE AREA OF APPROXIMATELY 41,000 PEOPLE AND A SECONDARY SERVICE AREA OF APPROXIMATELY 16,000 PEOPLE. IN 2010, THERE WERE 3,146 PATIENTS ADMITTED, 407,014 ANCILLARY OUTPATIENT PROCEDURES AND 321,520 CLINIC VISITS. IN ADDITION TO PROVIDING PRIMARY CARE (INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS, AND GENERAL SURGERY), AMC PROVIDES SPECIALTY CARE SERVICES IN ALLERGY, AUDIOLOGY, BEHAVIORAL HEALTHCARE, CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, ENT, GASTROENTEROLOGY, SLEEP, PAIN, HOME HEALTH/HOSPICE, NEUROLOGY, ONCOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, PODIATRY, PSYCHIATRY, RHEUMATOLOGY, UROLOGY AND PULMONOLOGY. AMC ALSO PROVIDES PROGRAMS IN ALTERNATIVE MEDICINE, INCLUDING A PAIN CLINIC, SPORTS MEDICINE, AND MASSAGE THERAPY.AMC PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN ADDITION, SERVICES ARE ALSO PROVIDED TO PATIENTS UNDER OTHER MEANS-TESTED GOVERNMENT PROGRAMS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES.IN 2010, AMC PROVIDED APPROXIMATELY $667,487 (AT COST) OF CHARITY CARE TO PATIENTS. THE UNREIMBURSED COST OF SERVICES PROVIDED TO MEDICAID PATIENTS WAS APPROXIMATELY $549,303. THE UNREIMBURSED COST OF SERVICES PROVIDED TO PATIENTS UNDER OTHER MEANS-TESTED GOVERNMENT PROGRAMS WAS $1,049,183. OTHER PATIENT CARE SERVICES OFFERED BY AMC: A TOBACCO CESSATION CLINIC THAT HELPS INDIVIDUALS ON A ONE-ON-ONE BASIS QUIT SMOKING, IN ADDITION TO PROVIDING SUPPORT AND EDUCATION. A LIFE CLINIC HEALTH STATION THAT PROVIDES INFORMATION AND TOOLS THAT ALLOWS THE PATIENT TO MONITOR THEIR OWN HEALTH. IT ALLOWS INDIVIDUALS TO MEASURE BLOOD PRESSURE, PULSE, WEIGHT, AND BODY MASS INDEX.24-HOUR INTERPRETER SERVICE TO PATIENTS, AND A FULLTIME INTERPRETER SERVICE LIAISON TO RUN THE PROGRAM AND PROVIDE CONTINUED IMPROVEMENTS IN PATIENT SATISFACTION. A SUPPORT GROUP FOR FAMILY MEMBERS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IS PROVIDED BY AMC'S HOSPICE PROGRAM. OTHER SERVICES THAT ARE PROVIDED BY THE HOSPICE PROGRAM INCLUDE HOSPICE CARE, SKILLED NURSING CARE, PERSONAL CARE/HOME MAKER SERVICES, THERAPY, NUTRITION SUPPORT, PHARMACY SERVICES, MEDICAL SOCIAL WORK SERVICES, PHYSICIAN DIRECTED SERVICES, CLERGY VOLUNTEERS, AND BEREAVEMENT SUPPORT. AMC'S CRIME VICTIMS RESOURCE CENTER (CVRC) PROVIDES SUPPORT TO VICTIMS OF CRIME, DOMESTIC VIOLENCE, OR SEXUAL ASSAULT. CVRC IS FUNDED THROUGH FEDERAL AND STATE GRANTS AND THROUGH THE MOWER COUNTY UNITED WAY. PROGRAMS INCLUDE THE GENERAL CRIME ASSISTANCE, DOMESTIC VIOLENCE INTERVENTION PROGRAM, AND SEXUAL ASSAULT ADVOCACY PROGRAM. AMC HAS A GREETER AT THE FRONT ENTRANCE TO HELP PATIENTS IN AND OUT OF VEHICLES AND DIRECTS THEM TO THEIR DESTINATIONS WITHIN THE MEDICAL CENTER. AMC ALSO OFFERS FREE TRANSPORTATION TO AND FROM THE MEDICAL CENTER FOR THOSE AGES 65 OR OLDER OR FOR THOSE WITH A DISABILITY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 248324 | Expense |
| Grants | 10000 | Grants |
| Description | HEALTH PROFESSIONAL EDUCATION - SEE SCHEDULE OAMC PROVIDES CLINICAL EXPERIENCE FOR THE REGISTERED NURSE AND LICENSED PRACTICAL NURSE PROGRAMS, WHICH ARE OFFERED THROUGH RIVERLAND COMMUNITY COLLEGE. DURING 2010, APPROXIMATELY 88 NURSING STUDENTS WERE PROVIDED THE OPPORTUNITY FOR JOB SHADOWING AT AMC.AMC'S CLINIC NURSES HOLD SKILL FAIRS TO PRESENT AND GIVE DEMONSTRATIONS TO THEIR CO-WORKERS ON PROPER TECHNIQUE AND PROCEDURES. THE SKILL FAIRS HAVE HELPED THE NURSES REFRESH SKILLS THAT THEY DO NOT USE ON A REGULAR BASIS AND PERFECT SKILLS THAT ARE PREFORMED REGULARLY. AMC ALSO PROVIDES CLINICALS FOR CRNA'S, RESIDENTS AND RADIOLOGY STUDENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 406781 | Expense |
| Grants | 20656 | Grants |
| Revenue | 70094 | Revenue |
| Description | COMMUNITY OUTREACH - SEE SCHEDULE O AMC HELD AN ANNUAL FLU SHOT CLINIC FOR THE COMMUNITY. THIS CLINIC PROVIDED FLU SHOTS TO INDIVIDUALS AT REDUCED RATES. PHYSICIANS AND PHYSICAL THERAPISTS FROM AMC PROVIDED MEDICAL COVERAGE AT VARIOUS LOCAL HIGH SCHOOL SPORTING EVENTS. AMC'S PHYSICAL THERAPY DEPARTMENTS IN THE REHAB SERVICES AREA GAVE SPORTS PHYSICALS TO LOCAL AND SURROUNDING AREA STUDENT ATHLETES. A FEW AMC PHYSICIANS PARTICIPATE IN THE PUBLIC HEALTH "OPEN DOOR CLINIC". THE "OPEN DOOR CLINIC" PROVIDES ANNUAL EXAMS AND VARIOUS TESTING TO TEENAGERS THROUGH AGE 24 IN THE COMMUNITY. AMC STAFF VOLUNTEERED AND PARTICIPATED AS A TEAM IN THE MARCH OF DIMES WALK AMERICA WALK-A-THON AND IN THE MOWER COUNTY RELAY FOR LIFE EVENT THAT HELPS RAISE FUNDS FOR CANCER RESEARCH AND EDUCATION. IN ADDITION, AMC PARTICIPATED IN THE ANNUAL UNITED WAY CAMPAIGN. AMC SPONSORS A "HEART N' SOLE" MALL WALKING PROGRAM. "HEART N' SOLE" IS A FREE PROGRAM FOR ANYONE INTERESTED IN PARTICIPATING AT THE OAK PARK MALL IN AUSTIN. PARTICIPANTS KEEP TRACK OF THEIR TIMES THEY WALK AND CAN RECEIVE A FREE PROGRAM T-SHIRT, ALONG WITH BEING ENTERED INTO A MONTHLY DRAWING FOR A $25 MALL GIFT CERTIFICATE. AMC TEAMED WITH THE MOWER COUNTY FAIR BOARD TO HELP SPONSOR HAND-WASHING STATIONS AT THE MOWER COUNTY FAIR.AMC HOSPICE HELD AN ANNUAL "MEMORIAL" SERVICE. THE HOSPICE MEMORIAL CELEBRATION IS AN OPPORTUNITY FOR GRIEVING PEOPLE TO COME TOGETHER FOR A TIME OF SHARING, HEALING, PRAYER, AND FELLOWSHIP.THE TOBACCO CESSATION CLINIC OFFERED FREE CARBON MONOXIDE SCREENING TO ALL STAFF AND VISITORS DURING THE GREAT AMERICAN SMOKEOUT. AMC STAFF SPOKE AT SEVERAL EVENTS DURING THE YEAR AND SERVED ON THE BOARDS OF VARIOUS AGENCIES IN THE COMMUNITY. AMC ALSO PREPARED THE MEALS FOR THE LOCAL "MEALS ON WHEELS" PROGRAM AND DONATED USED EQUIPMENT TO VARIOUS ENTITIES DURING THE YEAR.OVER 400 AREA FIRST AND SECOND GRADERS PARTICIPATED IN THE 2010 "HEALTH SAFARI" AT AMC FROM 8 SCHOOLS IN MOWER COUNTY. THE PURPOSE OF THE "HEALTH SAFARI" IS TO EDUCATE AREA ELEMENTARY YOUTH TO MAKE GOOD CHOICES RELATING TO THEIR OWN HEALTH. TO TEACH STUDENTS HOW THEIR BODIES FUNCTION AND PROMOTE HEALTHY EATING AND EXERCISE. ALSO, THE PURPOSE IS TO MAKE STUDENTS AWARE OF THE DANGERS RELATING TO SMOKING AND POISONS. AMC SPONSORS PRENATAL CLASSES, SIBLING CLASSES, ADOLESCENT HEALTH AWARENESS CLASSES, SMOKING CESSATION CLASSES AND WELLNESS PROGRAMS FOR COMMUNITY PARTICIPATION.AMC SENDS OUT A QUARTERLY NEWSLETTER "HOMETOWN HEALTH" TO ALL MAILBOXES IN ITS SERVICE AREA TO KEEP EVERYONE INFORMED OF NEW SERVICES, EDUCATION/PREVENTION AND PATIENT CARE RELATED INFORMATION.THE CRIME VICTIMS RESOURCE CENTER (CVRC) OF AMC PRESENTED THE ANNUAL "TOUCH" PLAY TO ALL MOWER COUNTY SECOND GRADERS. "TOUCH" TEACHES CHILDREN GOOD AND BAD TOUCH AND IS WELL RECEIVED BY THE COMMUNITY AND SCHOOLS. THE PUBLIC IS ALSO INVITED TO VIEW THE PLAY.THE DAWN PROJECT (DEPRESSION AWARENESS AND WELLNESS NETWORK) SPONSORED ONE DAY OF CODE YELLOW TRAINING TO AREA STUDENTS IN THE SURROUNDING AREA. THE CODE YELLOW TRAINING IS AN ALL DAY WORKSHOP WHERE YOUTH LEARN ABOUT THE WARNING SIGNS, SYMPTOMS, CAUSES AND TREATMENT OPTIONS FOR DEPRESSION. THE STUDENTS ALSO LEARN ABOUT SUICIDAL THOUGHTS AND BEHAVIORS AND HOW TO PREVENT SUICIDE. AMC PHYSICIANS AND STAFF HELD THEIR 11TH ANNUAL "WOMEN'S WORKSHOP" TO DISCUSS CANCER SCREENINGS, MEMORY AND AGING, AND MAKING HEALTHY FOOD CHOICES. OTHER TOPICS INCLUDED DISCUSSIONS ON HOW WOMEN CAN HELP WITH BEING MORE SATISIFIED WITH THEIR SERVICE AT AMC.AMC NURSES HAVE TAKEN ON AN INITIATIVE CALLED ENCARE (EMERGENCY NURSES CANCEL ALCOHOL RELATED EMERGENCIES) TO EDUCATE YOUNG ADULTS IN THE AREA ON THE CONSEQUENCES OF ALCOHOL. THE NURSES PRESENTED TO STUDENTS AGES 14 TO 18 IN MANY AREA SCHOOLS. TOPICS COVERED DURING THE PRESENTATIONS INCLUDE THE IMPORTANCE OF SEAT BELTS, DRINKING AND DRIVING, PEER PRESSURE, CRASH CONTRIBUTIONS OF SLEEPINESS AND INATTENTIVE DRINKING, AND VARIOUS CRASH CONDITIONS.AMC AUDIOLOGY AND SPEECH PATHOLOGY HELD AN OPEN HOUSE FOR BETTER HEARING AND SPEECH MONTH AND SCHEDULED FREE HEARING SCREENINGS FOR STAFF AND THE PUBLIC.AMC ALSO PROVIDED PATIENT EDUCATION AND PURCHASED VARIOUS EDUCATIONAL AND INFORMATIONAL ADVERTISMENTS.IN 2010, AMC RECEIVED DONATED SERVICES FROM 105 AUXILIARY MEMBERS, WHO PROVIDED 14,590 VOLUNTEER HOURS, VALUED AT APPROXIMATELY $304,930 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 96996627 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 86 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1082 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYO CORPORATE TAX UNIT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5075381297 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 FIRST STREET SW | AddressLine1 |
| City | ROCHESTER | City |
| State | MN | State |
| ZIP Code | 55905 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| AGERTER MD DAVID C | |||||||||
| PRESIDENT / CEO | 40.00 | X | X | 0 | 422073 | 139050 | |||
| ALBERTS JOHN | |||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| BUNKERS MD BRIAN E | |||||||||
| DIRECTOR | 1.00 | X | 0 | 344767 | 53660 | ||||
| CRANDALL DAVE | |||||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |||
| CUNNINGHAM MD PETER L | |||||||||
| DIRECTOR | 40.00 | X | 277395 | 0 | 37567 | ||||
| FLINCHBAUGH DO ROBERT T | |||||||||
| DIRECTOR | 1.00 | X | 0 | 224020 | 39900 | ||||
| GABRIELSON SHARON | |||||||||
| DIRECTOR | 1.00 | X | 0 | 147166 | 38347 | ||||
| LASSIG DONNIS E | |||||||||
| DIRECTOR | 1.00 | X | 0 | 139080 | 24398 | ||||
| MONSON REV GLENN | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| RAY GARY | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| TANGREN BONNIE D | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| WILLIAMSON MARY JO | |||||||||
| DIRECTOR | 1.00 | X | 0 | 207322 | 36423 | ||||
| DANKERT SHERI S | |||||||||
| SITE CFO | 40.00 | X | 130537 | 0 | 30328 | ||||
| PILOT DAVID | |||||||||
| REGION CFO | 5.00 | X | 0 | 184779 | 32142 | ||||
| REES ADAM C | |||||||||
| CAO | 40.00 | X | 227596 | 0 | 38104 | ||||
| COPPES MD JOHN B | |||||||||
| PHYSICIAN | 40.00 | 319765 | 0 | 35307 | X | ||||
| DUBE MD CYNTHIA M | |||||||||
| PHYSICIAN | 40.00 | 176277 | 0 | 22564 | X | ||||
| HOLTZ MD CAROL P | |||||||||
| PHYSICIAN | 40.00 | 192961 | 0 | 15799 | X | ||||
| HOLTZ MD SCOTT A | |||||||||
| PHYSICIAN | 40.00 | 290865 | 0 | 40825 | X | ||||
| KLEIS DO KEITH R | |||||||||
| PHYSICIAN | 40.00 | 258484 | 0 | 38902 | X | ||||
| KUBAS MD STEVE M | |||||||||
| PHYSICIAN | 40.00 | 289699 | 0 | 42122 | X | ||||
| WOLD MD LESTER E | |||||||||
| PHYSICIAN | 40.00 | 272956 | 0 | 11803 | X | ||||
| ACCURSO MD JOSEPH M | |||||||||
| PHYSICIAN | 40.00 | 507199 | 0 | 40449 | X | ||||
| HECTORNE MD KATHLEEN J | |||||||||
| PHYSICIAN | 40.00 | 477456 | 0 | 27600 | X | ||||
| KIRSCH MD MATTHEW J | |||||||||
| PHYSICIAN | 40.00 | 616052 | 0 | 39763 | X | ||||
| MIZRACHI MD VICTOR N | |||||||||
| PHYSICIAN | 40.00 | 466751 | 0 | 43606 | X | ||||
| STOFFEY DO ROBERT D | |||||||||
| PHYSICIAN | 40.00 | 467772 | 0 | 38274 | X | ||||
| JOHNSON MD TIMOTHY J | |||||||||
| FORMER PRESIDENT / CEO | 0.00 | 120421 | 217720 | 24454 | X | ||||
| JOHNSON KRISTIN S | |||||||||
| FORMER INTERIM CFO | 0.00 | 0 | 154151 | 33563 | X | ||||
| BOYCE MD CORY A | |||||||||
| FORMER HIGHEST PAID | 0.00 | 0 | 578273 | 40512 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5092186 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2619351 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 965462 | TotalOtherCompensation |
| Number Individuals GT100 K | 90 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MAYO CLINIC | |||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | ADMIN & MEDICAL SERVICES | 3334896 |
| KNUTSON CONSTRUCTION SERVICES | |||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | CONSTRUCTION SERVICES | 595217 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | LAB SERVICES | 443763 |
| ALBERT LEA MEDICAL CENTER - MAYO HEALTH | |||||
| 404 FOUNTAIN STREET | ALBERT LEA | MN | 56007 | MEDICAL SERVICES | 357601 |
| BWBR ARCHITECTS | |||||
| 380 ST PETER ST SUITE 600 | ST PAUL | MN | 55102 | ARCHITECTURE SERVICES | 292900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Federated Campaigns | 27000 | FederatedCampaigns |
| Related Organizations | 594244 | RelatedOrganizations |
| Government Grants | 375899 | GovernmentGrants |
| Total Contributions | 997143 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 620000 | 108375705 | 108375705 |
| SHARED SERVICES REVENU | 561000 | 846672 | 846672 |
| RENT FROM AFFILIATES | 531120 | 69794 | 69794 |
| MEALS ON WHEELS REVENU | 624210 | 46800 | 46800 |
| EDUCATION REVENUE | 611600 | 275 | 275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 109339246 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1420712 | TotalRevenueColumn |
| Exclusion | $1,420,712 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3000 | TotalRevenueColumn |
| Exclusion | $3,000 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10079 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 187265 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -177186 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -177186 | TotalRevenueColumn |
| Exclusion | -$177,186 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 84755 | GrossSalesOfInventory |
| Cost Of Goods Sold | 77880 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6875 | TotalRevenueColumn |
