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MAYO CLINIC HEALTH SYSTEM-NORTHLANDINC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MAYO CLINIC HEALTH SYSTEM-NORTHLANDINC (EIN 39-0920634)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-03
IRS object ID
201142159349300214
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-03T09:58:46-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390920634EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11222 E WOODLAND AVEAddressLine1
CityBARRONCity
StateWIState
ZIP Code548121798ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMAURITA A SULLIVANName
TitleVICE PRESIDENTTitle
Phone7158386465Phone
Date Signed2011-08-03DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1FKA BARRON MEMORIAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMAURITA A SULLIVANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11222 E WOODLAND AVEAddressLine1
CityBARRONCity
StateWIState
ZIP Code548121798ZIPCode
FieldValueIRS element (for citing)
Gross Receipts51095318GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUTHERMIDELFORTNORTHLAND.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionHOSPITAL, CLINICS, NURSING HOME AND INDEPENDENT/ASSISTED LIVING CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees476TotalNbrEmployees
Total Nbr Volunteers105TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year178900ContributionsGrantsPriorYear
Contributions Grants Current Year65634ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42358574ProgramServiceRevenuePriorYear
Program Service Revenue CY50560514ProgramServiceRevenueCY
Investment Income Prior Year179915InvestmentIncomePriorYear
Investment Income Current Year251930InvestmentIncomeCurrentYear
Other Revenue Prior Year169559OtherRevenuePriorYear
Other Revenue Current Year137503OtherRevenueCurrentYear
Total Revenue Prior Year42886948TotalRevenuePriorYear
Total Revenue Current Year51015581TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4936GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9148GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22502549SalariesEtcPriorYear
Salaries Etc Current Year28549640SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1262TotalFundrsngExpCurrentYear
Other Expense Prior Year19818641OtherExpensePriorYear
Other Expenses Current Year17326673OtherExpensesCurrentYear
Total Expenses Prior Year42326126TotalExpensesPriorYear
Total Expenses Current Year45885461TotalExpensesCurrentYear
Revenues Less Expenses Prior Year560822RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5130120RevenuesLessExpensesCY
Total Assets BOY28798979TotalAssetsBOY
Total Assets EOY34277080TotalAssetsEOY
Total Liabilities BOY6828904TotalLiabilitiesBOY
Total Liabilities EOY6917855TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21970075NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27359225NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION AND RESEARCH.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense24332280Expense
Revenue34490832Revenue
DescriptionPATIENT CARE (SCHEDULE O)PATIENT CARE: BARRON MEMORIAL MEDICAL CENTER - MAYO HEALTH SYSTEM (D/B/A LUTHER MIDELFORT NORTHLAND (LMN)) IS A MEMBER OF THE MAYO HEALTH SYSTEM. EFFECTIVE MAY 23, 2011 THE FILING ORGANIZATION CHANGED ITS LEGAL NAME TO MAYO CLINIC HEALTH SYSTEM--NORTHLAND. IT IS A WISCONSIN NONPROFIT CORPORATION, TAX EXEMPT AS AN ORGANIZATION DESCRIBED IN SEC. 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION, WHICH INCLUDES A HOSPITAL, NURSING HOME AND RETIREMENT HOME, OPERATES PRIMARILY FOR THE RESIDENTS OF BARRON COUNTY AND SURROUNDING COMMUNITIES.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, LMN'S MISSON 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. LMN'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. AS A MEMBER OF MAYO HEALTH SYSTEM, LMN PROVIDES QUALITY HEALTHCARE CLOSE TO HOME WITH DIRECT ACCESS TO HIGHLY SPECIALIZED CARE IF THE NEED ARISES. LMN OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.THE HOSPITAL PLAYS A VITAL ROLE IN THE HEALTH AND WELL-BEING OF THE COMMUNITY BY OFFERING SERVICES SUCH AS FIVE CLINIC LOCATIONS, 24-HOUR EMERGENCY CARE, SAME DAY SURGERY, FAMILY CENTERED MATERNITY CARE, OB GYN SERVICES, PAIN CLINIC SERVICES, AND ADVANCED DIAGNOSTIC TECHNOLOGY. THE HOSPITAL HAD 1,042 ADMISSIONS INCLUDING ADULTS, CHILDREN, NEWBORN, AND SWING BED ADMISSIONS. THERE WERE OVER 75,657 CLINIC ENCOUNTERS. THERE WERE 1,316 SURGICAL CASES IN 2010, ALONG WITH 145,108 LABORATORY PROCEDURES AND 19,381 IMAGING PROCEDURES PERFORMED IN THE HOSPITAL DURING 2010.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 7,099 DAYS OF SERVICE IN THE NURSING HOME DURING 2010.MAPLECROFT RETIREMENT COMMUNITY IS A REGISTERED RESIDENTIAL CARE APARTMENT COMPLEX (RCAC), OFFERING INDEPENDENT APARTMENTS, AND IF NEEDED, UP TO 28 HOURS PER WEEK OF PERSONAL CARE, SUPPORTIVE CARE, AND NURSING SERVICES TAILORED TO THE NEEDS AND PREFERENCES OF EACH INDIVIDUAL. ADDITIONAL AMENITIES INCLUDE AN EMERGENCY CALL SYSTEM, WEEKLY HOUSEKEEPING SERVICES, LAUNDRY FACILITIES, AND DAILY NOON MEALS. THERE WERE 8 ADMISSIONS TO THE RETIREMENT COMMUNITY DURING 2010, WITH 11,935 DAYS OF SERVICE.AMBULANCE SERVICE: THE AMBULANCE SERVICE IS A HOSPITAL BASED SERVICE WITH THREE AMBULANCES AND PROVIDES EMERGENCY RESPONSE TO THE ENTIRE SURROUNDING COMMUNITY. THERE WERE 626 AMBULANCE RUNS AND 357 INTER-FACILITY TRANSFERS IN 2010. EMT'S ARE ON CALL 24 HOURS PER DAY, 7 DAYS PER WEEK.CHARITY CARE: LMN PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2010 WAS APPROXIMATELY $766,000. ADDITIONALLY, LMN PROVIDES CARE BELOW COST TO PERSONS COVERED BY MEDICAID. THE UNREIMBURSED COST OF MEDICAID WAS APPROXIMATELY $1,614,100.THE COST OF OTHER MEANS TESTED GOVERNMENT PROGRAMS WAS APPROXIMATELY $6,600. 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

