MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY INC (EIN 39-0980343)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-08-03
IRS object ID: 201142159349300209
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-03T09:09:14-05:00	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	390980343	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY INC	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	1501 THOMPSON STREET	AddressLine1
City	BLOOMER	City
State	WI	State
ZIP Code	54724	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWARD WITTROCK	Name
Title	VICE PRESIDENT	Title
Phone	7158386465	Phone
Date Signed	2011-08-03	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 BLOOMER MEMORIAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	EDWARD WITTROCK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1501 THOMPSON STREET	AddressLine1
City	BLOOMER	City
State	WI	State
ZIP Code	54724	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	31336626	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.LUTHERMIDELFORTCHIPPEWAVALLEY.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1959	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	HOSPITAL WITH ATTACHED NURSING HOME AND THREE CLINICS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	369	TotalNbrEmployees
Total Nbr Volunteers	47	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	128191	ContributionsGrantsPriorYear
Contributions Grants Current Year	95892	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	30533697	ProgramServiceRevenuePriorYear
Program Service Revenue CY	31053590	ProgramServiceRevenueCY
Investment Income Prior Year	55361	InvestmentIncomePriorYear
Investment Income Current Year	45745	InvestmentIncomeCurrentYear
Other Revenue Prior Year	86953	OtherRevenuePriorYear
Other Revenue Current Year	82223	OtherRevenueCurrentYear
Total Revenue Prior Year	30804202	TotalRevenuePriorYear
Total Revenue Current Year	31277450	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6590	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	9987	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	16322587	SalariesEtcPriorYear
Salaries Etc Current Year	19476902	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	7124	TotalFundrsngExpCurrentYear
Other Expense Prior Year	12368694	OtherExpensePriorYear
Other Expenses Current Year	9725099	OtherExpensesCurrentYear
Total Expenses Prior Year	28697871	TotalExpensesPriorYear
Total Expenses Current Year	29211988	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2106331	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2065462	RevenuesLessExpensesCY
Total Assets BOY	19854694	TotalAssetsBOY
Total Assets EOY	22340644	TotalAssetsEOY
Total Liabilities BOY	5134642	TotalLiabilitiesBOY
Total Liabilities EOY	5468772	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	14720052	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	16871872	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	23026307	Expense
Grants	0	Grants
Revenue	28751556	Revenue
Description	PATIENT CARE (SCHEDULE O)PATIENT CARE: BLOOMER MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM (D/B/A LUTHER MIDELFORT CHIPPEWA VALLEY (LMCV)) IS A MEMBER OF THE MAYO HEALTH SYSTEM. EFFECTIVE MAY 23, 2011 THE FILING ORGANIZATION CHANGED ITS LEGAL NAME TO MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY. MAYO HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA AND WISCONSIN. AS PART OF MAYO CLINIC, MAYO HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS' HEALTH CARE NEEDS LOCALLY. MAYO HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.MAYO HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 800 PHYSICIANS AND 13,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT THE MAYO HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN 70 COMMUNITIES, THE SYSTEM INCLUDES 17 OWNED HOSPITALS, SEVEN OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH THREE ADDITIONAL HOSPITALS, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO HEALTH SYSTEM HAS GROWN FROM A NEW IDEA TO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN AMERICA. MAYO HEALTH SYSTEM COMPLETES MORE THAN TWO-MILLION PATIENT VISITS ANNUALLY. IT ALSO SERVES AS A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS BEING RECOGNIZED SIX TIMES BY THE AMERICAN MEDICAL GROUP ASSOCIATION'S ACCLAIM AWARD PROGRAM (2005 ACCLAIM AWARD RECIPIENT AND FIVE-TIME ACCLAIM AWARD HONOREE). THE ACCLAIM AWARDS HONOR PHYSICIAN-LED ORGANIZATIONS DELIVERING CARE ALIGNED WITH THE IDEAL DELIVERY MODEL WHERE PATIENTS EXPERIENCE SAFE, RELIABLE, RESPONSIVE, READILY AVAILABLE AND INTEGRATED CARE. IN ADDITION, THE MINNESOTA COUNCIL FOR QUALITY HAS RECOGNIZED MAYO HEALTH SYSTEM THREE TIMES FOR ITS PERFORMANCE EXCELLENCE EFFORTS. INDIVIDUAL MAYO HEALTH SYSTEM LOCATIONS HAVE ALSO BEEN HONORED FOR THEIR COMMITMENT TO QUALITY, SAFETY, SERVICE, PERFORMANCE AND THEIR COMMUNITIES.PEOPLE IN MINNESOTA, IOWA AND WISCONSIN CAN HAVE PEACE OF MIND KNOWING THAT MAYO HEALTH SYSTEM AND MAYO CLINIC PARTNER TO ENSURE HEALTHIER LIVES IN THE REGION.AS OUR MISSION STATES, LMCV'S MISSION IS 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. LMCV'S VISION IS TO ACHIEVE THE HIGHEST STANDARDS FOR MEDICAL CARE AND HEALTH IMPROVEMENT IN THE COMMUNITIES IN WHICH WE LIVE AND WORK. OUR FIRST PRIORITY IS TO MEET PATIENT NEEDS GUIDED BY THE CORE VALUES OF INTEGRITY, CONTINUOUS IMPROVEMENT, SERVICE, TEAMWORK, INNOVATION, BALANCE AND FINANCIAL INTEGRITY. LMCV OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.BLOOMER HOSPITAL: THE HOSPITAL PLAYS A VITAL ROLE IN THE HEALTH AND WELL BEING OF THE COMMUNITY BY OFFERING SERVICES SUCH AS 24-HOUR EMERGENCY CARE, SAME DAY SURGERY, PT/OT/RT/SPEECH