Civic Intelligence

Mayo Clinic Hospital - Rochester

990 • Fiscal year 2015 • EIN 41-0944601

Jan 01, 2015 to Dec 31, 2015 • Filed on Oct 25, 2016

200 First Street SWRochester, MN 55905

(507) 538-1297

Siviq Scores

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

Liabilities / Assets

22nd percentile

0.17x

Higher debt load relative to assets than 22% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Liabilities / Revenue

12th percentile

0.16x

Higher debt load relative to revenue than 12% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Net Margin

46th percentile

7.6%

Higher net margin than 46% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Top Officer Pay

71st percentile

$2,521,158

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Asset Growth

82nd percentile

11%

Faster asset growth than 82% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Revenue Growth

79th percentile

15%

Faster revenue growth than 79% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Assets

Up

$1,952,100,204

Up $192,566,424 (+11%) from 2014

Net Assets

Up

$1,625,026,164

Up $159,758,271 (+11%) from 2014

Liabilities

Up

$327,074,040

Up $32,808,153 (+11%) from 2014

Revenue

Up

$2,021,770,805

Up $264,015,224 (+15%) from 2014

Expenses

Up

$1,868,237,701

Up $534,123,362 (+40%) from 2014

Net Income

Down

$153,533,104

Down $270,108,138 (-64%) from 2014

Historical Trend

Balance Sheet Trend

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

$2.0B$1.5B$1.0B$500M$0Assets 2010: $638,183,449Liabilities 2010: $246,267,807Net Assets 2010: $391,915,6422010Assets 2011: $649,597,613Liabilities 2011: $211,767,294Net Assets 2011: $437,830,3192011Assets 2012: $717,494,978Liabilities 2012: $210,936,174Net Assets 2012: $506,558,8042012Assets 2013: $1,405,809,033Liabilities 2013: $333,097,303Net Assets 2013: $1,072,711,7302013Assets 2014: $1,759,533,780Liabilities 2014: $294,265,887Net Assets 2014: $1,465,267,8932014Assets 2015: $1,952,100,204Liabilities 2015: $327,074,040Net Assets 2015: $1,625,026,1642015

Highlighted filing

2015

Assets$1,952,100,204
Liabilities$327,074,040
Net Assets$1,625,026,164

Operations Trend

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

$3.0B$2.0B$1.0B$0Expenses 2010: $772,632,2962010Expenses 2011: $800,428,6122011Expenses 2012: $834,696,9952012Revenue 2013: $988,054,043Expenses 2013: $832,206,311Net Income 2013: $155,847,7322013Revenue 2014: $1,757,755,581Expenses 2014: $1,334,114,339Net Income 2014: $423,641,2422014Revenue 2015: $2,021,770,805Expenses 2015: $1,868,237,701Net Income 2015: $153,533,1042015

Highlighted filing

2015

Revenue$2,021,770,805
Expenses$1,868,237,701
Net Income$153,533,104
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Oct 25, 2016
Return Version
2015v2.1
Gross Receipts
$2,026,979,701
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.

The filing organization provides tertiary-care and acute-care in rochester, minnesota.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$457,648,616$643,550,727▲ $185,902,111
Accounts Receivable$427,641,083$506,501,861▲ $78,860,778
Investments Other Securities$22,763,652$22,475,429▼ $288,223
Inventories for Sale or Use$14,687,357$14,598,059▼ $89,298
Prepaid Expenses and Deferred Charges$1,322,464$1,006,360▼ $316,104
Cash and Non-Interest-Bearing Accounts$55,574$56,100▲ $526
Total Assets$1,759,533,780$1,952,100,204▲ $192,566,424
Other Assets Total$835,415,034$763,911,668▼ $71,503,366
Liabilities
Other Liabilities$193,157,807$240,887,511▲ $47,729,704
Accounts Payable and Accrued Expenses$101,108,080$86,186,529▼ $14,921,551
Total Liabilities$294,265,887$327,074,040▲ $32,808,153
Net Assets / Fund Balance
Unrestricted Net Assets$1,458,730,183$1,618,682,139▲ $159,951,956
Temporarily Rstr Net Assets$3,482,892$3,221,207▼ $261,685
Permanently Rstr Net Assets$3,054,818$3,122,818▲ $68,000
Total Net Assets Fund Balance$1,465,267,893$1,625,026,164▲ $159,758,271
Total Liabilities and Net Assets / Fund Balance$1,759,533,780$1,952,100,204▲ $192,566,424

