TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) FARRUGIA MD GIANRICO...................................................................... DIR/CEO/PRESIDENT/FORMER OFFICER	40.00 ................. 0.00	X	X	X			2,685,375	0	89,785
(2) GOSTOUT MD BOBBIE S...................................................................... DIRECTOR/VICE CHAIR/VP OPERATIONS	40.00 ................. 0.00	X	X	X			1,755,460	0	101,504
(3) BOLTON JEFFREY W...................................................................... DIRECTOR/CAO	40.00 ................. 0.00	X	X	X			1,644,114	0	90,268
(4) HOFFMAN III HARRY N...................................................................... TREASURER	40.00 ................. 0.00		X				1,550,323	0	79,952
(5) HARPER JR MD CHARLES M...................................................................... DIRECTOR/VICE CHAIR/PHYSICIAN	40.00 ................. 0.00	X	X	X			1,463,746	0	36,088
(6) THIELEN MD KENT R...................................................................... DIRECTOR/CEO/CHAIR/VP OPERATIONS	40.00 ................. 0.00	X	X	X			1,327,476	0	88,761
(7) QUINONES-HINOJOSA MD ALFREDO...................................................................... DIRECTOR	40.00 ................. 0.00	X					1,319,191	0	87,477
(8) MEYER MD FREDRIC B...................................................................... DIRECTOR/PHYSICIAN	40.00 ................. 0.00	X		X			1,308,005	0	46,558
(9) WIECHMANN MD ROBERT J...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,262,493	0	86,251
(10) GORMAN PAUL A...................................................................... CHIEF INVESTMENT OFFICER	40.00 ................. 0.00				X		1,257,031	0	90,450
(11) ZIMMERMAN MD RICHARD S...................................................................... DIRECTOR	40.00 ................. 0.00	X					1,254,184	0	69,918
(12) BENDOK MD BERNARD R...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,243,484	0	79,792
(13) DAHLEN DENNIS E...................................................................... DIRECTOR/VP/TREASURER	40.00 ................. 0.00	X	X				1,229,810	0	88,659
(14) PICHELMANN MD MARK A...................................................................... PHYSICIAN	40.00 ................. 1.00				X		787,501	439,735	72,479
(15) WHAREN MD ROBERT E...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,243,856	0	37,546
(16) ECKSTROM MD MICHAEL T...................................................................... FORMER KEY EMPLOYEE	40.00 ................. 0.00					X	1,105,016	0	81,989
(17) OTLEY MD CLARK C...................................................................... DIRECTOR/PRESIDENT	1.00 ................. 40.00	X	X				0	1,088,159	86,570