THERAPY, PULMONARY REHABILITATIVE SERVICES, CARDIAC REHABILITATIVE TREATMENTS, AND ADVANCED DIAGNOSTIC TECHNOLOGY. THE HOSPITAL HAD 466 ADMISSIONS IN 2010 INCLUDING ADULT INPATIENT AND SWING BED ADMISSIONS. THERE WERE 2,104 EMERGENCY ROOM VISITS IN 2010, ALONG WITH 114,960 LABORATORY PROCEDURES, 9,296 THERAPY AND REHABILITATIVE SERVICES, 493 OUTPATIENT SURGERIES AND 10,775 IMAGING PROCEDURES PERFORMED. LMCV IS LICENSED FOR 25 ACUTE AND 31 LONG-TERM CARE BEDS, AND EMPLOYS OVER 320 STAFF MEMBERS. IN 2010, LMCV DISCHARGED MORE THAN 466 PATIENTS AND HAD MORE THAN 67,000 OUTPATIENT VISITS. NURSING HOME: EACH RESIDENT OF THE NURSING HOME RECEIVES PERSONALIZED MEDICAL, SOCIAL AND SPIRITUAL CARE. THE FOCUS IS ON PRESERVING THE LIFESTYLE OF EACH RESIDENT WITH 24-HOUR NURSING CARE, SOCIAL SERVICES, ACTIVITY THERAPY, DIETARY SERVICES, CHAPLAIN SERVICES, AND REHABILITATION THERAPY. THERE WERE 10,150 DAYS OF SERVICE IN THE NURSING HOME DURING 2010.CHARITY CARE: LMCV PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS AVAILABLE TO PATIENTS FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2010 WAS APPROXIMATELY $535,500. ADDITIONALLY, LMCV PROVIDES CARE BELOW COST TO PERSONS COVERED BY MEDICAID. THE UNREIMBURSED COST OF MEDICAID WAS APPROXIMATELY $796,600. THE COST OF OTHER MEANS TESTED GOVERNMENT PROGRAMS WAS APPROXIMATELY $61,100. LUTHER HOSPITAL AND MIDELFORT CLINIC (LUTHER MIDELFORT) VOLUNTARILY ENTERED INTO AN AGREEMENT WITH THE WI ATTORNEY GENERAL RELATING TO CHARITY CARE. THE TERMS OF THE AGREEMENT INCLUDE AN AUTOMATIC DISCOUNT FOR UNINSURED PATIENTS, A PAYMENT CAP FOR THOSE UNINSURED PATIENTS THAT MEET THE ORGANIZATION'S CHARITY CARE CRITERIA, AND A COMMITMENT TO MAKE INFORMATION AVAILABLE TO OUR PATIENTS REGARDING OUR CHARITY CARE PROGRAM. ADDITIONALLY, THE WI ATTORNEY GENERAL REVIEWED AND APPROVED OUR BILLING AND COLLECTION POLICIES AND PRACTICES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4384534	Expense
Grants	9987	Grants
Revenue	2368113	Revenue
Description	COMMUNITY BENEFIT/EDUCATION (SCHEDULE O)COMMUNITY BENEFIT: SUPPORT GROUPS: IN 2010, LMCV FACILITATED THREE SUPPORT GROUPS: DIABETIC (30 CONTACTS), CELIAC SPRUE (75 CONTACTS), AND BREAST CANCER (47 CONTACTS).COMMUNITY EDUCATION: LMCV COMMUNITY EDUCATION EFFORTS INCLUDE CLASSES IN BABYSITTING, SAFETY NET EDUCATION, AND VARIOUS DEPARTMENT PRESENTATIONS OPEN TO THE COMMUNITY AT NO COST. OUR PHYSICIANS HAVE PRESENTED TO GRADE SCHOOL CHILDREN THROUGHOUT THE YEAR ABOUT THE IMPORTANCE OF LIVING HEALTHY LIFESTYLES. WE HAVE INVOLVED A NUMBER OF DIFFERENT DISCIPLINES IN THE PROVISION OF THESE OFFERINGS. WE HAVE ESTABLISHED AN EVALUATION TOOL FOR THE PRESENTERS TO INDICATE WHAT ADDITIONAL SERVICES THAT OUR FACILITY CAN PROVIDE FOR THEM.SCHOOL CONTACTS. IN 2010, LMCV PROVIDED EDUCATION TO STUDENTS, KINDERGARTEN THROUGH HIGH SCHOOL ABOUT OUR FACILITY AND WHAT SERVICES WE PROVIDE. LMCV DONATES TO VARIOUS SCHOOL FUNCTIONS SUCH AS AFTER-PROM PARTIES AND MENTOR PROGRAMS AS WELL AS THE FIREPUP PROGRAMS IN THE CHIPPEWA VALLEY AND SPORTING FUNDRAISERS. COMMUNITY EVENTS: LMCV PARTICIPATES IN THE BLOOMER JUMP ROPE CONTEST IN JANUARY TO HELP ORGANIZE AND STAFF THE CONCESSION STAND DURING THIS EVENT. LMCV SET UP A BOOTH AND ARE SPONSORS OF THE COLFAX FAIR, THE BLOOMER FAIR AND THE NORTHERN WISCONSIN STATE FAIR. OUR FACILITY IS A CORPORATE SPONSOR FOR THE RELAY FOR LIFE WALK AND STAFF COORDINATE AND FUNDRAISE FOR THIS EVENT EACH YEAR RAISING APPROXIMATELY $3,000 IN ADDITION TO THE CORPORATE SPONSORSHIP AND PARTICIPATING IN THE RELAY FOR LIFE WALK. STAFF ALSO PARTICIPATED IN THE CHIPPEWA VALLEY HEART WALK AND THE MAKING STRIDES AGAINST BREAST CANCER WALKS, BOTH HELD IN EAU CLAIRE AND BOTH RAISING OVER $2,000 FOR THOSE CAUSES. IN COLLABORATION WITH THE AMERICAN RED CROSS FOR THE FIFTH YEAR, LUTHER MIDELFORT CHIPPEWA VALLEY AND CUMMINS FILTRATION SPONSORED THE SUMMER BLOOMER BLOOD DRIVE FOR THE SURROUNDING COMMUNITY. OUR FACILITY BUS AND STAFF MEMBERS PARTICIPATED IN PARADES IN BLOOMER, CHIPPEWA FALLS AND COLFAX DURING THE SUMMER MONTHS. A SAFETY CAMP WAS HELD IN CHIPPEWA FALLS FOR 4TH AND 5TH GRADERS TO PROMOTE HEALTH AND SAFETY TO THE 49 CHILDREN IN ATTENDANCE. IN OCTOBER, A HEALTH FAIR WAS HELD IN BLOOMER IN CONJUNCTION WITH THE COMMUNITY WOMEN'S CLUB ARTS AND CRAFTS FAIR FOR THE FIFTH YEAR WITH ATTENDANCE BEING AROUND 350 PEOPLE. A FALL WOMEN'S HEALTH FAIR WAS ALSO HELD AT THE CLINIC IN COLFAX AND ABOUT 60 PEOPLE ATTENDED. VARIOUS BOOTHS, INFORMATION AND SCREENINGS ARE CONDUCTED THROUGHOUT THE YEAR WITHIN THE SURROUNDING COMMUNITY AS WELL.OUR CLINICS ALSO HOST ELEMENTARY STUDENTS FOR KIDS' CLINIC DAYS IN BLOOMER, CHIPPEWA FALLS AND COLFAX. GROWING UP CLASSES WERE HELD FOR GIRLS AND BOYS ENTERING PUBERTY IN CHIPPEWA FALLS IN THE SPRING AND FALL. IN 2010, THE FACILITY WAS ALSO AN ACTIVE PARTICIPANT IN: LOVE LIGHT TREE FUNDRAISER, CHAMBER OF COMMERCE EVENTS AND AREA FOOD PANTRIES. FIVE FAMILIES WERE SPONSORED AND PROVIDED WITH CHRISTMAS GIFTS DURING THE HOLIDAYS. FIVE $500 SCHOLARSHIPS WERE AWARDED TO GRADUATING STUDENTS PURSUING A HEALTH RELATED CAREER.IN 2010, MEDICAL SUPPLIES WERE DONATED TO THE CHIPPEWA VALLEY FREE CLINIC LOCATED IN CHIPPEWA FALLS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Description	VOLUNTEER PROGRAM (SCHEDULE O)VOLUNTEER PROGRAM: LMCV HAS A VOLUNTEER PROGRAM COMPRISED OF APPROXIMATELY 47 COMMUNITY MEMBERS. COMMUNITY VOLUNTEERS ASSIST ACTIVITY, HEALTH INFORMATION, SOCIAL SERVICES, HOSPITAL NURSING, AND ADMINISTRATION DEPARTMENTS. THE VOLUNTEERS ASSIST BY HELPING PLANT FLOWERS, GREET PATIENTS, AND ASSIST RESIDENTS DURING ACTIVITY PROGRAMMING. THE VOLUNTEERS ARE VERY INSTRUMENTAL IN HELPING WITH FUND RAISING EVENTS FOR THE MEDICAL CENTER. ABOUT 2,347 HOURS WERE DONATED IN 2010 AT AN APPROXIMATE VALUE OF $50,100 - BASED ON STATISTICS FROM THE INDEPENDENT SECTOR.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	27410841	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	1	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	369	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	11	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	0	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55905	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BERGERON-BOWE MELISSA