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$430,772,378$596,651,706$1,027,424,084
Equipment$142,118,710$186,713,333$328,832,043
Other Land Buildings$56,433,922-$56,433,922
Land$14,081,125-$14,081,125
Leasehold Improvements$144,592$58,374$202,966
Other Assets Org$788,538--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$9,756,158$854,891▲ $320,550$661,705$10,269,894
2014$9,156,388$137,100▲ $806,446$343,776$9,756,158
2013$4,592,935$3,969,015▲ $802,538$208,100$9,156,388
2012$2,508,951$1,669,425▲ $603,838$189,279$4,592,935
2011$3,571,089$651,446▼ $1,713,584-$2,508,951
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Johnson Pamela ODirectorFT$374,390$55,921$430,311
Jones Kristi LRnFT$232,826$44,875$277,701
Dillon Kevin RChief Pharmacy OfficerFT$214,218$54,207$268,425
Zwygart Amy MVice Chair NursingFT$215,163$37,347$252,510
Christiansen Philip RMgr-pharm Ops-med ProdFT$178,814$62,110$240,924
Gaines Kim aAdmin NursingFT$181,835$45,271$227,106
Oyen Lance JAssoc Chief Pharm Off-pract/rsFT$186,087$38,610$224,697
Ackerman Franklin KAssoc Admin-hospital OpsFT$174,616$46,260$220,876
Bergrud Karen JSr Director-pharmacyFT$185,921$24,995$210,916

Board Members and Trustees

NameTitle
Noseworthy Md John HCEO/president/director
Bolton Jeffrey WVice Chair/director
Harper Jr Md Charles MVice Chair/director
Williams Md Amy WVice Chair/director
Adkins Jr Kedrick DDirector
Agerter Md David CDirector
Gabrielson Sharon RDirector
Gertz Md Morie aDirector
Gores Md Gregory JDirector
Gostout Md Bobbie SDirector
Grace Richard WDirector
Hanson Md Curtis aDirector
Koch Mark BDirector
Kruse Joseph JDirector
Linton Md Randall LDirector
Meyers Ann MDirector
Morice Md William GDirector
Narr Md Bradly JDirector
Nelson Md HeidiDirector
Nesse Md Robert EDirector
Santrach Md Paula JDirector
Stellner Winston LDirector
Wald Md John TDirector
Warner Md Mark aDirector
Weber Joan aDirector
Whited Md Brian LDirector
Ytterberg Md Karen LDirector
Williamson Mary JSecretary/treasurer/director
Hubert Sherry LAsst Secretary
Murphy Joshua BAsst Secretary
Oviatt Jonathan JAsst Secretary
Lindahl Roger aAsst Treasurer
Sandeen Darrell LAsst Treasurer
Brown William aFormer Officer
Rock Md Michael GFormer Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo Fndn For Medical Education & ResearProcurement Agent200 FIRST STREET SW, Rochester, MN 55905$86,103,710
Mayo ClinicPurchased Services200 FIRST STREET SW, Rochester, MN 55905$7,732,995
Charterhouse INCMedical Services200 FIRST STREET SW, Rochester, MN 55905$2,536,749
Mayo Clinic Health System-albert Lea AndMedical Services1000 FIRST DRIVE NW, Austin, MN 55912$281,642
Revenue and Support

Revenue Composition

Contributions and Grants
$5,053,284
Program Service Revenue
$2,008,969,682
Investment Income
$-1,922,108
Other Revenue
$9,669,947
All Other Contributions
$1,078
Change in Net Assets
$153,533,104
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$855,734,013
Salaries, Compensation, and Employee Benefits$662,202,704
Grants and Similar Amounts Paid$350,300,984
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$486,405,196$16,685,040-$503,090,236
Grants to Domestic Orgs$350,029,884--$350,029,884
Fees for Services Other$210,843,636$109,889,402-$320,733,038
Other Employee Benefits$73,309,988$2,514,673-$75,824,661
Depreciation Depletion$58,780,207$101,921-$58,882,128
Office Expenses$51,675,444$2,186,630-$53,862,074
Payroll Taxes$39,951,596$1,370,416-$41,322,012
Pension Plan Contributions$39,403,394$1,351,612-$40,755,006
Other Expenses$18,014,736--$18,014,736
Occupancy$12,018,140$1,668,235-$13,686,375
All Other Expenses$2,434,240$677,058-$3,111,298
Information Technology$2,470,361$129,166-$2,599,527
Travel$1,710,437$37,002-$1,747,439
Current Officers, Directors, Trustees, and Key Employees$1,126,472$45,650-$1,172,122
Conferences and Meetings$697,580$5,603-$703,183
Grants to Domestic Individuals$271,100--$271,100
Advertising$145,664$2,333-$147,997
Insurance$46,635--$46,635
Fees for Services Accounting-$40,787-$40,787
Fees for Services Lobbying$40,037--$40,037
Comp Disqual Persons$12,715$25,952-$38,667
Fees for Services Legal-$12,564-$12,564
Royalties$7,561$40-$7,601
Total Functional Expenses$1,731,493,617$136,744,084$0$1,868,237,701
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mayo ClinicRochester, MN501(c)(3)Support Charitable Programs$350,000,000
Poverello FoundationRochester, MN501(c)(3)Support Charitable Programs$29,184

