Civic Intelligence

Mchs -- Southeast Minnesota Region

990 • Fiscal year 2014 • EIN 41-1404075

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 04, 2015

1000 First Drive NWAustin, MN 55912

(507) 538-1297

Siviq Scores

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

Liabilities / Assets

19th percentile

0.10x

Higher debt load relative to assets than 19% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

10th percentile

0.12x

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

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

36th percentile

3.4%

Higher net margin than 36% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

63rd percentile

$1,093,442

Higher top officer pay than 63% of similar nonprofits.

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

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

43rd percentile

5.4%

Faster asset growth than 43% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

40th percentile

3.1%

Faster revenue growth than 40% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Assets

Up

$350,759,424

Up $18,098,583 (+5.4%) from 2013

Net Assets

Up

$317,070,718

Up $12,747,519 (+4.2%) from 2013

Liabilities

Up

$33,688,706

Up $5,351,064 (+19%) from 2013

Revenue

Up

$286,823,369

Up $8,491,955 (+3.1%) from 2013

Expenses

Up

$277,093,096

Up $6,370,258 (+2.4%) from 2013

Net Income

Up

$9,730,273

Up $2,121,697 (+28%) from 2013

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

2014

Assets$350,759,424
Liabilities$33,688,706
Net Assets$317,070,718

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

2014

Revenue$286,823,369
Expenses$277,093,096
Net Income$9,730,273
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 4, 2015
Return Version
2014v5.0
Gross Receipts
$287,172,851
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$151,681,147$173,459,885▲ $21,778,738
Land, Buildings, and Equipment, Net$113,023,068$108,973,015▼ $4,050,053
Accounts Receivable$42,389,275$44,245,858▲ $1,856,583
Inventories for Sale or Use$4,435,445$4,723,896▲ $288,451
Prepaid Expenses and Deferred Charges$2,593,036$1,180,307▼ $1,412,729
Intangible Assets$20,000$0▼ $20,000
Cash and Non-Interest-Bearing Accounts$5,445$8,787▲ $3,342
Pledges and Grants Receivable$8,004$160▼ $7,844
Total Assets$332,660,841$350,759,424▲ $18,098,583
Other Assets Total$18,505,421$18,167,516▼ $337,905
Liabilities
Accounts Payable and Accrued Expenses$18,323,227$22,040,656▲ $3,717,429
Other Liabilities$9,930,839$10,789,694▲ $858,855
Deferred Revenue$69,750$845,397▲ $775,647
Mortgage Notes Payable Secured by Investment Property$13,826$12,959▼ $867
Total Liabilities$28,337,642$33,688,706▲ $5,351,064
Net Assets / Fund Balance
Unrestricted Net Assets$301,881,312$314,498,645▲ $12,617,333
Temporarily Rstr Net Assets$2,061,283$2,185,256▲ $123,973
Permanently Rstr Net Assets$380,604$386,817▲ $6,213
Total Net Assets Fund Balance$304,323,199$317,070,718▲ $12,747,519
Total Liabilities and Net Assets / Fund Balance$332,660,841$350,759,424▲ $18,098,583

