Civic Intelligence

Mchs -- Southeast Minnesota Region

990 • Fiscal year 2013 • EIN 41-1404075

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 11, 2014

1000 First Drive NWRochester, MN 55912

(507) 538-1297

Siviq Scores

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

Liabilities / Assets

16th percentile

0.09x

Higher debt load relative to assets than 16% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Liabilities / Revenue

10th percentile

0.10x

Higher debt load relative to revenue than 10% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Net Margin

35th percentile

2.7%

Higher net margin than 35% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Top Officer Pay

64th percentile

$1,193,320

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Asset Growth

42nd percentile

5.0%

Faster asset growth than 42% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$332,660,841

Up $15,814,117 (+5.0%) from 2012

Net Assets

Up

$304,323,199

Up $18,107,186 (+6.3%) from 2012

Liabilities

Down

$28,337,642

Down $2,293,069 (-7.5%) from 2012

Revenue

$278,331,414

No earlier filing loaded for comparison.

Expenses

Up

$270,722,838

Up $127,471,617 (+89%) from 2012

Net Income

$7,608,576

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$400M$300M$200M$100M$0Assets 2010: $153,000,253Liabilities 2010: $12,169,183Net Assets 2010: $140,831,0702010Assets 2011: $155,876,941Liabilities 2011: $9,694,149Net Assets 2011: $146,182,7922011Assets 2012: $316,846,724Liabilities 2012: $30,630,711Net Assets 2012: $286,216,0132012Assets 2013: $332,660,841Liabilities 2013: $28,337,642Net Assets 2013: $304,323,1992013Assets 2014: $350,759,424Liabilities 2014: $33,688,706Net Assets 2014: $317,070,7182014Assets 2015: $378,538,838Liabilities 2015: $65,676,970Net Assets 2015: $312,861,8682015

Highlighted filing

2013

Assets$332,660,841
Liabilities$28,337,642
Net Assets$304,323,199

Operations Trend

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

$400M$300M$200M$100M$0Expenses 2010: $125,696,0602010Expenses 2011: $130,948,7882011Expenses 2012: $143,251,2212012Revenue 2013: $278,331,414Expenses 2013: $270,722,838Net Income 2013: $7,608,5762013Revenue 2014: $286,823,369Expenses 2014: $277,093,096Net Income 2014: $9,730,2732014Revenue 2015: $313,497,491Expenses 2015: $310,932,289Net Income 2015: $2,565,2022015

Highlighted filing

2013

Revenue$278,331,414
Expenses$270,722,838
Net Income$7,608,576
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 11, 2014
Return Version
2013v3.0
Gross Receipts
$278,727,003
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.

HOSPITALS AND CLINICS

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$134,852,792$151,681,147▲ $16,828,355
Land, Buildings, and Equipment, Net$115,157,651$113,023,068▼ $2,134,583
Accounts Receivable$40,488,516$42,389,275▲ $1,900,759
Inventories for Sale or Use$4,630,662$4,435,445▼ $195,217
Prepaid Expenses and Deferred Charges$3,412,816$2,593,036▼ $819,780
Savings and Temporary Cash Investments$23,637--
Intangible Assets$20,000$20,000→ $0
Pledges and Grants Receivable$8,494$8,004▼ $490
Cash and Non-Interest-Bearing Accounts$598,193$5,445▼ $592,748
Total Assets$316,846,724$332,660,841▲ $15,814,117
Other Assets Total$17,653,963$18,505,421▲ $851,458
Liabilities
Accounts Payable and Accrued Expenses$20,497,539$18,323,227▼ $2,174,312
Other Liabilities$10,028,768$9,930,839▼ $97,929
Deferred Revenue$89,750$69,750▼ $20,000
Mortgage Notes Payable Secured by Investment Property$14,654$13,826▼ $828
Total Liabilities$30,630,711$28,337,642▼ $2,293,069
Net Assets / Fund Balance
Unrestricted Net Assets$273,838,565$301,881,312▲ $28,042,747
Temporarily Rstr Net Assets$12,006,291$2,061,283▼ $9,945,008
Permanently Rstr Net Assets$371,157$380,604▲ $9,447
Total Net Assets Fund Balance$286,216,013$304,323,199▲ $18,107,186
Total Liabilities and Net Assets / Fund Balance$316,846,724$332,660,841▲ $15,814,117