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) GORES MD GREGORY J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	1,134,741	38,037
(19) MURPHY JOSHUA B........................................................................ SECRETARY/ASST SECY	40.00 .......................0.00		X			1,075,237	0	84,069
(20) GRAY MD RICHARD J........................................................................ DIRECTOR/CEO/CHAIR/VP OPERATIONS	40.00 .......................0.00	X	X	X		951,672	0	74,057
(21) WILLIAMSON MARY J........................................................................ DIR/SEC/ASST SEC/CAO MCHS/FORMER KEY	1.00 .......................40.00	X	X	X		0	920,644	87,097
(22) CIOTA MD MARK R........................................................................ DIRECTOR	40.00 .......................0.00	X				891,756	0	86,377
(23) SHARMA MBBS MANISH S........................................................................ DIRECTOR	40.00 .......................0.00	X				892,467	0	74,682
(24) STEVENS MD MARK K........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	853,024	0	82,026
(25) MENKOSKY PAULA E........................................................................ DIRECTOR/SECY/ASST TREAS	40.00 .......................0.00	X	X			844,268	0	87,502
(26) RADEMACHER MD DANA E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	849,971	0	80,481
(27) FRASER CATHRYN H........................................................................ CHIEF HUMAN RESOURCES OFFICER	40.00 .......................0.00			X		829,513	0	88,180
(28) NESSE MD ROBERT E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	873,160	0	36,748
(29) FOSKO MD SCOTT W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	828,350	0	74,134
(30) ORTIZ MD JOSE A........................................................................ DIRECTOR	40.00 .......................0.00	X				803,836	0	97,772
(31) STEWART MD MICHAEL W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	812,182	0	88,300
(32) NOLTE DO CHARLES P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	817,978	0	72,052
(33) RIHAL MD CHARANJIT S........................................................................ DIRECTOR	1.00 .......................40.00	X				0	793,467	92,087
(34) DEVAULT MD KENNETH R........................................................................ DIRECTOR	40.00 .......................0.00	X				770,484	0	93,791
(35) CROSS III MD WILLIAM W........................................................................ DIRECTOR	1.00 .......................40.00	X				0	779,367	74,421
(36) LEIGHTON MD JONATHAN A........................................................................ DIRECTOR	40.00 .......................0.00	X				749,112	0	102,087
(37) ROSS CHRISTOPHER J........................................................................ CHIEF INFORMATION OFFICER	40.00 .......................0.00			X		768,517	0	78,080
(38) CHONG MD BRIAN W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	757,564	0	87,896
(39) HARA MD AMY K........................................................................ DIRECTOR	40.00 .......................0.00	X				763,299	0	79,975
(40) WALD MD JOHN T........................................................................ DIRECTOR	1.00 .......................40.00	X				0	753,201	89,087
(41) JOHNSON MD C DANIEL........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	802,850	0	34,486
(42) HELMERS MD RICHARD A........................................................................ DIR/PRES/CHAIR/REGIONAL VP-NWWI	1.00 .......................40.00	X	X			0	760,229	71,567
(43) HEBL MD JAMES R........................................................................ DIR/PRES/CHAIR/REGIONAL VP-SWMN	1.00 .......................40.00	X	X			0	750,750	79,054
(44) ZORN CHRISTINA K........................................................................ DIRECTOR/SECRETARY/ASST TREASURER	40.00 .......................0.00	X	X			752,952	0	72,793
(45) LIMBURG MD PAUL J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	740,027	82,921
(46) STONE MD WILLIAM M........................................................................ DIRECTOR	40.00 .......................0.00	X				787,164	0	31,544
(47) ANDREWS MD PAUL E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			721,723	0	96,159
(48) COOPER MD LESLIE T........................................................................ DIRECTOR	40.00 .......................0.00	X				730,724	0	85,296
(49) MCKINNEY MD J MARK........................................................................ PHYSICIAN	40.00 .......................0.00			X		725,485	0	88,446
(50) PETERSON MD JEFFREY J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	737,650	0	70,321
(51) DOUGLAS MD DAVID D........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	710,703	0	96,823
(52) TERKONDA MD SARVAM P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	714,299	0	85,760
(53) PEARSON MD SUSAN E........................................................................ FORMER OFFICER	40.00 .......................0.00				X	703,407	0	92,028
(54) PATEL MB TUSHAR C........................................................................ DIRECTOR	40.00 .......................0.00	X				710,788	0	81,060
(55) BUSKIRK MD STEVEN J........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			752,740	0	36,879
(56) SADOSTY MD ANNIE T........................................................................ DIRECTOR/CHAIR/REGIONAL VP-SEMN	1.00 .......................40.00	X	X			0	706,277	80,415
(57) HAKAIM MD ALBERT G........................................................................ DIRECTOR	40.00 .......................0.00	X				686,403	0	94,037
(58) NOSEWORTHY MD JOHN H........................................................................ FORMER PRES/CEO/FORMER KEY EMPLOYEE	40.00 .......................0.00				X	776,844	0	2,425
(59) MOSS MD ADYR A........................................................................ PHYSICIAN	40.00 .......................0.00			X		683,745	0	86,956
(60) KEAVENY MD ANDREW P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	679,704	0	78,740
(61) TANER MD BURCIN C........................................................................ DIRECTOR	40.00 .......................0.00	X				678,675	0	75,222
(62) WILLIAMS MD HUGH J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	717,834	0	34,049
(63) MONEY MD SAMUEL R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	669,613	0	80,508
(64) UY MD JONATHAN J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	663,877	0	76,769
(65) ANIL MD GOKHAN........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			667,383	0	70,977
(66) FONSECA MD RAFAEL........................................................................ DIRECTOR	40.00 .......................0.00	X				647,230	0	89,094
(67) MUELLER MD PAUL S........................................................................ DIRECTOR/CHAIR/REGIONAL VP-SWWI	1.00 .......................40.00	X	X			0	646,383	84,509
(68) TING MD HENRY H........................................................................ DIRECTOR	40.00 .......................0.00	X				658,773	0	69,941
(69) WILLIAMS MD AMY W........................................................................ DIRECTOR	1.00 .......................40.00	X				0	653,960	73,626
(70) JOHNSON MD DANIEL J........................................................................ PHYSICIAN	40.00 .......................0.00			X		627,166	0	96,360
(71) MORICE MD WILLIAM G........................................................................ DIRECTOR	1.00 .......................40.00	X				0	636,216	79,992
(72) LEIBOVICH MD BRADLEY C........................................................................ DIRECTOR	1.00 .......................40.00	X				0	632,404	78,431
(73) DOWDY MD SEAN C........................................................................ DIRECTOR	1.00 .......................40.00	X				0	632,613	74,491
(74) CASLER MD JOHN D........................................................................ DIRECTOR	40.00 .......................0.00	X				617,107	0	84,024
(75) BARTLETT MD BRIAN N........................................................................ PHYSICIAN	40.00 .......................0.00			X		613,664	0	70,885
(76) TRENTMAN MD TERRANCE L........................................................................ PHYSICIAN	40.00 .......................0.00			X		593,612	0	88,471
(77) WHITED MD BRIAN L........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	597,586	84,307
(78) THIEL MD DAVID D........................................................................ PHYSICIAN	40.00 .......................0.00			X		597,310	0	71,293
(79) BAKKUM-GAMEZ MD JAMIE N........................................................................ DIRECTOR	1.00 .......................40.00	X				0	600,007	65,790
(80) MUELLER MD JEFF T........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	589,830	0	74,930
(81) CHAPITAL MD ALYSSA B........................................................................ DIRECTOR	40.00 .......................0.00	X				593,747	0	70,491
(82) CIMA MD ROBERT R........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	578,953	77,444
(83) ZIETLOW MD SCOTT P........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	609,948	40,164
(84) BROWN MD MICHAEL J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	554,918	79,010
(85) MCLAUGHLIN MD SARAH A........................................................................ DIRECTOR	40.00 .......................0.00	X				582,210	0	47,399
(86) SCHULZ MD JODI L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	543,173	0	81,855
(87) THOMPSON MD GEOFFREY B........................................................................ DIRECTOR	1.00 .......................40.00	X				0	575,156	36,610
(88) PASCUAL MD JORGE M........................................................................ DIRECTOR	40.00 .......................0.00	X				518,728	0	92,933
(89) NASSAR MD AZIZA........................................................................ PHYSICIAN	40.00 .......................0.00			X		522,272	0	84,683
(90) KHOOR MD ANDRAS........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	530,410	0	73,214
(91) TAZELAAR MD HENRY D........................................................................ PHYSICIAN	40.00 .......................0.00			X		563,480	0	36,615
(92) ABENSTEIN MD JOHN P........................................................................ DIRECTOR	1.00 .......................40.00	X				0	560,419	36,821
(93) DRONCA MD ROXANA S........................................................................ DIRECTOR	40.00 .......................0.00	X				517,559	0	77,598
(94) ROGERS JAMES A........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			513,954	0	77,541
(95) JOHNSON PAMELA O........................................................................ DIRECTOR	40.00 .......................0.00	X				557,074	0	33,972
(96) KRAHN MD LOIS E........................................................................ DIRECTOR/VICE CHAIR/INTERIM CEO	40.00 .......................0.00	X	X			499,154	0	90,745
(97) FRANCIS JAMES R........................................................................ DIRECTOR/ASST TREASURER	40.00 .......................0.00	X	X			485,420	0	94,242
(98) JOHNSON MD MARGARET M........................................................................ DIRECTOR	40.00 .......................0.00	X				496,474	0	79,731
(99) NARR MD BRADLY J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	539,557	36,387
(100) SANTRACH MD PAULA J........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................40.00	X	X			0	516,384	57,185
(101) KIM MD HYUN I........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			486,452	0	86,363
(102) GILLIGAN SHERRI W........................................................................ CHIEF MARKETING OFFICER	40.00 .......................0.00			X		557,961	0	12,348
(103) HELLMICH MD THOMAS R........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X				0	481,817	88,474
(104) DEWITT MD JASON J........................................................................ PHYSICIAN	40.00 .......................0.00			X		501,776	0	66,673
(105) GOINS MD JENNIFER L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	495,679	0	66,713
(106) LIMPER MD ANDREW H........................................................................ DIRECTOR	1.00 .......................40.00	X				0	520,778	39,664
(107) DECKER MD WYATT W........................................................................ FORMER OFFICER/FORMER KEY EMPLOYEE	40.00 .......................0.00				X	494,915	0	54,855
(108) RYAN MICHAEL J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	498,717	0	39,728
(109) GOYAL MD DEEPI G........................................................................ DIRECTOR	1.00 .......................40.00	X				0	478,206	58,704
(110) BUNKERS MD BRIAN E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			443,007	0	87,613
(111) CULLINAN MD SUSAN M........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	430,997	0	94,503
(112) PECK MD ROBERT C........................................................................ DIRECTOR	40.00 .......................0.00	X				440,351	0	84,498
(113) MCNEILL STEVEN L........................................................................ CHIEF PLANNING OFFICER	40.00 .......................0.00			X		484,391	0	39,684
(114) TRAUB MD STEPHEN J........................................................................ DIRECTOR	40.00 .......................0.00	X				445,091	0	78,353
(115) JOHNSON MD TIMOTHY J........................................................................ FORMER OFFICER	40.00 .......................0.00				X	446,506	0	72,471
(116) SILVERS MD SCOTT M........................................................................ PHYSICIAN	40.00 .......................0.00			X		428,969	0	80,553
(117) PRESUTTI DO RICHARD J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	421,156	0	82,836
(118) COSTAKOS MD DENNIS T........................................................................ DIRECTOR	40.00 .......................0.00	X				414,353	0	81,217
(119) AGERTER MD DAVID C........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	458,665	33,609
(120) EZENAGU MD LEONARD C........................................................................ DIRECTOR/SECY	40.00 .......................0.00	X	X			396,801	0	93,949
(121) ULRICH MD MICHAEL D........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	403,052	0	84,861
(122) LANGE MD STEPHEN M........................................................................ FORMER OFFICER	40.00 .......................0.00				X	445,598	0	41,978
(123) SEINOLA SCOTT A........................................................................ DIR/CEO/PRES/CHAIR/DIVISION CHAIR	40.00 .......................0.00	X	X	X		453,287	0	33,764
(124) POWELL III MD RALPH........................................................................ DIRECTOR	40.00 .......................0.00	X				403,398	0	81,028
(125) LITCHY MD WILLIAM J........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	422,409	55,940
(126) CAVINESS MD JOHN N........................................................................ DIRECTOR	40.00 .......................0.00	X				378,643	0	96,943
(127) MORREY MICHAEL A........................................................................ DIRECTOR/REGIONAL CHAIR-ADMIN SWWI	1.00 .......................40.00	X	X			0	398,736	75,017
(128) MESCHIA MD JAMES F........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	373,074	0	82,320
(129) KRIEN MD JOSEPH S........................................................................ PHYSICIAN	40.00 .......................0.00			X		372,728	0	78,652
(130) OTTE KIMBERLY K........................................................................ ASST SECY	40.00 .......................0.00		X			370,691	0	80,340
(131) NELSON MD HEIDI........................................................................ DIRECTOR	1.00 .......................40.00	X				0	428,926	18,994
(132) DEXTER MD DONN D........................................................................ PHYSICIAN	40.00 .......................0.00			X		384,995	0	60,073
(133) SHERRILL TODD E........................................................................ TREASURER/FORMER OFFICER	40.00 .......................0.00		X			359,805	0	79,340
(134) MATTHIAS MARK A........................................................................ DIRECTOR/ASST TREASURER	40.00 .......................0.00	X	X			358,738	0	80,133
(135) LOMBARDI MD JOSEPH M........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	380,366	0	55,432
(136) CRANE MD SARAH J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	363,722	71,254
(137) GRZYBOWSKI MD JOHN A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	353,864	0	75,831
(138) YOUNG DO NATHAN P........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	357,045	71,937
(139) GADE CHRIS W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	383,426	0	40,813
(140) KNUDSON STEVE L........................................................................ DIRECTOR	40.00 .......................0.00	X				387,876	0	35,587
(141) JELINEK DIANE F........................................................................ DIRECTOR	40.00 .......................0.00	X				334,881	0	86,197
(142) WEBER JOAN A........................................................................ DIRECTOR	40.00 .......................0.00	X				389,591	0	31,292
(143) LANGBEHN DO JENNIFER M........................................................................ DIRECTOR	40.00 .......................0.00	X				339,477	0	78,640
(144) HERRMANN MD MARTIN J........................................................................ DIRECTOR	40.00 .......................0.00	X				333,163	0	81,725
(145) SIMPSON MD HENRY J........................................................................ PHYSICIAN	40.00 .......................0.00			X		335,233	0	77,382
(146) MORRIS MD MARIE E........................................................................ DIRECTOR/CHAIR	40.00 .......................0.00	X	X			323,693	0	88,222
(147) HIRISAVE KRISHNA MD BIPINCHANDRA........................................................................ PHYSICIAN	40.00 .......................0.00			X		335,466	0	74,994
(148) HOLTAN DOUGLAS J........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	378,357	31,001
(149) HORECKI MD RICHARD J........................................................................ PHYSICIAN	40.00 .......................0.00			X		321,534	0	87,563
(150) CHO LAWRENCE H........................................................................ COO - INTERNATIONAL	40.00 .......................0.00			X		365,833	0	42,333
(151) GABRIELSON SHARON R........................................................................ ASST TREASURER	40.00 .......................0.00		X			322,664	0	82,732
(152) BRANDT TERRY L........................................................................ DIR/SECY/REGIONAL CHAIR-ADMIN SWMN	1.00 .......................40.00	X	X			0	371,545	33,490
(153) KOWAL DO GERALD K........................................................................ PHYSICIAN	40.00 .......................0.00			X		317,747	0	83,227
(154) MATHEWS HILARY G........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	359,423	40,831
(155) FOSS MD RANDY M........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			335,837	0	64,015
(156) LINDAHL ROGER A........................................................................ DIRECTOR/ASST SECY/ASST TREAS	40.00 .......................0.00	X	X			313,895	0	82,889
(157) HUBERT SHERRY L........................................................................ ASST SECY	40.00 .......................0.00		X			307,147	0	89,516
(158) MYHRE MD KAREN K........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			306,876	0	85,357
(159) COLLIER DPM ROBERT L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	309,983	0	81,118
(160) FITZGERALD MD KEVIN........................................................................ PHYSICIAN	40.00 .......................0.00			X		316,730	0	72,870
(161) LENHART MD JILL........................................................................ PHYSICIAN	40.00 .......................0.00			X		296,822	0	91,245
(162) MILLER MD ROBERT C........................................................................ FORMER OFFICER	40.00 .......................0.00				X	323,815	0	61,420
(163) MOLLING DO PAUL E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			318,566	0	65,968
(164) GROVER DO MICHAEL L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	309,071	0	73,712
(165) ACKERMAN FRANKLIN K........................................................................ DIRECTOR/ASSOCIATE ADMINISTRATOR	40.00 .......................0.00	X		X		303,684	0	78,418
(166) ROBELIA MD PAUL M........................................................................ DIRECTOR	1.00 .......................40.00	X				0	298,145	78,219
(167) MEYERS ANN M........................................................................ DIRECTOR/FORMER OFFICER	1.00 .......................40.00	X				0	334,571	33,479
(168) KUTCHER MD GREGORY R........................................................................ FORMER OFFICER	40.00 .......................0.00				X	282,279	0	85,115
(169) GREEN MD JEFFREY P........................................................................ FORMER OFFICER	40.00 .......................0.00				X	288,373	0	77,075
(170) ROTTY BRIAN W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................1.00				X	126,125	158,080	79,721
(171) FROISLAND JEFFREY R........................................................................ DIR/TREASURER/ASST TREASURER	40.00 .......................0.00	X	X			338,845	0	22,381
(172) CRAIG JASON E........................................................................ REGIONAL CHAIR-ADMIN NWWI	40.00 .......................0.00		X			301,986	0	54,175
(173) LOCKETT KEVIN M........................................................................ DIRECTOR/TREASURER	40.00 .......................0.00	X	X			274,156	0	79,700
(174) GRENISEN MD MARGARET M........................................................................ PHYSICIAN	40.00 .......................0.00			X		274,787	0	77,967
(175) BERG DAVID W........................................................................ ASSOC ADMIN - MCHS SEMN	40.00 .......................0.00			X		265,185	0	83,830
(176) FREDERICK RYANNON K........................................................................ DIRECTOR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X		X		285,066	0	63,340
(177) KELLEY SHARON M........................................................................ CFO MCHS	40.00 .......................0.00		X			329,403	0	18,383
(178) HANSEN GAYLE B........................................................................ VICE CHAIR ADMIN/FORMER KEY EMPLOYEE	40.00 .......................0.00			X		267,616	0	78,709
(179) CONNOLLY TERESA L........................................................................ DIRECTOR	40.00 .......................0.00	X				265,247	0	75,807
(180) TIGGELAAR THOMAS H........................................................................ FORMER OFFICER	40.00 .......................0.00				X	260,979	0	79,407
(181) NORBY MARK L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	281,357	0	56,904
(182) THIEMANN KAY M........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	294,510	42,564
(183) NORDRUM CHARLOTTE J........................................................................ TREAS/ASST TREASURER/CFO MN	40.00 .......................0.00		X			261,735	0	72,523
(184) CROCKETT ERIC D........................................................................ DIR/SECY/REGIONAL CHAIR ADMIN SEMN	1.00 .......................40.00	X	X			0	261,861	70,394
(185) DILLON KEVIN R........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	252,177	77,321
(186) GLENN SEAN W........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			257,200	0	69,820
(187) LINDBERG STEVEN J........................................................................ DIR/VP/SECY/INTERIM REG CHAIR NWWI	40.00 .......................0.00	X	X			251,976	0	74,242
(188) ADLEMAN BREEANN M........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			253,808	0	71,985
(189) POE JOHN D........................................................................ DIRECTOR	1.00 .......................40.00	X				0	257,803	67,282
(190) HOLTZ MD CAROL P........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	268,913	55,027
(191) GALINDEZ JR PETER........................................................................ ASST SECY/FORMER OFFICER	40.00 .......................0.00		X			244,316	0	78,288
(192) DIETER HEIDI L........................................................................ DIRECTOR	1.00 .......................40.00	X				0	255,685	62,767
(193) WHITE PAMELA K........................................................................ CHIEF NURSING OFFICER	40.00 .......................0.00			X		245,995	0	72,319
(194) HANSEN JULIE S........................................................................ DIRECTOR/TREASURER/CFO WI	40.00 .......................0.00	X	X			275,295	0	39,891
(195) GOLDMAN DANIEL S........................................................................ ASST SECY	40.00 .......................0.00		X			236,390	0	74,190
(196) PARKS DOUGLAS A........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	271,190	37,637
(197) MELVIN KEVIN B........................................................................ ASST SECY	1.00 .......................40.00		X			0	229,851	71,740
(198) THORESON SCOTT D........................................................................ DIRECTOR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X		X		226,491	0	73,371
(199) LOHKAMP CHRISTIE A........................................................................ ASST TREASURER	40.00 .......................0.00		X			236,082	0	58,714
(200) SMOLDT CRAIG A........................................................................ DIRECTOR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X		X		283,666	0	10,168
(201) SAATHOFF BARBARA L........................................................................ FORMER OFFICER	40.00 .......................0.00				X	220,754	0	72,849
(202) BROWN MICHAEL E........................................................................ FORMER OFFICER	40.00 .......................0.00				X	233,285	0	59,776
(203) DEGEN SUSANNE C........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	234,525	0	56,280
(204) HANSON VICTORIA M........................................................................ VICE CHAIR ADMINISTRATION	40.00 .......................0.00			X		215,308	0	67,592
(205) BROWN WILLIAM A........................................................................ ASST TREASURER	40.00 .......................0.00		X			247,577	0	34,018
(206) ZWYGART AMY M........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	255,753	0	21,634
(207) JOHNSON RYAN R........................................................................ DIRECTOR	1.00 .......................40.00	X				0	227,223	45,787
(208) LEBRASSEUR NATHAN K........................................................................ DIRECTOR	1.00 .......................40.00	X				0	206,761	60,716
(209) GUDGELL STEPHEN F........................................................................ TREASURER	1.00 .......................40.00		X			0	234,863	32,362
(210) EVENSON LAURA K........................................................................ DIRECTOR	40.00 .......................0.00	X				204,184	0	58,816
(211) PRIEST WILLIAM F........................................................................ SECY	40.00 .......................0.00		X			199,107	0	62,993
(212) DAVIS AMY L........................................................................ SECRETARY	40.00 .......................0.00		X			196,865	0	62,211
(213) KLIMP MARY J........................................................................ DIR/VICE CHAIR ADMINISTRATION	40.00 .......................0.00	X		X		234,028	0	23,974
(214) NORDENG RODNEY L........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	195,037	61,747
(215) EIDE DEAN B........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	212,849	0	42,803
(216) SLEGH KERI A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	190,177	0	65,395
(217) SANDGREN KENT A........................................................................ DIRECTOR	1.00 .......................40.00	X				0	223,485	31,528
(218) EBERLE MICHELE R........................................................................ DIRECTOR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X		X		206,172	0	46,946
(219) MARTIN DAVID L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	198,824	0	53,440
(220) HOLMES TINA E........................................................................ CHIEF OF STAFF	40.00 .......................0.00			X		227,635	0	22,604
(221) CAPLAN SHERRY M........................................................................ VICE CHAIR ADMINISTRATION	40.00 .......................0.00			X		199,029	0	44,609
(222) DRUCKER PAUL E........................................................................ DIRECTOR/VICE PRESIDENT	1.00 .......................40.00	X	X			0	179,816	61,094
(223) FISCHER DEBORAH R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	214,289	0	23,855
(224) JOHNSON CARLA J........................................................................ ASST SECY	40.00 .......................0.00		X			182,168	0	46,724
(225) PAIGE SR KEVIN A........................................................................ FORMER OFFICER	0.00 .......................40.00				X	53,718	100,107	69,269
(226) ENQUIST MARK A........................................................................ DIRECTOR/SECRETARY/TREASURER	1.00 .......................40.00	X	X			0	191,725	29,458
(227) SCHEFFEL JEFFREY G........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	191,070	0	29,571
(228) JOHNSON KIRBY A........................................................................ ADMINISTRATOR	40.00 .......................0.00			X		182,498	0	36,389
(229) DECKER GUSTAV A........................................................................ PRESIDENT INTERNATIONAL	40.00 .......................0.00			X		209,335	0	8,091
(230) WEIS CAROL........................................................................ DIRECTOR	40.00 .......................0.00	X				160,976	0	52,713
(231) LONG AMY K........................................................................ DIRECTOR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X		X		170,392	0	42,736
(232) RUSTAD CHRISTOPHER D........................................................................ DIRECTOR/SECRETARY	1.00 .......................40.00	X	X			0	171,651	32,209
(233) LANZEL TRICIA G........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			138,996	0	49,762
(234) FEHMI RASHID A........................................................................ TREASURER	40.00 .......................0.00		X			138,101	0	44,376
(235) FENNELL THOMAS J........................................................................ ASST SECY	40.00 .......................0.00		X			128,426	0	37,236
(236) MEKALA PRAVEEN........................................................................ INTERIM CFO MN	1.00 .......................40.00		X			0	140,768	0
(237) MORRISSEY MD JOHN E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	116,907	0	7,299
(238) BARNES MD DARRYL E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	109,015	0	6,197
(239) AKKERMAN ROBIN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(240) BAKER SALLY CHASE........................................................................ DIRECTOR/PRESIDENT	1.00 .......................0.00	X	X			0	0	0
(241) BECKER JOHN........................................................................ DIRECTOR/TREAS/CHAIR	1.00 .......................0.00	X	X			0	0	0
(242) BENTS IAN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(243) BERGERON-BOWE MELISSA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(244) BOE RUSSELL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(245) BORSHEIM PAUL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(246) BROLSMA GREG........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(247) CADMAN BERWYN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(248) CARPENTER MARK........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X			0	0	0
(249) CHRISTENSEN SISTER GEORGIA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(250) CLARK DIANE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(251) CRANDALL DAVID........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(252) DAY THOMAS R........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(253) ELSBERND SISTER HELEN........................................................................ DIRECTOR/VICE CHAIR/SECRETARY	1.00 .......................0.00	X	X			0	0	0
(254) FLANNERY BRENDA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(255) FLORES JAZMINE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(256) FOOT III SILAS B........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(257) GRUBER JOHN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(258) HERRICK DDS JAMES V........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(259) HURLEY TRACY........................................................................ DIRECTOR/VICE CHAIR/SECY	1.00 .......................0.00	X	X			0	0	0
(260) JACOBSON ROSEMARY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(261) LARDY TRACI........................................................................ DIRECTOR/SECY/TREASURER	1.00 .......................0.00	X	X			0	0	0
(262) LEGARE GREG........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(263) LUETH MELISSA M........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(264) MAHN DAVID........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(265) MASON SHARI........................................................................ DIRECTOR/SECRETARY/TREASURER	1.00 .......................0.00	X	X			0	0	0
(266) MATHY SCOTT........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(267) MCCARTHY JERRY C........................................................................ DIRECTOR/PRESIDENT	1.00 .......................0.00	X	X			0	0	0
(268) MCGRAW COLLEEN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(269) MCHUGH JOHN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(270) MOUW JEROMY J........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(271) OLIVER TRACY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(272) PATSCHE WANDA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(273) PERRY MICHAEL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(274) RIEBE DANIEL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(275) ROSERA MIKE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(276) SCHAUFENBUEL KIM........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(277) SCHMIDT JAMES........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(278) SCHOENBAUER BRAD........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(279) SNEE TAMMY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(280) TONN BECKY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(281) TYDRICH SISTER JULIE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(282) WALTER DALE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(283) WALTER KEVIN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(284) YOUNG DDS RICHARD B........................................................................ DIRECTOR/VICE PRESIDENT	1.00 .......................0.00	X	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
RIGHT SOURCING INC 2 EXECUTIVE CIRCLE STE 210 IRVINE,CA92614	WORKFORCE SUPPORT SERVICES	125,469,698
MORRISON MANAGEMENT SPECIALIST 400 NORTHRIDGE RD STE 600 SANDY SPRINGS,GA30350	FOOD SERVICES	69,025,348
HORIZON MEDIA INC 75 VARICK ST NEW YORK,NY100131917	MEDIA BUYING SERVICES	38,569,070
THE ROBINS & MORTON GROUP 5021 CARDINAL ST TRUSSVILLE,AL35173	CONSTRUCTION SERVICES	36,869,411
EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA,WI535939179	HEALTHCARE SOFTWARE SERVICES	34,298,841
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1,235