BOARD MEMBER	1.00	X	0	0	0
BLAIR MD DAVID
BOARD MEMBER	1.00	X	0	206084	49836
BYRD MD JANE
BOARD MEMBER	1.00	X	0	218693	52864
GEISSLER DENNIS
VICE PRESIDENT	1.00	X	0	0	0	X
GLADITSCH MD RICHARD
BOARD MEMBER	1.00	X	0	217798	50788
IRWIN DDS DAVE
BOARD MEMBER	1.00	X	0	0	0
KUEHL MD MARY
BOARD MEMBER	1.00	X	0	115212	39620
LARSON MD JOHN L
PRESIDENT	1.00	X	0	391684	49204	X
OLSON SHELLY
SECRETARY	1.00	X	0	0	0	X
RYAN MICHAEL
TREASURER	1.00	X	0	115763	30303	X
STIEHL DAVID
BOARD MEMBER	1.00	X	0	0	0
LINTON MD RANDALL L
CEO	1.00		0	516417	58816	X
WITTROCK EDWARD A
ADMINISTRATOR	40.00		0	186054	45891	X
ARMSTRONG JAMES L
RN NURSE PRACTIONER - EMERGENCY	40.00		119873	0	34456		X
JONES JILL
DIRECTOR - REHAB SERVICES REGIONAL	40.00		114170	0	11991		X
KLUND STEVEN
RN ANESTHETIST - CERTIFIED	40.00		141171	0	14215		X
REIMER ROBERT S
PHYSICIAN ASSISTANT - EMERGENCY	40.00		133042	0	21794		X
REIMER RONALD J
PHYSICIAN ASSISTANT - EMERGENCY	40.00		239887	0	53299		X
SKOLD COLLEEN
FMR ADMINISTRATOR	1.00		0	161337	35703			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	748143	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2129042	TotalReportableCompFrmRltdOrgs
Total Other Compensation	548780	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAYO FOUNDATION FOR MEDICAL EDUCATION AN
200 FIRST STREET SW	ROCHESTER	MN	55905	PURCHASING AGENT	4117207
LUTHER HOSPITAL
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	PURCHASED SERVICES	1253037
MIDELFORT CLINIC LTD -- MAYO HEALTH SY
PO BOX 1510	EAU CLAIRE	WI	54702	PURCHASED SERVICES	1029879
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	PURCHASED SERVICES	121027

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Fundraising Events	13961	FundraisingEvents
Related Organizations	36570	RelatedOrganizations
Government Grants	45361	GovernmentGrants
Noncash Contributions	6322	NoncashContributions
Total Contributions	95892	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	620000	31011504	31011504
SHARED SERVICES REVENU	561000	28168	28168
RENTAL REVENUE FROM AF	531120	13769	13769
EDUCATION REVENUE	611600	149	149

Field	Value	IRS element (for citing)
Total Program Service Revenue	31053590	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	99083	TotalRevenueColumn
Exclusion	$99,083	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1714	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1714	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1714	TotalRevenueColumn
Exclusion	$1,714	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	53338	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-53338	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-53338	TotalRevenueColumn
Exclusion	-$53,338	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	10468	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	13961	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	5083	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	5385	TotalRevenueColumn
Exclusion	$5,385	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	2600	GrossIncomeGaming
Gaming Direct Expenses	755	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	1845	TotalRevenueColumn
Exclusion	$1,845	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
CAFETERIA/VENDING REVE	722210	47341	47341
MEDICAL RECORD/TRANSCR	541900	18408	18408
MEDICAL DIRECTOR FEES	541900	7200		$7,200

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	330	TotalRevenueColumn
Related Or Exempt Function Income	330	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	73279	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	31277450	TotalRevenueColumn
Related Or Exempt Function Income	31119669	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$61,889	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	7987	Total
Program Services	7987	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	2000	Total
Program Services	2000	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	15825719	Total
Program Services	14646283	ProgramServices
Management And General	1179436	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1162781	Total
Program Services	1076123	ProgramServices
Management And General	86658	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1438553	Total
Program Services	1331343	ProgramServices
Management And General	107210	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1049849	Total
Program Services	971607	ProgramServices
Management And General	78242	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	58607	Total
Program Services	58557	ProgramServices
Fundraising	50	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3535	Total
Management And General	3535	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	16039	Total
Program Services	1942	ProgramServices
Management And General	14097	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4034196	Total
Program Services	3922556	ProgramServices
Management And General	111165	ManagementAndGeneral
Fundraising	475	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	39499	Total
Program Services	13351	ProgramServices
Management And General	26062	ManagementAndGeneral