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$62,080,093$55,191,970$117,272,063
Equipment$18,813,225$46,178,319$64,991,544
Other Land Buildings$27,013,244-$27,013,244
Land$5,116,506-$5,116,506
Other Assets Org$755,090--
Other Securities$151,681,147--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$371,157-▲ $9,447-$380,604
2012$301,543$69,614--$371,157
2011$301,543---$301,543
2010$301,543---$301,543
2009$230,192-▲ $71,351-$301,543
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eckstrom Md Michael TChair of Surgery/physicianFT$1,148,364$44,956$1,193,320
Skorin Do LeonidPhysicianFT$866,102$37,227$903,329
Schulz Md John MDirector (6/27-12/31)FT$775,740$47,717$823,457
Boyce Md Cory aPhysicianFT$703,766$35,330$739,096
Ciota Md Mark RCEO/chair/directorFT$682,444$45,841$728,285
Engman Md Steven JPhysicianFT$610,075$45,654$655,729
Lotts Md Jeffrey PPhysicianFT$578,133$47,087$625,220
Schulz Md Jodi LPhysicianFT$497,200$46,341$543,541
Barnes Md Darryl EMedical Staff President/physicianFT$404,343$42,695$447,038
Coppes Md John BMedical Director/physicianFT$385,027$38,243$423,270
Grzybowski Md John aChair of Primary Care/physicianFT$361,842$42,857$404,699
Ulrich Md Michael DFormer Key EmployeeFT$337,743$45,889$383,632
Collier Dpm Robert LMedical Staff VP/physicianFT$290,358$42,107$332,465
Young Do Nathan PMedical Specialties Chair/physicianFT$305,000$21,446$326,446
Heinz Md DieterV Chair (1/1-1/31)/Director (1/1-6/20)FT$281,712$30,866$312,578
Buckmaster Dpm Roy WFormer Key EmployeeFT$265,917$36,783$302,700
Lombardi Md Joseph MFormer Key EmployeeFT$273,966$28,273$302,239
Stoltenberg Md Heidi GFormer Key EmployeeFT$236,815$38,873$275,688
Shelhamer Md Leonard EFormer Vice ChairFT$209,125$31,413$240,538
Larson VirginiaOperations AdministratorFT$166,141$35,494$201,635
Nordeng Rodney LOperations AdministratorFT$159,707$41,184$200,891
Cunningham Md Peter LDirectorFT$162,918$31,465$194,383
Dankert Sheri SSite CFOFT$149,072$41,812$190,884
Kritzer Tammy LOperations AdministratorFT$144,960$40,857$185,817
Ehn Jerome TOperations AdministratorFT$153,064$28,266$181,330
Pilot David LRegion CFO (1/1-4/26)FT$83,823$13,356$97,179

Board Members and Trustees

NameTitle
Miller Md Robert CV Chair(1/31-12/31)/treas(1/1-1/31)
Funk Michael SDirector
Gabrielson Sharon RDirector
Monson Rev Glenn LDirector
Potach BrendaDirector
Ytterberg Md Karen LDirector
Savelkoul DonaldDirector (1/1-6/27)
Parks Douglas aRegion CAO/director
Cruz-lares Linda aSecretary (1/31-12/31)/director
Crandall DavidTreasurer (1/31-12/31)/director
Koch Mark BAssistant Secretary
Waldhoff Stephen CCAO
Agerter Md David CRegion CEO
Tarasovitch James JRegion CFO (4/26-12/31)

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo ClinicPatient/lab/admin Services-$4,716,048
Medical Doctor AssociatesProfessional Fees-$1,108,897
Executive Health Resources INCConsulting-$404,699
Emergency Practice AssociatesProfessional Services-$382,638
Sodexo INC And AffiliatesManagement Fees-$304,226
Revenue and Support