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................1

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) MCHS-SOUTHEAST MINNESOTA REGION	411404075	3	Yes		10,000	0

Total 1					10,000	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	77,534,240	104,447,873	531,641,400	334,358,723	222,663,192	1,270,645,428
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	77,534,240	104,447,873	531,641,400	334,358,723	222,663,192	1,270,645,428
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						55,156,780
6	Public support. Subtract line 5 from line 4.						1,215,488,648

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	77,534,240	104,447,873	531,641,400	334,358,723	222,663,192	1,270,645,428
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	5,824,296	10,137,476	19,317,677	8,186,717	23,447,800	66,913,966
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	62,508	351,384	621,091	526,062	212,410	1,773,455
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						1,339,332,849

Gross receipts from related activities, etc. (see instructions) ..................

3,343,604,916

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

90.750 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

90.800 %

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART I:	BOX 3 OF PART I IS CHECKED AS TEN OF THE SIXTEEN SUBORDINATES ARE CLASSIFIED AS HOSPITALS. ONE OF THE REMAINING SUBORDINATES IS CLASSIFIED AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM GOVERNMENT UNITS OR THE GENERAL PUBLIC. PART II, SECTION A (PUBLIC SUPPORT SCHEDULE) WAS COMPLETED FOR THIS SUBORDINATE. FOUR OF THE REMAINING SUBORDINATES ARE CLASSIFIED AS ORGANIZATIONS THAT NORMALLY RECEIVE: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME (SEE SECTION 509(A) (2)). ONE OF THE REMAINING SUBORDINATES IS CLASSIFIED AS A TYPE I SUPPORTING ORGANIZATIONS. A SUPPORTING ORGANIZATION OPERATED, SUPERVISED, OR CONTROLLED BY ITS SUPPORTED ORGANIZATION(S), TYPICALLY BY GIVING THE SUPPORTED ORGANIZATION(S) THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE DIRECTORS OR TRUSTEES OF THE SUPPORTING ORGANIZATION. TAX SOFTWARE DOES NOT ALLOW PART II, PART III AND PART IV TO ALL BE COMPLETED, AND THUS PART III SECTION A (PUBLIC SUPPORT SCHEDULE) AND PART IV SECTION A AND B (SUPPORTING ORGANIZATIONS) ARE PROVIDED BELOW FOR THE FOUR SUBORDINATES REQUIRED TO COMPLETE PART III AND THE ONE SUBORDINATE REQUIRED TO COMPLETE PART IV.
PART III: SUPPORT SCHEDULE FOR 509(A)(2)	SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 2015 LINE 1: 2,365,582 LINE 2: 1,302,568,326 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,304,933,908 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,304,933,908 SECTION B. TOTAL SUPPORT CALENDAR YEAR (A) 2015 LINE 9: 1,304,933,908 LINE 10A: 10,821,940 LINE 10B: 1,518,928 LINE 10C: 12,340,868 LINE 11: 0 LINE 12: 323,556 LINE 13: 1,317,598,332 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 2016 LINE 1: 3,204,612 LINE 2: 1,487,141,956 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,490,346,568 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,490,346,568 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2016 LINE 9: 1,490,346,568 LINE 10A: 7,748,216 LINE 10B: 1,405,524 LINE 10C: 9,153,740 LINE 11: 0 LINE 12: 400,974 LINE 13: 1,499,901,282 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 2017 LINE 1: 2,488,807 LINE 2: 1,617,722,959 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,620,211,766 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,620,211,766 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 2017 LINE 9: 1,620,211,766 LINE 10A: 14,052,339 LINE 10B: 1,063,806 LINE 10C: 15,116,145 LINE 11: 0 LINE 12: 280,898 LINE 13: 1,635,608,809 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (D) 2018 LINE 1: 1,401,923 LINE 2: 1,762,801,375 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,764,203,298 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,764,203,298 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2018 LINE 9: 1,764,203,298 LINE 10A: 22,864,636 LINE 10B: 2,338,364 LINE 10C: 25,203,000 LINE 11: 0 LINE 12: 285,943 LINE 13: 1,789,692,241 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2019 LINE 1: 2,202,933 LINE 2: 2,029,169,779 LINE 3: 127,489 LINE 4: 0 LINE 5: 0 LINE 6: 2,031,500,201 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,031,500,201 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2019 LINE 9: 2,031,500,201 LINE 10A: 33,736,144 LINE 10B: 2,398,473 LINE 10C: 36,134,617 LINE 11: 0 LINE 12: 0 LINE 13: 2,067,634,818 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1: 11,663,857 LINE 2: 8,199,404,395 LINE 3: 127,489 LINE 4: 0 LINE 5: 0 LINE 6: 8,211,195,741 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 8,211,195,741 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 8,211,195,741 LINE 10A: 89,223,275 LINE 10B: 8,725,095 LINE 10C: 97,948,370 LINE 11: 0 LINE 12: 1,291,371 LINE 13: 8,310,435,482 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2019: 98.81% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2018: 98.99% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2019: 1.18% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2018: 0.97% LINE 19A X
PART IV, SUPPORTING ORGANIZATIONS:	PART IV, SECTION A - ALL SUPPORTING ORGANIZATIONS YES NO 1 X 2 X 3A X 4A X 5A X 6 X 7 X 8 X 9A X 9B X 9C X 10A X 11A X 11B X 11C X PART IV, SECTION B - TYPE I SUPPORTING ORGANIZATIONS YES NO 1 X 2 X

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization MAYO CLINIC GROUP RETURN

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization MAYO CLINIC GROUP RETURN		Employer identification number 38-3952644

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization MAYO CLINIC GROUP RETURN			Employer identification number 38-3952644
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

1,547,295

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

244,344

Total. Add lines 1c through 1i ....................................................................................................

1,791,639

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	DURING 2019, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACT WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2019, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2019, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM ARE $1,257,203. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

DURING 2019, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACT WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2019, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2019, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM ARE $1,257,203. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c	3,321
d	Additions during the year ............................	1d	2,235
e	Distributions during the year ..........................	1e	2,710
f	Ending balance ................................	1f	2,846

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	643,594,273	675,799,917	563,023,595	439,084,796	361,302,630
b	Contributions ...	24,924,499	22,664,654	26,381,268	201,427,649	92,211,141
c	Net investment earnings, gains, and losses	78,187,578	15,430,166	112,420,743	23,873,232	5,722,067
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	165,028,599	70,300,464	26,025,689	101,362,082	20,151,042
f	Administrative expenses ....
g	End of year balance ......	581,677,751	643,594,273	675,799,917	563,023,595	439,084,796

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

39.410 %

Permanent endowment SchDMd Bullet

45.320 %

Term endowment SchDMd Bullet

15.270 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	136,078,712		136,078,712
b	Buildings ....	4,380,454,629	2,282,060,628	2,098,394,001
c	Leasehold improvements	11,193,187	6,896,664	4,296,523
d	Equipment ....	2,576,822,662	1,763,865,306	812,957,356
e	Other .....	303,193,576		303,193,576
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,354,920,168

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) MAYO POOLED INVESTMENTS	867,415,968	F
(B) ASSETS HELD BY TRUSTEES	92,098	F
(C) TECH BASED VENTURES	53,835,394	F
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	921,343,460

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				5,027,037,644
(2)ART				420,000
(3)CONTRIBUTED ASSETS PENDING DISPOSAL				1,428,519
(4)THIRD PARTY TRUSTS				3,001,032
(5)GIFT ANNUITIES				131,131,990
(6)RELOCATION HOUSES				4,892,771
(7)OTHER LONG TERM ASSETS				54,829,689
(8)TRUSTS				5,809,767
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				5,228,551,412

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,210,253,200
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART III, LINE 1A:	MAYO CLINIC AND ITS AFFILIATES PERIODICALLY RECEIVE WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF MAYO'S PATIENTS. IT IS MAYO'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART, NOR RECORD THE RELATED CONTRIBUTION REVENUE. IN THE RARE OCCURRENCE THAT MAYO CLINIC AND ITS AFFILIATES COMMISSION ART; IT IS REFLECTED AS AN EXPENSE OR ON THE BALANCE SHEET.
PART III, LINE 4:	SINCE ITS INCEPTION, MAYO HAS USED ART, ARCHITECTURE AND BEAUTY IN ITS SURROUNDINGS TO ADDRESS THE SPIRITUAL ASPECTS OF MEDICAL CARE. BENEFACTOR GIFTS FROM PATIENTS, FRIENDS, EMPLOYEES OR ALUMNI HELP MAYO SUPPORT THE ACQUISITION OF ART USED TO HUMANIZE THE MEDICAL ENVIRONMENT AND COMPLEMENT THE BELIEF THAT RESTORING THE MIND AND SPIRIT IS AN IMPORTANT PART OF MAKING THE BODY WELL. WORKS OF ART DISPLAYED ACROSS THE MAYO CAMPUSES PROVIDE BEAUTY, PRESERVATION OF HERITAGE AND RESPECT FOR THE DIVERSITY OF PATIENTS, VISITORS AND STAFF.
PART IV, LINE 1B:	NURSING HOME RESIDENT FUNDS
PART IV, LINE 2B:	RESIDENT SECURITY DEPOSITS
PART V, LINE 4:	THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR PATIENT, RESEARCH, AND EDUCATION PROGRAMS.
PART X, LINE 2:	AT DECEMBER 31, 2019 AND 2018, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE SUBORDINATE ORGANIZATIONS WITHIN THE GROUP RETURN FILING.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	232	TRAVEL		233,442
	EAST ASIA AND THE PACIFIC	0	380	TRAVEL		847,277
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	886	TRAVEL		1,930,187
	MIDDLE EAST AND NORTH AFRICA	0	194	TRAVEL		1,467,252
	NORTH AMERICA	0	576	TRAVEL		707,793
	RUSSIA AND THE NEIGHBORING STATES	0	23	TRAVEL		29,474
	SOUTH AMERICA	0	226	TRAVEL		291,967
	SOUTH ASIA	0	86	TRAVEL		158,022
	SUB-SAHARAN AFRICA	0	88	TRAVEL		138,213
	CENTRAL AMERICA AND THE CARIBBEAN	1	7	PATIENT SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	201,266
	NORTH AMERICA	2	7	PATIENT SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	192,520
	SOUTH AMERICA	2	9	PATIENT SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	144,631
	MIDDLE EAST AND NORTH AFRICA	0	1	PROGRAM SERVICES	PATIENT CARE	37
	NORTH AMERICA	0	1	PROGRAM SERVICES	CONSULTING	5,282
	EAST ASIA AND THE PACIFIC	0	0	PROGRAM SERVICES	SALE OF EDUCATION MATERIALS
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	PROGRAM SERVICES	SALE OF EDUCATION MATERIALS
	NORTH AMERICA	0	0	PROGRAM SERVICES	SALE OF EDUCATION MATERIALS	26,005
	SOUTH ASIA	0	0	PROGRAM SERVICES	SALE OF EDUCATION MATERIALS
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		900,000
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS		666,000
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS		13,500,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	3	SUPPLIES & SERVICES PURCHASED		1,137
	EAST ASIA AND THE PACIFIC	0	61	SUPPLIES & SERVICES PURCHASED		490,405
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	234	SUPPLIES & SERVICES PURCHASED		4,444,698
	MIDDLE EAST AND NORTH AFRICA	0	15	SUPPLIES & SERVICES PURCHASED		89,067
	NORTH AMERICA	0	167	SUPPLIES & SERVICES PURCHASED		4,272,518
	RUSSIA AND THE NEIGHBORING STATES	0	1	SUPPLIES & SERVICES PURCHASED		136,396
	SOUTH AMERICA	0	11	SUPPLIES & SERVICES PURCHASED		21,215
	SOUTH ASIA	0	15	SUPPLIES & SERVICES PURCHASED		38,285
	SUB-SAHARAN AFRICA	0	4	SUPPLIES & SERVICES PURCHASED		6,091
	EAST ASIA AND THE PACIFIC	0	0	ROYALTY INCOME
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	ROYALTY INCOME
	MIDDLE EAST AND NORTH AFRICA	0	0	ROYALTY INCOME
	NORTH AMERICA	0	0	ROYALTY INCOME
	CENTRAL AMERICA AND THE CARIBBEAN	0	4	SUPPLIES & SERVICES PURCHASED	MARKETING	1,133,999
	EAST ASIA AND THE PACIFIC	0	6	SUPPLIES & SERVICES PURCHASED	MARKETING	1,492,040
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	2	SUPPLIES & SERVICES PURCHASED	MARKETING	95,280
	MIDDLE EAST AND NORTH AFRICA	0	8	SUPPLIES & SERVICES PURCHASED	MARKETING	1,211,558
	NORTH AMERICA	0	4	SUPPLIES & SERVICES PURCHASED	MARKETING	680,079
	SOUTH AMERICA	0	0	SUPPLIES & SERVICES PURCHASED	MARKETING	95,067
3a	Sub-total ....	0	2,603			5,665,414
b	Total from continuation sheets to Part I ...	5	648			29,981,789
c	Totals (add lines 3a and 3b)	5	3,251			35,647,203