| Exclusion | $6,875 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAFETERIA/VENDING REVE | 722210 | 391829 | 391829 |
| MISC. REVENUE | 900099 | 19415 | 19415 |
| MEDICAL RECORD/TRANSCR | 541900 | 13861 | 13861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 425105 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 112014895 | TotalRevenueColumn |
| Related Or Exempt Function Income | 109764351 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,253,401 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30656 | Total |
| Program Services | 30656 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2436535 | Total |
| Program Services | 2078402 | ProgramServices |
| Management And General | 358133 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92993 | Total |
| Fundraising | 92993 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51986917 | Total |
| Program Services | 48996882 | ProgramServices |
| Management And General | 2972329 | ManagementAndGeneral |
| Fundraising | 17706 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3562417 | Total |
| Program Services | 3316325 | ProgramServices |
| Management And General | 246092 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3870581 | Total |
| Program Services | 3545138 | ProgramServices |
| Management And General | 325443 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3521870 | Total |
| Program Services | 3231732 | ProgramServices |
| Management And General | 283144 | ManagementAndGeneral |
| Fundraising | 6994 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38481 | Total |
| Program Services | 32457 | ProgramServices |
| Management And General | 6024 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6421550 | Total |
| Program Services | 5973400 | ProgramServices |
| Management And General | 448150 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183027 | Total |
| Program Services | 5392 | ProgramServices |
| Management And General | 166399 | ManagementAndGeneral |
| Fundraising | 11236 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16879321 | Total |
| Program Services | 16553816 | ProgramServices |
| Management And General | 317926 | ManagementAndGeneral |
| Fundraising | 7579 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1317427 | Total |
| Program Services | 340332 | ProgramServices |
| Management And General | 974725 | ManagementAndGeneral |
| Fundraising | 2370 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2151848 | Total |
| Program Services | 2129293 | ProgramServices |
| Management And General | 22385 | ManagementAndGeneral |
| Fundraising | 170 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71085 | Total |
| Program Services | 71085 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 664869 | Total |
| Program Services | 581316 | ProgramServices |
| Management And General | 81854 | ManagementAndGeneral |
| Fundraising | 1699 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3361121 | Total |
| Program Services | 3076524 | ProgramServices |
| Management And General | 284325 | ManagementAndGeneral |
| Fundraising | 272 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 702811 | Total |
| Program Services | 702811 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT EXPENSE | 3966645 | 3966645 | ||
| MN CARE TAX | 1265921 | 1265921 | ||
| EMPLOYEE RELATED EXPENS | 525758 | 326923 | 198510 | 325 |
| MEDICAID SURCHARGE | 415802 | 415802 | ||
| DUES, LICENSES AND SUBS | 244749 | 244124 | 625 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191757 | Total |
| Program Services | 111651 | ProgramServices |
| Management And General | 79684 | ManagementAndGeneral |
| Fundraising | 422 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103904141 | Total |
| Program Services | 96996627 | ProgramServices |
| Management And General | 6765123 | ManagementAndGeneral |
| Fundraising | 142391 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112022 | BOY |
| EOY | 131704 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13027635 | BOY |
| EOY | 13475246 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1961219 | BOY |
| EOY | 1853172 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 469163 | BOY |
| EOY | 2492461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 81959053 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 40676773 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40160228 | BOY |
| EOY | 41282280 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58537319 | BOY |
| EOY | 65504711 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5443471 | BOY |
| EOY | 5739006 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119711057 | BOY |
| EOY | 130478580 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8224508 | BOY |
| EOY | 8653578 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97137 | BOY |
| EOY | 97637 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3684738 | BOY |
| EOY | 4181622 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12006383 | BOY |
| EOY | 12932837 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106933958 | BOY |
| EOY | 116926390 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 717893 | BOY |
| EOY | 560583 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52823 | BOY |
| EOY | 58770 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107704674 | BOY |
| EOY | 117545743 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119711057 | BOY |
| EOY | 130478580 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8110754 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1730315 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 52823 | BeginningOfYearBalance |
| Contributions | 1075 | Contributions |
| Investment Earnings Or Losses | 4872 | InvestmentEarningsOrLosses |
| End Of Year Balance | 58770 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 46888 | BeginningOfYearBalance |
| Contributions | 886 | Contributions |
| Investment Earnings Or Losses | 5049 | InvestmentEarningsOrLosses |
| End Of Year Balance | 52823 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 68353 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -10465 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 11000 | GrantsOrScholarships |
| End Of Year Balance | 46888 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 907777 | OtherCostOrOtherBasis |
| Book Value | 907777 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52612858 | OtherCostOrOtherBasis |
| Depreciation | 20809447 | Depreciation |
| Book Value | 31803411 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26786583 | OtherCostOrOtherBasis |