Fundraising	86	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2755924	Total
Program Services	2726521	ProgramServices
Management And General	29334	ManagementAndGeneral
Fundraising	69	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	129399	Total
Program Services	97972	ProgramServices
Management And General	31427	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	591543	Total
Program Services	503038	ProgramServices
Management And General	88505	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	189869	Total
Program Services	173815	ProgramServices
Management And General	15585	ManagementAndGeneral
Fundraising	469	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	14479	Total
Program Services	14435	ProgramServices
Management And General	44	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	54	Total
Management And General	54	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	624291	Total
Program Services	603584	ProgramServices
Management And General	18827	ManagementAndGeneral
Fundraising	1880	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	157120	Total
Program Services	157120	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	948392	947952	440
MEDICAID SURCHARGE	118889	118889
DUES, LICENSES AND SUBS	31333	28046	3287
EMPLOYEE RELATED EXPENS	11815	7720		4095
OTHER TAXES	115		115

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	29211988	Total
Program Services	27410841	ProgramServices
Management And General	1794023	ManagementAndGeneral
Fundraising	7124	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	15008	BOY
EOY	36909	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	40258	BOY
EOY	66657	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	4209064	BOY
EOY	4260932	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	20000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9805	BOY
EOY	9352	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	79493	BOY
EOY	82950	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	15250115	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7081342	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7248315	BOY
EOY	8168773	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	7515175	BOY
EOY	9323288	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	737576	BOY
EOY	371783	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	19854694	BOY
EOY	22340644	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3502223	BOY
EOY	3508647	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	559	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1631860	BOY
EOY	1960125	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5134642	BOY
EOY	5468772	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14678496	BOY
EOY	16859752	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	41556	BOY
EOY	12120	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14720052	BOY
EOY	16871872	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19854694	BOY
EOY	22340644	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2065462	ReconcilationRevenueExpenses
Reconcilation Other Changes	86358	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

Field	Value	IRS element (for citing)
Agent Trustee Etc	1	AgentTrusteeEtc
Beginning Balance	103	BeginningBalance
Additions During Year	5133	AdditionsDuringYear
Distributions During Year	4788	DistributionsDuringYear
Ending Balance	448	EndingBalance
Included On FS	0	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	263695	OtherCostOrOtherBasis
Book Value	263695	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9288711	OtherCostOrOtherBasis
Depreciation	4435392	Depreciation
Book Value	4853319	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2955410	OtherCostOrOtherBasis
Depreciation	2115195	Depreciation
Book Value	840215	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2742299	OtherCostOrOtherBasis
Depreciation	530755	Depreciation
Book Value	2211544	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8168773	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	MAYO CLINIC INVESTMENT POOL	Description
Book Value	9323288	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	9323288	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO AFFILIATES	Description
Amount	$1,960,125	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	1960125	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part IV, Line 1b:	NURSING HOME RESIDENT FUNDS
Part X:	AT DECEMBER 31, 2010 AND 2009, THERE WAS NO MATERIAL LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE FILING ORGANIZATION.	Description of Uncertain Tax Positions Under FIN 48:

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF OUTING	NameOfEvent1
Gross Receipts Event1	7393	GrossReceiptsEvent1
Charitable Contributions Event1	4255	CharitableContributionsEvent1
Gross Revenue Event1	3138	GrossRevenueEvent1
Rent Facility Costs Event1	788	RentFacilityCostsEvent1
Food And Beverage Event1	825	FoodAndBeverageEvent1
Name Of Event2	DANCING WITH THE COMMUNITY	NameOfEvent2
Gross Receipts Event2	12445	GrossReceiptsEvent2
Charitable Contributions Event2	5115	CharitableContributionsEvent2
Gross Revenue Event2	7330	GrossRevenueEvent2
Rent Facility Costs Event2	300	RentFacilityCostsEvent2
Food And Beverage Event2	2125	FoodAndBeverageEvent2
Other Direct Expenses Event2	1045	OtherDirectExpensesEvent2
Total Number Of Other Events	4	TotalNumberOfOtherEvents
Gross Receipts Other Events	4591	GrossReceiptsOtherEvents
Charitable Contrib Other Events	4591	CharitableContribOtherEvents
Gross Receipts Total	24429	GrossReceiptsTotal
Charitable Contributions Total	13961	CharitableContributionsTotal
Gross Revenue Total Events	10468	GrossRevenueTotalEvents
Rent Facility Costs Total Events	1088	RentFacilityCostsTotalEvents