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	74,220	CHECK, ELECTRONIC	0
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	190,511	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	246,148	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	37,155	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	66,235	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	10,850	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	42,690	CHECK, ELECTRONIC	0

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	0
3	Enter total number of other organizations or entities .......................	7

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 2:	FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE REGULARLY MONITORED BY THE FILING ORGANIZATION FOR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS AND/OR THE CONTRACT PROVISIONS. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE.
PART I, LINE 3:	ACCRUAL METHOD
PART III ACCOUNTING METHOD:
PART IV - FILING OF CERTAIN FOREIGN FORMS	DISCLOSURE STATEMENT RELATED TO FORM 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) DISCLOSURE STATEMENT RELATED TO FORM 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 FORM 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

Schedule F (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	63,929,809		63,929,809	0.850 %
b	Medicaid (from Worksheet 3, column a) . . . . .	586,832,634	334,745,980	252,086,654	3.370 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	650,762,443	334,745,980	316,016,463	4.220 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,992,987	24,565	3,968,422	0.050 %
f	Health professions education (from Worksheet 5) . . .	118,767,646	28,107,888	90,659,758	1.210 %
g	Subsidized health services (from Worksheet 6) . . . .	586,568,310	399,432,144	187,136,166	2.500 %
h	Research (from Worksheet 7) .	181,006,157	116,698,826	64,307,331	0.860 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,979,347	300	1,979,047	0.030 %
j	Total. Other Benefits . .	892,314,447	544,263,723	348,050,724	4.650 %
k	Total. Add lines 7d and 7j .	1,543,076,890	879,009,703	664,067,187	8.870 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	18,000		18,000	0 %
3	Community support	931,101	2,612	928,489	0.010 %
4	Environmental improvements	10,416		10,416	0 %
5	Leadership development and training for community members	18,094		18,094	0 %
6	Coalition building	664,308		664,308	0.010 %
7	Community health improvement advocacy	7,500		7,500	0 %
8	Workforce development	294,306		294,306	0 %
9	Other	57,150		57,150	0 %
10	Total	2,000,875	2,612	1,998,263	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

178,633,277

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,561,149,569

Enter Medicare allowable costs of care relating to payments on line 5.....

1,970,923,878

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-409,774,309

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?20Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)										Other (describe)	Facility reporting group
1	MAYO CLINIC HOSPITAL IN ROCHESTER 1216 2ND STREET SW ROCHESTER,MN55905 WWW.MAYOCLINIC.ORG 00428 MAYO CLINIC HOSPITAL ROCHESTER 410944601	X	X	X	X		X	X			E
2	MCHS IN LA CROSSE 700 WEST AVENUE SOUTH LA CROSSE,WI546014796 WWW.MAYOCLINIC.ORG 24 MCHS FRANCISCAN MEDICAL CENTER 390806374	X	X		X			X		CLINIC, PHARMACY	D
3	MAYO CLINIC HOSPITAL IN FLORIDA 4500 SAN PABLO ROAD JACKSONVILLE,FL32224 WWW.MAYOCLINIC.ORG 4493 MAYO CLINIC FLORIDA 590714831	X	X		X			X			E
4	MCHS IN EAU CLAIRE 1221 WHIPPLE STREET EAU CLAIRE,WI54703 WWW.MAYOCLINIC.ORG 48 MCHS NW WISCONSIN REGION 390813418	X	X					X		DIALYSIS	A
5	MCHS IN MANKATO 1025 MARSH STREET MANKATO,MN56001 WWW.MAYOCLINIC.ORG 00033 MCHS SW MINNESOTA REGION 411236756	X	X		X			X		CLINIC	A
6	MAYO CLINIC HOSPITAL IN ARIZONA 5777 EAST MAYO BOULEVARD PHOENIX,AZ85054 WWW.MAYOCLINIC.ORG H2027 MAYO CLINIC ARIZONA 860800150	X	X		X			X			E
7	MCHS IN ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NORTHWEST AUSTIN,MN55912 WWW.MAYOCLINIC.ORG 00920 MCHS SE MINNESOTA REGION 411404075	X	X					X		CLINIC	B
8	MCHS IN FAIRMONT 800 MEDICAL CENTER DRIVE FAIRMONT,MN56031 WWW.MAYOCLINIC.ORG 00359 MCHS FAIRMONT 410760836	X	X					X		CLINIC, DIALYSIS	A
9	MCHS IN RED WING 701 HEWITT BOULEVARD RED WING,MN55066 WWW.MAYOCLINIC.ORG 21423 MCHS SE MINNESOTA REGION 411404075	X	X					X		CLINIC	C
10	MCHS IN NEW PRAGUE 301 2ND STREET NORTHEAST NEW PRAGUE,MN56071 WWW.MAYOCLINIC.ORG 00607 MCHS SW MINNESOTA REGION 411236756	X	X			X		X		WOMENS HEALTH CENTER	A
11	MCHS IN WASECA 501 NORTH STATE STREET WASECA,MN56093 WWW.MAYOCLINIC.ORG 00908 MCHS SW MINNESOTA REGION 411236756	X	X			X		X		CLINIC	A
12	MCHS IN BARRON 1222 EAST WOODLAND BARRON,WI54812 WWW.MAYOCLINIC.ORG 1018 MCHS NW WISCONSIN REGION 390813418	X	X			X		X		CLINIC	A
13	MCHS IN BLOOMER 1501 THOMPSON STREET BLOOMER,WI54724 WWW.MAYOCLINIC.ORG 1017 MCHS NW WISCONSIN REGION 390813418	X	X			X		X		CLINIC	A
14	MCHS IN MENOMONIE 2321 STOUT ROAD MENOMONIE,WI54751 WWW.MAYOCLINIC.ORG 1044 MCHS NW WISCONSIN REGION 390813418	X	X			X		X		CLINIC, BEHAVIORAL HEALTH, PHYSICAL REHAB	B
15	MCHS IN SPARTA 310 WEST MAIN STREET SPARTA,WI546562142 WWW.MAYOCLINIC.ORG 1009 MCHS FRANCISCAN MEDICAL CENTER 390806374	X	X			X			X	CLINIC, BEHAVIORAL HEALTH, DURABLE MEDICAL EQUIPMENT	D
16	MCHS IN ST JAMES 1101 MOULTON PARSONS DRIVE ST JAMES,MN56081 WWW.MAYOCLINIC.ORG 00698 MCHS ST JAMES 410797368	X	X			X		X		CLINIC	A
17	MCHS IN SPRINGFIELD 625 NORTH JACKSON AVENUE SPRINGFIELD,MN56087 WWW.MAYOCLINIC.ORG 00044 MCHS SW MINNESOTA REGION 411236756	X	X			X		X		CLINIC	A
18	MCHS IN OSSEO 13025 8TH STREET OSSEO,WI54758 WWW.MAYOCLINIC.ORG 1003 MCHS NW WISCONSIN REGION 390813418	X	X			X		X		CLINIC	A
19	MCHS IN LAKE CITY 500 WEST GRANT STREET LAKE CITY,MN55041 WWW.MAYOCLINIC.ORG 20693 MCHS LAKE CITY 411906820	X	X			X		X		CLINIC, NURSING HOME	C
20	MCHS IN CANNON FALLS 32021 COUNTY ROAD 24 BOULEVARD CANNON FALLS,MN55009 WWW.MAYOCLINIC.ORG 140 MCHS SE MINNESOTA REGION 411404075	X	X			X		X		CLINIC, SWING BED	C

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): MAYOCLINICHEALTHSYSTEM.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

The FAP application form was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

A plain language summary of the FAP was widely available on a website (list url):
MAYOCLINICHEALTHSYSTEM.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): MAYOCLINICHEALTHSYSTEM.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

The FAP application form was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

A plain language summary of the FAP was widely available on a website (list url):
MAYOCLINICHEALTHSYSTEM.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	REPORTING GROUP B
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): MAYOCLINICHEALTHSYSTEM.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

The FAP application form was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

A plain language summary of the FAP was widely available on a website (list url):
MAYOCLINICHEALTHSYSTEM.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	REPORTING GROUP C
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REPORTING GROUP D
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): MAYOCLINICHEALTHSYSTEM.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP D
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

The FAP application form was widely available on a website (list url):

MAYOCLINICHEALTHSYSTEM.ORG

A plain language summary of the FAP was widely available on a website (list url):
MAYOCLINICHEALTHSYSTEM.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP D
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	REPORTING GROUP D
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	REPORTING GROUP E
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): MAYOCLINIC.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REPORTING GROUP E
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

MAYOCLINIC.ORG

The FAP application form was widely available on a website (list url):