FieldValueIRS element (for citing)
Expense19183111Expense
Grants9148Grants
Revenue16173885Revenue
DescriptionEDUCATION AND OTHER COMMUNITY BENEFITS (SCHEDULE O)EDUCATION AND OTHER COMMUNITY BENEFITS: LMN OFFERS NUMEROUS EDUCATIONAL SEMINARS, CLASSES AND OPPORTUNITIES FOR ITS PATIENTS, THEIR FAMILIES, EMPLOYEES, COMMUNITY MEMBERS AND THE GENERAL PUBLIC. OVER 20,000 AREA RESIDENTS WERE SOMEHOW SERVED BY THE VARIOUS PROGRAMS. SOME EXAMPLES OF OUR COMMUNITY ACTIVITIES INCLUDE:LMN OFFERED PRENATAL CLASSES AND BREASTFEEDING CLASSES FREE OF CHARGE TO LMN PATIENTS, REACHING APPROXIMATELY 105 PEOPLE.LMN STAFF PROVIDED ASSISTANCE WITH SAFETY PRECAUTIONS AND EMERGENCY MEDICAL COVERAGE AT VARIOUS COMMUNITY EVENTS SUCH AS THE RICE LAKE AQUAFEST, BARRON SESQUICENTENTIAL, BARRON HIGH SCHOOL FOOTBALL GAMES, CROSS COUNTRY MEETS, CITY HOCKEY TOURNAMENTS, AND LOCAL PARADES.EDUCATIONAL SEMINARS OFFERED TO AREA RESIDENTS, COMMUNITY GROUPS, AND HEALTH CARE WORKERS INCLUDED THE FOLLOWING PRESENTATIONS: CHOOSING A PRIMARY CARE PROVIDER, DIABETES SELF CARE CLASSES, WELLNESS AND COACHING, MOTIVATIONAL INTERVIEWING, SEXUAL HEALTH PRESENTATION, BECOMING A MASTER JUGGLER, WELLNESS-STOP SMOKING, TAKE CARE OF YOUR WHOLE SELF, TOP TEN HEALTH HABITS ALONG WITH NUMEROUS TOURS, TALKS AND DEMONSTRATIONS FOR AREA ELEMENTARY AND HIGH SCHOOL STUDENTS.BREASTFEEDING SUPPORT GROUP ASSISTED AREA WOMEN NEEDING SUPPORT.PRESENTED HEALTH INFORMATION AT: WITC HEALTH FAIR, CAREER DAY AT CHETEK HIGH SCHOOL, HEALTH CAREER DAY AT LMN, PROVIDER FAIR AT BARRON COUNTY JUSTICE CENTER, BARRON ELECTRIC HEALTH FAIR, MILES FOR LIFE/BACC WALK/RUN, CHILD DEVELOPMENT DAY IN RICE LAKE, JUNIOR ACHIEVEMENT PROGRAM IN CHETEK, PRESCHOOL CHILDREN'S FAIR IN RICE LAKE, CHILDREN'S SAFETY FAIR IN RICE LAKE, AND A FALL PREVENTION CLINIC IN BARRON REACHED 2,800. PROVIDED 2,217 MEALS TO MEALS ON WHEELS AT BELOW COST.VOLUNTEER ACTIVITIES: LMN RECEIVES DONATED SERVICES FROM COMMUNITY VOLUNTEERS. DURING 2010, VOLUNTEERS DONATED OVER 7,000 HOURS OF VOLUNTEER SERVICE TO THE HOSPITAL, VALUED AT APPROXIMATELY $149,520 BASED ON THE INDEPENDENT SECTORS AVERAGE ESTIMATED VALUE OF SUCH SERVICES. THESE SERVICE HOURS WERE SPENT ORGANIZING AND MANAGING ACTIVITIES FOR THE BENEFIT OF BMC'S PATIENTS, PATIENTS' FAMILIES, VISITORS, AND STAFF.Description
FieldValueIRS element (for citing)
Total Program Service Expense43515391TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees476NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CORPORATE TAX UNITBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5075381297TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BENNETT MD CRAIG
BOARD MEMBER/PAST SECRETARY1.00XX018119747042
CADMAN BERWYN
BOARD MEMBER1.00X000
JEROME TRICIA
BOARD MEMBER1.00X000
LARSON MD JOHN L
CHAIR1.00XX039168449204
NOVOTNY RONALD
PAST TREASURER1.00XX000
PETERSON DONALD
VICE CHAIR1.00XX000
RAZIM CHERYL
TREASURER1.00XX000
REISNER MD PETER D
BOARD MEMBER1.00X021225250784
SKOLD COLLEEN
BOARD MEMBER1.00X016133735703
TRIVEDI MD VIPUL A
BOARD MEMBER1.00X048859762493
WHITE PAMELA K
SECRETARY1.00XX012111926236
MOMMSEN HUGH
BOARD MEMBER1.00X000
LINTON MD RANDALL L
CEO1.00X051641758816
MYERS MD DAVID A
SITE CHAIR1.00X021745950799
SULLIVAN MAURITA A
ADMINISTRATOR40.00X012638733048
FOSS ANDREW
PHYSICIAN ASSISTANT - ED40.00161327039343X
GRAYKOWSKI JOHN
SUPERVISOR PHYSICIAN ASSISTANT EM40.00162723029082X
LARSON STEPHEN H
ANESTHESIOLOGIST40.00220791038550X
LILLARD PATRICK H
ANESTHESIOLOGIST40.00219405043521X
THOMSEN THOMAS J
ANESTHESIOLOGIST40.00219441042201X
BORMANN DO JOEL
FMR CHAIR/CEO015612438730X
GROSETH BRADLEY D
FMR ADMINISTRATOR0.00019021345296X
WITTROCK EDWARD A
FMR TREASURER018605445891X
FieldValueIRS element (for citing)
Total Reportable Comp From Org983687TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2948840TotalReportableCompFrmRltdOrgs
Total Other Compensation736739TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAYO FOUNDATION FOR MEDICAL EDUCATION &
200 FIRST STREET SWROCHESTERMN55905PURCHASING AGENT5605994
MIDELFORT CLINIC LTD -- MAYO HEALTH SY
PO BOX 1510EAU CLAIREWI54702PURCHASED SERVICES2163176
LUTHER HOSPITAL
1221 WHIPPLE STREETEAU CLAIREWI54703PURCHASED SERVICES1060177
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905PURCHASED SERVICES166001
MMSI INC
200 FIRST STREET SWROCHESTERMN55902PURCHASED SERVICES113952
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events8978FundraisingEvents
Related Organizations1332RelatedOrganizations
Government Grants55324GovernmentGrants
Noncash Contributions13687NoncashContributions
