Civic Intelligence

Mayo Clinic

EIN 41-0797368 • 501(c)3 • St James, MN

Profile

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.

1101 Moulton Parsons/PO Box 460St James, MN 56081

www.mayoclinichealthsystem.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

81st percentile

0.66x

Higher debt load relative to assets than 81% of similar nonprofits.

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

Liabilities / Revenue

76th percentile

0.86x

Higher debt load relative to revenue than 76% of similar nonprofits.

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

Net Margin

66th percentile

12%

Higher net margin than 66% of similar nonprofits.

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

Top Officer Pay

85th percentile

$564,844

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 2.8% of source-year revenue.

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

Asset Growth

80th percentile

17%

Faster asset growth than 80% of similar nonprofits.

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

Revenue Growth

52nd percentile

8.6%

Faster revenue growth than 52% of similar nonprofits.

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

Assets

Up

$26,412,190

Up $3,810,844 (+17%) from 2013

Liabilities

Up

$17,428,029

Up $615,550 (+3.7%) from 2013

Net Assets

Up

$8,984,161

Up $3,195,294 (+55%) from 2013

Revenue

Up

$20,234,641

Up $1,601,750 (+8.6%) from 2013

Expenses

Down

$17,803,757

Down $57,731 (-0.3%) from 2013

Net Income

Up

$2,430,884

Up $1,659,481 (+215%) from 2013

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $21,725,444Liabilities 2010: $18,055,600Net Assets 2010: $3,669,8442010Assets 2011: $21,226,503Liabilities 2011: $17,545,946Net Assets 2011: $3,680,5572011Assets 2012: $21,880,407Liabilities 2012: $16,862,943Net Assets 2012: $5,017,4642012Assets 2013: $22,601,346Liabilities 2013: $16,812,479Net Assets 2013: $5,788,8672013Assets 2014: $26,412,190Liabilities 2014: $17,428,029Net Assets 2014: $8,984,1612014

Highlighted filing

2014

Assets$26,412,190
Liabilities$17,428,029
Net Assets$8,984,161

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0Expenses 2010: $14,570,5512010Expenses 2011: $15,494,0782011Expenses 2012: $17,276,0782012Revenue 2013: $18,632,891Expenses 2013: $17,861,488Net Income 2013: $771,4032013Revenue 2014: $20,234,641Expenses 2014: $17,803,757Net Income 2014: $2,430,8842014

Highlighted filing

2014

Revenue$20,234,641
Expenses$17,803,757
Net Income$2,430,884

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 11, 2015
Return Version
2014v5.0
Gross Receipts
$20,239,669
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 AND CLINIC

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$6,535,317$10,102,511▲ $3,567,194
Land, Buildings, and Equipment, Net$11,099,507$10,101,152▼ $998,355
Accounts Receivable$2,782,118$3,055,925▲ $273,807
Savings and Temporary Cash Investments$1,332,476$1,407,129▲ $74,653
Prepaid Expenses and Deferred Charges-$533,858-
Cash and Non-Interest-Bearing Accounts$700$190,068▲ $189,368
Inventories for Sale or Use$204,073$176,126▼ $27,947
Pledges and Grants Receivable$0$58,489▲ $58,489
Total Assets$22,601,346$26,412,190▲ $3,810,844
Other Assets Total$647,155$786,932▲ $139,777
Liabilities
Mortgage Notes Payable Secured by Investment Property$14,869,000$14,570,000▼ $299,000
Other Liabilities$639,153$1,902,713▲ $1,263,560
Accounts Payable and Accrued Expenses$1,304,326$955,316▼ $349,010
Total Liabilities$16,812,479$17,428,029▲ $615,550
Net Assets / Fund Balance
Unrestricted Net Assets$5,788,867$8,610,822▲ $2,821,955
Temporarily Rstr Net Assets$0$195,029▲ $195,029
Permanently Rstr Net Assets$0$178,310▲ $178,310
Total Net Assets Fund Balance$5,788,867$8,984,161▲ $3,195,294
Total Liabilities and Net Assets / Fund Balance$22,601,346$26,412,190▲ $3,810,844

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$4,631,281$6,186,216$10,817,497
Buildings$4,764,190$4,658,269$9,422,459
Land$655,681-$655,681
Other Land Buildings$50,000-$50,000
Other Securities$10,102,511--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$0$178,310--$178,310
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eatwell Do LindyPhysicianFT$390,469$42,192$432,661
Langbehn Do Jennifer MDirector/vice ChairFT$347,981$42,944$390,925
Hamm Md Joseph HPhysicianFT$221,379$41,141$262,520
Mugaisi Md Hesed NPhysicianFT$228,352$29,629$257,981
Smith Ryan JSite AdministratorFT$189,453$29,784$219,237
Etters Pepper KPhysician AssistantFT$149,199$32,166$181,365
Bentson Kenneth JPhysician AssistantFT$116,950$45,381$162,331
Gratz Yvonne MDirector-$61,865$6,708$68,573

Board Members and Trustees

NameTitle
Branstad JamesDirector/chair
Frederick Ryannon KDirector
Hurley TracyDirector
Mohr SueDirector
Schroeder Marlene FDirector
Buhler PhilDirector/secy/treasurer
Koch Mark BAssistant Secretary
Thoreson Scott DFormer Officer
Grace Richard WRegion CAO
Kutcher Md Gregory RRegion CEO
Tarasovitch James JRegion CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
St James Area Rehabilitation ServicesPhysical Therapy Services1101 MOULTON PARSONS DRIVE, St James, MN 56081$1,989,460
Mayo Foundation For Medical Education AnPurchased Services200 1ST STREET SW, Rochester, MN 55905$1,146,643
Shared Medical Services INCMri ServicesPO BOX 330, Cottage Grove, MN 53527$140,890
Orthopaedic & Fracture ClinicPhysician Services1431 PREMIER DRIVE, Mankato, MN 56001$113,474
Revenue and Support