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$82,741,597$60,419,900$143,161,497
Equipment$18,587,261$47,432,239$66,019,500
Land$5,906,413-$5,906,413
Other Land Buildings$1,737,744-$1,737,744
Other Assets Org$7,296,942--
Other Securities$173,459,885--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$380,604-▲ $6,213-$386,817
2013$371,157-▲ $9,447-$380,604
2012$301,543$69,614--$371,157
2011$301,543---$301,543
2010$301,543---$301,543
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eckstrom Md Michael TChair of Surgery/physicianFT$1,048,270$45,172$1,093,442
Skorin Do LeonidPhysicianFT$917,918$37,148$955,066
Ciota Md Mark RCEO/chair/directorFT$758,637$45,304$803,941
Beckenbaugh Do Jeffrey PPhysicianFT$711,050$47,944$758,994
Engman Md Steven JPhysicianFT$655,378$47,174$702,552
Weaver Md Chad HPhysicianFT$678,307$20,314$698,621
Boyce Md Cory aPhysicianFT$645,654$35,876$681,530
Schulz Md Jodi LPhysicianFT$543,743$43,831$587,574
Schulz Md John MDirectorFT$538,679$47,215$585,894
Coppes Md John BMedical Director/physicianFT$468,248$38,134$506,382
Goins Md Jennifer LPhysicianFT$415,843$55,484$471,327
Barnes Md Darryl EMedical Staff President/physicianFT$404,072$44,220$448,292
Ulrich Md Michael DPhysicianFT$381,404$48,995$430,399
Kleis Do Keith RPhysicianFT$366,953$45,738$412,691
Grzybowski Md John aChair of Primary Care/physicianFT$367,617$42,993$410,610
Smith Md a DonPhysicianFT$358,380$43,924$402,304
Kattel Md Sharma BPhysicianFT$348,972$32,913$381,885
Collier Dpm Robert LMedical Staff VP/physicianFT$331,679$46,259$377,938
Stoltenberg Md Heidi GPhysicianFT$296,650$38,373$335,023
Angstman Md Gregory LPhysicianFT$292,588$37,854$330,442
Lombardi Md Joseph MPhysicianFT$286,676$28,215$314,891
Young Do Nathan PChair of Med Specialties/physicianFT$239,582$25,857$265,439
Larson VirginiaOperations AdministratorFT$171,004$35,971$206,975
Nordeng Rodney LOperations AdministratorFT$163,881$38,072$201,953
Dankert Sheri SSite CFOFT$161,352$37,872$199,224
Kritzer Tammy LFormer Key EmployeeFT$149,996$35,980$185,976
Cunningham Md Peter LDirectorFT$96,716$27,428$124,144

Board Members and Trustees

NameTitle
Miller Md Robert CVice Chair/director
Funk Michael SDirector
Gabrielson Sharon RDirector
Monson Rev Glenn LDirector
Potach BrendaDirector
Ytterberg Md Karen LDirector
Parks Douglas aRegion CAO/director
Cruz-lares Linda aSecretary/director
Crandall DavidTreasurer/director
Koch Mark BAssistant Secretary
Waldhoff Stephen CCAO
Agerter Md David CRegion CEO
Tarasovitch James JRegion CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo ClinicPatient/lab/admin Services200 FIRST STREET SW, Rochester, MN 55905$2,847,013
Amphion Medical SolutionsTranscription Services8301 EXCELSIOR DRIVE, Madison, WI 53717$2,340,036
Weatherby Locums INCProfessional ServicesPO BOX 972633, Dallas, TX 75397$896,453
Medical Doctor AssociatesProfessional ServicesPO BOX 277185, Atlanta, GA 30384$735,050
Mason City Clinic PCProfessional Services250 SOUTH CRESENT DR, Mason City, IA 50401$693,211
Revenue and Support