MAYOCLINIC.ORG

A plain language summary of the FAP was widely available on a website (list url):
MAYOCLINIC.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	REPORTING GROUP E
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	REPORTING GROUP E
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN SPRINGFIELD, - FACILITY 18: MCHS IN OSSEO
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN MANKATO (MCHS-MANKATO), NICOLLET COUNTY PUBLIC HEALTH AND BLUE EARTH COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE PROJECT COMMUNITY CONNECT, COMMUNITY FIESTA IN ST. PETER, VINE FAITH IN ACTION, NICOLLET COUNTY WIC AND MORE. 453 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 9 BLUE EARTH AND NICOLLET COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 8, 2018 - MAY 8, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS, A BLUE EARTH AND NICOLLET COUNTY DATA REVIEW AND VISIONING SESSION ON OCTOBER 24, 2018 AND A LE SUEUR COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6A:	MCHS-FAIRMONTMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 6B:	BLUE EARTH COUNTY PUBLIC HEALTH DEPARTMENTNICOLLET COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSIONIN 2019, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC, MCHS-MANKATO: PROVIDED A COMMUNITY GARDEN AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES.PROVIDED SPACE AND ACCESS TO THE COMMUNITY GARDEN FOR FOOD RX PILOT IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA FAMILY MEDICINE RESIDENCY PROGRAM AND STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP).PARTICIPATED IN BABY & KIDS TO PROMOTE GAMES TO KEEP KIDS ACTIVE AND HEALTHY SNACK EDUCATION FOR PARENTS. PARTICIPATED IN PARADES IN LAKE CRYSTAL, ST. PETER AND NORTH MANKATO WHERE INFUSED WATER, RECIPE CARDS, AND COLOR CHANGING CUPS WERE HANDED OUT TO ENCOURAGE HEALTHY HYDRATION FOR FAMILIES.HOSTED A PRESENTATION FOR MOMS AT THE YMCA FOCUSING ON HEALTHY SNACKS FOR KIDS.HOSTED A BARIATRIC SURGERY SUPPORT GROUP (12 MEETINGS).PARTNERED WITH MANKATO AREA PUBLIC SCHOOLS TO OFFER A MONTH-LONG WELLNESS CHALLENGE FOR THEIR EMPLOYEES.HOSTED A "SLIM YOUR SCREEN TIME" COMMUNITY CHALLENGE ENCOURAGING PARTICIPANTS TO REDUCE SCREEN TIME AND GET ACTIVE OUTSIDE.COORDINATED SCHOOL WELLNESS WEEK FOR OVER 4,000 LOCAL ELEMENTARY STUDENTS.HOSTED A TEACHING KITCHEN AT THE BOYS AND GIRLS CLUB OF MANKATO AND THE YWCA TO TEACH KIDS HOW TO MAKE THEIR OWN HEALTHY SNACKS.TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-MANKATO COLLABORATED WITH THE FOLLOWING ORGANIZATIONS:CHILDREN'S MUSEUM: PROVIDED $20,000 FINANCIAL SUPPORT AND OVER $11,000 IN-KIND SUPPORT FOR WELLNESS CONTENT PROVIDED TO MUSEUM MEMBERS AND GUESTS; PROVIDED GUEST EXPERTS AT MUSEUM PROGRAMMING SUCH AS TODDLER WEDNESDAY AND THE HEALTHY SUMMER INITIATIVE WHERE INFUSED WATER, FRUITS AND VEGETABLES WERE PROVIDED TO MUSEUM GUESTS.MANKATO MARATHON: AS A PRESENTING SPONSOR, PROVIDED FINANCIAL SUPPORT, HEALTHY, FUELING SNACKS PRIOR TO THE RACE AND IN-KIND MEDICAL SUPPORT AND STRETCH ZONE ON RACE DAY.RIVER HILLS MALL: PROVIDED HEALTH AND WELLNESS INFORMATION ON A LITERATURE RACK AND ENCOURAGED MALL WALKING THROUGH THE MAYO CLINIC INDOOR MILE. VINE FAITH IN ACTION: THE TRAUMA TEAM AND OTHER MCHS EXPERTS FACILITATED, FREE OF CHARGE, TWO STEPPING ON PROGRAMS DURING THE YEAR. THIS IS AN EVIDENCE-BASED PROGRAM TO REDUCE FALL RISK IN OLDER ADULTS. MAYO CLINIC EXPERTS ALSO HOSTED SIX VINE SPEAKER SERIES PRESENTATIONS RELATED TO HEALTH, WELLNESS AND NUTRITION. PROVIDED $160,000 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, YMCA, AND FEEDING OUR COMMUNITIES PARTNERS.SUPPORTED LOCAL ORGANIZATIONS WITH VOLUNTEERS - FEEDING OUR COMMUNITIES PARTNERS - 200 VOLUNTEER HOURS; ECHO FOOD SHELF - 40 VOLUNTEER HOURS; KIWANIS HOLIDAY LIGHTS VOLUNTEER NIGHT - 85 VOLUNTEER HOURS. PARTICIPATED IN THE FOLLOWING COMMUNITY COALITIONS TO COLLABORATE AND IMPROVE HEALTH: SHIP CLT (COMMUNITY LEADERSHIP TEAM THAT ADVISES SHIP WORK AND PROJECTS), MANKATO AREA CARE NETWORK, BLUE ZONES PLANNING TEAM, AND THE INCLUSIVE HEALTH COALITION.HYPERTENSION: TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND RAISE AWARENESS OF THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION, MCHS-MANKATO:SPONSORED THE GO RED FOR WOMEN EVENT AT WHICH ONE MCHS PHYSICIAN AND ONE MCHS EMT WERE THE KEYNOTE SPEAKERS. HAD A STROKE BOOTH AT THE MANKATO 50+ LIFESTYLE EXPO WHERE A STAFF PERSON TALKED ABOUT STROKE SYMPTOMS AND HANDED OUT MAGNETS.TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-MANKATO:CONDUCTED OVER 100 BLOOD PRESSURE CHECKS AT VARIOUS COMMUNITY EVENTS.HELD MONTHLY STROKE SUPPORT GROUP MEETINGS.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-MANKATO ALSO DISSEMINATED HEALTH INFORMATION ON THE IDENTIFIED NEEDS THROUGH THE MEDIA:TEN PRINT ARTICLES ON OBESITY AND THREE PRINT ARTICLES FOR HEART/HYPERTENSION IN LOCAL NEWSPAPERS.TV MORNING EXPERT ON STROKE AWARENESS, AQUATIC PHYSICAL THERAPY AND IMPORTANCE OF STRETCHING BEFORE RACE. HOMETOWN HEALTH, A PUBLICATION PRODUCED FIVE TIMES A YEAR AND DISTRIBUTED TO MEMBERS OF THE COMMUNITY. AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.MCHS-MANKATO IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES THE FOLLOWING NEEDS FOR THE REASONS AS NOTED: ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL ALTHOUGH THE OUTPATIENT CLINIC WAS INVOLVED WITH APPLYING VARNISH TO TEETH TO PREVENT CAVITIES AS PART OF WELL-CHILD EXAMINATIONS. MCHS-MANKATO IS ALSO PILOTING AN INTEGRATED DENTAL CLINIC AT THEIR EASTRIDGE CLINIC.DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-MANKATO ADDRESSES THIS NEED THROUGH ITS DISTRACTED DRIVER SIMULATOR AT COMMUNITY EVENTS; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY, ARE ADDRESSING THESE ISSUES. REPRESENTATIVES FROM MAYO CLINIC HEALTH SYSTEM ARE PART OF THIS IMPACT TEAM. TOBACCO: MCHS-MANKATO CONTINUES TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. MCHS-MANKATO ALSO PARTNERED WITH COMMUNITY ORGANIZATIONS TO HOST AN EDUCATION EVENT ON VAPING WITH LOCAL HIGH SCHOOL YOUTH.MENTAL HEALTH: THIS IS A CORE SERVICE OF MCHS-MANKATO THAT WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS. ACCESS TO HEALTH CARE: MCHS-MANKATO WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS.
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN FAIRMONT (MCHS-FAIRMONT) AND FARIBAULT-MARTIN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE MARTIN COUNTY FAIR, SCHOOL ORIENTATIONS, VETERANS PARK BLOCK PARTY AND MORE. OVER 1,000 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE 14 MARTIN AND FARIBAULT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 18, 2018 - MAY 22, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A MARTIN & FARIBAULT COUNTY DATA REVIEW AND VISIONING SESSION ON MARCH 19, 2019.
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6A:	UNITED DISTRICT HOSPITALMCHS-MANKATOMCHS-NEW PRAGUEMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6B:	FARIBAULT - MARTIN COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO-DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSION (HIGH BLOOD PRESSURE)IN 2019, MCHS-FAIRMONT TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES, MCHS-FAIRMONT:PROVIDED MONETARY SUPPORT OF $19,840 TO SUPPORT HEALTH AND WELLNESS ACTIVITIES IN THE COMMUNITIES IN OUR SERVICE AREA.DONATED 150 PAID STAFF HOURS & HEALTH EDUCATION TO PROMOTE COMMUNITY WELLNESS.COORDINATED THE ANNUAL COMMUNITY WELLNESS CHALLENGE. OFFERED STEPPING ON CLASS TO INCREASE MOBILITY IN THOSE AT RISK OF FALLING.COORDINATED SCHOOL WELLNESS WEEK FOR LOCAL ELEMENTARY STUDENTS.OFFERED SLIM YOUR SCREEN TIME CHALLENGE TO ENCOURAGE EXERCISE AND REDUCTION OF SEDENTARY BEHAVIORS. PARTICIPATED IN PARADES IN FAIRMONT WHERE INFUSED WATER, RECIPE CARDS, AND COLOR CHANGING CUPS WERE HANDED OUT TO ENCOURAGE HEALTHY HYDRATION FOR FAMILIES.IMPLEMENTED MAYO MILE AT FIVE LAKES CENTER IN FAIRMONT.PROVIDED SPEAKERS ON TOPICS OF RETHINK YOUR DRINK AND HEALTHY SNACKS AT AREA SERVICE CLUBS, COMMUNITY BUSINESSES AND COMMUNITY EVENTS.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-FAIRMONT ALSO DISSEMINATED HEALTH INFORMATION ON THE IDENTIFIED NEEDS THROUGH THE MEDIA: FOUR PRINT ARTICLES ON OBESITY.HOMETOWN HEALTH, A PUBLICATION PRODUCED SIX TIMES A YEAR AND DISTRIBUTED TO MEMBERS OF THE COMMUNITY;AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-FAIRMONT: OFFERED COMPLIMENTARY BLOOD PRESSURE SCREENINGS ON A WEEKLY BASIS AT MCHS-FAIRMONT. IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-FAIRMONT ALSO DISSEMINATED HEALTH INFORMATION ON THE IDENTIFIED NEEDS THROUGH THE MEDIA:TWO PRINT ARTICLES FOR HEART/HYPERTENSION IN LOCAL NEWSPAPERS;HOMETOWN HEALTH, A PUBLICATION PRODUCED SIX TIMES A YEAR AND DISTRIBUTED TO MEMBERS OF THE COMMUNITY;AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-FAIRMONT IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-FAIRMONT DOES ADDRESS THIS NEED THROUGH OUR DISTRACTED DRIVER SIMULATOR PROGRAM REGULARLY SCHEDULED IN OUR COMMUNITIES; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. TOBACCO: MCHS-FAIRMONT WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. MENTAL HEALTH: THIS IS A CORE SERVICE OF MCHS-FAIRMONT WHICH WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. ACCESS TO HEALTH CARE: MCHS-FAIRMONT WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS.
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE), LE SUEUR COUNTY PUBLIC HEALTH AND SCOTT COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE LE SUEUR COUNTY FAIR, CZECH OUT NEW PRAGUE, TCU UNITED 4 HEALTHY YOUTH AND MORE. 513 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT SIX LE SUEUR AND SCOTT COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN MAY 17, 2018 - MAY 21, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND SCOTT COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 7, 2019.
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6A:	MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-WASECA
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6B:	SCOTT COUNTY PUBLIC HEALTHLE SUEUR COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSION (HIGH BLOOD PRESSURE)IN 2019, MCHS-NEW PRAGUE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC, MCHS-NEW PRAGUE:PROVIDED SUPPORT TO NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE EVENT:$4,000 SPONSORSHIP; PM&R STAFF AND RESIDENTS PROVIDED EXPERTISE TO RUNNERS AT SPORTS MEDICINE SPOT; AND A DIETITIAN PROVIDED A HYDRATION STATION WITH FRUIT INFUSED WATER ON RACE DAY.PARTNERED WITH THE FITNESS & AQUATIC CENTER ON THEIR MEMBER SCALE BACK CHALLENGE BY PROVIDING NUTRITION EXPERTISE IN PERSON AND VIA SOCIAL MEDIA.IMPLEMENTED MAYO MILE AT THE FITNESS & AQUATIC CENTER.COORDINATED SCHOOL WELLNESS WEEK FOR LOCAL ELEMENTARY STUDENTS.PARTNERED WITH NEW PRAGUE COMMUNITY EDUCATION AND SCOTT COUNTY PUBLIC LIBRARIES TO OFFER SLIM YOUR SCREEN TIME PROGRAM FOCUSED ON INCREASING EXERCISE AND DECREASING SCREEN TIME.CLINICAL DIETITIAN PRESENTED RETHINK YOUR DRINK TOPIC TO AREA KINDERGARTNERS.COMMUNITY WALKS - WEEKLY WALK SCHEDULED FOR COMMUNITY MEMBERS IN THE FALL.HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-NEW PRAGUE:ADVANCED PRACTICE PROVIDER PRESENTED ON HEART DISEASE TO VARIOUS COMMUNITY GROUPS.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-NEW PRAGUE TOOK THE FOLLOWING ACTIONS TO ADDRESS BOTH IDENTIFIED NEEDS: PARTNERED WITH COMMUNITY MEMBERS AND LOCAL BUSINESSES ON A COMMUNITY WELLNESS CHALLENGE - MONTH LONG COMMUNITY CHALLENGE FOCUSING ON A DAILY WELLNESS ACTIVITY WHICH INCLUDED PHYSICAL EXERCISE, MENTAL HEALTH AND HEALTHY EATING. CLINICAL DIETITIAN PRESENTED TO SIX NEW PRAGUE HIGH SCHOOL WELLNESS CLASSES ABOUT HEALTHY EATING, A BALANCED DIET AND REDUCING SUGAR AND SODIUM.PROMOTED NUTRITIOUS FOODS THROUGH AN EATING SMART FOR HEALTHY AGING PRESENTATION BY MCHS CLINICAL DIETITIAN AT THE KCHK (RADIO STATION) AGING WELL LIFESTYLE EXPO.CLINICAL DIETITIAN PARTNERED WITH PEACE CENTER FOOD SHELF TO ENSURE HEALTHY ITEMS WERE PRIORITIZED FOR DISTRIBUTION TO CLIENTS.DISSEMINATED HEALTH EDUCATION INFORMATION THROUGH THE MEDIA:HOMETOWN HEALTH - PUBLICATION OF HEALTH INFORMATION PUBLISHED 6 TIMES PER YEAR.AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE PUBLIC THROUGH ONLINE BLOGS WRITTEN BY MAYO EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-NEW PRAGUE IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-NEW PRAGUE DOES ADDRESS THIS NEED THROUGH OUR DISTRACTED DRIVER SIMULATOR PROGRAM SCHEDULED IN OUR COMMUNITIES; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. TOBACCO: MCHS-NEW PRAGUE WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. MENTAL HEALTH: THIS IS A CORE SERVICE OF MCHS-NEW PRAGUE WHICH WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. PROVIDED TWO STRESS MANAGEMENT AND RESILIENCE TRAININGS FOR NEW PRAGUE HIGH SCHOOL TEACHERS, PARAPROFESSIONALS AND SCHOOL NURSES. ACCESS TO HEALTH CARE: MCHS-NEW PRAGUE WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. ADDED URGENT CARE CLINIC IN MCHS-NEW PRAGUE HOSPITAL.