| Depreciation | 19867326 | Depreciation |
| Book Value | 6919257 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1651835 | OtherCostOrOtherBasis |
| Book Value | 1651835 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 41282280 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MAYO POOLED INVESTMENTS | Description |
| Book Value | 65504711 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 65504711 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $126,930 |
| DEFERRED COMPENSATION LIABILITY | $4,054,692 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4181622 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR SCHOLARSHIP PROGRAMS. |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 667487 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 667487 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13231914 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12682611 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 549303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2054005 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 931484 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1122521 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01080 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15953406 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13614095 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2339311 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02250 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 382750 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23019 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 359731 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 247324 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 247324 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19517295 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15872376 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3644919 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03510 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34031 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 34031 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20181400 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15895395 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4286005 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04130 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36134806 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29509490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6625316 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06380 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 675 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 675 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14719 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14719 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 421 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 421 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15815 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15815 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,783,644 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 15236143 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18845352 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3609209 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUSTIN MEDICAL CENTER (MAIN CAMPUS) | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 FIRST DRIVE NW | AddressLine1 |
| City | AUSTIN | City |
| State | MN | State |
| ZIP Code | 55912 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Er24 Hours | X | Er24Hours |
| Other | CLINIC, PHARMACY | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| AUSTIN EYE CLINIC | ||||
| 510 SECOND STREET NW | AUSTIN | MN | 55912 | EYE CLINIC |
| ADAMS CLINIC | ||||
| 908 WEST MAIN STREET | ADAMS | MN | 55909 | REGIONAL CLINIC |
| BLOOMING PRAIRIE CLINIC | ||||
| 405 EAST MAIN | BLOOMING PRAIRIE | MN | 55917 | REGIONAL CLINIC |
| GRAND MEADOW CLINIC | ||||
| 113 MAIN STREET | GRAND MEADOW | MN | 55936 | REGIONAL CLINIC |
| LEROY CLINIC | ||||
| 671 EAST MAIN | LEROY | MN | 55951 | REGIONAL CLINIC |
| AUSTIN MEDICAL CENTER WEST | ||||
| 101 14TH STREET NW | AUSTIN | MN | 55912 | CHEMICAL DEPENDENCY |
| HOME HEALTH | ||||
| 408 4TH AVENUE NW | AUSTIN | MN | 55912 | HOME HEALTH AND HOSPICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | Return ReferenceReturnReference |
|---|---|
| Part I, Line 6a: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC. IN ADDITION TO MAYO CLINIC'S CONSOLIDATED COMMUNITY BENEFIT REPORT THE FILING ORGANIZATION PUBLISHES A ONE PAGE COMMUNITY BENEFIT REPORT IN AN ISSUE OF HOMETOWN HEALTH AVAILABLE TO AUSTIN, MINNESOTA AND SURROUNDING AREA RESIDENTS. | |
| Part I, Line 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO. | |
| Part I, Line 7g: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $595,439. | |
| Part II: THE ORGANIZATION'S COMMUNITY SUPPORT EXPENSES RELATE TO THE AUSTIN CHAMBER OF COMMERCE AMBASSADORS, THE HORMEL NATURE CENTER, THE MOWER COUNTY RED CROSS BLOOD DRIVE AND THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE IN MOWER COUNTY. THE ORGANIZATION'S COMMUNITY HEALTH IMPROVEMENT ADVOCACY EXPENSES RELATE TO EXPENSES TO THE COMMUNITY YMCA. THE ORGANIZATION'S ECONOMIC DEVELOPMENT EXPENSES RELATE TO THE DEVELOPMENT CORPORATION OF AUSTIN. | |
| Part III, Line 4: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES - ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.BAD DEBT EXPENSE AT COST IS DETERMINED USING THE SAME COST-TO-CHARGE RATIO THAT IS USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.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). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF $1,0479,183 AS REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS.THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL REPORTED ON THE CORE FORM, PART III INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. | |