Total Contributions65634TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6200005001840150018401
NURSING HOME REVENUE623110507848507848
RENTAL REVENUE FROM AF5311202334823348
SHARED SERVICES REVENU56100066256625
EDUCATION REVENUE61160042924292
FieldValueIRS element (for citing)
Total Program Service Revenue50560514TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column319380TotalRevenueColumn
Exclusion$319,380ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other700Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other68150Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-67450Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-67450TotalRevenueColumn
Exclusion-$67,450ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10788GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events8978CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses5835FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column4953TotalRevenueColumn
Exclusion$4,953ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming3845GrossIncomeGaming
Gaming Direct Expenses733GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column3112TotalRevenueColumn
Exclusion$3,112ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory11214GrossSalesOfInventory
Cost Of Goods Sold5019CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column6195TotalRevenueColumn
Exclusion$6,195ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CAFETERIA/VENDING7222107885978859
MEDICAL RECORD/TRANSCR5419002327123271
MEDICAL DIRECTOR FEES54190019040$19,040

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2073TotalRevenueColumn
Related Or Exempt Function Income2073RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue123243TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51015581TotalRevenueColumn
Related Or Exempt Function Income50664717RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$285,230ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9148Total
Program Services9148ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22290623Total
Program Services20927071ProgramServices
Management And General1362567ManagementAndGeneral
Fundraising985Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1330680Total
Program Services1249280ProgramServices
Management And General81341ManagementAndGeneral
Fundraising59Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3429054Total
Program Services3219293ProgramServices
Management And General209609ManagementAndGeneral
Fundraising152Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1499283Total
Program Services1407570ProgramServices
Management And General91647ManagementAndGeneral
Fundraising66Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total68230Total
Program Services54473ProgramServices
Management And General13757ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4176Total
Management And General4176ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21297Total
Program Services2337ProgramServices
Management And General18960ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5Total
Program Services5ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5788400Total
Program Services5604569ProgramServices
Management And General183831ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total119464Total
Program Services994ProgramServices
Management And General118470ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6399493Total
Program Services6250486ProgramServices
Management And General149007ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total133450Total
Program Services118859ProgramServices
Management And General14591ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1517289Total
Program Services1493289ProgramServices
Management And General24000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total333201Total
Program Services304412ProgramServices
Management And General28789ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15811Total
Program Services14882ProgramServices
Management And General929ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total885808Total
Program Services860173ProgramServices
Management And General25635ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total314923Total
Program Services273504ProgramServices
Management And General41419ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE15746581574658
MEDICAID SURCHARGE110773110773
DUES, LICENSES AND SUBS3349533495
EMPLOYEE RELATED EXPENS6200612080

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total45885461Total
Program Services43515391ProgramServices
Management And General2368808ManagementAndGeneral
Fundraising1262Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8380BOY
EOY23718EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6682468BOY
EOY8094766EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY145000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY183046BOY
EOY227783EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY48100BOY
EOY54868EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18712635LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11704965LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6531095BOY
EOY7007670EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14999652BOY