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN WASECA (MCHS-WASECA) AND WASECA COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. THESE EVENTS WERE THE WASECA STAKEHOLDER BREAKFAST, WASECA COUNTY FAIR AND WASECA INTERMEDIATE SCHOOL OPEN HOUSE. 240 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THE THREE WASECA COUNTY EVENTS IN 2018.INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 25, 2018 - MAY 15, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND A LE SUEUR AND WASECA COUNTY DATA REVIEW AND VISIONING SESSION ON JANUARY 23, 2019.
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6A:	MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-ST. JAMESMCHS-NEW PRAGUE
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6B:	WASECA COUNTY PUBLIC HEALTHMINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSIONIN 2019, MCHS-WASECA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC AND COLLABORATE WITH KEY COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-WASECA:PARTNERED WITH COMMUNITY MEMBERS AND LOCAL BUSINESS ON A COMMUNITY WELLNESS CHALLENGE - MONTH LONG COMMUNITY CHALLENGE FOCUSING ON A DAILY WELLNESS ACTIVITY WHICH INCLUDED PHYSICAL EXERCISE, MENTAL HEALTH AND HEALTHY EATING.DIETITIAN PROVIDED HEALTH EDUCATION ON WEIGHT LOSS, HEALTHY EATING/PORTION CONTROL AND HEALTHY EATING ON A BUDGET AT VARIOUS COMMUNITY EVENTS.PROVIDED CLINIC NURSING AT THE EARLY CHILDHOOD FAMILY EDUCATION FAIR.COORDINATED SCHOOL WELLNESS WEEK FOR LOCAL ELEMENTARY STUDENTS.MAYO CLINIC HEALTH SYSTEM EMPLOYEES PARTICIPATED IN THE TOBACCO 21 MOVEMENT IN WASECA. HYPERTENSION: TO RAISE AWARENESS THROUGH COMMUNITY-BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND TO PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-WASECA:PROVIDED HEALTH EDUCATION TO THE PUBLIC BY STAFFING A BOOTH AT THE TASTE OF FARM EVENT AND THE WASECA COUNTY FREE FAIR.DIETITIAN PROVIDED HEALTH EDUCATION ON HYPERTENSION TO BOTH CHILDREN AND ADULTS AT VARIOUS COMMUNITY EVENTS.IN ADDITION TO ADDRESSING THE IDENTIFIED NEEDS AS DESCRIBED ABOVE, HEALTH INFORMATION WAS DISSEMINATED TO THE COMMUNITY THROUGH THE MEDIA AS FOLLOWS:3 ARTICLES ON HEART/HYPERTENSION AND 10 ARTICLES ON OBESITY WERE PUBLISHED IN THE WASECA COUNTY NEWS.HOMETOWN HEALTH IS PUBLISHED AND DISTRIBUTED 6 TIMES PER YEAR.AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-WASECA IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL. DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-WASECA ADDRESSES THIS NEED THROUGH ITS DISTRACTED DRIVER SIMULATOR PROGRAM SCHEDULED IN THE COMMUNITIES SERVED; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY, ARE ADDRESSING THESE ISSUES.TOBACCO: MCHS-WASECA WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION AND PARTICIPATION IN THE TOBACCO 21 MOVEMENT.MENTAL HEALTH: THIS IS A CORE SERVICE THAT MCHS-WASECA WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF ITS PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY, TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN.ACCESS TO HEALTH CARE: MCHS-WASECA WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR ITS PATIENTS. THREE NEW ADVANCED PRACTICE PROVIDERS WERE HIRED TO SUPPORT FAMILY PRACTICE.
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN ST. JAMES (MCHS-ST. JAMES) AND WATONWAN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AT EVENTS/ACTIVITIES IN 2018. INPUT WAS ALSO RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS.COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. EXAMPLES OF THESE EVENTS INCLUDE THE ST. JAMES COMMUNITY STAKEHOLDER BREAKFAST AND THE MULTICULTURAL FIESTA. 93 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES AT THREE WATONWAN COUNTY EVENTS IN 2018. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND STAKEHOLDER GATHERINGS WHERE REPRESENTATIVES FROM TRADITIONALLY UNDERSERVED POPULATIONS WERE INVITED TO ATTEND MULTIPLE EVENTS BETWEEN JUNE 8, 2018 - JUNE 10, 2019. THIS INCLUDED ANNUAL COMMUNITY STAKEHOLDER GATHERINGS AND ENGAGING AS A MEMBER OF THE WATONWAN COUNTY COMMUNITY HEALTH SERVICES ADVISORY COMMITTEE WHICH MEETS ON A BI-MONTHLY BASIS AND IS ONGOING.
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6A:	MCHS-MANKATOMCHS-FAIRMONTMCHS-SPRINGFIELDMCHS-WASECAMCHS-NEW PRAGUE
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6B:	WATONWAN COUNTY HEALTH DEPARTMENT MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSIONIN 2019, MCHS-ST. JAMES TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC AND COLLABORATE WITH KEY COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-ST. JAMES:OFFERED FREE WEIGHT MEASUREMENT.PROVIDED PROGRAM, PERSONNEL AND MEETING SUPPORT FOR HEALTHY FAMILIES / HEALTHY FUTURES.PROVIDED DIETITIAN SUPPORT TO THE HEALTHY BREAKFAST PROGRAM OFFERED AT THE LOCAL ELEMENTARY SCHOOLS.PROVIDED DIETITIAN SUPPORT TO THE LOCAL HIGH SCHOOL WELLNESS TEAM.COORDINATED SCHOOL WELLNESS WEEK FOR LOCAL ELEMENTARY STUDENTS.HOSTED A "SLIM YOUR SCREEN TIME" COMMUNITY CHALLENGE ENCOURAGING PARTICIPANTS TO REDUCE SCREEN TIME AND GET ACTIVE OUTSIDE.PROVIDED DIETITIAN-GUIDED GROCERY STORE TOURS OFFERING EDUCATION IN HEALTHY EATING AND READING LABELS. HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-ST. JAMES OFFERED FREE BLOOD PRESSURE SCREENINGS.IN ADDITION TO THE ACTIONS DESCRIBED ABOVE TO ADDRESS THE IDENTIFIED NEEDS, MCHS-ST. JAMES DISSEMINATED HEALTH EDUCATION INFORMATION THROUGH THE MEDIA:FOUR PRINT ARTICLES ON OBESITY AND TWO PRINT ARTICLES FOR HEART/HYPERTENSION IN LOCAL NEWSPAPERS.HOMETOWN HEALTH, A PUBLICATION PRODUCED SIX TIMES A YEAR AND DISTRIBUTED TO MEMBERS OF THE COMMUNITY.AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-ST. JAMES IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL ALTHOUGH THE OUTPATIENT CLINIC WAS INVOLVED WITH APPLYING VARNISH TO PREVENT CAVITIES AS PART OF WELL-CHILD EXAMINATIONS.DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-ST. JAMES DOES ADDRESS THIS NEED THROUGH OUR DISTRACTED DRIVER SIMULATOR AT COMMUNITY EVENTS; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHERS AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. TOBACCO: WE WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. MENTAL HEALTH: THIS IS A CORE SERVICE OF MCHS-ST. JAMES WHICH WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY OUR COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. ACCESS TO HEALTH CARE: MCHS-ST. JAMES WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS.
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE ASSESSMENT PROCESS BEGAN IN OCTOBER 2017 WITH A GATHERING OF A REGIONAL COALITION CONSISTING OF REPRESENTATIVES FROM THE PUBLIC HEALTH AGENCIES OF BLUE EARTH COUNTY, BROWN COUNTY, WASECA COUNTY, LE SUEUR COUNTY, FARIBAULT COUNTY, MARTIN COUNTY, NICOLLET COUNTY & WATONWAN COUNTY; STATEWIDE HEALTH IMPROVEMENT PROGRAM STAFF FROM NICOLLET COUNTY, WASECA COUNTY, BROWN COUNTY, LE SUEUR COUNTY, BLUE EARTH COUNTY, FARIBAULT COUNTY & MARTIN COUNTY; MINNESOTA DEPARTMENT OF HEALTH; ALLINA HEALTH; UNITED DISTRICT HOSPITAL AND MAYO CLINIC HEALTH SYSTEM. THIS COALITION CAME TOGETHER AS AN INITIAL GROUP TO IDENTIFY WAYS TO COLLABORATE DURING THE ASSESSMENT PROCESS AND ON FUTURE INITIATIVES.COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) AND BROWN COUNTY PUBLIC HEALTH PARTICIPATED IN GATHERING AND ANALYZING LOCAL HEALTH DATA, AS WELL AS PLANNING AND FACILITATING THE COMMUNITY INPUT BOARDS AND COMMUNITY CONVERSATIONS. COMMUNITY INPUT BOARDS WERE USED AT COMMUNITY EVENTS TO GET A PULSE ON THE COMMUNITIES SERVED. THE COMMUNITY INPUT BOARDS INCLUDED TEN AREAS OF HEALTH CONCERN: HEALTH CARE ACCESS; CHRONIC DISEASE; SAFETY; ENVIRONMENT; STRESS, ANXIETY & DEPRESSION; SLEEP; PHYSICAL EXERCISE; HEALTHY FOODS (ACCESS OR COST); TOBACCO, ALCOHOL OR DRUGS AND LACK OF A SUPPORT SYSTEM. EACH PARTICIPANT WAS GIVEN TWO STICKY FLAGS AND ASKED TO PUT THE FLAGS ON THE TOP TWO HEALTH CONCERNS IMPACTING THEMSELVES AND/OR THEIR FAMILIES. THE COMMUNITY INPUT BOARDS WERE TARGETED AT EVENTS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. 230 PEOPLE PROVIDED THEIR INPUT FOR THE COMMUNITY BOARD ACTIVITIES. INPUT ALSO WAS RECEIVED DURING A STAKEHOLDER GATHERING. BROWN COUNTY PUBLIC HEALTH, NEW ULM MEDICAL CENTER-ALLINA AND MCHS-SPRINGFIELD COLLABORATED TO BRING TOGETHER STAKEHOLDERS FOR THE BROWN COUNTY VISIONING SESSION IN MAY 2018.
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 6A:	ALLINA HEALTHMCHS-MANKATOMCHS-FAIRMONTMCHS-WASECAMCHS-ST. JAMESMCHS-NEW PRAGUE
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 6B:	BROWN COUNTY PUBLIC HEALTH MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION
GROUP A-FACILITY 17 -- MCHS IN SPRINGFIELD PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYHYPERTENSION (HIGH BLOOD PRESSURE)IN 2019, MCHS-SPRINGFIELD TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES TO THE PUBLIC AND COLLABORATE WITH KEY COMMUNITY ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY, MCHS-SPRINGFIELD:PARTNERED WITH AREA BUSINESSES AND ORGANIZATIONS TO HOST COMMUNITY WELLNESS CHALLENGES HELD IN JANUARY AND JUNE.PARTNERED WITH THE CITY OF SPRINGFIELD FOR COMMUNITY WALKS HELD AT THE COMMUNITY CENTER IN THE WINTER MONTHS AND ON THE CITY'S TRAIL SYSTEM IN THE SUMMER MONTHS. PARTICIPATED ON THE COMMUNITY WELLNESS TEAM (5 MEETINGS THROUGH SEPTEMBER) AND SERVED AS ITS LEAD ORGANIZING ENTITY.PARTNERED WITH VARIOUS COMMUNITY ORGANIZATIONS TO SPONSOR, COORDINATE AND LEAD THE RIVERSIDE DAYS 5K FUN RUN/WALK.HOSTED A "SLIM YOUR SCREEN TIME" COMMUNITY CHALLENGE ENCOURAGING PARTICIPANTS TO REDUCE SCREEN TIME AND GET ACTIVE OUTSIDE.PARTNERED WITH VARIOUS COMMUNITY ORGANIZATIONS ON THE BIKE SHARE PROGRAM WHICH WAS AVAILABLE FOR USE BY THE GENERAL PUBLIC FROM MAY THROUGH SEPTEMBER 2019.HYPERTENSION (HIGH BLOOD PRESSURE): TO RAISE AWARENESS THROUGH COMMUNITY BASED EDUCATION AND INFORMATION REGARDING THE HEALTH RISKS ASSOCIATED WITH HYPERTENSION AND PROVIDE SUPPORT SERVICES THROUGH COMMUNITY BASED OUTREACH, MCHS-SPRINGFIELD:OFFERED FREE BLOOD PRESSURE SCREENINGS AT THE HOSPITAL.PROVIDED FREE BLOOD PRESSURE SCREENINGS AT FARMFEST COMMUNITY EVENT.PARTNERED WITH TWO AREA ORGANIZATIONS TO PROVIDE GRATITUDE PRESENTATIONS AT FIVE SEPARATE SESSIONS. IN ADDITION TO THE ACTIONS DESCRIBED ABOVE, MCHS-SPRINGFIELD TOOK THE FOLLOWING ACTIONS THAT ADDRESS BOTH IDENTIFIED NEEDS:GROCERY STORE TOURS WERE CONDUCTED BY THE HOSPITAL'S DIETITIAN (12 EVENTS).PARTNERED WITH SECOND HARVEST HEARTLAND AND THE LOCAL SPRINGFIELD AREA FOOD SHELF.FOOD RX PROGRAM WHICH PROVIDED EDUCATION AND A BOX OF FOOD SELECTED FOR DIABETIC PATIENTS.OFFERED NUTRITION ASSISTANCE PROGRAM FOR SENIORS (NAPS) THAT DELIVERS FOOD AND OFFERS NUTRITION ADVICE.DIETITIAN VISITED THE FOOD SHELF TO EDUCATE CLIENTS ON HEALTHY EATING.HELD BLOOD PRESSURE AND WEIGHT MONITORING EVENTS AT TWO AREA PUBLIC SCHOOLS.DISSEMINATED HEALTH INFORMATION THROUGH MEDIA:FOUR PRINT ARTICLES ON OBESITY AND TWO PRINT ARTICLES FOR HEART/HYPERTENSION IN LOCAL NEWSPAPERS.HOMETOWN HEALTH, A PUBLICATION PRODUCED SIX TIMES A YEAR AND DISTRIBUTED TO MEMBERS OF THE COMMUNITY.AS AN AFFILIATE OF MAYO CLINIC, HEALTH INFORMATION IS MADE AVAILABLE TO THE COMMUNITY THROUGH ON-LINE BLOGS WRITTEN BY MAYO CLINIC EXPERTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-SPRINGFIELD IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL ALTHOUGH THE OUTPATIENT CLINIC WAS INVOLVED WITH APPLYING VARNISH TO TEETH TO PREVENT CAVITIES AS PART OF WELL-CHILD EXAMINATIONS.DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-SPRINGFIELD DOES ADDRESS THIS NEED THROUGH ITS DISTRACTED DRIVER SIMULATOR AT COMMUNITY EVENTS; HOWEVER THIS ISSUE IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES. ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES. TOBACCO: MCHS-SPRINGFIELD WILL CONTINUE TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION. MENTAL HEALTH: THIS IS A CORE SERVICE OF MCHS-SPRINGFIELD WHICH WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF ITS PATIENTS; HOWEVER, STRATEGIES HAVE NOT BEEN IDENTIFIED BY THE COMMUNITY TO WARRANT MENTAL HEALTH TO BE CHOSEN AS A STRATEGY FOR THIS CURRENT IMPLEMENTATION PLAN. ACCESS TO HEALTH CARE: MCHS-SPRINGFIELD WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS.