| Part III, Line 9b: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING EVERY REASONABLE ATTEMPT TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN 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 2: THE MISSION, VISION AND VALUES OF AUSTIN MEDICAL CENTER (AMC), ITS NON-PROFIT STATUS AND COMMUNITY BOARD MEMBERSHIP ALL WORK TOGETHER TO FOCUS AMC ON THE HEALTH AND WELL-BEING OF ITS COMMUNITIES. THE FOUNDATION OF AMC'S BUSINESS IS PRIMARY CARE; ALL COMMUNITIES WHERE AMC HAS A PRESENCE ARE KEY COMMUNITIES.AMC ANTICIPATES COMMUNITY CONCERNS BY UTILIZING INPUT FROM COMMUNITY-BASED BOARD OF TRUSTEE MEMBERS, PATIENT FOCUS GROUPS, PATIENT SURVEYS AND MEETINGS WITH MAJOR EMPLOYERS IN ITS SERVICE AREA. ALL OF THESE RESOURCES HELP ALIGN AMC'S PLANNING PROCESSES TO ADDRESS FUTURE COMMUNITY NEEDS.AMC'S VALUE OF CARING FOR THE COMMUNITY REPRESENTS ITS COMMITMENT TO MAKING THE COMMUNITY A HEALTHIER PLACE FOR ALL. THIS COMMITMENT IS EXHIBITED THROUGH AMC'S PROVISION OF HIGH-QUALITY HEALTH CARE SERVICES AND TO ITS COMMITMENT OF CONTRIBUTING TO A HEALTHY ENVIRONMENT. ANY AREAS OF CONCERN OR IDENTIFIED ISSUES WOULD BE BROUGHT THROUGH THE STRATEGIC PLANNING PROCESS AS PART OF THE STRENGTHS / WEAKNESSES / OPPORTUNITIES / THREATS (SWOT) ANALYSIS.BOARD MEMBERS ALSO ARE INFORMED BY EXTERNAL REPORTING FROM SOURCES SUCH AS THE JC, CAP, AND HEALTHGRADES. MANY OF THESE REPORTS INCLUDE BENCHMARK COMPARISONS. PERHAPS THE MOST IMPORTANT SOURCE OF INFORMATION FOR AMC'S BOARD IS THEIR ABILITY TO LISTEN TO THE VOICE OF THE COMMUNITY. FIFTY PERCENT OF AMC'S BOARD MEMBERSHIP IS MADE UP OF INDEPENDENT COMMUNITY MEMBERS FROM VARIED BACKGROUNDS.MINNESOTA DEPARTMENT OF HEALTH STATISTICS IS ALSO USED TO IDENTIFY KEY COMMUNITY HEALTH CARE NEEDS AND POTENTIAL GAPS. DATA IS REVIEWED TO DETERMINE AREAS OF NEED WHICH ARE THEN INCORPORATED INTO THE STRATEGIC PLANNING PROCESS. THESE NEEDS ARE DISCUSSED AND PRIORITIZED AT ANNUAL STRATEGIC PLANNING SESSIONS.MANY TIMES COMMUNITY NEEDS ARE OBVIOUS, SUCH AS A LARGE ELDERLY AND NURSING HOME POPULATION. OTHER NEEDS ARE IDENTIFIED THROUGH RECOGNIZED DEMOGRAPHIC CHANGES AND SHIFTS IN THE PATIENT POPULATION, SUCH AS THE INCREASE IN HISPANIC AND NON-WHITE PATIENTS. ADDITIONALLY, NEEDS ARE IDENTIFIED BY LISTENING TO PATIENTS, EMPLOYERS, SCHOOLS AND THE LARGER VOICE OF SOCIETY AS THEY EXPRESS AREAS OF CONCERN.AMC'S STRATEGIC CHALLENGES: IMPROVING PATIENT SATISFACTION, IMPROVING QUALITY AND SAFETY, IMPROVING PATIENT ACCESS, AND SUCCESSFUL IMPLEMENTATION OF STANDARIZED ELECTRONIC MEDICAL RECORD(EMR) WERE IDENTIFIED THROUGH THE STRATEGIC PLANNING PROCESS AS AN OUTCOME OF THE SWOT ANALYSIS. THROUGH THIS PROCESS AMC REVIEWS DATA ON A LOCAL BASIS (SCHOOL DISTRICT, MAYO HEALTH SYSTEM, PUBLIC HEALTH PARTNERSHIPS, ETC.), A STATEWIDE BASIS (MN HOSPITAL ASSOCIATION, MN DEPARTMENT OF HEALTH, LEGISLATIVE UPDATES, ETC.) AND A NATIONAL BASIS (PRESS GANEY, HEALTHCARE ADVISORY BOARD, ETC.) TO DETERMINE HOW IT IS PERFORMING AND TO IDENTIFY IMPROVEMENTS NEEDED TO ACHIEVE ITS MISSION, VISION AND VALUES. THESE ARE THEN RESTATED AS STRATEGIC CHALLENGES.COMMON TRENDS OR THEMES ARE SUMMARIZED AND PRESENTED AT THE STRATEGIC PLANNING RETREAT. THESE TRENDS ARE PULLED FROM LOCAL, STATE, AND NATIONAL DATA. SMALL GROUPS OR BREAKOUT TEAMS ARE ASKED TO HIGHLIGHT ANY MISSING SWOT ISSUES NOT PREVIOUSLY IDENTIFIED AND THEN TO IDENTIFY 3 TO 5 OF THE MOST CRITICAL OR IMPORTANT SWOT ELEMENTS TO BE CONSIDERED. FINALLY, A VOTING PROCESS IS UTILIZED TO HIGHLIGHT THE MOST CRITICAL ITEMS TO BE ADDRESSED AS ACTION PLANS AND STRATEGIES ARE DEVELOPED FOR THE UPCOMING CYCLE.EARLY INDICATIONS OF RISKS OR MAJOR SHIFTS ARE IDENTIFIED THROUGH ANALYSIS AND PRESENTATION PRIOR TO STRATEGIC PLANNING SESSIONS. INFORMATION IS GATHERED AND BINDERS ARE SHARED WITH RETREAT PARTICIPANTS. PLANNING FOR 2010 HIGHLIGHTED THE FOLLOWING TOPICS:- NATIONAL TRENDS- STATE AND LOCAL DATA- ACOS AND MEDICAL HOME OVERVIEW- OUTMIGRATION- MARKET SHARE- QUALITY UPDATE - MAYO EXPECTATIONS- SERVICE UPDATE - MAYO EXPECTATIONS- FINANCE UPDATE - MAYO EXPECTATIONS- MAYO HEALTH SYSTEM REGIONALIZATION EFFORTS- INPUT FROM DEPARTMENTS REGARDING CHALLENGES AND OPPORTUNITIESDURING THE ANNUAL BUDGETING PROCESS AND ON AN ONGOING BASIS, SERVICE LINE LEADERS EVALUATE SUSTAINABILITY. THE BUDGETING PROCESS FORCES LEADERS TO DETERMINE IF IT IS FEASIBLE TO MAINTAIN A SERVICE WITHIN THE ORGANIZATION AND IDENTIFY NEW SERVICES THAT SHOULD BE CONSIDERED TO SERVE COMMUNITY NEEDS. | |
| Part VI, Line 3: ELIGIBILITY: THE CHARITY CARE INFORMATION BROCHURE IS PROMINENTLY DISPLAYED IN REGISTRATION, CUSTOMER SERVICE, ELEVATORS, PATIENT WAITING AREAS, AND ON THE INTERNET/INTRANET. CHARITY CARE INFORMATION IS ALSO PROVIDED VIA LETTERS TO PATIENTS AND IN OUR HOME TOWN HEALTH QUARTERLY PUBLICATION(S). THE BROCHURE EXPLAINS THE CHARITY CARE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. THE PAYMENT ASSISTANCE CHARITY CARE (PACC) PROGRAM IS BASED ON INCOME, ASSETS, AND FAMILY SIZE. DEPENDING ON ELIGIBILITY THE PACC PROGRAM DOES INCLUDE FREE OR DISCOUNTED CARE.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 PATIENT ACCOUNTS REPRESENTATIVE.3. COLLECTION AGENCIES MAY REFER PATIENTS.4. BUSINESS/PATIENT FINANCIAL SERVICES MAY REFER PATIENTS TO A PATIENT ACCOUNTS REPRESENTATIVE.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. TO THE EXTENT POSSIBLE WE ATTEMPT TO SCREEN PATIENTS FOR CHARITY THROUGH THE PAYMENT ASSISTANCE CHARITY CARE (PACC) APPLICATION PROCESS.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. WE HAVE ALSO PARTNERED WITH "OUTREACH SERVICES". THIS BUSINESS PARTNER (PATIENT ADVOCATE) WORKS IN-HOUSE ALONG SIDE OUR CUSTOMER SERVICE STAFF TO ASSIST US IN SCREENING PATIENTS FOR ANY APPLICABLE COVERAGE/ASSISTANCE.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: AUSTIN MEDICAL CENTER (AMC) HAS LOCATIONS IN THE MINNESOTA COMMUNITIES OF AUSTIN, BLOOMING PRAIRIE, LEROY, ADAMS AND GRAND MEADOW. THE MAJORITY OF AMC'S SERVICE AREA INCLUDES MOWER, EASTERN FREEBORN, AND SOUTHERN STEELE COUNTIES IN SOUTH CENTRAL MINNESOTA AND NORTHERN MITCHELL COUNTY IN IOWA. ITS MAIN CAMPUS, LOCATED IN AUSTIN, INCLUDES A CLINIC AND A HOSPITAL THAT SERVES AUSTIN AND SURROUNDING COMMUNITIES.ACCORDING TO THE UNITED STATES CENSUS BUREAU, THE 2010 POPULATION ESTIMATE FOR MOWER COUNTY (WHICH COMPRISES MOST OF AMC'S SERVICE AREA) IS 39,163. A 2009 ESTIMATE REPORTS THAT 25.2% OF THE POPULATION IS UNDER 18 YEARS OLD AND 18.4% IS 65 YEARS OLD OR OLDER. THE 2009 MEDIAN HOUSEHOLD INCOME IS $44,234 AND AN ESTIMATED 13.6% OF INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. | |
| Part VI, Line 6: THIS FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO 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 FUNDSMAYO 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. COMMUNITY REPRESENTATION ON GOVERNING BODYTHE 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 PHYSICIANS 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 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 AUSTIN, MINNESOTA 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). | |
| 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. | SCHEDULE H, PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| RIVERLAND COMMUNITY COLLEGE FOUNDATION | |||||||
