Civic Intelligence

Mchs -- Southeast Minnesota Region

990 • Fiscal year 2015 • EIN 41-1404075

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 11, 2016

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

28th percentile

0.17x

Higher debt load relative to assets than 28% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Liabilities / Revenue

20th percentile

0.21x

Higher debt load relative to revenue than 20% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Net Margin

25th percentile

0.8%

Higher net margin than 25% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Top Officer Pay

64th percentile

$1,141,478

Higher top officer pay than 64% of similar nonprofits.

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

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Asset Growth

77th percentile

7.9%

Faster asset growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Revenue Growth

69th percentile

9.3%

Faster revenue growth than 69% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Assets

Up

$378,538,838

Up $27,779,414 (+7.9%) from 2014

Net Assets

Down

$312,861,868

Down $4,208,850 (-1.3%) from 2014

Liabilities

Up

$65,676,970

Up $31,988,264 (+95%) from 2014

Revenue

Up

$313,497,491

Up $26,674,122 (+9.3%) from 2014

Expenses

Up

$310,932,289

Up $33,839,193 (+12%) from 2014

Net Income

Down

$2,565,202

Down $7,165,071 (-74%) from 2014

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

2015

Assets$378,538,838
Liabilities$65,676,970
Net Assets$312,861,868

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

2015

Revenue$313,497,491
Expenses$310,932,289
Net Income$2,565,202
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$313,592,295
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$173,459,885$191,629,071▲ $18,169,186
Land, Buildings, and Equipment, Net$108,973,015$107,356,874▼ $1,616,141
Accounts Receivable$44,245,858$40,643,376▼ $3,602,482
Inventories for Sale or Use$4,723,896$3,084,371▼ $1,639,525
Prepaid Expenses and Deferred Charges$1,180,307$0▼ $1,180,307
Pledges and Grants Receivable$160$149,345▲ $149,185
Investments Program Related-$55,927-
Cash and Non-Interest-Bearing Accounts$8,787$10,768▲ $1,981
Total Assets$350,759,424$378,538,838▲ $27,779,414
Other Assets Total$18,167,516$35,609,106▲ $17,441,590
Liabilities
Other Liabilities$10,789,694$53,925,869▲ $43,136,175
Accounts Payable and Accrued Expenses$22,040,656$11,636,578▼ $10,404,078
Deferred Revenue$845,397$114,523▼ $730,874
Mortgage Notes Payable Secured by Investment Property$12,959$0▼ $12,959
Total Liabilities$33,688,706$65,676,970▲ $31,988,264
Net Assets / Fund Balance
Unrestricted Net Assets$314,498,645$306,341,630▼ $8,157,015
Temporarily Rstr Net Assets$2,185,256$6,218,695▲ $4,033,439
Permanently Rstr Net Assets$386,817$301,543▼ $85,274
Total Net Assets Fund Balance$317,070,718$312,861,868▼ $4,208,850
Total Liabilities and Net Assets / Fund Balance$350,759,424$378,538,838▲ $27,779,414

