Civic Intelligence

Mayo Clinic Health System-Oakridgeinc

990 • Fiscal year 2014 • EIN 39-1029430

Jan 01, 2014 to Dec 31, 2014 • Filed on Aug 24, 2015

PO Box 70 / 13025 Eighth StreetOsseo, WI 54758-0070

(507) 538-1297

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

46th percentile

0.24x

Higher debt load relative to assets than 46% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Liabilities / Revenue

36th percentile

0.19x

Higher debt load relative to revenue than 36% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Net Margin

73rd percentile

15%

Higher net margin than 73% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Top Officer Pay

88th percentile

$637,348

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Asset Growth

90th percentile

26%

Faster asset growth than 90% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2013 to 2014

Revenue Growth

47th percentile

3.3%

Faster revenue growth than 47% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2013 to 2014

Assets

Up

$22,583,569

Up $4,599,476 (+26%) from 2013

Net Assets

Up

$17,091,227

Up $4,288,972 (+34%) from 2013

Liabilities

Up

$5,492,342

Up $310,504 (+6.0%) from 2013

Revenue

Up

$28,542,935

Up $915,825 (+3.3%) from 2013

Expenses

Down

$24,244,622

Down $128,963 (-0.5%) from 2013

Net Income

Up

$4,298,313

Up $1,044,788 (+32%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $10,933,271Liabilities 2010: $5,318,306Net Assets 2010: $5,614,9652010Assets 2011: $12,857,186Liabilities 2011: $4,012,453Net Assets 2011: $8,844,7332011Assets 2012: $13,927,389Liabilities 2012: $4,426,703Net Assets 2012: $9,500,6862012Assets 2013: $17,984,093Liabilities 2013: $5,181,838Net Assets 2013: $12,802,2552013Assets 2014: $22,583,569Liabilities 2014: $5,492,342Net Assets 2014: $17,091,2272014

Highlighted filing

2014

Assets$22,583,569
Liabilities$5,492,342
Net Assets$17,091,227

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0Expenses 2010: $19,722,3452010Expenses 2011: $19,593,5522011Expenses 2012: $23,886,2982012Revenue 2013: $27,627,110Expenses 2013: $24,373,585Net Income 2013: $3,253,5252013Revenue 2014: $28,542,935Expenses 2014: $24,244,622Net Income 2014: $4,298,3132014

Highlighted filing

2014

Revenue$28,542,935
Expenses$24,244,622
Net Income$4,298,313
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Aug 24, 2015
Return Version
2014v5.0
Gross Receipts
$28,598,074
Mission and Program Overview

Mission

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.

Hospital, nursing home and residential care apartment complex

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,190,515$10,918,232▲ $5,727,717
Investments Other Securities$6,377,199$6,142,876▼ $234,323
Accounts Receivable$4,689,252$4,535,087▼ $154,165
Pledges and Grants Receivable$163,686$109,687▼ $53,999
Other Notes and Loans Receivable, Net$85,000$56,700▼ $28,300
Prepaid Expenses and Deferred Charges$35,571$0▼ $35,571
Savings and Temporary Cash Investments$14,618--
Inventories for Sale or Use$6,469$7,859▲ $1,390
Cash and Non-Interest-Bearing Accounts$1,578$1,577▼ $1
Total Assets$17,984,093$22,583,569▲ $4,599,476
Other Assets Total$1,420,205$811,551▼ $608,654
Liabilities
Other Liabilities$3,886,306$2,916,653▼ $969,653
Accounts Payable and Accrued Expenses$1,289,032$2,569,189▲ $1,280,157
Escrow Account Liability$6,500$6,500→ $0
Total Liabilities$5,181,838$5,492,342▲ $310,504
Net Assets / Fund Balance
Unrestricted Net Assets$12,781,793$17,047,289▲ $4,265,496
Temporarily Rstr Net Assets$20,462$43,938▲ $23,476
Total Net Assets Fund Balance$12,802,255$17,091,227▲ $4,288,972
Total Liabilities and Net Assets / Fund Balance$17,984,093$22,583,569▲ $4,599,476

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,072,575$5,199,538$13,272,113
Equipment$1,586,079$2,665,790$4,251,869
Other Land Buildings$860,126-$860,126
Land$399,452-$399,452
Other Securities$6,142,876--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dahl Sandy KDirector of Emergency ServicesFT$236,593$57,625$294,218
Freitag Brandt DPhysician AssistantFT$182,762$51,010$233,772
Myhre Raneau DPhysician AssistantFT$171,281$47,084$218,365
Jury Rita BNursing AdministratorFT$119,971$39,472$159,443