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE). THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, THE EAU CLAIRE CITY/COUNTY PUBLIC HEALTH DEPARTMENT, THE UNITED WAY OF EAU CLAIRE AND THE EAU CLAIRE HEALTHY COMMUNITIES COUNCIL. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF EAU CLAIRE COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,876 EAU CLAIRE COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT ALSO WAS RECEIVED DURING COMMUNITY CONVERSATIONS AND COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) WAS HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN RURAL (AUGUSTA) AND URBAN (EAU CLAIRE) AREAS OF THE COUNTY IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6A:	HSHS SACRED HEART HOSPITAL
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6B:	EAU CLAIRE CITY COUNTY HEALTH DEPARTMENTUNITED WAY OF THE GREATER CHIPPEWA VALLEYMARSHFIELD CLINICEAU CLAIRE HEALTHY COMMUNITIES COUNCIL
GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYCHRONIC DISEASEMENTAL HEALTHIN 2019, MCHS-EAU CLAIRE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:MCHS-EAU CLAIRE PROVIDED MONETARY SUPPORT THROUGH A HOMETOWN HEALTH GRANT TO THE FOLLOWING ORGANIZATIONS:$25,000 TO THE WEST CENTRAL REGIONAL PLANNING COMMISSION. IMPROVE STUDENT HEALTH THROUGH WALKING AND BIKING TO SCHOOL. WALKING AND BIKING ARE EASY WAYS TO LIVE A HEALTHY LIFESTYLE. THE SAFE ROUTES TO SCHOOL PROJECT WILL BENEFIT SCHOOL DISTRICTS IN ALTOONA, CHIPPEWA FALLS AND EAU CLAIRE WITH THE AIM OF INCREASING THE NUMBER OF STUDENTS USING ACTIVE TRANSPORTATION TO GET TO SCHOOL. $20,000 TO FEED MY PEOPLE HEALTHY MEAL KIT PROGRAM. FOCUSING ON FOOD-INSECURE INDIVIDUALS ACROSS NORTHWEST-CENTRAL WISCONSIN, FEED MY PEOPLE IS WORKING TO IMPROVE COMMUNITY HEALTH BY INCREASING ACCESS TO NUTRITIOUS FOOD. THIS PROJECT HELPS PEOPLE LEARN HOW TO ASSEMBLE HEALTHY MEALS FOR THEIR HOUSEHOLD WITH SIMPLE INGREDIENTS AND RECIPES.$10,476 TO EAU CLAIRE YMCA FOR CAMP WABI COSTS. THE CAMP SUPPORTS YOUTH ACROSS NORTHWEST WISCONSIN WHO ARE STRUGGLING WITH THEIR WEIGHT. EXPERTS FROM DIETETICS, BEHAVIORAL HEALTH, PHYSICAL REHABILITATION AND PEDIATRICS ARE INVOLVED IN THE CURRICULUM AND SUPPORT OF THE YOUTH.$8,000 TO TANDEM MENTORSHIP SEASON OF GIVING. THE GOAL OF TANDEM MENTORING IS TO PROVIDE SUPPORT AND ENCOURAGEMENT TO YOUTH BETWEEN THE AGES OF 11 AND 18 WHO OFTEN FALL THROUGH THE CRACKS IN THE GREATER EAU CLAIRE AREA. THESE YOUNG PEOPLE HAVE MANY ABILITIES BUT OFTEN DO NOT HAVE THE RESOURCES OR SUPPORT TO BREAK DESTRUCTIVE BEHAVIORS IN ORDER TO EMBRACE ALL OF THEIR POTENTIAL.$5,000 FOR LEANNE BROWNE EVENT AT THE PABLO CENTER AT THE CONFLUENCE. EVENT WAS AIMED AT TARGETING FOOD INSECURITY AND LEARNING HOW TO COOK HEALTHY MEALS ON A TIGHT BUDGET. EVENT ENGAGED OTHER PARTNERS INVOLVED WITH ADDRESSING FOOD INSECURITY IN THE GREATER EAU CLAIRE AREA.$5,000 FOR PLAYGROUND EQUIPMENT FOR MANZ ELEMENTARY SCHOOL.$500 TO FEED MY PEOPLE FOOD BANK IN SUPPORT OF THEIR EMPTY BOWLS EVENT.$250 TO LONGFELLOW ELEMENTARY SCHOOL FOR PUDDLE JUMP SPONSORSHIP.MCHS-EAU CLAIRE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:STRONG BODIES (FOUR TWELVE-FIFTEEN WEEK SESSIONS IN WHICH EACH WEEK CONSISTED OF TWO CLASSES)BARIATRIC CONNECTIONS (TEN MEETINGS)FAMILY DAY IN DOWNTOWNFAMILY HIKE WITH LILY PAD LABSFAMILY SWIMCHALLENGE AND ROPE COURSE ADVENTURE AT UNIVERSITY OF WISCONSIN - EAU CLAIREMCHS-EAU CLAIRE PARTNERED WITH THE FOLLOWING ORGANIZATIONS:EAU CLAIRE YMCA - HOSTED NINTH ANNUAL CAMP WABI FOR CHILDREN STRUGGLING WITH WEIGHT.MCHS-EAU CLAIRE DONATED APPROXIMATELY 830 HOURS OF TIME FOR OBESITY, PHYSICAL ACTIVITY AND NUTRITION HEALTH NEEDS. THE HOURS WERE SPENT SERVING AS BOARD OR COMMITTEE MEMBERS, PROVIDING EDUCATION OR GIVING PRESENTATIONS, CONTRIBUTING TO COALITION BUILDING, AND VOLUNTEERING.THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH THE OPPORTUNITY TO ENGAGE IN PHYSICAL ACTIVITY AND TO LEARN SKILLS FOR PREPARING AND SERVING HEALTHY FOOD.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:MCHS-EAU CLAIRE PROVIDED MONETARY SUPPORT THROUGH THE FOLLOWING: $25,000 TO THE CHIPPEWA VALLEY FREE CLINIC (YEAR 6 OF A 6-YEAR COMMITMENT)$13,635 TO THE PABLO CENTER AT THE CONFLUENCE FOR AN AED$8,500 FOR RELAY FOR LIFE FOR AMERICAN CANCER SOCIETY$4,000 THE WELLNESS SHACK (YEAR 3 OF 5-YEAR COMMITMENT)$1,000 TO WESTERN DAIRYLAND; CLEARWATER REVUE BENEFIT TO END HOMELESSNESS$1,000 EPILEPSY FOUNDATION STROLL IN THE PARK$250 FAMILY PROMISE OF CV; HIKE FOR THE HOMELESSMCHS-EAU CLAIRE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:STEPPING ON FOCUSING ON FALL PREVENTION (ONE SIX-WEEK SESSION IN WHICH EACH WEEK CONSISTED OF ONE CLASS). HEALTHY LIVING WITH CHRONIC CONDITIONS (TWO SIX-WEEK SESSIONS IN WHICH EACH WEEK CONSISTED OF ONE CLASS).HEALTHY LIVING WITH DIABETES (THREE SIX-WEEK SESSIONS IN WHICH EACH WEEK CONSISTED OF ONE CLASS).HELD "HER STORY HER HEART" EDUCATING THE PUBLIC ABOUT WOMEN AND CARDIAC DISEASE.STEERING INTO THE SKID - INTERACTIVE PLAY EDUCATING ON ALZHEIMER'S DISEASE.MCHS-EAU CLAIRE PARTNERED WITH THE FOLLOWING ORGANIZATIONS:MCHS-EAU CLAIRE DONATED APPROXIMATELY 380 HOURS OF TIME TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH BOARD OR COMMITTEE MEMBERSHIP IN LOCAL ORGANIZATIONS, VOLUNTEER HOURS, PRESENTATIONS AND EDUCATION. THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH ACTIONABLE INFORMATION AND RESOURCES TO MANAGE THEIR HEALTH AND TO OBTAIN FOOD NECESSARY FOR A HEALTHY LIFE.MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: MCHS-EAU CLAIRE PROVIDED MONETARY SUPPORT THROUGH THE FOLLOWING:$25,000 FOR HOPE GOSPEL MISSION. RENEWED HOPE PROGRAM FOR WOMEN AND CHILDREN. THIS REHABILITATION PROGRAM HELPS WITH ADDICTION, ACADEMICS, FINANCES, LIFE SKILLS, MENTAL HEALTH, NUTRITION/FITNESS, SPIRITUALITY AND VOCATIONAL NEEDS, AS WELL AS ASSISTING WITH THE DEVELOPMENT OF HEALTHY SUPPORT NETWORKS AND PARENTING SKILLS.$15,000 BOYS AND GIRLS CLUB OF THE CHIPPEWA VALLEY. SUMMER BRAIN GAIN PROGRAMMING. MEMBERS OF THE BOYS & GIRLS CLUB RECEIVE PROGRAMMING FOCUSED ON BUILDING ACADEMIC SKILLS OVER THE SUMMER BREAK WHILE PROMOTING SOCIAL-EMOTIONAL SKILLS THAT BUILD POSITIVE MENTAL HEALTH. $15,000 TO THE EAU CLAIRE HOUSING SPRINT. THIS 100-DAY SPRINT MODEL FOCUSED ON EAU CLAIRE'S HIGHEST NEED HOMELESS INDIVIDUALS - THE CHRONICALLY HOMELESS. THE RAPID CYCLE INNOVATION MODEL BROUGHT TOGETHER A VARIETY OF COMMUNITY PARTNERS TO ACCELERATE THE MOVE FROM THE STREET OR EMERGENCY SHELTER INTO STABLE, SUPPORTIVE HOUSING. $5,000 GIRLS ON THE RUN OF THE CHIPPEWA VALLEY. THIS IS A PROGRAM FOR GIRLS BETWEEN THE AGES OF 8 AND 13 THAT TEACHES LIFE SKILLS THROUGH POSITIVE MENTORING, LESSONS AND RUNNING. SUPPORT OF THIS EFFORT BRINGS THE GIRLS ON THE RUN PROGRAM TO FIVE NEW RURAL SCHOOLS AND WILL PROVIDE FINANCIAL ASSISTANCE TO GIRLS IN NEED.$75,000 TO EAU CLAIRE COMMUNITY FOUNDATIONS FOR L.E. PHILLIPS MEMORIAL LIBRARY STORY BUILDING CAMPAIGN. THE LIBRARY IS ONE OF THE MOST VISITED LOCATIONS IN DOWNTOWN EAU CLAIRE AND PROVIDES RESOURCE COORDINATION AND REFERRAL SUPPORT FOR PEOPLE IN ALL WALKS OF LIFE, INCLUDING AREA HOMELESS.$3,000 TO THE BOYS & GIRLS CLUB HEALTH & WELLNESS WEEK.$1,500 FOR THE EC WALK FOR ALZHEIMER'S ASSOCIATION.$1,000 PREVENT SUICIDE WALK.MCHS-EAU CLAIRE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:SUICIDE PREVENTION CLASS - QPR (QUESTION, PERSUADE, REFER).THROUGH THE EYES OF A CHILD; SUPPORTING YOUNG HEARTS IN GRIEF.UNDERSTANDING ALZHEIMER'S AND DEMENTIA (EIGHT MEETINGS).LIVING AGAIN-CANCER SUPPORT GROUP (SEVEN MEETINGS).IN THE GARDEN - A PLAY ABOUT A FAMILY'S JOURNEY THROUGH ALZHEIMERS.THE NATURE OF GRIEF (TWENTY-FOUR MEETINGS).CREATIVE GRIEF WORKSHOP FOR KIDS (THREE MEETINGS).BUILDING A COMMUNITY OF CARING: ANXIETY & YOUTH EVENT.ROAD TO RESILIENCE ONLINE RESOURCE. ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS (10/7 - 11/14).MCHS-EAU CLAIRE PARTNERED WITH THE FOLLOWING ORGANIZATION:MCHS-EAU CLAIRE WAS AN ACTIVE PARTNER IN THE MENTAL HEALTH MATTERS COALITION WHICH IS AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS.MCHS-EAU CLAIRE DONATED APPROXIMATELY 675 HOURS OF TIME FOR MENTAL HEALTH THROUGH BOARD AND COMMITTEE MEMBER HOURS, COMMUNITY SUPPORT, AND PROVIDING EDUCATION AND GIVING PRESENTATIONS.THESE STRATEGIES PROVIDED OPPORTUNITIES FOR COMMUNITY MEMBERS TO INCREASE THEIR LEVELS OF MENTAL HEALTH THROUGH EDUCATION AND SUPPORT.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-EAU CLAIRE IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ALCOHOL AND DRUG/USE ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES; THEY GENERALLY ARE OUT OF SCOPE FOR MCHS-EAU CLAIRE.
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN SERVES AS THE BASIS FOR MCHS IN BARRON'S (MCHS-BARRON) COMMUNITY HEALTH NEEDS ASSESSMENT. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE THRIVE BARRON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF BARRON COUNTY.PAPER AND ELECTRONIC SURVEYS WERE DISTRIBUTED TO LIBRARIES, HOSPITALS, CLINICS, THE FREE CLINIC, FOOD PANTRIES, SENIOR CENTERS, BARRON COUNTY JAIL, MEALS ON WHEELS, SPANISH COMMUNITY LEADERS AND THE INTERNATIONAL CENTER. A PRESS RELEASE WAS SENT TO AREA NEWSPAPERS ANNOUNCING THE INITIATIVE AND ASKING FOR COMMUNITY PARTICIPATION. IN ADDITION, IT WAS PROMOTED AT SEVERAL COMMUNITY EVENTS, INCLUDING BARRON COUNTY FAIR AND NATIONAL NIGHT OUT. THE SURVEY ALSO WAS FORWARDED TO PUBLIC HEALTH CONTACTS AT THE ST. CROIX TRIBAL HEALTH CLINIC IN HERTEL, WISCONSIN, TO REACH THE NATIVE AMERICAN POPULATION IN THE COUNTY. THE SURVEY WAS TRANSLATED INTO SPANISH AND SOMALI (PREVALENT POPULATIONS IN BARRON COUNTY) TO ENSURE THE OPINIONS OF THOSE POPULATIONS WERE INCLUDED. A TOTAL OF 838 PAPER AND ONLINE SURVEYS WERE COMPLETED. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE HELD WITH THE RICE LAKE AREA FREE CLINIC CLIENTS, PARTICIPANTS OF DRUG COURT, AND OLDER ADULTS/ADULTS WITH DISABILITIES. INTERVIEWS WERE ALSO CONDUCTED WITH SOMALI, SPANISH, FILIPINO, NATIVE AMERICAN, AMISH, AND MENTAL HEALTH AND EMERGENCY ROOM REPRESENTATIVES.THE COMMITTEE HOSTED A COMMUNITY PLANNING DAY ON SEPTEMBER 26, 2018, AND INVITED BUSINESS LEADERS, HEALTH EXPERTS AND THE GENERAL COMMUNITY TO REVIEW ASSESSMENT DATA REGARDING PRIORITIES FOR BARRON COUNTY. A TOTAL OF 102 COMMUNITY LEADERS, HEALTH EXPERTS AND COMMUNITY MEMBERS FROM BARRON COUNTY ATTENDED. TWO SESSIONS WERE OFFERED TO ACCOMMODATE SCHEDULES. IN ADDITION, INPUT FROM BARRON COUNTY PUBLIC HEALTH, BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES AND THE WISCONSIN DIVISION OF PUBLIC HEALTH WAS TAKEN INTO ACCOUNT.
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6A:	CUMBERLAND HEALTHCAREMARSHFIELD MEDICAL CENTER - RICE LAKE