| 1900 8TH AVENUE NW | AUSTIN | MN | 55912 | 411286409 | 501(C)(3) | 10000 | EDUCATION |
| UNITED WAY OF MOWER COUNTY | |||||||
| PO BOX 605 | AUSTIN | MN | 55912 | 410831896 | 501(C)(3) | 8000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY THE FILING ORGANIZATION AS PRESCRIBED IN OMB CIRCULAR A-133. NO ADDITIONAL MONITORING IS PERFORMED. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AGERTER MD DAVID C | |||||||||||||
| 0 | 300599 | 0 | 0 | 0 | 121474 | 0 | 124399 | 0 | 14651 | 0 | 561123 | 0 | 13889 |
| BUNKERS MD BRIAN E | |||||||||||||
| 0 | 250672 | 0 | 0 | 0 | 94095 | 0 | 27100 | 0 | 26560 | 0 | 398427 | 0 | 0 |
| CUNNINGHAM MD PETER L | |||||||||||||
| 277395 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 17967 | 0 | 314962 | 0 | 0 | 0 |
| FLINCHBAUGH DO ROBERT T | |||||||||||||
| 0 | 222634 | 0 | 0 | 0 | 1386 | 0 | 15888 | 0 | 24012 | 0 | 263920 | 0 | 0 |
| GABRIELSON SHARON | |||||||||||||
| 0 | 146629 | 0 | 0 | 0 | 537 | 0 | 12784 | 0 | 25563 | 0 | 185513 | 0 | 0 |
| LASSIG DONNIS E | |||||||||||||
| 0 | 137625 | 0 | 0 | 0 | 1455 | 0 | 432 | 0 | 23966 | 0 | 163478 | 0 | 0 |
| WILLIAMSON MARY JO | |||||||||||||
| 0 | 206425 | 0 | 0 | 0 | 897 | 0 | 12427 | 0 | 23996 | 0 | 243745 | 0 | 0 |
| DANKERT SHERI S | |||||||||||||
| 130537 | 0 | 0 | 0 | 0 | 0 | 10412 | 0 | 19916 | 0 | 160865 | 0 | 0 | 0 |
| PILOT DAVID | |||||||||||||
| 0 | 184779 | 0 | 0 | 0 | 0 | 0 | 13229 | 0 | 18913 | 0 | 216921 | 0 | 0 |
| REES ADAM C | |||||||||||||
| 227596 | 0 | 0 | 0 | 0 | 0 | 18000 | 0 | 20104 | 0 | 265700 | 0 | 0 | 0 |
| COPPES MD JOHN B | |||||||||||||
| 319765 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 15707 | 0 | 355072 | 0 | 0 | 0 |
| DUBE MD CYNTHIA M | |||||||||||||
| 176277 | 0 | 0 | 0 | 0 | 0 | 13758 | 0 | 8806 | 0 | 198841 | 0 | 0 | 0 |
| HOLTZ MD CAROL P | |||||||||||||
| 192961 | 0 | 0 | 0 | 0 | 0 | 15125 | 0 | 674 | 0 | 208760 | 0 | 0 | 0 |
| HOLTZ MD SCOTT A | |||||||||||||
| 290865 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 21225 | 0 | 331690 | 0 | 0 | 0 |
| KLEIS DO KEITH R | |||||||||||||
| 258484 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 19302 | 0 | 297386 | 0 | 0 | 0 |
| KUBAS MD STEVE M | |||||||||||||
| 289699 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 22522 | 0 | 331821 | 0 | 0 | 0 |
| WOLD MD LESTER E | |||||||||||||
| 267956 | 0 | 5000 | 0 | 0 | 0 | 10886 | 0 | 917 | 0 | 284759 | 0 | 0 | 0 |
| ACCURSO MD JOSEPH M | |||||||||||||
| 507199 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 20849 | 0 | 547648 | 0 | 0 | 0 |
| HECTORNE MD KATHLEEN J | |||||||||||||
| 477456 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 8000 | 0 | 505056 | 0 | 0 | 0 |
| KIRSCH MD MATTHEW J | |||||||||||||
| 616052 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 20163 | 0 | 655815 | 0 | 0 | 0 |
| MIZRACHI MD VICTOR N | |||||||||||||
| 466751 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 24006 | 0 | 510357 | 0 | 0 | 0 |
| STOFFEY DO ROBERT D | |||||||||||||
| 467772 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 18674 | 0 | 506046 | 0 | 0 | 0 |
| JOHNSON MD TIMOTHY J | |||||||||||||
| 120421 | 217720 | 0 | 0 | 0 | 0 | 9240 | 0 | 7960 | 7254 | 137621 | 224974 | 0 | 0 |
| JOHNSON KRISTIN S | |||||||||||||
| 0 | 153745 | 0 | 406 | 0 | 0 | 0 | 16931 | 0 | 16632 | 0 | 187714 | 0 | 0 |
| BOYCE MD CORY A | |||||||||||||
| 0 | 578273 | 0 | 0 | 0 | 0 | 0 | 17150 | 0 | 23362 | 0 | 618785 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(a)(17). 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. DAVID G AGERTER, M.D. $101,953 | |
| Part III | 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. COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| RHODA REES | |||
| SPOUSE OF OFFICER | 26140 | EMPLOYMENT | 0 |
| CEDAR VALLEY SERVICES | |||
| BOARD OVERLAP | 261466 | LINEN SERVICES | 0 |
| OWATONNA CLINIC - MAYO HEALTH SYSTEM | |||
| BOARD OVERLAP | 94335 | SHARING OF PAID EMPLOYEES | 0 |
| CAROL P HOLTZ MD | |||
| SPOUSE OF KEY EMPLOYEE | 199941 | EMPLOYMENT | 0 |
| SCOTT A HOLTZ MD | |||
| SPOUSE OF KEY EMPLOYEE | 294473 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | DR. SCOTT HOLTZ AND DR. CAROL HOLTZ, KEY EMPLOYEES OF THE FILING ORGANIZATION, HAVE A FAMILY RELATIONSHIP. DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUAL: BUNKERS M.D., BRIAN E. HAVE A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL: JOHNSON, KRISTIN S. DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUALS: AGERTER M.D., DAVID C. MARY JO WILLIAMSON GABRIELSON, SHARON HAVE A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL: PILOT, DAVID | |
| 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 CORPORATE MEMBER OF THE FILING ORGANIZATION IS MAYO CLINIC. | |
| Form 990, Part VI, Section A, line 7a | MAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, ELECTS THE FILING ORGANIZATION'S BOARD OF DIRECTORS. | |
| Form 990, Part VI, Section A, line 7b | THE FILING ORGANIZATION'S BYLAWS PROVIDE MAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET AND DEBT DECISIONS. MAYO CLINIC, THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, MAY AMEND THE FILING ORGANIZATION'S ARTICLES AND BYLAWS. | |
| 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 FILING ORGANIZATION'S 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. | |
| MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. | Form 990, Part VI, Section B, line 12c | |
| 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 DR. AGERTER (CEO), WHO IS PAID BY MAYO CLINIC, WAS REVIEWED BY THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR FLORIDA, ARIZONA, AND ROCHESTER, MN - PHYSICIAN AND ADMINISTRATIVE LEADERSHIP POSITIONS. IN ADDITION, THE SALARY OF ADAM REES (CAO) WAS REVIEWED BY THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE. THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE AND THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE ARIZONA, FLORIDA, AND ROCHESTER, MINNESOTA CAMPUSES AND 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 SALARY AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION, AND GOVERNANCE (GOVERNANCE COMMITTEE) IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS THE COMPENSATION AND BENEFITS FOR PHYSICIANS FROM ALL CAMPUSES, INCLUDING THE MAYO HEALTH SYSTEM LOCATIONS, AS WELL AS CERTAIN SENIOR ADMINISTRATIVE AND EXECUTIVE LEADERSHIP (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE GOVERNANCE COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF SENIOR PHYSICIAN, ADMINISTRATIVE, AND EXECUTIVE LEADERSHIP POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. | Form 990, Part VI, Section B, line 15b | |