Board Members and Trustees

NameTitle
Downey Md Walter GDirector/secretary/site Chair-osseo
Fitzgerald Md Michael JFormer Site Chair
Simpson Md Henry JDirector/president/physician
Larson Md John LFormer President
Gullicksrud CherylDirector/vice President
Garber Md BradleyFormer Vice President
Legare GregDirector
Stoughton Md Rick WDirector/site CHR-mondovi(9/1-12/31)
Boehne DeanDirector/treasurer
Lindberg Steven JDirector/VP Operations
Wittrock Edward aFormer Site Administrator
Dickey John MRegional CAO
Linton Md Randall LRegional CEO/physician
Bammel Paul MRegional CFO
Bantle Do CharlesSite CHR-mondovi(1/1-9/1)/physician
Eide Dean BSite VP-operations

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo Fnd For Medical Education And ReseaPurchasing Agent200 FIRST STREET SW, Rochester, MN 55905$6,520,557
Mayo Clinic Health Syst-eau Claire HospiPurchased Services1221 WHIPPLE STREET, Eau Claire, WI 54702$779,299
Revenue and Support

Revenue Composition

Contributions and Grants
$5,737,455
Program Service Revenue
$22,806,206
Investment Income
$712
Other Revenue
$-1,438
Change in Net Assets
$4,298,313
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$15,367,224
Other Expenses$8,870,998
Grants and Similar Amounts Paid$6,400
Total Fundraising Expense$2,320
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,635,084$783,223-$11,418,307
Fees for Services Other$4,425,370$59,154$1,928$4,486,452
Other Employee Benefits$1,884,282$129,906-$2,014,188
Pension Plan Contributions$781,361$56,385-$837,746
Depreciation Depletion$801,080$7,848-$808,928
Payroll Taxes$747,200$55,565-$802,765
Office Expenses$760,163$19,645$172$779,980
Occupancy$490,905$109,847-$600,752
Comp Disqual Persons$294,218--$294,218
Travel$108,980$18,452-$127,432
Information Technology$108,341$8,175-$116,516
Fees for Services Management$24,664$10,562-$35,226
Other Expenses$33,159$952-$34,111
All Other Expenses$18,841$1,175-$20,016
Advertising$53$19,819-$19,872
Fees for Services Accounting-$17,500-$17,500
Fees for Services Legal-$15,328-$15,328
Grants to Domestic Orgs$4,900--$4,900
Insurance$2,673$1,422-$4,095
Conferences and Meetings$1,678$1,963$220$3,861
Grants to Domestic Individuals$1,500--$1,500
Fees for Services Lobbying$878--$878
Total Functional Expenses$22,925,381$1,316,921$2,320$24,244,622
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$3,004
Fundraising Direct Expenses$1,928
Gaming Gross Income$1,320
Gaming Direct Expenses$850
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Sandy K DahlFamily Member of Bradley Garber, M.d. - Former OfficerEmployee of Filing OrganizationNo$294,218
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$2,916,653
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

The following individuals are employed by a related organization: bantle d.o., charles . Stoughton m.d., rick w. Linton m.d., randall l. Eide, dean b. Downey m.d., walter g. Dickey, john m. Bammel, paul m. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: linton m.d., randall l. Dickey, john m. Bammel, paul m. The following individuals are employed by a related organization: simpson m.d., henry j. Lindberg, steven j. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: simpson m.d., henry j. Lindberg, steven j. Linton m.d., randall l. Dickey, john m. Bammel, paul m.

Form 990, Part VI, Section A, Line 3

Mayo clinic, mayo foundation for medical education and research, and other related companies provide management services to the entire system of entities. Mayo clinic health system-eau claire hospital, inc. And mayo clinic health system-eau claire clinic, inc. Also provide management services on a regional basis that includes the filing organization. Since the entities are related organizations, compensation for the officers, directors, key employees, and highest compensated employees has been disclosed in part vii and schedule j as required.

Form 990, Part VI, Section A, Line 6

The corporate members are mayo clinic health system-eau claire hospital, inc. And mayo clinic.

Form 990, Part VI, Section A, Line 7A

The governing body shall be elected by mayo clinic health system-eau claire hospital, inc.

Form 990, Part VI, Section A, Line 7B

The articles and bylaws provide the corporate members certain reserved powers in areas such as capital, budget, debt, amendment of the articles and bylaws, and general operation decisions.

Form 990, Part VI, Section A, Line 8B

The filing organization has no committees with the authority to act on behalf of the board.

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 regional chief financial officer (or his delegate) 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. All questions are addressed prior to filing the form 990.