Revenue Composition

Contributions and Grants
$3,974,230
Program Service Revenue
$275,612,472
Investment Income
$5,888,073
Other Revenue
$1,348,594
All Other Contributions
$29,184
Change in Net Assets
$9,730,273
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$181,428,102
Other Expenses$95,413,359
Grants and Similar Amounts Paid$251,635
Total Fundraising Expense$116,218
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$116,387,685$16,331,934$75,196$132,794,815
Fees for Services Other$15,606,238$9,026,520$1,560$24,634,318
Other Employee Benefits$21,474,619$969,852$12,241$22,456,712
Depreciation Depletion$10,167,867$689,453-$10,857,320
Office Expenses$7,433,492$2,396,098$6,340$9,835,930
Current Officers, Directors, Trustees, and Key Employees$7,800,249$1,090,517-$8,890,766
Payroll Taxes$7,689,330$1,074,815$4,663$8,768,808
Pension Plan Contributions$6,980,638$864,171$4,395$7,849,204
Occupancy$4,362,986$285,026-$4,648,012
Information Technology$1,985,598$502,527-$2,488,125
Insurance$1,514,681--$1,514,681
Travel$841,409$428,272$3,652$1,273,333
Other Expenses$995,472--$995,472
All Other Expenses$797,314$186,847$186$984,347
Conferences and Meetings$709,328$39,629-$748,957
Comp Disqual Persons$400,047$267,750-$667,797
Advertising$23,810$544,041$7,985$575,836
Grants to Domestic Orgs$231,140--$231,140
Fees for Services Accounting$438$187,139-$187,577
Interest$102,996--$102,996
Grants to Domestic Individuals$20,495--$20,495
Fees for Service Investment Mgmnt Fees-$2,481-$2,481
Fees for Services Lobbying$1,653--$1,653
Total Functional Expenses$242,089,806$34,887,072$116,218$277,093,096
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Austin Community Charitable Fund (vision 2020)Austin, MN501(c)(3)Support Exempt Purpose$26,000
United Way of Freeborn County IncAlbert Lea, MN501(c)(3)Support Exempt Purpose$23,500
United Way of Mower CoAustin, MN501(c)(3)Support Exempt Purpose$21,041
Family Y of Albert Lea Minnesota IncAlbert Lea, MN501(c)(3)Support Exempt Purpose$13,587
Austin Area Commission for the ArtsAustin, MN501(c)(3)Support Exempt Purpose$12,500
Development Corporation of AustinAustin, MN501(c)(6)Support Exempt Purpose$11,111
Hormel FoundationAustin, MN501(c)(3)Support Exempt Purpose$10,000
American Cancer Society Inc (relay for Life)Atlanta, GA501(c)(3)Support Exempt Purpose$8,500
Albert Lea - Freeborn County Chamber FoundationAlbert Lea, MN501(c)(3)Support Exempt Purpose$6,550
Albert Lea Art CenterAlbert Lea, MN501(c)(3)Support Exempt Purpose$5,500
City of Albert LeaAlbert Lea, MNCity of Albert LeaSupport Exempt Purpose$5,247
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$19,322
Fundraising Gross Income$7,874
Gaming Gross Income$4,229
Gaming Direct Expenses$800
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Bikes for Barker$5,746$1,850$1,999$-149
Total Events$17,800$7,874$19,322$-11,448
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
Steven SchulzSpouse of Key Employee, Jodi L Schulz, M.d.,EmploymentNo$158,666
Beverly a Lombardi MdSpouse of Key Employee, Joseph M. Lombardi M.d.EmploymentNo$91,579
Phillip R HansonSpouse of Key Employee, Heidi G. Stoltenberg M.d.EmploymentNo$81,773
Mary J SmithSpouse of Key Employee, A. Don Smith, M.d.EmploymentNo$70,898
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Liability$9,441,898
Asset Retirement Obligation$1,281,866
Due to Affiliates$64,930
Other Liability$1,000
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
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: 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.

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 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 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. 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 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 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.

Filing and Contact Details

Filer

Filer Name
Mayo Clinic Health System-albert Lea and Austin
EIN
41-1404075
Phone
5075381297
Address
1000 FIRST DRIVE NW, AUSTIN, MN 55912

Signing Officer

Name
James J Tarasovitch
Title
Region CFO
Phone
5073852646
Signed
2015-11-04

Organization Details

Principal Officer
David C Agerter Md
Formed
1981
Legal Domicile
Mn
Voting Board Members
12
Independent Board Members
5
Employees
2,393
Volunteers
227
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Losses on uncollectible pledges -8,754. Change in net assets of foundation -526,100.

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 research and education programs.