Food And Beverage Total Events	2950	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	1045	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	5083	DirectExpenseSummaryEvents
Net Income Summary	5385	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	535536	TotalCommunityBenefitExpense
Net Community Benefit Expense	535536	NetCommunityBenefitExpense
Percent Of Total Expense	0.01890	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2479940	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1683308	DirectOffsettingRevenue
Net Community Benefit Expense	796632	NetCommunityBenefitExpense
Percent Of Total Expense	0.02820	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1389593	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1328495	DirectOffsettingRevenue
Net Community Benefit Expense	61098	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4405069	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3011803	DirectOffsettingRevenue
Net Community Benefit Expense	1393266	NetCommunityBenefitExpense
Percent Of Total Expense	0.04930	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23723	TotalCommunityBenefitExpense
Net Community Benefit Expense	23723	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14000	TotalCommunityBenefitExpense
Net Community Benefit Expense	14000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4330280	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2367438	DirectOffsettingRevenue
Net Community Benefit Expense	1962842	NetCommunityBenefitExpense
Percent Of Total Expense	0.06940	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7987	TotalCommunityBenefitExpense
Net Community Benefit Expense	7987	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4375990	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2367438	DirectOffsettingRevenue
Net Community Benefit Expense	2008552	NetCommunityBenefitExpense
Percent Of Total Expense	0.07100	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8781059	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5379241	DirectOffsettingRevenue
Net Community Benefit Expense	3401818	NetCommunityBenefitExpense
Percent Of Total Expense	0.12030	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Persons Served	3825	PersonsServed
Total Community Building Expense	5588	TotalCommunityBuildingExpense
Net Community Building Expense	5588	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	362	PersonsServed
Total Community Building Expense	2532	TotalCommunityBuildingExpense
Net Community Building Expense	2532	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	135	PersonsServed
Total Community Building Expense	424	TotalCommunityBuildingExpense
Net Community Building Expense	424	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	4322	PersonsServed
Total Community Building Expense	8544	TotalCommunityBuildingExpense
Net Community Building Expense	8544	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$566,776	BadDebtExpenseAmount
Amount Reimbursed By Medicare	6893909	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	6813683	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	80226	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	BLOOMER MEMORIAL MEDICAL CENTER -- MAYO	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1501 THOMPSON STREET	AddressLine1
City	BLOOMER	City
State	WI	State
ZIP Code	54724	ZIPCode

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
BLOOMER CLINIC
1501 THOMPSON STREET	BLOOMER	WI	54724	CLINIC
CHIPPEWA FALLS CLINIC
611 1ST AVE	CHIPPEWA FALLS	WI	54729	CLINIC
THE MAPLEWOOD
1501 THOMPSON STREET	BLOOMER	WI	54724	NURSING HOME
COLFAX CLINIC
1010 HIGH STREET	COLFAX	WI	54730	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation
Part I, Line 6a: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
Part I, Line 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
Part I, Line 7g: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $98,074
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 948391.
Part II: LMCV IS AN ACTIVE PARTICIPANT IN ITS COMMUNITY. IN 2010 THE ORGANIZATION SUPPORTED THE FOLLOWING PROGRAMS: ECONOMIC DEVELOPMENT COUNCIL, CHAMBER OF COMMERCE, DISASTER READINESS, FOOD PANTRY, WORKFORCE DEVELOPMENT/HEALTHCARE TALKS. LMCV'S PARTICIPATION IS PROMOTING GOOD HEALTH IN THE COMMUNITIES IT SERVES.
Part III, Line 4: BAD DEBT EXPENSE AT COST IS DETERMINED USING THE SAME COST-TO-CHARGE RATIO THAT IS USED TO CALCULATE FINANCIAL ASSISTANCE AND MEDICAID SHORTFALL. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.FROM CONSOLIDATED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES - ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE STATED AT NET REALIZABLE VALUE. THE CLINIC ESTIMATES THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORIC WRITE-OFFS AND THE AGING OF THE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN COLLECTION EFFORTS HAVE BEEN EXHAUSTED.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 SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR 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 8 AND PART VI MEDICARE SHORTFALL: THE MEDICARE COST REPORT DATA PROVIDED IS FROM A SHORT PERIOD MEDICARE COST REPORT. DURING 2010, THE REPORTING ENTITY CHANGED TO A 9/30 FISCAL YEAR END FOR MEDICARE COST REPORTING.
Part III, Line 9b: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING EVERY REASONABLE ATTEMPT TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED, INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY. COLLECTION ACTIVITY WOULD ONLY RESUME IF MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT.
PART VI LINE 7: NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO THE WISCONSIN HOSPITAL ASSOCIATION.