International Summary

Offices
0
Employees
22
Spending
$44,668

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
East Asia and the PacificTravel - International Conference-012$30,413
Europe (including Iceland and Greenland)Travel - International Conference-04$9,576
North AmericaTravel - International Conference-04$3,180
Central America and the CaribbeanTravel - International Conference-02$1,499
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Elizabeth M MoriceFamily Member of Director William Morice M.d.CompensationNo$12,715
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$240,098,973
Deferred Compensation Liability$788,538
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 individual(s) is/are employed by a related organization: williams m.d., amy w., meyers, ann m., hanson m.d., curtis a., williamson, mary j., warner m.d., mark a., nelson m.d., heidi, morice m.d., william g., harper jr., m.d., charles m., gostout m.d., bobbie s., gores m.d., gregory j., gertz m.d., morie a., wald m.d., john t., narr m.d., bradly j., santrach m.d., paula j., nesse m.d., robert e., whited m.d., brian l., ytterberg m.d., karen l., koch, mark b., gabrielson, sharon r., agerter m.d., david c. Resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: johnson, pamela o., oviatt, jonathan j., noseworthy m.d., john h., murphy, joshua b., hubert, sherry l., bolton, jeffrey w., adkins jr., kedrick d., weber, joan a., williamson, mary j., harper jr.,m.d., charles m., gostout m.d., bobbie s. The following individual(s) is/are employed by a related organization: sandeen, darrell l., lindahl, roger a., oviatt, jonathan j., noseworthy m.d., john h., murphy, joshua b., hubert, sherry l., bolton, jeffrey w., adkins jr.,kedrick d., weber, joan a., stellner, winston l., nesse m.d., robert e., gabrielson, sharon r. Resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: lindahl, roger a., oviatt, jonathan j., murphy, joshua b., hubert, sherry l., adkins jr., kedrick d., gabrielson, sharon r. The following individual(s) is/are employed by a related organization: grace, richard w. Resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: nesse m.d., robert e., whited m.d., brian l., koch, mark b. The following individual(s) is/are employed by a related organization: linton m.d., randall l., resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: nesse m.d., robert e., santrach m.d., paula j. Kruse, joseph j., whited m.d., brian l., ytterberg m.d., karen l., gabrielson, sharon r. Have a business relationship as they serve as an officer, director, or trustee of health tradition health plan, a related taxable entity. Lindahl, roger a., hubert, sherry l. Have a business relationship as they serve as an officer, director, or trustee of mayo clinic support services, texas, a related taxable entity. Lindahl, roger a., oviatt, jonathan j., murphy, joshua b., hubert, sherry l., adkins jr., kedrick d., gabrielson, sharon r. Have a business relationship as they serve as an officer, director, or trustee of mayo holding company, a related taxable entity. Oviatt, jonathan j., murphy, joshua b. Have a business relationship as they serve as an officer, director, or trustee of mayo insurance company, ltd, a related taxable entity. Sandeen, darrell l., nesse m.d., robert e., gabrielson, sharon r. Have a business relationship as they serve as an officer, director, or trustee of mmsi, inc, a related taxable entity.

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. 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.

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

The member is responsible for appointing replacement directors for vacancies occurring before term expirations.

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

The member must approve management of property and assets, mergers and consolidations, and amendments to articles of incorporation and bylaws.

Form 990, Part VI, Section B, Line 11

The form 990 is prepared by mayo corporate tax with assistance from site accounting staff. The tax return goes through two levels of review within the corporate tax unit. It is then reviewed by 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 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 compensation and benefits of the chief executive officer (ceo) and the chief administrative officer (cao) were reviewed and approved by the process described below for executive leadership. The compensation and benefits of the executive 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. In addition, the mayo clinic board of trustees governance and nominating committee directly retains an independent third-party compensation consultant to provide relevant, contemporaneous benchmark information for a small group of senior physician, administrative, and executive leadership positions for which an individualized review and recommendation is made.

Form 990, Part VI, Section 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.

Form 990, Part I, Line 4 & Part VI, Line 1B

Independent voting board members of the governing body - the board of trustees of mayo clinic, the parent entity of mayo clinic-affiliated entities, is comprised of more than 50% public trustees.

Filing and Contact Details

Filer

Filer Name
Mayo Clinic Hospital - Rochester
EIN
41-0944601
Phone
5075381297
Address
200 FIRST STREET SW, ROCHESTER, MN 55905

Signing Officer

Name
Kedrick D Adkins Jr
Title
CFO
Phone
5075381297
Signed
2016-10-25

Organization Details

Principal Officer
John H Noseworthy Md
Formed
1968
Legal Domicile
Mn
Voting Board Members
26
Independent Board Members
0
Employees
10,469
Volunteers
1,514
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Ic purchased services: program service expenses 190,822,323. Management and general expenses 108,929,121. Fundraising expenses 0. Total expenses 299,751,444. Other purchased services: program service expenses 20,021,313. Management and general expenses 960,281. Fundraising expenses 0. Total expenses 20,981,594.

FORM 990, PART XI, LINE 9:

Pension-post retirement (per fasb a 6,534,466.

Financial Statement Notes

PART V, LINE 4:

The endowment funds provide a stable funding source for research and education programs.

PART X, LINE 2:

At december 31, 2015 and 2014, the reserve for unrecognized tax benefits was not significant, and as a result, there is no 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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