Revenue Composition

Contributions and Grants
$3,261,039
Program Service Revenue
$267,168,874
Investment Income
$6,558,116
Other Revenue
$1,343,385
All Other Contributions
$25,374
Change in Net Assets
$7,608,576
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$174,853,738
Other Expenses$95,608,039
Grants and Similar Amounts Paid$261,061
Total Fundraising Expense$202,305
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$120,297,890$8,265,441$83,404$128,646,735
Fees for Services Other$19,018,808$5,754,212$903$24,773,923
Other Employee Benefits$20,076,956$1,457,758$13,887$21,548,601
Depreciation Depletion$4,207,223$5,173,469-$9,380,692
Office Expenses$7,723,489$899,584$8,983$8,632,056
Payroll Taxes$7,881,051$624,093$9,461$8,514,605
Pension Plan Contributions$7,325,191$512,757$5,154$7,843,102
Current Officers, Directors, Trustees, and Key Employees$4,457,656$1,786,021-$6,243,677
Occupancy$3,978,488$142,230-$4,120,718
Information Technology$1,421,916$1,467,405-$2,889,321
Comp Disqual Persons$1,843,030$171,637$42,351$2,057,018
Insurance-$1,608,161-$1,608,161
Travel$921,578$299,515$1,970$1,223,063
All Other Expenses$679,333$292,352$462$972,147
Other Expenses$921,952--$921,952
Conferences and Meetings$708,449$65,738-$774,187
Advertising$11,332$484,816$35,730$531,878
Grants to Domestic Orgs$248,811--$248,811
Fees for Services Accounting-$124,176-$124,176
Interest$733$52,170-$52,903
Grants to Domestic Individuals$12,250--$12,250
Fees for Service Investment Mgmnt Fees-$6,573-$6,573
Fees for Services Lobbying$1,620--$1,620
Total Functional Expenses$241,332,425$29,188,108$202,305$270,722,838
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
41-1989509-501(c)(3)Support Exempt Purpose$40,000
41-0956396-501(c)(3)Support Exempt Purpose$23,500
41-1000679-501(c)(3)Support Exempt Purpose$22,500
41-6001171-State of MnSupport Physical Activity$19,400
41-0694716-501(c)(3)Support Exempt Purpose$10,000
41-0831896-501(c)(3)Support Exempt Purpose$8,000
41-0872543-501(c)(3)Support Exempt Purpose$7,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$6,306
Gaming Gross Income$3,490
Gaming Direct Expenses$627
Fundraising Direct Expenses$252
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
Beverly a Lombardi MdSpouse of Joseph M. Lombardi M.d., Key EmployeeEmploymentNo$83,445
Phillip HansonSpouse of Heidi G. Stoltenberg M.d., Key EmployeeEmploymentNo$77,131
Julie C SavelkoulSpouse of Donald Savelkoul, Board MemberEmploymentNo$60,372
-Board Member of Tenex Health Is a Key Employee of the Filing OrgProduct SalesNo$35,139
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Liability$8,663,775
Asset Retirement Obligation$1,087,400
Due to Affiliates$177,664
Other Liability$2,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
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: tarasovitch, james j. Resulting in a business relationship with the following individual who is associated with the related organization as an officer, director, or trustee: koch, mark b. Mark r. Ciota, m.d. And michael s. Funk have a business relationship.

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 sole corporate member elects trustees to the board.

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

Amendment of articles or bylaws require approval by both the governing body and the sole corporate member. The bylaws provide the sole corporate member certain reserved powers in areas such as capital, budget, and debt decisions.

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

The board of the filing organization does not have any committees with the authority to act on its behalf.

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 operations administrator, and the site administrator. 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 15A

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 in the fall for the next year's compensation. The salary of the ceo, cao, board vice chair, treasurer and several board members were reviewed by the mayo clinic health system compensation and benefits committee pursuant to the process described below for mayo clinic health system physicians and administrative leadership. The mayo clinic health system compensation and benefits committee initially reviews the compensation of physicians and administrative leadership for the mayo clinic 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). The mayo clinic salary and benefits committee then reviews and approves the compensation. For those individuals for which the mayo clinic health system 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 clinic 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. In addition to the above coordinated review process conducted by mayo clinic health system compensation and benefits committee and/or the mayo clinic governance committee, the filing organization also has its own compensation review and approval process for senior leadership and physicians. The process includes review of comparability data for similar sized organizations by an independent committee consisting of public board members only. Salary ranges for the past year and ranges for the next year are reviewed for reasonableness. Contemporaneous meeting minutes of the compensation committee are kept on file.

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 is 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 VI Line 1B

The board of trustees of mayo clinic, the parent entity of the mayo clinic-affiliated entities, is comprised of more than 50% public trustees.

Filing and Contact Details

Filer

EIN
41-1404075
Phone
5075381297

Signing Officer

Name
James J Tarasovitch
Title
CFO
Phone
5073852646
Signed
2014-11-11

Organization Details

Principal Officer
Mark R Ciota Md
Formed
1981
Legal Domicile
Mn
Voting Board Members
12
Independent Board Members
5
Employees
2,423
Volunteers
309
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Pledge write-off 133,991.

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 a stable funding source for education and patient support.

PART X, LINE 2:

At december 31, 2013 and 2012, 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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