Revenue Composition

Contributions and Grants
$43,271
Program Service Revenue
$20,180,983
Investment Income
$1,531
Other Revenue
$8,856
Change in Net Assets
$2,430,884
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,451,269
Salaries, Compensation, and Employee Benefits$7,335,774
Grants and Similar Amounts Paid$16,714
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,661,791$247,399-$4,909,190
Fees for Services Other$3,667,834$1,112,346-$4,780,180
Depreciation Depletion$1,160,090$61,775-$1,221,865
Interest$960,686--$960,686
Other Employee Benefits$666,718$35,276-$701,994
Current Officers, Directors, Trustees, and Key Employees$361,451$317,282-$678,733
Occupancy$253,061$290,331-$543,392
Comp Disqual Persons$481,590--$481,590
Payroll Taxes$365,560$19,400-$384,960
Office Expenses$238,511$61,174-$299,685
Pension Plan Contributions$170,170$9,137-$179,307
Other Expenses$131,878--$131,878
Travel$74,898$16,584-$91,482
Insurance-$42,746-$42,746
All Other Expenses$24,347$8,122-$32,469
Fees for Services Accounting-$30,000-$30,000
Grants to Domestic Orgs$14,214--$14,214
Fees for Services Management$1,402$9,957-$11,359
Conferences and Meetings$8,169$1,452-$9,621
Advertising-$4,345-$4,345
Grants to Domestic Individuals$2,500--$2,500
Fees for Services Legal$731--$731
Information Technology$686--$686
Total Functional Expenses$15,536,431$2,267,326$0$17,803,757
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$1,902,713
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
No
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 individual is employed by a related organization: frederick, ryannon k. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: koch, mark b. Tarasovitch, james j. Kutcher m.d., gregory r. Grace, richard w. The following individuals are employed by a related organization: tarasovitch, james j. Schroeder, marlene f. Kutcher m.d., gregory r. Grace, richard w. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: koch, mark b. Tarasovitch, james j. Kutcher m.d., gregory r. Grace, richard w. The following individual is employed by a related organization: gratz, yvonne m. Resulting in a business relationship with the following individuals who are associated with the related organization as an officer, director, or trustee: koch, mark b. Tarasovitch, james j. Kutcher m.d., gregory r. Grace, richard w.

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 - mankato also provides 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 sole corporate member is mayo clinic health system-mankato.

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

The member elects the member directors. The other directors are elected by the member from nominees approved by the board of directors.

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

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

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 region chief financial officer and finance director, along with site 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.

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-st James
EIN
41-0797368
Phone
5075381297
Address
1101 MOULTON PARSONS/PO BOX 460, ST JAMES, MN 56081

Signing Officer

Name
James J Tarasovitch
Title
Region CFO
Phone
5073852646
Signed
2015-11-11

Organization Details

Principal Officer
Gregory R Kutcher Md
Formed
1954
Legal Domicile
Mn
Voting Board Members
8
Independent Board Members
4
Employees
170
Volunteers
14
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2

At the close of business 12/31/2014, mayo clinic health system-st. James health care foundation merged into mayo clinic health system-st. James.

Form 990, Part IX, Line 11G

Ic purchased services: program service expenses 1,992,925. Management and general expenses 996,926. Fundraising expenses 0. Total expenses 2,989,851. Other purchased services: program service expenses 1,674,909. Management and general expenses 115,420. Fundraising expenses 0. Total expenses 1,790,329.

FORM 990, PART XI, LINE 9:

Merger of mchs-st. James healthcare foundation with reporting org 766,604.

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 V, LINE 4:

The endowment funds provide for student nursing internships, cardiac rehab, pastoral care, and nursing education.

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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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0PATIENT CARE (SCHEDULE O)PATIENT CARE: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 - ST. JAMES IS A CRITICAL ACCESS HOSPITAL LOCATED IN ST. JAMES THAT IS PART OF THE MAYO CLINIC HEALTH SYSTEM. THERE WERE APPROXIMATELY 2,900 PATIENTS TREATED IN THE EMERGENCY ROOM IN 2014, WHICH IS OPEN 24 HOURS A DAY. IN 2014, MCHS - ST. JAMES ADMITTED OVER 240 PATIENTS. MCHS - ST. JAMES OPERATES PRIMARY CARE CLINICS IN ST. JAMES AND TRIMONT. MCHS - ST. JAMES SERVED OVER 25,000 CLINIC VISITS.UNCOMPENSATED CARE: MCHS - ST. JAMES PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS/RESIDENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. MCHS - ST. JAMES IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED BASED ON ITS COST OF PROVIDING SERVICES FOR HOSPITAL MEDICARE PATIENTS.CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY PROVIDED IN 2014 WAS APPROXIMATELY $91,500.MCHS - ST. JAMES ALSO PROVIDES DISCOUNTS TO UNINSURED PATIENTS. THE TOTAL DISCOUNTS GIVEN IN 2014 WERE $59,000.THE COST OF UNCOMPENSATED CARE IN 2014 PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID AND OTHER GOVERNMENTAL PROGRAMS WAS APPROXIMATELY $381,000. INCLUDED IN THIS AMOUNT IS $204,543 PAID TO MINNESOTACARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS) AND THE MEDICAID SURCHARGE OF $131,879.MCHS-ST. JAMES LEASES SPACE TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE.
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