EOY18372441EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY346238BOY
EOY350834EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28798979BOY
EOY34277080EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4363959BOY
EOY4343885EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY30082BOY
EOY28681EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2434863BOY
EOY2545289EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6828904BOY
EOY6917855EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21930182BOY
EOY27316779EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY39893BOY
EOY42446EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21970075BOY
EOY27359225EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28798979BOY
EOY34277080EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5130120ReconcilationRevenueExpenses
Reconcilation Other Changes259030ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5OtherActivitiesAmount
Total Lobbying Expenditures IIB5TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationLOBBYING PORTION OF DUES PAIDExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance410BeginningBalance
Additions During Year1606AdditionsDuringYear
Distributions During Year1690DistributionsDuringYear
Ending Balance326EndingBalance
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis117001OtherCostOrOtherBasis
Book Value117001BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12987654OtherCostOrOtherBasis
Depreciation8751272Depreciation
Book Value4236382BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4801526OtherCostOrOtherBasis
Depreciation2917051Depreciation
Book Value1884475BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis806454OtherCostOrOtherBasis
Depreciation36642Depreciation
Book Value769812BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7007670TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMAYO CLINIC INVESTMENT POOLDescription
Book Value18372441BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities18372441TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$2,545,289Amount
FieldValueIRS element (for citing)
Total Of Amounts2545289TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV, Line 1b:NURSING HOME RESIDENT FUNDS
Part IV, Line 2b:NURSING HOME SECURITY DEPOSITS
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

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event114503GrossReceiptsEvent1
Charitable Contributions Event13715CharitableContributionsEvent1
Gross Revenue Event110788GrossRevenueEvent1
Rent Facility Costs Event12829RentFacilityCostsEvent1
Food And Beverage Event11819FoodAndBeverageEvent1
Other Direct Expenses Event11187OtherDirectExpensesEvent1
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events5263GrossReceiptsOtherEvents
Charitable Contrib Other Events5263CharitableContribOtherEvents
Gross Receipts Total19766GrossReceiptsTotal
Charitable Contributions Total8978CharitableContributionsTotal
Gross Revenue Total Events10788GrossRevenueTotalEvents
Rent Facility Costs Total Events2829RentFacilityCostsTotalEvents
Food And Beverage Total Events1819FoodAndBeverageTotalEvents
Other Direct Expenses Total Events1187OtherDirectExpensesTotalEvents
Direct Expense Summary Events5835DirectExpenseSummaryEvents
Net Income Summary4953NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense766387TotalCommunityBenefitExpense
Net Community Benefit Expense766387NetCommunityBenefitExpense
Percent Of Total Expense0.01730PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5502639TotalCommunityBenefitExpense
Direct Offsetting Revenue3888539DirectOffsettingRevenue
Net Community Benefit Expense1614100NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense555076TotalCommunityBenefitExpense
Direct Offsetting Revenue548485DirectOffsettingRevenue
Net Community Benefit Expense6591NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6824102TotalCommunityBenefitExpense
Direct Offsetting Revenue4437024DirectOffsettingRevenue
Net Community Benefit Expense2387078NetCommunityBenefitExpense
Percent Of Total Expense0.05380PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense75965TotalCommunityBenefitExpense
Direct Offsetting Revenue4988DirectOffsettingRevenue
Net Community Benefit Expense70977NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense135600TotalCommunityBenefitExpense
Net Community Benefit Expense135600NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense18962398TotalCommunityBenefitExpense
Direct Offsetting Revenue16030428DirectOffsettingRevenue
Net Community Benefit Expense2931970NetCommunityBenefitExpense
Percent Of Total Expense0.06620PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9148TotalCommunityBenefitExpense
Net Community Benefit Expense9148NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense19183111TotalCommunityBenefitExpense
Direct Offsetting Revenue16035416DirectOffsettingRevenue
Net Community Benefit Expense3147695NetCommunityBenefitExpense
Percent Of Total Expense0.07110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense26007213TotalCommunityBenefitExpense
Direct Offsetting Revenue20472440DirectOffsettingRevenue
Net Community Benefit Expense5534773NetCommunityBenefitExpense