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)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 EFFORTSMAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN (MCHS-AL/AU) IS A MINNESOTA NON-PROFIT CORPORATION, TAX EXEMPT AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TO JUSTIFY THIS TAX EXEMPT STATUS, MCHS-AL/AU PROVIDES SCHOLARSHIPS, CHARITY CARE, INTERPRETING AND EDUCATIONAL SERVICES, AND VARIOUS OTHER COMMUNITY BENEFITS. MCHS-AL/AU PROVIDES PRIMARY CARE NEEDS, INCLUDING FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, PEDIATRICS AND GENERAL SURGERY. IN ADDITION, MCHS-AL/AU ALSO PROVIDES SPECIALTY CARE IN CARDIOLOGY, DERMATOLOGY, NEUROLOGY, ONCOLOGY, OPHTHALMOLOGY, OPTOMETRY, OCCUPATIONAL HEALTH, PHYSICAL MEDICINE & REHAB, PSYCHIATRY, RHEUMATOLOGY, AUDIOLOGY, ALLERGY, ORTHOPEDICS, ENT, PSYCHOLOGY, PODIATRY, PHYSICAL THERAPY, WOUND CARE, UROLOGY, AND PLASTIC SURGERY. IN 2014, MCHS-AL/AU HAD 313,010 CLINIC VISITS. MCHS-AL/AU OPERATES REGIONAL CLINICS IN ADAMS, ALDEN, BLOOMING PRAIRIE, KIESTER, LEROY, NEW RICHLAND, AND WELLS, MINNESOTA AND LAKE MILLS, IOWA.DURING 2014, HOSPITAL INPATIENT DAYS TOTALED 16,374 WITH 1,633 ADDITIONAL DAYS FOR NEWBORN CARE. AS PART OF THE MAYO CLINIC HEALTH SYSTEM, MCHS-AL/AU ACCESSES EMERGENCY MEDICAL HELICOPTER SERVICE THROUGHOUT SOUTHERN MINNESOTA AND NORTHERN IOWA AND RECEIVES AMBULANCE SERVICES FROM GOLD CROSS. THE HELICOPTER PROVIDES RAPID PATIENT TRANSPORT TO THE APPROPRIATE HEALTH CARE FACILITY ALONG WITH DELIVERING HIGH-LEVEL CRITICAL CARE.FOUNTAIN CENTERS IS A MCHS-AL/AU PROGRAM FOR SUBSTANCE ABUSE AND ADDICTION; ITS MAIN CAMPUS IN ALBERT LEA OFFERS RESIDENTIAL AND OUTPATIENT TREATMENT, SUPPORT AND AFTERCARE PROGRAMS. CURRENTLY, FOUNTAIN CENTERS ALSO OFFERS OUTPATIENT PROGRAMS IN AUSTIN, FAIRMONT, FARIBAULT, MANKATO, OWATONNA, ROCHESTER AND WASECA AND REACHES FAR OUTSIDE OF MCHS-AL/AU SERVICE AREA TO MEET CHEMICAL DEPENDENCY TREATMENT NEEDS IN SOUTHERN MINNESOTA.MCHS-AL/AU OPERATES ON A NONDISCRIMINATORY BASIS REGARDLESS OF RACE, COLOR, SEX, RELIGION OR NATIONAL ORIGIN.MCHS-AL/AU PROVIDES A VARIETY OF FINANCIAL ASSISTANCE OPTIONS TO PATIENTS WHO MEET ESTABLISHED CRITERIA. ITS ALMCARE PROGRAM ALLOWS PATIENTS WHO MEET FINANCIAL GUIDELINES TO ENROLL ANNUALLY TO RECEIVE CARE DISCOUNTS FROM 10% TO 100%, WITH A $10 CO-PAY FOR PRESCRIPTIONS. SERVICES ARE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. THE COST OF CHARITY CARE PROVIDED DURING 2014 WAS APPROXIMATELY $4,829,000. THE COST OF UNCOMPENSATED MEDICAID FOR 2014 WAS APPROXIMATELY $7,535,000. THIS AMOUNT INCLUDES THE MEDICAID SURCHARGE OF $995,472 AND $3,568,122 PAID TO MINNESOTA CARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS). THE UNREIMBURSED COST OF MED
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