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$77,642,527$61,134,729$138,777,256
Equipment$20,781,162$61,087,323$81,867,972
Land$6,991,776-$6,991,776
Other Land Buildings$1,941,409-$1,941,409
Other Assets Org$4,643,844--
Other Securities$191,629,071--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$386,817$432,639▼ $2,736$302,592$514,128
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eckstrom Md Michael TPhysicianFT$1,068,149$73,329$1,141,478
Skorin Do LeonidPhysicianFT$779,724$198,528$978,252
Weaver Md Chad HPhysicianFT$621,604$234,719$856,323
Ciota Md Mark RDirector/chairFT$751,523$75,229$826,752
Nguyen Md Emily CPhysicianFT$650,410$100,053$750,463
Engman Md Steven JPhysicianFT$617,181$57,418$674,599
Schulz Md John MDirectorFT$515,274$124,057$639,331
Smith Md a DonFormer Key EmployeeFT$488,798$84,704$573,502
Schulz Md Jodi LFormer Key EmployeeFT$454,221$68,294$522,515
Goins Md Jennifer LFormer Key EmployeeFT$419,647$60,116$479,763
Ulrich Md Michael DFormer Key EmployeeFT$351,755$92,608$444,363
Grzybowski Md John aFormer Key EmployeeFT$364,784$77,766$442,550
Barnes Md Darryl EFormer Key EmployeeFT$268,765$154,776$423,541
Collier Dpm Robert LFormer Key EmployeeFT$329,765$80,645$410,410
Lombardi Md Joseph MFormer Key EmployeeFT$319,152$74,657$393,809
Kleis Do Keith RDirectorFT$292,268$66,826$359,094
Kattel Md Sharma BFormer Key EmployeeFT$295,213$60,737$355,950
Angstman Md Gregory LFormer Key EmployeeFT$214,975$86,937$301,912
Stoltenberg Md Heidi GFormer Key EmployeeFT$234,690$59,023$293,713
Larson VirginiaOperations AdministratorFT$171,752$53,217$224,969
Nordeng Rodney LFormer Key EmployeeFT$161,657$58,706$220,363
Slegh Keri aHuman Resources Division ChairFT$139,207$47,302$186,509

Board Members and Trustees

NameTitle
Miller Md Robert CDirector/vice Chair
Funk Michael SDirector
Gabrielson Sharon RDirector
Monson Rev Glenn LDirector
Plate Md Reinold HDirector
Potach BrendaDirector
Ytterberg Md Karen LDirector
Parks Douglas aDirector/region CAO
Cruz-lares Linda aDirector/secretary
Crandall DavidDirector/treasurer
Koch Mark BAssistant Secretary
Young Do Nathan PFormer Key Employee
Waldhoff Stephen CFormer Officer
Agerter Md David CRegion CEO
Tarasovitch James JRegion CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Mayo Fnd For Medical Education And ReseaPurchasing Agent200 FIRST STREET SW, Rochester, MN 55905$9,375,418
Mayo ClinicPatient/lab/admin Services200 FIRST STREET SW, Rochester, MN 55905$4,229,496
Amphion Medical SolutionsTranscription Services8301 EXCELSIOR DRIVE, Madison, WI 53717$1,575,318
Weatherby Locums INCProfessional ServicesPO BOX 972633, Dallas, TX 75397$777,872
Mayo Clinic Health System-mankatoPurchased Services1025 MARSH STREET, Mankato, MN 56002$750,194
Revenue and Support

Revenue Composition

Contributions and Grants
$2,914,924
Program Service Revenue
$303,110,230
Investment Income
$6,041,778
Other Revenue
$1,430,559
All Other Contributions
$53,198
Change in Net Assets
$2,565,202
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$190,587,398
Other Expenses$119,995,744
Grants and Similar Amounts Paid$349,147
Total Fundraising Expense$91,997
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$114,625,778$17,963,260$48,757$132,637,795
Fees for Services Other$38,148,855$12,574,484$10,159$50,733,498
Other Employee Benefits$20,262,996$3,175,459$8,619$23,447,074
Pension Plan Contributions$14,077,562$2,206,126$5,988$16,289,676
Office Expenses$11,469,959$2,163,951$4,876$13,638,786
Depreciation Depletion$8,448,446$1,448,854-$9,897,300
Payroll Taxes$7,943,006$1,244,766$3,379$9,191,151
Comp Disqual Persons$4,699,256$2,085,791-$6,785,047
Occupancy$5,044,053$1,026,957-$6,071,010
Current Officers, Directors, Trustees, and Key Employees$1,449,863$786,792-$2,236,655
Travel$1,479,640$683,931$834$2,164,405
Information Technology$478,733$1,306,339-$1,785,072
Insurance$1,258$1,069,506-$1,070,764
Other Expenses$979,431--$979,431
All Other Expenses$656,135$244,922$300$901,357
Advertising$24,631$473,165$9,052$506,848
Grants to Domestic Orgs$315,072--$315,072
Conferences and Meetings$129,257$13,308$33$142,598
Fees for Services Legal$40$127,761-$127,801
Grants to Domestic Individuals$34,075--$34,075
Fees for Services Lobbying$3,013--$3,013
Fees for Services Accounting$51$1,007-$1,058
Royalties$333--$333
Total Functional Expenses$262,243,913$48,596,379$91,997$310,932,289
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Austin Aspires IncAustin, MN501(c)(3)Support Charitable Programs$66,668
Mayo Clinic Health System--austin FoundationAustin, MN501(c)(3)Support Charitable Programs$57,408
Austin Community Charitable FundAustin, MN501(c)(3)Support Charitable Programs$25,000
United Way of Freeborn CountyAlbert Lea, MN501(c)(3)Support Charitable Programs$21,000
United Way of Mower CoAustin, MN501(c)(3)Support Charitable Programs$20,000
Family Y of Albert Lea Minnesota IncAlbert Lea, MN501(c)(3)Support Charitable Programs$16,500
Austin Area Commission for the ArtsAustin, MN501(c)(3)Support Charitable Programs$15,000
St Johns Lutheran CommunityAlbert Lea, MN501(c)(3)Support Charitable Programs$10,000
The Hormel FoundationAustin, MN501(c)(3)Support Charitable Programs$10,000
Albert Lea Art CenterAlbert Lea, MN501(c)(3)Support Charitable Programs$6,300