Percent Of Total Expense0.12490PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$735,552BadDebtExpenseAmount
Amount Reimbursed By Medicare15501023AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare15005685CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall495338MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BARRON MEMORIAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11222 EAST WOODLANDAddressLine1
CityBARRONCity
StateWIState
ZIP Code54812ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
LUTHER MIDELFORT NORTHLAND - BARRON
1222 EAST WOODLAND AVENUEBARRONWI54812CLINIC, NURSING HOME, AMBULANCE
LUTHER MIDELFORT NORTHLAND -RICE LAKE CL
331 S MAIN STREET SUITE HRICE LAKEWI548682239CLINIC
LUTHER MIDELFORT NORTHLAND -CHETEK CLINI
220 DOUGLAS STREETCHETEKWI547280027CLINIC
LUTHER MIDELFORT NORTHLAND - CAMERON CLI
2049 15TH AVENUECAMERONWI548224380CLINIC
LUTHER MIDELFORT NORTHLAND -PRAIRIE FARM
224 RIVER AVENUE SPRAIRIE FARMWI54762CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationReturn ReferenceReturnReference
Part I, Line 6a: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
Part I, Line 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
Part I, Line 7g: THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $1,079,238
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 $ 1574658.
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.PART I LINE 7
Part III, Line 4: 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.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.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.
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 CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
Part III, Line 9b: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING EVERY REASONABLE ATTEMPT TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED, INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILTY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY. COLLECTION ACTIVITY WOULD ONLY RESUME IF MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT.
PART VI LINE 7: NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED 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 LMF 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 NORTHLAND (LMN) IS LOCATED IN BARRON, WISCONSIN. ITS SERVICE AREA INCLUDES BARRON COUNTY AND PORTIONS OF RUSK, WASHBURN, SAWYER, AND POLK COUNTIES IN NORTHWESTERN WISCONSIN. LMN IS A DESIGNATED CRITICAL ACCESS HOSPITAL FOR MEDICARE PURPOSES AND IS ONE OF THREE HOSPITALS IN BARRON COUNTY. THE POPULATION OF BARRON COUNTY (WHICH COMPRISES MOST OF LMN'S SERVICE AREA) IS APPROXIMATELY 46,000. ACCORDING TO 2008 CENSUS DATA, APPROXIMATELY 11.6% OF BARRON COUNTY INDIVIDUALS ARE LIVING BELOW POVERTY LEVEL. IN ADDITION, ACCORDING TO THE 2005-2007 WISCONSIN FAMILY HEALTH SURVEY, APPROXIMATELY 15% OF THE BARRON COUNTY POPULATION WAS UNINSURED FOR ALL OR PART OF THE PAST YEAR. ACCORDING TO COUNTY HEALTH RANKINGS "SNAPSHOT: 2010", BARRON COUNTY RANKED 51 OF 72 COUNTIES IN HEALTH OUTCOMES AND 58 OF 72 IN HEALTH FACTORS. BARRON COUNTY IS A FEDERALLY-DESIGNATED MEDICALLY-UNDERSERVED AREA (OR STATE-DESIGNED HEALTH PROFESSIONAL SHORTAGE AREA).
Part VI, Line 6: THIS FILING ORGANIZATION IS AN AFFILIATE OF THE MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY.OPEN V. CLOSED STAFF MODEL - STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHSYICIANS IN THE COMMUNITY.EMERGENCY ROOM - THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
Part VI, Line 7: THIS ORGANIZATION IS A PART OF MAYO HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: THE FILING ORGANIZATION CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION. THE FILING ORGANIZATION ONLY CONSIDERS REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY THAT ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BENNETT MD CRAIG
015898404187018026018355028687022823900
LARSON MD JOHN L
01848960129300193858025170024034044088800
REISNER MD PETER D
01983710485109030021687029097026303600
SKOLD COLLEEN
01590490002288016022019681019704000
TRIVEDI MD VIPUL A
0416396019789052412025170037323055109000
LINTON MD RANDALL L
046126305240002754025170033646057523300
MYERS MD DAVID A
013637304041077045022382028417026825800
SULLIVAN MAURITA A
01206300324002517012412020636015943500
FOSS ANDREW
15629605031000165060228370200670000
GRAYKOWSKI JOHN
1585370363105550165310125510191805000
LARSON STEPHEN H
20550901500002820224120161380259341000
LILLARD PATRICK H
204405015000000228040207170262926000
THOMSEN THOMAS J
204441015000000227350194660261642000
BORMANN DO JOEL
01503110405301760015584023146019485400
GROSETH BRADLEY D
017463701261502961019366025930023550900
WITTROCK EDWARD A
017131201219202550025148020743023194500

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationCOMPENSATION 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
TERRANCE SULLIVAN
FAMILY MEMBER OF MAURITA SULLIVAN, CORPORATE OFFICER72277COMPENSATION0
CONNIE DENNIS
FAMILY MEMBER OF MAURITA SULLIVAN, CORPORATE OFFICER21674COMPENSATION0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New Program ServicesForm 990, Part III, line 2OPTHAMOLOGY SERVICES, PAIN CLINIC AND OB/GYN SERVICES WERE ADDED IN RICE LAKE.