| 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 Organization DAVID C. AGERTER, M.D. - 40.0 HOURS BRIAN E. BUNKERS, M.D. - 40.0 HOURS ROBERT T. FLINCHBAUGH, D.O. - 40.0 HOURS MARY JO WILLIAMSON - 40.0 HOURS SHARON GABRIELSON - 40.0 HOURS DONNIS E. LASSIG - 40.0 HOURS KRISTIN S. JOHNSON - 40.0 HOURS DAVID PILOT - 40.0 HOURS CORY A. BOYCE, M.D. - 40.0 HOURS TIMOTHY J. JOHNSON, M.D. - 40.0 HOURS | ||
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 2,105,466. CHANGE IN NET ASSETS OF FOUNDATION -375,151. Total to Form 990, Part XI, Line 5: 1,730,315. | Form 990, Part XI, line 5: |
| THERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR. | PART XII LINE 2C EXPLANATION |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (44 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 404 WEST FOUNTAIN STREET | ALBERT LEA | MN | 56007 | 411404075 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 410695606 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| AUSTIN MEDICAL CENTER FOUNDATION | |||||||||||||
| 1000 FIRST DRIVE NW | AUSTIN | MN | 55912 | 300107471 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | 7 | AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM | 1 | |||
| BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 1222 EAST WOODLAND AVE | BARRON | WI | 54812 | 390920634 | HOSPITAL AND CLINIC | WI | 501(c)(3) | 3 | LUTHER HOSPITAL | 1 | |||
| BLOOMER LAKEVIEW INC | |||||||||||||
| 2110 DUNCAN ROAD | BLOOMER | WI | 54724 | 391450617 | LOW INCOME HOUSING | WI | 501(c)(3) | 7 | BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM | 1 | |||
| BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM | |||||||||||||
| 1501 THOMPSON STREET | BLOOMER | WI | 54724 | 390980343 | HOSPITAL AND CLINIC | WI | 501(c)(3) | 3 | LUTHER HOSPITAL | 1 | |||
| CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 1116 WEST MILL STREET | CANNON FALLS | MN | 55009 | 204156428 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| CHARTERHOUSE INC | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411405254 | RETIREMENT LIVING CENTER | MN | 501(c)(3) | 9 | MAYO CLINIC | 1 | |||
| FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 800 MEDICAL CENTER DRIVE PO BOX 800 | FAIRMONT | MN | 56031 | 410760836 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| FOUNTAIN LAKE TREATMENT CENTER | |||||||||||||
| 404 WEST FOUNTAIN STREET | ALBERT LEA | MN | 56007 | 411404076 | CHEMICAL DEPENDENCY TREATMENT | MN | 501(c)(3) | 3 | ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM | 1 | |||
| FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC | |||||||||||||
| 464 SOUTH JOHNSON STREET | ARCADIA | WI | 54612 | 391322480 | FUNDRAISING FOUNDATION | WI | 501(c)(3) | 9 | FRANCISCAN SKEMP HEALTHCARE INC | 1 | |||
| FRANCISCAN SKEMP FOUNDATION OF SPARTA INC | |||||||||||||
| 310 WEST MAIN STREET | SPARTA | WI | 54656 | 391423234 | FUNDRAISING FOUNDATION | WI | 501(c)(3) | 9 | FRANCISCAN SKEMP HEALTHCARE INC | 1 | |||
| FRANCISCAN SKEMP FOUNDATION INC | |||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 391186647 | FUNDRAISING FOUNDATION | WI | 501(c)(3) | 11-II | FRANCISCAN SKEMP HEALTHCARE INC | 1 | |||
| FRANCISCAN SKEMP HEALTHCARE INC | |||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 391411999 | HEALTHCARE SYSTEM PARENT | WI | 501(c)(3) | 11-I | MAYO CLINIC | 1 | |||
| FRANCISCAN SKEMP MEDICAL CENTER INC | |||||||||||||
| 700 WEST AVE SOUTH | LA CROSSE | WI | 54601 | 390806374 | HOSPITAL AND CLINIC | WI | 501(c)(3) | 3 | FRANCISCAN SKEMP HEALTHCARE INC | 1 | |||
| GCAS | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411917517 | AMBULANCE SERVICE | MN | 501(c)(3) | 9 | MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | 1 | |||
| GOLD CROSS AMBULANCE SERVICE | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411917516 | AMBULANCE SERVICE | MN | 501(c)(3) | 9 | MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | 1 | |||
| GOLD CROSS AMBULANCE INC | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 391942957 | AMBULANCE SERVICE | MN | 501(c)(3) | 9 | MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | 1 | |||
| IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM | |||||||||||||
| 1025 MARSH STREET | MANKATO | MN | 56002 | 411236756 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM | |||||||||||||
| 1025 MARSH STREET | MANKATO | MN | 56002 | 411663357 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | 7 | IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM | 1 | |||
| LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM | |||||||||||||
| 500 WEST GRANT STREET | LAKE CITY | MN | 55041 | 411906820 | HOSPITAL | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| LUTHER HOSPITAL | |||||||||||||
| 1221 WHIPPLE STREET | EAU CLAIRE | WI | 54703 | 390813418 | HOSPITAL | WI | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| LUTHER LAKESIDE APARTMENTS INC | |||||||||||||
| 714 SOUTH BARSTOW STREET | EAU CLAIRE | WI | 54701 | 391409024 | LOW INCOME HOUSING | WI | 501(c)(3) | 9 | LUTHER HOSPITAL | 1 | |||
| LUTHER MIDELFORT FOUNDATION INC | |||||||||||||
| 733 W CLAIREMONT AVE PO BOX 1510 | EAU CLAIRE | WI | 54702 | 391633407 | GRANTMAKING FOUNDATION | WI | 501(c)(3) | PF | MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM | 0 | |||
| MAYO CLINIC ARIZONA | |||||||||||||
| 13400 EAST SHEA BLVD | SCOTTSDALE | AZ | 85259 | 860800150 | HOSPITAL AND CLINIC | AZ | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) | |||||||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 590714831 | HOSPITAL | FL | 501(c)(3) | 3 | MAYO CLINIC JACKSONVILLE | 1 | |||
| MAYO CLINIC JACKSONVILLE | |||||||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 593337028 | PATIENT CARE - CLINIC | FL | 501(c)(3) | 7 | MAYO CLINIC | 1 | |||
| MAYO CLINIC -- METHODIST HOSPITAL | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 410739106 | HOSPITAL | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| MAYO CLINIC | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 416011702 | PATIENT CARE - CLINIC | MN | 501(c)(3) | 9 | MAYO CLINIC | 1 | |||
| MAYO CLINIC -- SAINT MARYS HOSPITAL | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 410944601 | HOSPITAL | MN | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411506440 | CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES | MN | 501(c)(3) | 9 | MAYO CLINIC | 1 | |||
| MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM | |||||||||||||
| PO BOX 1510 | EAU CLAIRE | WI | 54702 | 391735831 | PATIENT CARE - CLINIC | WI | 501(c)(3) | 3 | MAYO CLINIC | 0 | |||
| MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 412020392 | SUPPORT RESEARCH, PRACTICE & EDUCATION | MN | 501(c)(3) | 11-I | MAYO CLINIC | 1 | |||
| NORTHWEST WISCONSIN HOMECARE INC | |||||||||||||
| PO BOX 2060 | EAU CLAIRE | WI | 54702 | 391491516 | HOME HEALTH AND HOSPICE CARE | WI | 501(c)(3) | 9 | LUTHER HOSPITAL | 1 | |||
| NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC | |||||||||||||
| PO BOX 2060 | EAU CLAIRE | WI | 54702 | 391686673 | HOME HEALTH CARE | WI | 501(c)(3) | 9 | LUTHER HOSPITAL | 1 | |||
| OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM | |||||||||||||
| PO BOX 70 / 13025 EIGHTH STREET | OSSEO | WI | 54758 | 391029430 | HOSPITAL AND CLINIC | WI | 501(c)(3) | 3 | LUTHER HOSPITAL | 1 | |||
| POVERELLO FOUNDATION | |||||||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411494881 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | 11-I | MAYO CLINIC -- SAINT MARYS HOSPITAL | 1 | |||
| RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM | |||||||||||||
| 2321 STOUT ROAD | MENOMONIE | WI | 54751 | 510190875 | HOSPITAL AND CLINIC | WI | 501(c)(3) | 3 | MAYO CLINIC | 1 | |||
| SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 625 NORTH JACKSON AVENUE | SPRINGFIELD | MN | 56087 | 411893827 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM | 1 | |||
| ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 1101 MOULTON PARSONS DR PO BOX 460 | ST JAMES | MN | 56081 | 410797368 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM | 1 | |||
| ST JAMES MEDICAL CENTER FOUNDATION INC | |||||||||||||
| 1101 MOULTON PARSONS DR PO BOX 460 | ST JAMES | MN | 56081 | 411444129 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | 7 | ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM | 1 | |||
| WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM | |||||||||||||
| 501 NORTH STATE STREET | WASECA | MN | 56093 | 363606405 | HOSPITAL AND CLINIC | MN | 501(c)(3) | 3 | IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM | 1 | |||
| THE HIRSH FAMILY FOUNDATION | |||||||||||||
| 108 NORTH MAIN STREET | AUSTIN | MN | 55912 | 411749842 | FUNDRAISING FOUNDATION | MN | 501(c)(3) | 11-I | AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM | 1 | |||
| MAYO KLINIK STIFTUNG | |||||||||||||
| FUNDRAISING FOUNDATION | MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH | 1 | 60486 FRANKFURT AM MAIN | GM | GM | ||||||||
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANKLIN HEATING STATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 119 THIRD ST SW | AddressLine1 |
| City | ROCHESTER | City |
| State | MN | State |
| ZIP Code | 55902 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410264830 | EIN |
| Primary Activity | UTILITY | PrimaryActivity |
| Legal Domicile State | MN | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|
| CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM | |||||||||
| 635 FIRST STREET SE | FARIBAULT | MN | 55021 | 411817179 | PATIENT CARE - CLINIC | MN | N/A | C | |
| DECORAH CLINIC -- MAYO HEALTH SYSTEM | |||||||||
| 907 MONTGOMERY STREET | DECORAH | IA | 52101 | 411711329 | PATIENT CARE - CLINIC | IA | N/A | C | |
| FIOS THERAPEUTICS INC | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 711029189 | RESEARCH | MN | N/A | C | |
| HEALTH TRADITION HEALTH PLAN | |||||||||
| 1808 EAST MAIN STREET | ONALASKA | WI | 54650 | 391545987 | MEDICAL SERVICES COMPANY | WI | N/A | C | |
| LOBSS NETWORK SUPPORT 2002 INC | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 481276150 | ADMINISTRATIVE SERVICES | MN | N/A | C | |
| MAYO COLLABORATIVE SERVICES INC | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411346366 | REFERENCE LAB SERVICES | MN | N/A | C | |
| MAYO HOLDING COMPANY | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411578020 | HOLDING COMPANY | MN | N/A | C | |
| MAYO INSURANCE COMPANY LTD | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | SELF INSURANCE POOL | N/A | C | CJ | ||
| MAYO MEDICAL LABORATORIES NEW ENGLAND INC | |||||||||
| 265 BALLARDVALE STREET | WILMINGTON | MA | 01887 | 043323713 | LABORATORY SERVICES | MA | N/A | C | |
| MAYO REGIONAL PRACTICES OF ARIZONA | |||||||||
| 13400 EAST SHEA BOULEVARD | SCOTTSDALE | AZ | 85259 | 061190278 | THIRD PARTY ADMINISTRATION SERVICES | AZ | N/A | C | |
| MHS SERVICES INC | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 411282517 | EQUIPMENT & REAL ESTATE LEASING | MN | N/A | C | |
| MMSI INC | |||||||||
| 21 FIRST STREET SW | ROCHESTER | MN | 55905 | 411547003 | THIRD PARTY ADMINISTRATION SERVICES | MN | N/A | C | |
| NORTHWEST HEALTH VENTURES INC | |||||||||
| 1221 WHIPPLE STREET | EAU CLAIRE | WI | 54703 | 391528920 | PHARMACY SERVICES | WI | N/A | C | |
| OWATONNA CLINIC -- MAYO HEALTH SYSTEM | |||||||||
| 134 SOUTHVIEW | OWATONNA | MN | 55060 | 411862132 | PATIENT CARE - CLINIC | MN | N/A | C | |
| PHYSICIAN AND HOSPITAL PRACTICES INC | |||||||||
| 4500 SAN PABLO ROAD | JACKSONVILLE | FL | 32224 | 930926631 | HEALTH SERVICES | FL | N/A | C | |
| ROCHESTER AIRPORT COMPANY | |||||||||
| ROUTE 2 | ROCHESTER | MN | 55902 | 410506870 | AIRPORT MANAGEMENT | MN | N/A | C | |
| SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION | |||||||||
| 13400 E SHEA BLVD | SCOTTSDALE | AZ | 85259 | 860870505 | COMMERCIAL PROPERTY OWNERS ASSOCIATION | AZ | N/A | C | |
| THE STABILE BUILDING OWNERS' ASSOCIATION | |||||||||
| 200 FIRST STREET SW | ROCHESTER | MN | 55905 | 208994499 | COMMERCIAL PROPERTY OWNERS ASSOCIATION | MN | N/A | C | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM | ||
| L | 357601 | GAAP |
| GOLD CROSS AMBULANCE SERVICE | ||
| L | 8028 | GAAP |
| MAYO CLINIC | ||
| L | 3334896 | GAAP |
| MAYO COLLABORATIVE SERVICES INC | ||
| L | 443763 | GAAP |
| MAYO CLINIC - SAINT MARYS HOSPITAL | ||
| L | 3292 | GAAP |
| MMSI INC | ||
| L | 278574 | GAAP |
| FAIRMONT MEDICAL CENTER - MAYO HEALTH SYSTEM | ||
| K | 47693 | GAAP |
| ALBERT LEA MEDICAL CENTER - MAYO HEALTH SYSTEM | ||
| K | 174084 | GAAP |
| MAYO CLINIC | ||
| K | 419080 | GAAP |
| OWATONNA CLINIC - MAYO HEALTH SYSTEM | ||
| K | 94335 | GAAP |
| LAKE CITY MEDICAL CENTER - MAYO HELATH SYSTEM | ||
| K | 45719 | GAAP |
| MAYO CLINIC | ||
| R | 1420712 | GAAP |
| MAYO CLINIC | ||
| A | 69794 | GAAP |
| MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH | ||
| C | 55027 | GAAP |
| AUSTIN MEDICAL CENTER FOUNDATION | ||
| C | 526799 | GAAP |
| MAYO CLINIC | ||
| C | 2296 | GAAP |
| FRANCISCAN SKEMP MEDICAL CENTER - MAYO HEALTH SYSTEM | ||
| K | 31122 | GAAP |
| CANNON FALLS MEDICAL CENTER - MAYO HEALTH SYSTEM | ||
| K | 3490 | GAAP |