International Summary

Offices
0
Employees
17
Spending
$24,604

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
Central America and the CaribbeanTravel - International Conference-05$9,210
North AmericaTravel - International Conference-07$7,643
Europe (including Iceland and Greenland)Travel - International Conference-02$4,923
South AmericaTravel - International Conference-03$2,828
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$7,843
Gaming Gross Income$2,285
Gaming Direct Expenses$1,508
Fundraising Direct Expenses$828
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 MdFamily Member of Former Key Employee, Joseph M. Lombardi M.d.EmploymentNo$92,170
Phillip R HansonFamily Member of Former Key Employee, Heidi G. Stoltenberg M.d.EmploymentNo$83,931
Steven SchulzFamily Member of Former Key Employee, Jodi L Schulz, M.d.,EmploymentNo$80,468
Mary J SmithFamily Member of Former Key Employee, A. Don Smith, M.d.EmploymentNo$65,964
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$44,217,096
Deferred Compensation Liability$9,708,773
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: plate m.d., reinold h. Resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: tarasovitch, james j., parks, douglas a., koch, mark b., agerter m.d., david c. The following individual(s) is/are employed by a related organization: tarasovitch, james j. Resulting in a business relationship with the following individual(s) who is/are associated with the related organization as an officer, director, or trustee: koch, mark b. 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. Mark ciota 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 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
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
2016-11-11

Organization Details

Principal Officer
David C Agerter Md
Formed
1981
Legal Domicile
Mn
Voting Board Members
10
Independent Board Members
3
Employees
4,427
Volunteers
255
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

I/c purchased services: program service expenses 28,474,234. Management and general expenses 10,727,283. Fundraising expenses 10,159. Total expenses 39,211,676. Other purchased services: program service expenses 9,674,621. Management and general expenses 1,847,201. Fundraising expenses 0. Total expenses 11,521,822.

FORM 990, PART XI, LINE 9:

Change in net assets of foundation -2,653,097. Losses on uncollectible pledges -330.

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, 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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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 MORE THAN 60 COMMUNITIES, MAYO CLINIC HEALTH SYSTEM INCLUDES 19 OWNED HOSPITALS, TWO 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-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 2015, MCHS-AL/AU HAD 316,349 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 2015, HOSPITAL INPATIENT DAYS TOTALED 15,350 WITH 1,668 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. SERVICES ARE ALSO PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. THE COST OF CHARITY CARE PROVIDED DURING 2015 WAS APPROXIMATELY $5,196,200. THE COST OF UNCOMPENSATED MEDICAID FOR 2015 WAS APPROXIMATELY $18,706,300. THIS AMOUNT INCLUDES THE MEDICAID SURCHARGE OF $979,431 AND $3,472,586 PAID TO MINNESOTA CARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS). THE UNREIMBURSED COST OF MEDICARE WAS APPROXIMATELY $24,036,000.MCHS-AL/AU ALSO LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF
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