Form 990, Part VI, Section A, line 2HUGH MOMMSEN AND DONALD PETERSON HAVE A FAMILY RELATIONSHIP. EDWARD WITTROCK AND RANDALL 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: LINTON M.D., RANDALL L. HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS: BENNETT M.D., CRAIG BORMANN D.O., JOEL GROSETH, BRADLEY D. LARSON M.D., JOHN L. MYERS M.D., DAVID A. REISNER M.D., PETER D. SKOLD, COLLEEN SULLIVAN, MAURITA A. TRIVEDI M.D., VIPUL A. WHITE, PAMELA K. WITTROCK, EDWARD A.
Form 990, Part VI, Section A, line 3MAYO-AFFILIATED ENTITIES ROUTINELY DELEGATED VARIOUS MANAGEMENT AND SUPPORT FUNCTIONS TO RELATED ENTITIES.
Form 990, Part VI, Section A, line 6THE SOLE CORPORATE MEMBER IS LUTHER HOSPITAL.
Form 990, Part VI, Section A, line 7aTHE GOVERNING BODY IS ELECTED BY THE SOLE CORPORATE MEMBER.
Form 990, Part VI, Section A, line 7bTHE SOLE CORPORATE MEMBER MUST APPROVE ANY AMENDMENT TO THE ARTICLES AND BYLAWS IN ADDITION TO THE BOARD OF DIRECTORS. THE BYLAWS PROVIDE THE SOLE CORPORATE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, AND DEBT, AND GENERAL OPERATION DECISIONS.
Form 990, Part VI, Section A, line 8bTHERE 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 11THE 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.
Form 990, Part VI, Section B, line 12cTHE 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 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, BOARD CHAIR 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.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS NOT PUBLICLY AVAILABLE. CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AND ALSO ON MAYOCLINIC.ORG WEBSITE. FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
AVERAGE HOURS PER WEEK DEVOTED TO POSITION WITH RELATED ORGANIZATIONPART VII SECTION ABRADLEY GROSETH 40 HOURS COLLEEN SKOLD 40 HOURS CRAIG BENNETT, M.D. 40 HOURS EDWARD WITTROCK 40 HOURS JOEL BORMANN, D.O. 40 HOURS JOHN L. LARSON, M.D. 40 HOURS PETER REISNER, M.D. 40 HOURS VIPUL TRIVEDI, M.D. 40 HOURS PAM (WOLD) WHITE 40 HOURS DAVID MYERS, M.D. 40 HOURS RANDALL LINTON, M.D. 40 HOURS
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized gains on investments: 259,030.
PART XII LINE 2C EXPLANATIONTHERE WAS NO CHANGE IN THE PROCESS DURING THE YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (43 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404075HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM
1000 FIRST DRIVE NWAUSTINMN55912410695606HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
AUSTIN MEDICAL CENTER FOUNDATION
1000 FIRST DRIVE NWAUSTINMN55912300107471FUNDRAISING FOUNDATIONMN501(c)(3)7AUSTIN MEDICAL CENTER -- MAYO HEALTH SYSTEM1
BARRON MEMORIAL MEDICAL CENTER -- MAYO HEALTH SYSTEM
1222 EAST WOODLAND AVEBARRONWI54812390920634HOSPITAL AND CLINICWI501(c)(3)3LUTHER HOSPITAL1
BLOOMER LAKEVIEW INC
2110 DUNCAN ROADBLOOMERWI54724391450617LOW INCOME HOUSINGWI501(c)(3)7BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM1
BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
1501 THOMPSON STREETBLOOMERWI54724390980343HOSPITAL AND CLINICWI501(c)(3)3LUTHER HOSPITAL1
CANNON FALLS MEDICAL CENTER -- MAYO HEALTH SYSTEM
1116 WEST MILL STREETCANNON FALLSMN55009204156428HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
CHARTERHOUSE INC
200 FIRST STREET SWROCHESTERMN55905411405254RETIREMENT LIVING CENTERMN501(c)(3)9MAYO CLINIC1
FAIRMONT MEDICAL CENTER -- MAYO HEALTH SYSTEM
800 MEDICAL CENTER DRIVE PO BOX 800FAIRMONTMN56031410760836HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
FOUNTAIN LAKE TREATMENT CENTER
404 WEST FOUNTAIN STREETALBERT LEAMN56007411404076CHEMICAL DEPENDENCY TREATMENTMN501(c)(3)3ALBERT LEA MEDICAL CENTER -- MAYO HEALTH SYSTEM1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH JOHNSON STREETARCADIAWI54612391322480FUNDRAISING FOUNDATIONWI501(c)(3)9FRANCISCAN SKEMP HEALTHCARE INC1