Part VI, Line 2: ADMINISTRATION, ALONG WITH MEMBERS OF THE LUTHER MIDELFORT FOUNDATION, WORK CLOSELY WITH LOCAL EDUCATIONAL INSTITUTIONS, AREA FREE CLINICS, NEIGHBORHOOD ASSOCIATIONS, CHARITIES, AND HEALTH DEPARTMENTS TO ASSESS HEALTHCARE NEED. MONETARY DONATIONS, SERVICES, EDUCATION, VOLUNTEERS AND GOODS ARE SUPPLIED ONCE THOSE NEEDS ARE ASSESSED. REQUESTS FOR ASSISTANCE ARE TRIAGED THROUGH THE CORPORATE COMMUNICATION DEPARTMENTS, AND EVALUATED BASED ON ANNUAL STRATEGY. PART OF THAT STRATEGY INCLUDES INPUT FROM THE RESPONSIBLE VICE PRESIDENT AND ULTIMATELY REVIEWED BY THE LMCV ACCORDING TO THE DONATION REQUEST FLOWCHART. THE LMF ANNUAL STRATEGY IS BASED ON COMMUNITY HEALTH NEED, STRATEGIC INITIATIVES AND COMMUNITY ASSESSMENTS.
Part VI, Line 3: ELIGIBILITY: THE CHARITY CARE INFORMATION BROCHURE IS PROMINENTLY DISPLAYED IN REGISTRATION AND PATIENT-ACCOUNT WAITING AREAS. THE BROCHURE EXPLAINS THE CHARITY CARE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. IDENTIFICATION: THERE ARE A NUMBER OF WAYS A PATIENT CAN BE IDENTIFIED AND EVALUATED FOR CHARITY CARE ASSISTANCE.1. PATIENTS MAY REQUEST FINANCIAL ASSISTANCE.2. MAYO CLINIC EMPLOYEES MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.3. COLLECTION AGENCIES MAY REFER PATIENTS.4. THE BUSINESS SERVICES/PATIENT FINANCIAL SERVICES DEPARTMENT MAY REFER PATIENTS TO A FINANCIAL COUNSELOR.5. REFERRING PHYSICIANS MAY REFER PATIENTS.6. MAYO PHYSICIANS MAY REFER PATIENTS.7. LOCAL GOVERNMENT AGENCIES MAY REFER PATIENTS.INDIGENT CARE: EMERGENCY ROOM PATIENTS WHO CANNOT PAY THEIR BILLS MAY BE CLASSIFIED AS "CHARITY" IF THEY DO NOT HAVE A JOB, MAILING ADDRESS, RESIDENCE, OR INSURANCE. CONSIDERATION MUST ALSO BE GIVEN TO CLASSIFYING EMERGENCY ROOM ONLY PATIENTS AS CHARITY IF THEY DO NOT PROVIDE ADEQUATE INFORMATION AS TO THEIR FINANCIAL STATUS. IN MANY INSTANCES, THESE PATIENTS ARE HOMELESS AND HAVE FEW RESOURCES TO COVER THE COST OF THEIR CARE.GOVERNMENTAL ASSISTANCE: IN DETERMINING WHETHER AN INDIVIDUAL QUALIFIES FOR CHARITY CARE, OTHER COUNTY OR GOVERNMENTAL ASSISTANCE PROGRAMS SHOULD ALSO BE CONSIDERED. MANY APPLICANTS ARE NOT AWARE THAT THEY MAY BE ELIGIBLE FOR PUBLIC HEALTH INSURANCE PROGRAMS.1. MAYO CLINIC STAFF WILL HELP THE INDIVIDUAL DETERMINE ELIGIBILITY FOR GOVERNMENTAL OR OTHER ASSISTANCE, AS APPROPRIATE.2. PERSONS WHO ARE ELIGIBLE FOR PROGRAMS (SUCH AS STATE-SPONSORED MEDICAID) BUT WHO WERE NOT COVERED AT THE TIME THAT MEDICAL SERVICES WERE GRANTED MAY BE GRANTED CHARITY CARE, PROVIDED THAT THE PATIENT NOW APPLIES FOR GOVERNMENT ASSISTANCE. THIS MAY BE PRUDENT, ESPECIALLY IF THE PATIENT REQUIRES ONGOING SERVICES.
Part VI, Line 4: LUTHER MIDELFORT CHIPPEWA VALLEY (LMCV) IS LOCATED IN BLOOMER, WISCONSIN. ITS SERVICE AREA INCLUDES CHIPPEWA COUNTY AND A PORTION OF DUNN, COUNTY IN NORTHWESTERN WISCONSIN. LMCV IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES AND IS ONE OF TWO HOSPITALS IN CHIPPEWA COUNTY. THE POPULATION OF CHIPPEWA COUNTY (WHICH COMPRISES THE MAJORITY OF LMCV'S SERVICE AREA) IS APPROXIMATELY 61,828. ACCORDING TO 2008 CENSUS DATA, APPROXIMATELY 10.9% OF CHIPPEWA COUNTY INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. IN ADDITION, ACCORDING TO THE 2005-2007 WISCONSIN FAMILY HEALTH SURVEY, APPROXIMATELY 6% OF THE CHIPPEWA COUNTY POPULATION WAS UNINSURED FOR ALL OR PART OF THE PAST YEAR. ACCORDING TO COUNTY HEALTH RANKINGS "SNAPSHOT: 2010", CHIPPEWA COUNTY RANKED 32 OF 72 COUNTIES IN HEALTH OUTCOMES AND 30 OF 72 IN HEALTH FACTORS. CHIPPEWA COUNTY SERVICE AREA IS A MEDICALLY UNDERSERVED AREA AS DESIGNATED BY HRSA.