Form 990, Part VI, Section B, Line 12C

Mayo clinic and its affiliates have a comprehensive conflict of interest policy applicable to all of the affiliated entities and to all directors, officers, and employees of those entities. All current and former officers, directors, trustees, key employees and highest compensated employees who we anticipate will be listed on a form 990 are asked to complete an "annual tax and compliance disclosure" form. This information is reviewed by both the corporate tax department and the office of conflict of interest review. All disclosures of current or proposed activity that require action under the policy are the subject of ongoing review and action through the office of conflict of interest review and the conflict of interest review board. Involved individuals are informed of all required action. Many types of relationships that could create conflicts of interest are prohibited. Other types of relationships are permitted subject to compliance with the management plan established by the conflict of interest review board. A common management strategy for permitted activities is to require bilateral recusal and appropriate documentation in the minutes of 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, executive and senior administrative leadership, along with allied health staff. In addition to any review and approval that may take place at the local entity or regional level, the following independent approval process occurs annually prior to implementation of the respective compensation increase. The salaries and benefit programs of the chief executive officer (ceo) and the chief administrative officer (cao) were reviewed and approved by the process described below for senior administrative leadership. The compensation and benefit programs for senior administrative leadership for all campuses, including the mayo clinic health system locations, are reviewed and approved by the mayo clinic board of trustees governance and nominating committee. The mayo clinic board of trustees governance and nominating committee is comprised of nine of the external independent members of the mayo clinic board of trustees. This group reviews and approves the compensation and benefit programs for physicians from all campuses, as well as certain senior administrative and executive leadership (including all persons believed to be disqualified persons). This process establishes acceptable ranges for various positions, levels, and specialties. The committee uses comparability data (including third-party benchmarking surveys) in its review and documents decisions in its minutes.

Form 990, Part VI, Section C, Line 19

The filing organization's governing documents are not available to the public. The conflict of interest policy is available upon request and also on the mayoclinic.org website. The filing organization is a hospital affiliated with mayo clinic. As such, mayo clinic's consolidated audited financial statements are attached to the filing organization's form 990 and would be available upon request of the form 990.

Filing and Contact Details

Filer

Filer Name
Mayo Clinic Health System-oakridgeinc
EIN
39-1029430
Phone
5075381297
Address
PO BOX 70 / 13025 EIGHTH STREET, OSSEO, WI 54758-0070

Signing Officer

Name
Paul M Bammel
Title
CFO
Phone
5075381297
Signed
2015-08-24

Organization Details

Principal Officer
Randall L Linton Md
Formed
1994
Legal Domicile
Wi
Voting Board Members
7
Independent Board Members
3
Employees
314
Volunteers
36
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Ic purchased services : program service expenses 3,798,833. Management and general expenses 225. Fundraising expenses 0. Total expenses 3,799,058. Other purchased services : program service expenses 626,537. Management and general expenses 58,929. Fundraising expenses 1,928. Total expenses 687,394.

FORM 990, PART XI, LINE 9:

Pledge change (per fasb asc 958-20) -9,341.

Filing of Certain Foreign Forms

Disclosure statement related to forms 5713: form 5713 has been filed by the following members of the controlled group: mayo clinic (ein: 41-6011702) mayo foundation for medical education and research (ein: 41-1506440) mayo clinic arizona (ein: 86-0800150) mayo clinic jacksonville (ein: 59-3337028) disclosure statement related to forms 5471: under the constructive ownership rules of irc sections 958(a) and (b), the taxpayer is required to file forms 5471, information return of u.s. Persons with respect to certain foreign corporations, as a category 4 and 5 filer with respect to certain controlled foreign corporations (cfcs). These filing requirements are or will be satisfied through the filing of forms 5471 for these cfcs by other u.s. Taxpayers identified below who have the same filing requirement. Taxpayer name: mayo clinic address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 5471 was filed: 41-6011702 irs service center where u.s. Tax return was or will be filed: e-filed taxpayer name: mayo foundation for medical education and research address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 5471 was filed: 41-1506440 irs service center where u.s. Tax return was or will be filed: e-filed disclosure statement related to forms 8865: under the constructive ownership rules of irc sections 958(a) and (b), the taxpayer is required to file forms 8865, information return of u.s. Persons with respect to certain foreign partnerships, as a category 2 and 3 filer. These filing requirements are or will be satisfied through the filing of forms 8865 for these partnerships by other u.s. Taxpayers identified below who have the same filing requirement. Taxpayer name: mayo clinic address: 200 first street sw, rochester, mn 55905 id number of u.s. Tax return with which form 8865 was filed: 41-6011702 irs service center where u.s. Tax return was or will be filed: e-filed

Financial Statement Notes

PART IV, LINE 1B:

Nursing home resident funds

PART IV, LINE 2B:

Rcac (residential care apartment complex) security deposits

PART X, LINE 2:

At december 31, 2014 and 2013, the reserve for unrecognized tax benefits was not significant, and as a result, there is no longer a reserve for unrecognized tax benefits recorded for the filing organization.