FRANCISCAN SKEMP FOUNDATION OF SPARTA INC
310 WEST MAIN STREETSPARTAWI54656391423234FUNDRAISING FOUNDATIONWI501(c)(3)9FRANCISCAN SKEMP HEALTHCARE INC1
FRANCISCAN SKEMP FOUNDATION INC
700 WEST AVE SOUTHLA CROSSEWI54601391186647FUNDRAISING FOUNDATIONWI501(c)(3)11-IIFRANCISCAN SKEMP HEALTHCARE INC1
FRANCISCAN SKEMP HEALTHCARE INC
700 WEST AVE SOUTHLA CROSSEWI54601391411999HEALTHCARE SYSTEM PARENTWI501(c)(3)11-IMAYO CLINIC1
FRANCISCAN SKEMP MEDICAL CENTER INC
700 WEST AVE SOUTHLA CROSSEWI54601390806374HOSPITAL AND CLINICWI501(c)(3)3FRANCISCAN SKEMP HEALTHCARE INC1
GCAS
200 FIRST STREET SWROCHESTERMN55905411917517AMBULANCE SERVICEMN501(c)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SWROCHESTERMN55905411917516AMBULANCE SERVICEMN501(c)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
GOLD CROSS AMBULANCE INC
200 FIRST STREET SWROCHESTERMN55905391942957AMBULANCE SERVICEMN501(c)(3)9MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH1
IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM
1025 MARSH STREETMANKATOMN56002411236756HOSPITAL AND CLINICMN501(c)(3)3MAYO CLINIC1
IMMANUEL-ST JOSEPH'S FOUNDATION -- MAYO HEALTH SYSTEM
1025 MARSH STREETMANKATOMN56002411663357FUNDRAISING FOUNDATIONMN501(c)(3)7IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM
500 WEST GRANT STREETLAKE CITYMN55041411906820HOSPITALMN501(c)(3)3MAYO CLINIC1
LUTHER HOSPITAL
1221 WHIPPLE STREETEAU CLAIREWI54703390813418HOSPITALWI501(c)(3)3MAYO CLINIC1
LUTHER LAKESIDE APARTMENTS INC
714 SOUTH BARSTOW STREETEAU CLAIREWI54701391409024LOW INCOME HOUSINGWI501(c)(3)9LUTHER HOSPITAL1
LUTHER MIDELFORT FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510EAU CLAIREWI54702391633407GRANTMAKING FOUNDATIONWI501(c)(3)PFMIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM0
MAYO CLINIC ARIZONA
13400 EAST SHEA BLVDSCOTTSDALEAZ85259860800150HOSPITAL AND CLINICAZ501(c)(3)3MAYO CLINIC1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROADJACKSONVILLEFL32224590714831HOSPITALFL501(c)(3)3MAYO CLINIC JACKSONVILLE1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROADJACKSONVILLEFL32224593337028PATIENT CARE - CLINICFL501(c)(3)7MAYO CLINIC1
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410739106HOSPITALMN501(c)(3)3MAYO CLINIC1
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905416011702PATIENT CARE - CLINICMN501(c)(3)9MAYO CLINIC1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SWROCHESTERMN55905410944601HOSPITALMN501(c)(3)3MAYO CLINIC1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SWROCHESTERMN55905411506440CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIESMN501(c)(3)9MAYO CLINIC1
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
PO BOX 1510EAU CLAIREWI54702391735831PATIENT CARE - CLINICWI501(c)(3)3MAYO CLINIC0
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SWROCHESTERMN55905412020392SUPPORT RESEARCH, PRACTICE & EDUCATIONMN501(c)(3)11-IMAYO CLINIC1
NORTHWEST WISCONSIN HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391491516HOME HEALTH AND HOSPICE CAREWI501(c)(3)9LUTHER HOSPITAL1
NORTHWEST WISCONSIN SUPPORTIVE HOMECARE INC
PO BOX 2060EAU CLAIREWI54702391686673HOME HEALTH CAREWI501(c)(3)9LUTHER HOSPITAL1
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
PO BOX 70 / 13025 EIGHTH STREETOSSEOWI54758391029430HOSPITAL AND CLINICWI501(c)(3)3LUTHER HOSPITAL1
POVERELLO FOUNDATION
200 FIRST STREET SWROCHESTERMN55905411494881FUNDRAISING FOUNDATIONMN501(c)(3)11-IMAYO CLINIC -- SAINT MARYS HOSPITAL1
RED CEDAR MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
2321 STOUT ROADMENOMONIEWI54751510190875HOSPITAL AND CLINICWI501(c)(3)3MAYO CLINIC1
SPRINGFIELD MEDICAL CENTER -- MAYO HEALTH SYSTEM