Part VI, Line 6: THIS HOSPITAL IS AN AFFILIATE OF THE MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINICS 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. 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	0	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 (12 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
BLAIR MD DAVID
0	185268	0	4240	0	16576	0	21143	0	28693	0	255920	0	0
BYRD MD JANE
0	202292	0	5857	0	10544	0	22497	0	30367	0	271557	0	0
GLADITSCH MD RICHARD
0	205278	0	4785	0	7735	0	22193	0	28595	0	268586	0	0
KUEHL MD MARY
0	106605	0	2499	0	6108	0	11529	0	28091	0	154832	0	0
LARSON MD JOHN L
0	184896	0	12930	0	193858	0	25170	0	24034	0	440888	0	0
LINTON MD RANDALL L
0	461263	0	52400	0	2754	0	25170	0	33646	0	575233	0	0
WITTROCK EDWARD A
0	171312	0	12192	0	2550	0	25148	0	20743	0	231945	0	0
ARMSTRONG JAMES L
116527	0	3346	0	0	0	11704	0	22752	0	154329	0	0	0
KLUND STEVEN
140806	0	0	0	365	0	13957	0	258	0	155386	0	0	0
REIMER ROBERT S
129111	0	3881	0	50	0	13151	0	8643	0	154836	0	0	0
REIMER RONALD J
236110	0	3777	0	0	0	25170	0	28129	0	293186	0	0	0
SKOLD COLLEEN
0	159049	0	0	0	2288	0	16022	0	19681	0	197040	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Return Reference	Part III	ReturnReference
Explanation	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 2	EDWARD WITTROCK AND RANDALL L. LINTON, M.D. ARE BOTH OFFICERS OF NORTHWEST HEALTH VENTURES, INC. DUE TO OVERLAP OF BOARD MEMBERSHIP AND EMPLOYMENT ON RELATED EXEMPT ENTITIES, THE FOLLOWING INDIVIDUAL: RANDALL L. LINTON, M.D. HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: DAVID BLAIR, M.D. JANE D. BYRD M.D. RICHARD GLADITSCH M.D. MARY KUEHL M.D. JOHN L. LARSON M.D. MICHAEL RYAN COLLEEN SKOLD EDWARD A. WITTROCK
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 IS LUTHER HOSPITAL
Form 990, Part VI, Section A, line 7a	THE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
Form 990, Part VI, Section A, line 7b	THE ARTICLES AND BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, AND DEBT, AMENDMENT OF THE ARTICLES AND BYLAWS, AND GENERAL OPERATION DECISIONS.
Form 990, Part VI, Section A, line 8b	THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. HENCE, THERE IS NO DOCUMENTATION FOR PART VI SECTION A LINE 8B.
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 ASSISTANT ADMINISTRATOR OF FINANCE, THE REGIONAL SITE VICE PRESIDENT, AND FINANCE STAFF. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE FILING ORGANIZATION'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. HIGHLIGHTS ARE PRESENTED TO BOARD MEMBERS, AND THE REVIEW IS DOCUMENTED IN MEETING MINUTES. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF THE MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.	Form 990, Part VI, Section B, line 12c
	FORM 990, PART VI, SECTION B, LINE 15: THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY. THE SALARY OF THE CEO, PRESIDENT AND SEVERAL BOARD MEMBERS WERE REVIEWED BY THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO HEALTH SYSTEM PHYSICIANS. THE MAYO HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). FOR THOSE INDIVIDUALS FOR WHICH THIS COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES.
	GOVERNING DOCUMENTS NOT PUBLICLY AVAILABLE. CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AND ALSO ON MAYOCLINIC.ORG WEBSITE. FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.	Form 990, Part VI, Section C, line 19
AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATION	BLAIR M.D., DAVID 40 HOURS BYRD M.D., JANE D. 40 HOURS GLADITSCH M.D., RICHARD 40 HOURS KUEHL M.D., MARY 40 HOURS LARSON M.D., JOHN L. 40 HOURS LINTON M.D., RANDALL L. 40 HOURS RYAN, MICHAEL 40 HOURS SKOLD, COLLEEN M. 40 HOURS WITTROCK, EDWARD A. 40 HOURS	PART VII SECTION A
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 86,358.	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 (43 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404075	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM
1000 FIRST DRIVE NW	AUSTIN	MN	55912	410695606	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
AUSTIN MEDICAL CENTER FOUNDATION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	300107471	FUNDRAISING FOUNDATION	MN	501(c)(3)	7	AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM	1
BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM
1222 EAST WOODLAND AVE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(c)(3)	3	LUTHER HOSPITAL	1
BLOOMER LAKEVIEW INC
2110 DUNCAN ROAD	BLOOMER	WI	54724	391450617	LOW INCOME HOUSING	WI	501(c)(3)	7	BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM	1
BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
1501 THOMPSON STREET	BLOOMER	WI	54724	390980343	HOSPITAL AND CLINIC	WI	501(c)(3)	3	LUTHER HOSPITAL	1
CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM
1116 WEST MILL STREET	CANNON FALLS	MN	55009	204156428	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
CHARTERHOUSE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411405254	RETIREMENT LIVING CENTER	MN	501(c)(3)	9	MAYO CLINIC	1
FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM
800 MEDICAL CENTER DRIVE PO BOX 800	FAIRMONT	MN	56031	410760836	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREET	ALBERT LEA	MN	56007	411404076	CHEMICAL DEPENDENCY TREATMENT	MN	501(c)(3)	3	ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM	1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREET	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(c)(3)	9	FRANCISCAN SKEMP HEALTHCARE INC	1
FRANCISCAN SKEMP FOUNDATION OF SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(c)(3)	9	FRANCISCAN SKEMP HEALTHCARE INC	1
FRANCISCAN SKEMP FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(c)(3)	11-II	FRANCISCAN SKEMP HEALTHCARE INC	1
FRANCISCAN SKEMP HEALTHCARE INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391411999	HEALTHCARE SYSTEM PARENT	WI	501(c)(3)	11-I	MAYO CLINIC	1
FRANCISCAN SKEMP MEDICAL CENTER INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	390806374	HOSPITAL AND CLINIC	WI	501(c)(3)	3	FRANCISCAN SKEMP HEALTHCARE INC	1
GCAS
200 FIRST STREET SW	ROCHESTER	MN	55905	411917517	AMBULANCE SERVICE	MN	501(c)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SW	ROCHESTER	MN	55905	411917516	AMBULANCE SERVICE	MN	501(c)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	391942957	AMBULANCE SERVICE	MN	501(c)(3)	9	MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1
IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM
1025 MARSH STREET	MANKATO	MN	56002	411236756	HOSPITAL AND CLINIC	MN	501(c)(3)	3	MAYO CLINIC	1
IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM
1025 MARSH STREET	MANKATO	MN	56002	411663357	FUNDRAISING FOUNDATION	MN	501(c)(3)	7	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM
500 WEST GRANT STREET	LAKE CITY	MN	55041	411906820	HOSPITAL	MN	501(c)(3)	3	MAYO CLINIC	1
LUTHER HOSPITAL
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	390813418	HOSPITAL	WI	501(c)(3)	3	MAYO CLINIC	1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREET	EAU CLAIRE	WI	54701	391409024	LOW INCOME HOUSING	WI	501(c)(3)	9	LUTHER HOSPITAL	1
LUTHER MIDELFORT FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391633407	GRANTMAKING FOUNDATION	WI	501(c)(3)	PF	MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM	0
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVD	SCOTTSDALE	AZ	85259	860800150	HOSPITAL AND CLINIC	AZ	501(c)(3)	3	MAYO CLINIC	1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	590714831	HOSPITAL	FL	501(c)(3)	3	MAYO CLINIC JACKSONVILLE	1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	593337028	PATIENT CARE - CLINIC	FL	501(c)(3)	7	MAYO CLINIC	1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410739106	HOSPITAL	MN	501(c)(3)	3	MAYO CLINIC	1
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(c)(3)	9	MAYO CLINIC	1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410944601	HOSPITAL	MN	501(c)(3)	3	MAYO CLINIC	1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SW	ROCHESTER	MN	55905	411506440	CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES	MN	501(c)(3)	9	MAYO CLINIC	1
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
PO BOX 1510	EAU CLAIRE	WI	54702	391735831	PATIENT CARE - CLINIC	WI	501(c)(3)	3	MAYO CLINIC	0
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SW	ROCHESTER	MN	55905	412020392	SUPPORT RESEARCH, PRACTICE & EDUCATION	MN	501(c)(3)	11-I	MAYO CLINIC	1
NORTHWEST WISCONSIN HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(c)(3)	9	LUTHER HOSPITAL	1
NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(c)(3)	9	LUTHER HOSPITAL	1
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
PO BOX 70 / 13025 EIGHTH STREET	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(c)(3)	3	LUTHER HOSPITAL	1
POVERELLO FOUNDATION
200 FIRST STREET SW	ROCHESTER	MN	55905	411494881	FUNDRAISING FOUNDATION	MN	501(c)(3)	11-I	MAYO CLINIC -- SAINT MARYS HOSPITAL	1
RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
2321 STOUT ROAD	MENOMONIE	WI	54751	510190875	HOSPITAL AND CLINIC	WI	501(c)(3)	3	MAYO CLINIC	1
SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(c)(3)	3	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	410797368	HOSPITAL AND CLINIC	MN	501(c)(3)	3	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
ST JAMES MEDICAL CENTER FOUNDATION INC
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(c)(3)	7	ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM	1
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(c)(3)	3	IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM	1
MAYO KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	1	60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	FRANKLIN HEATING STATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	119 THIRD ST SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55902	ZIPCode

Field	Value	IRS element (for citing)
EIN	410264830	EIN
Primary Activity	UTILITY	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM
635 FIRST STREET SE	FARIBAULT	MN	55021	411817179	PATIENT CARE - CLINIC	MN	N/A	C
DECORAH CLINIC -- MAYO HEALTH SYSTEM
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C
FIOS THERAPEUTICS INC
200 FIRST STREET SW	ROCHESTER	MN	55905	711029189	RESEARCH	MN	N/A	C
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	MEDICAL SERVICES COMPANY	WI	N/A	C
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	ADMINISTRATIVE SERVICES	MN	N/A	C
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411346366	REFERENCE LAB SERVICES	MN	N/A	C
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREET	WILMINGTON	MA	01887	043323713	LABORATORY SERVICES	MA	N/A	C
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	061190278	THIRD PARTY ADMINISTRATION SERVICES	AZ	N/A	C
MHS SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411282517	EQUIPMENT & REAL ESTATE LEASING	MN	N/A	C
MMSI INC
21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C
NORTHWEST HEALTH VENTURES INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C
OWATONNA CLINIC -- MAYO HEALTH SYSTEM
134 SOUTHVIEW	OWATONNA	MN	55060	411862132	PATIENT CARE - CLINIC	MN	N/A	C
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	930926631	HEALTH SERVICES	FL	N/A	C
ROCHESTER AIRPORT COMPANY
ROUTE 2	ROCHESTER	MN	55902	410506870	AIRPORT MANAGEMENT	MN	N/A	C
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	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	1	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	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM
N	154078	GAAP
BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM
N	81175	GAAP
LUTHER HOSPITAL
A	8750	GAAP
LUTHER HOSPITAL
L	1253037	GAAP
LUTHER HOSPITAL
N	383988	GAAP
LUTHER HOSPITAL
N	245478	GAAP
MAYO CLINIC
C	69920	GAAP
MAYO CLINIC
L	12658	GAAP
MAYO CLINIC
R	99083	GAAP
MAYO COLLABORATIVE SERVICES INC
L	121027	GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
G	8629708	GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
A	3833	GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
L	1029879	GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
N	3444066	GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
N	264857	GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
O	9363	GAAP
MMSI INC
L	61816	GAAP
NORTHWEST WISCONSIN HOMECARE INC
A	1186	GAAP
NORTHWEST WISCONSIN HOMECARE INC
K	33	GAAP
NORTHWEST WISCONSIN HOMECARE INC
N	2145	GAAP
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
N	30530	GAAP
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
N	15883	GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
R	226482	GAAP