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IRS990/Desc0PATIENT CARE (SEE SCHEDULE O)MAYO CLINIC HEALTH SYSTEM-OAKRIDGE, INC. IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA, WISCONSIN AND GEORGIA. AS PART OF MAYO CLINIC, THE HEALTH SYSTEM OFFERS CARE DESIGNED FOR THE WHOLE BODY CLOSE TO THE PATIENT'S HOME, WHEN THEY NEED IT. A MULTIDISCIPLINARY TEAM OF EXPERTS HAS READY ACCESS TO KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC AND COLLABORATES ON PROVIDING EXACTLY THE CARE THE PATIENT NEEDS. MAYO CLINIC HEALTH SYSTEM SITES EMPLOY APPROXIMATELY 1,000 PHYSICIANS AND 15,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN NEARLY 70 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 19 OWNED HOSPITALS, FIVE OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH ONE ADDITIONAL HOSPITAL, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO CLINIC HEALTH SYSTEM HAS GROWN INTO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN THE UNITED STATES. MORE THAN 600,000 UNIQUE PATIENTS ACCOUNT FOR MORE THAN 2.6 MILLION VISITS ANNUALLY IN MAYO CLINIC HEALTH SYSTEM. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS. MAYO CLINIC HEALTH SYSTEM-OAKRIDGE, INC. IS A WISCONSIN NONPROFIT CORPORATION, TAX EXEMPT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION, WHICH INCLUDES A HOSPITAL, CLINICS, A NURSING HOME AND A RESIDENTIAL CARE APARTMENT COMPLEX, OPERATES PRIMARILY FOR THE RESIDENTS OF OSSEO AND SURROUNDING COMMUNITIES.MAYO CLINIC HEALTH SYSTEM-OAKRIDGE'S MISSION STATEMENT STATES THAT THE ORGANIZATION'S AIM 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. OUR 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 CLINIC HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM-OAKRIDGE PROVIDES QUALITY HEALTHCARE CLOSE TO HOME WITH DIRECT ACCESS TO HIGHLY SPECIALIZED CARE IF THE NEED ARISES.MAYO CLINIC HEALTH SYSTEM-OAKRIDGE OPERATES ON A NONDISCRIMINATORY BASIS, REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.THE HOSPITAL IS LICENSED FOR 18 ACUTE CARE BEDS AND PLAYS A VITAL ROLE IN THE HEALTH AND WELL BEING OF THE COMMUNITY BY OFFERING SERVICES SUCH AS 24-HOUR EMERGENCY CARE, CLINIC APPOINTMENTS, URGENT CARE, PT/OT/SPEECH/RESPIRATORY THERAPY, VENTILATION CARE, CARDIAC AND PULMONARY REHABILITATIVE TREATMENTS AND ADVANCED DIAGNOSTIC TECHNOLOGY. IN 2014, THE FACILITY OPENED A NEW CLINIC WHICH ADDED PATIENT EXAM ROOMS AND WORK SPACES DESIGNED TO PROVIDE PATIENT CENTERED CARE. ALSO IN 2014, THE FACILITY ADDED GASTROENTEROLOGY SERVICES TO BETTER SERVE THE PATIENT COMMUNITY. THE HOSPITAL HAD 338 ADMISSIONS IN 2014 INCLUDING ADULTS AND SWING BED ADMISSIONS. THERE WERE 1,515 EMERGENCY ROOM VISITS IN 2014, ALONG WITH 80,454 LABORATORY PROCEDURES, 20,481 THERAPY AND REHABILITATIVE SERVICES AND 8,068 IMAGING PROCEDURES PERFORMED. IN 2014 THERE WERE 26,489 PROFESSIONAL ENCOUNTERS RECORDED.MAYO CLINIC HEALTH SYSTEM-OAKRIDGE'S AMBULANCE SERVICE IS A HOSPITAL BASED SERVICE WITH 3 AMBULANCES AND PROVIDES EMERGENCY RESPONSE TO THE ENTIRE SURROUNDING COMMUNITY. THERE WERE 653 AMBULANCE CALLS IN 2014. EMTS ARE ON CALL 24 HOURS PER DAY, 7 DAYS PER WEEK.THE NURSING HOME HAS 21 MEDICARE/MEDICAID LICENSED BEDS AND EACH RESIDENT RECEIVES PERSONALIZED MEDICAL, SOCIAL AND SPIRITUAL CARE. THE FOCUS IS ON PRESERVING THE LIFESTYLE OF EACH RESIDENT WITH 24-HOUR NURSING CARE, SOCIAL SE
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