625 NORTH JACKSON AVENUESPRINGFIELDMN56087411893827HOSPITAL AND CLINICMN501(c)(3)3IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081410797368HOSPITAL AND CLINICMN501(c)(3)3IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
ST JAMES MEDICAL CENTER FOUNDATION INC
1101 MOULTON PARSONS DR PO BOX 460ST JAMESMN56081411444129FUNDRAISING FOUNDATIONMN501(c)(3)7ST JAMES MEDICAL CENTER -- MAYO HEALTH SYSTEM1
WASECA MEDICAL CENTER -- MAYO HEALTH SYSTEM
501 NORTH STATE STREETWASECAMN56093363606405HOSPITAL AND CLINICMN501(c)(3)3IMMANUEL-ST JOSEPH'S -- MAYO HEALTH SYSTEM1
MAYO KLINIK STIFTUNG
FUNDRAISING FOUNDATIONMAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH160486 FRANKFURT AM MAINFRANKFURTGMGM

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FRANKLIN HEATING STATIONBusinessNameLine1

Address US AddressUS

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
CANNON VALLEY CLINIC -- MAYO HEALTH SYSTEM
635 FIRST STREET SEFARIBAULTMN55021411817179PATIENT CARE - CLINICMNN/AC
DECORAH CLINIC -- MAYO HEALTH SYSTEM
907 MONTGOMERY STREETDECORAHIA52101411711329PATIENT CARE - CLINICIAN/AC
FIOS THERAPEUTICS INC
200 FIRST STREET SWROCHESTERMN55905711029189RESEARCHMNN/AC
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREETONALASKAWI54650391545987MEDICAL SERVICES COMPANYWIN/AC
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SWROCHESTERMN55905481276150ADMINISTRATIVE SERVICESMNN/AC
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411346366REFERENCE LAB SERVICESMNN/AC
MAYO HOLDING COMPANY
200 FIRST STREET SWROCHESTERMN55905411578020HOLDING COMPANYMNN/AC
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SWROCHESTERMN55905SELF INSURANCE POOLN/ACCJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREETWILMINGTONMA01887043323713LABORATORY SERVICESMAN/AC
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARDSCOTTSDALEAZ85259061190278THIRD PARTY ADMINISTRATION SERVICESAZN/AC
MHS SERVICES INC
200 FIRST STREET SWROCHESTERMN55905411282517EQUIPMENT & REAL ESTATE LEASINGMNN/AC
MMSI INC
21 FIRST STREET SWROCHESTERMN55905411547003THIRD PARTY ADMINISTRATION SERVICESMNN/AC
NORTHWEST HEALTH VENTURES INC
1221 WHIPPLE STREETEAU CLAIREWI54703391528920PHARMACY SERVICESWIN/AC
OWATONNA CLINIC -- MAYO HEALTH SYSTEM
134 SOUTHVIEWOWATONNAMN55060411862132PATIENT CARE - CLINICMNN/AC
PHYSICIAN AND HOSPITAL PRACTICES INC
4500 SAN PABLO ROADJACKSONVILLEFL32224930926631HEALTH SERVICESFLN/AC
ROCHESTER AIRPORT COMPANY
ROUTE 2ROCHESTERMN55902410506870AIRPORT MANAGEMENTMNN/AC
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVDSCOTTSDALEAZ85259860870505COMMERCIAL PROPERTY OWNERS ASSOCIATIONAZN/AC
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SWROCHESTERMN55905208994499COMMERCIAL PROPERTY OWNERS ASSOCIATIONMNN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (24 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
N81175GAAP
BLOOMER MEMORIAL MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
N154078GAAP
LUTHER HOSPITAL
A17861GAAP
LUTHER HOSPITAL
K46925GAAP
LUTHER HOSPITAL
N113101GAAP
LUTHER HOSPITAL
N249639GAAP
LUTHER HOSPITAL
L1060177GAAP
MAYO CLINIC
L14878GAAP
MAYO CLINIC
C38630GAAP
MAYO CLINIC
R319380GAAP
MAYO COLLABORATIVE SERVICES INC
L166001GAAP
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
G16337902GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
K23GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
A5488GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
O12654GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
N193668GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
R249058GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
L2163176GAAP
MIDELFORT CLINIC LTD -- MAYO HEALTH SYSTEM
N3988763GAAP
MMSI INC
L113952GAAP
NORTHWEST WISCONSIN HOMECARE INC
N443GAAP
NORTHWEST WISCONSIN HOMECARE INC
K3142GAAP
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
N16487GAAP
OSSEO MEDICAL CENTER INC -- MAYO HEALTH SYSTEM
N495GAAP