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6B:	BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN BARRON (MCHS-BARRON) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYCHRONIC DISEASEMENTAL HEALTHIN 2019, MCHS-BARRON TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:MCHS-BARRON PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:$1,000 TO KIDS GAMES AT FALL FEST IN BARRON.$1,500 TO SPONSOR CHETEK FISHY FOUR RUN/WALK.$5,000 FOR HANDICAPPED PLAYGROUND EQUIPMENT AT ANDERSON PARK.MCHS-BARRON HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:MY NIGHT TO COOK (TWO EVENTS)ROLLER-SKATINGSNOWSHOE AND WINTER HIKEGARDENING PROGRAM (THREE CLASSES)FAMILY SWIMYOGA (TEN CLASSES)BARRON FALL FESTLEARN TO CURLCANOE PADDLESAFETY CAMPSPLASH PAD FUN MCHS-BARRON PARTNERED WITH THE FOLLOWING ORGANIZATION: EAU CLAIRE YMCA - HOSTED NINTH ANNUAL CAMP WABI FOR CHILDREN STRUGGLING WITH WEIGHT. THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH THE OPPORTUNITY TO ENGAGE IN PHYSICAL ACTIVITY AND TO LEARN SKILLS OF PREPARING AND SERVING HEALTHY FOOD.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:MCHS-BARRON PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATION:$2,500 TO THE AMERICAN CANCER SOCIETY RELAY FOR LIFE. MCHS-BARRON HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:NATIONAL DIABETES PREVENTION PROGRAM (YEARLONG)KNOW YOUR NUMBERS (TWO DAYS)LYMPHEDEMA LAUGH & LEARN SUPPORT GROUP (FOUR MEETINGS)HEALTHY LIVING WITH CHRONIC PAIN (ONE SIX-WEEK SESSION WHICH CONSISTED OF ONE CLASS EACH WEEK)MCHS-BARRON PARTNERED WITH THE FOLLOWING ORGANIZATION:AGING & DISABILITY RESOURCE CENTER OF BARRON, RUSK AND WASHBURN COUNTIES TO PROVIDE HEALTHY LIVING WITH DIABETES (TWO SIX- WEEK SESSIONS WHICH CONSISTED OF ONE CLASS EACH WEEK).MCHS-BARRON DONATED APPROXIMATELY 445 HOURS OF TIME TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH HOURS SUCH AS SERVING AS BOARD OR COMMITTEE MEMBERS OF ORGANIZATIONS, VOLUNTEERING, PRESENTING INFORMATION AND PROVIDING EDUCATION. THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH ACTIONABLE INFORMATION AND RESOURCES TO MANAGE THEIR HEALTH. MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: MCHS-BARRON PROVIDED MONETARY SUPPORT TO SUPPORT THE FOLLOWING ORGANIZATIONS:$16,500 TO COURT APPOINTED SPECIAL ADVOCATES (CASA) BARRON COUNTY. CASA IS A PROGRAM THAT ENLISTS CITIZEN VOLUNTEERS TO CHAMPION THE NEEDS OF ABUSED AND NEGLECTED CHILDREN WHO ARE UNSAFE AT HOME AND MUST LIVE TEMPORARILY UNDER THE JURISDICTION OF THE COURTS AND THE SUPERVISION OF THE COUNTY WELFARE SYSTEM.$25,000 FOR BENJAMIN'S HOUSE EMERGENCY SHELTER: RAPID REHOUSING PROJECT. UNSTABLE HOUSING CIRCUMSTANCES, INCLUDING HOMELESSNESS, ARE CRITICAL SOCIAL DETERMINANTS OF ADULT AND CHILD HEALTH. THIS PROGRAM PROVIDES RENTAL ASSISTANCE AND CASE MANAGEMENT FOR HOMELESS FAMILIES WITH THE GOAL OF MOVING THEM INTO PERMANENT HOUSING. MCHS-BARRON HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:TOUCHPOINTS - GRIEF (FOUR MEETINGS).ROAD TO RESILIENCE: RAISING HEALTHY KIDS. ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS.SLIM YOUR SCREEN TIME JUNE - JULYWELLNESS BINGO CHALLENGE JUNE - AUGUSTFALL INTO MINDFULNESS (FOUR CLASSES)UNDERSTANDING ALZHEIMER'S AND DEMENTIATHESE STRATEGIES PROVIDED OPPORTUNITIES FOR COMMUNITY MEMBERS TO INCREASE THEIR LEVELS OF MENTAL HEALTH THROUGH SUPPORT IN TIMES OF GRIEF AND THROUGH LEARNING THE SKILLS OF RESILIENCE AND IMPROVED COPING ABILITIES. THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-BARRON IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.ALCOHOL AND DRUG/USE ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES, AND THEY ARE GENERALLY OUT OF SCOPE FOR MCHS-BARRON. TOBACCO USE: MCHS-BARRON CONTINUES TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION.
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR MCHS IN OSSEO'S (MCHS-OSSEO) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE.THE COMPASS NOW 2018 PROCESS USED A VARIETY OF DATA COLLECTION METHODS TO CREATE AN OVERALL DEPICTION OF THE ISSUES FACING OUR COMMUNITIES. THESE METHODS INCLUDED A RANDOM HOUSEHOLD SURVEY, CONVENIENCE SURVEY, COMMUNITY CONVERSATIONS AND AN EXTENSIVE REVIEW OF SOCIOECONOMIC INDICATORS, WHICH PROVIDED AN INVENTORY OF COMMUNITY RESOURCES.THE RANDOM HOUSEHOLD SURVEY WAS THE KEY DATA SOURCE AND WAS CREATED TO INCREASE UNDERSTANDING OF THE COMMUNITY'S NEEDS AND PERCEPTIONS OF THE MAIN CHALLENGES FACING THE REGION. RESULTS FROM THIS SURVEY WERE EXAMINED BY RESPONDENT CHARACTERISTICS, AS WELL AS COMPARED TO THE PREVIOUS SURVEY RESULTS. OF THE 5,450 HOUSEHOLDS THAT RECEIVED THE SURVEY, 672 WERE RETURNED AND THEIR RESPONSES ANALYZED. TREMPEALEAU COUNTY RECEIVED A 14.2% RESPONSE RATE, SO IT WAS DETERMINED THAT ADDITIONAL VOICES WERE NEEDED.IN ADDITION TO THE RANDOM HOUSEHOLD SURVEY, THE COMPASS NOW 2018 COMMUNITY NEEDS ASSESSMENT ALSO INCLUDED A CONVENIENCE SAMPLE THAT FOCUSED ON SPECIFIC SUBGROUPS IN THE GREAT RIVERS REGION. THE OBJECTIVE OF THIS SAMPLING WAS TO COLLECT FEEDBACK FROM POPULATIONS WITHIN THE COMMUNITY THAT WERE POTENTIALLY UNDERREPRESENTED IN THE SURVEY DUE TO THEIR SMALL NUMBERS. THESE SMALLER POPULATIONS INCLUDED, BUT WERE NOT LIMITED TO, AFRICAN-AMERICANS, HISPANICS, LGBT YOUTH, AT-RISK YOUTH, LOW-INCOME ADULTS AND SENIOR CITIZENS. RESULTS FROM THIS SAMPLING WERE COMPARED TO THE RESPONSES OF THE RANDOM HOUSEHOLD SURVEY RESPONDENTS IN AN ATTEMPT TO DETERMINE ANY SIGNIFICANT DIFFERENCES THAT EXISTED BETWEEN THE GENERAL POPULATION AND THOSE IN SMALLER SUBGROUPS WITHIN THE COMMUNITY. ANOTHER WAY COMMUNITY FEEDBACK WAS GATHERED WAS THROUGH COUNTY-BASED FOCUS GROUPS. THESE SMALL-GROUP GATHERINGS WERE A SAFE SPACE IN WHICH COMMUNITY MEMBERS COULD SHARE THEIR THOUGHTS AND EXPERIENCES ABOUT LIVING IN TREMPEALEAU COUNTY.IN ADDITION, PARTICIPATING ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE EXPERTISE WITH OTHER UNDERREPRESENTED POPULATIONS.THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6A:	MCHS-FRANCISCAN MEDICAL CENTER LA CROSSEMCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6B:	GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
GROUP A-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN OSSEO (MCHS-OSSEO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYCHRONIC DISEASEMENTAL HEALTHIN 2019, MCHS-OSSEO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:MCHS-OSSEO HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: SNOWSHOE AND WINTER HIKE ON JANUARY 26MY NIGHT TO COOK ON FEBRUARY 26KIDS IN THE GARDEN ON JUNE 4FAMILY SWIM ON AUGUST 4 MCHS-OSSEO PARTNERED WITH THE FOLLOWING ORGANIZATIONS:EAU CLAIRE YMCA TO HOST THE NINTH ANNUAL CAMP WABI FOR CHILDREN STRUGGLING WITH WEIGHT. OSSEO MERCHANTS BASEBALL TEAM FOR CHILDREN TO HAVE TRAINING AND FUN PHYSICAL ACTIVITY.THESE STRATEGIES PROVIDED COMMUNITY MEMBERS THE OPPORTUNITY TO ENGAGE IN PHYSICAL ACTIVITY AND TO LEARN SKILLS OF PREPARING AND SERVING HEALTHY FOOD. CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:MCHS-OSSEO HOSTED A FREE "KNOW YOUR NUMBERS" BIOMETRIC SCREENING ON FEBRUARY 8. MCHS-OSSEO PARTNERED WITH AMERICAN CANCER SOCIETY TO SUPPORT FOUR RELAY FOR LIFE EVENTS IN THE REGION.MCHS-OSSEO DONATED APPROXIMATELY SEVEN HOURS OF TIME PROVIDING VOLUNTEER TIME AT THE FOOD PANTRY AND PROVIDING EDUCATION IN THE SCHOOL SYSTEM. MCHS-OSSEO DONATED $5,000 TO THE OSSEO FAIRCHILD SCHOOL DISTRICT IN SUPPORT OF THEIR WEEKEND MEALS PROGRAM THAT SUPPORTS CHILDREN WHO MAY NOT HAVE ACCESS TO FOOD OR ENOUGH FOOD AT HOME. THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH ACTIONABLE INFORMATION TO USE TO MANAGE THEIR HEALTH AND WITH FOOD NECESSARY FOR A HEALTHY LIFE. MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: MCHS-OSSEO HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:ROAD TO RESILIENCE: RAISING HEALTHY KIDS - ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM - CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS OCT 7 - NOV 17.TOUCHPOINTS GRIEF SUPPORT PROGRAM FOUR TIMES DURING THE YEAR.SLIM YOUR SCREEN TIME VIRTUAL PROGRAM JUNE 1 - JULY 31.GILMANTON POST PROM PARTY FEB 11 AND ELEVA STRUM POST PROM PARTY APRIL 4.THESE STRATEGIES PROVIDED OPPORTUNITY FOR COMMUNITY MEMBERS TO INCREASE THEIR LEVELS OF MENTAL HEALTH OR HAVE A SAFE, ALTERNATE LOCATION IN WHICH TO ENGAGE IN THE COMMUNITY.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-OSSEO IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.DEATHS CAUSED BY MOTOR VEHICLE ACCIDENTS: MCHS-OSSEO ADDRESSES THIS NEED THROUGH ITS BI-ANNUAL TEEN CAR-CONTROL CLASS; HOWEVER, IT IS MOST EFFECTIVELY ADDRESSED THROUGH OTHER COMMUNITY AGENCIES.ALCOHOL AND DRUG/USE ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES; THEY GENERALLY ARE OUT OF SCOPE FOR MCHS-OSSEO. TOBACCO USE: MCHS-OSSEO CONTINUES TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION.
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR MCHS IN BLOOMER'S (MCHS-BLOOMER) COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WHICH WAS COMPLETED BY A LOCAL COALITION MADE UP OF LOCAL HEALTH CARE ORGANIZATIONS, CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE UNITED WAY OF THE GREATER CHIPPEWA VALLEY AND THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP. THE PURPOSE OF THE COUNTY REPORT WAS TO ASSESS THE NEEDS IN THE COMMUNITY, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT NEEDS AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. THIS REPORT IS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE COLLABORATIVE HEALTH ASSESSMENT PROCESS FOR THE 2018 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT BEGAN BY ENGAGING THE PUBLIC THROUGH A COMMUNITY HEALTH NEEDS SURVEY. THE OBJECTIVE WAS TO INCREASE THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING THE RESIDENTS OF CHIPPEWA COUNTY.THE SURVEY WAS AVAILABLE ONLINE AND BY PAPER COPIES DISTRIBUTED WIDELY THROUGH THE COMMUNITY. SURVEY QUESTIONS FOCUSED ON 14 HEALTH AREAS, BASED ON THE WISCONSIN DEPARTMENT OF HEALTH SERVICES HEALTH PLAN, HEALTHIEST WISCONSIN 2020. THE HEALTH FOCUS AREAS ADDRESSED IN THE SURVEY WERE: ALCOHOL MISUSE, CHRONIC DISEASE PREVENTION AND MANAGEMENT, COMMUNICABLE DISEASE PREVENTION AND CONTROL, ENVIRONMENTAL AND OCCUPATIONAL HEALTH, HEALTHY GROWTH AND DEVELOPMENT, HEALTHY NUTRITION, INJURY AND VIOLENCE, MENTAL HEALTH, OBESITY, ORAL HEALTH, PHYSICAL ACTIVITY, REPRODUCTIVE AND SEXUAL HEALTH, SUBSTANCE USE, AND TOBACCO USE AND EXPOSURE. SURVEY RESPONDENTS WERE ASKED TO RATE EACH OF THE HEALTH FOCUS AREAS ON A FOUR-POINT SCALE INDICATING HOW MUCH OF A PROBLEM THEY FELT EACH AREA TO BE FOR THE COMMUNITY (1=NOT A PROBLEM, 4=MAJOR PROBLEM) AND IDENTIFY REASONS THEY FELT THE AREA WAS A PROBLEM.A TOTAL OF 1,225 CHIPPEWA COUNTY RESIDENTS RESPONDED TO THE SURVEY. SURVEY RESPONDENTS REPRESENTED A WIDE RANGE OF COUNTY RESIDENTS, INCLUDING A VARIETY OF INCOME AND EDUCATIONAL LEVELS, AGE AND HOUSEHOLD SIZE. INPUT WAS COLLECTED FROM THE TRADITIONALLY UNDERSERVED COMMUNITY THROUGH COMMUNITY HEALTH SURVEYS DISTRIBUTED TO THE LOCAL SENIOR CENTER AND COMMUNITY MEAL SITE. SURVEYS WERE ALSO DISTRIBUTED TO AND RECEIVED FROM REPRESENTATIVES OF LOCAL COMMUNITY RESOURCE ORGANIZATIONS THAT SERVE TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ORGANIZATIONS THAT RECEIVED SURVEYS INCLUDE AREA SCHOOLS, RIVER SOURCE FAMILY CENTER, FAITH-BASED ORGANIZATIONS AND OTHERS. IN ADDITION, LISTENING SESSIONS WITH UNDERREPRESENTED GROUPS WERE HELD AT THE CHIPPEWA VALLEY CORRECTIONAL TREATMENT FACILITY AND AGNES' TABLE (CHIPPEWA FALLS) IN ORDER TO GATHER ADDITIONAL PRIMARY DATA ON PERCEIVED COMMUNITY HEALTH NEEDS AND ASSETS. OVERALL, 127 SURVEYS WERE COMPLETED THROUGH THE TARGETED OUTREACH SESSIONS.MCHS-BLOOMER STAFF WERE HEAVILY INVOLVED IN OUTREACH SESSIONS, COMMUNITY CONVERSATIONS AND A FINAL COALITION MEETING OBTAINING COMMUNITY FEEDBACK. THESE EVENTS WERE OPEN TO THE PUBLIC AND ATTENDED BY REPRESENTATIVES OF COMMUNITY RESOURCE ORGANIZATIONS. THESE OPPORTUNITIES INCLUDED TWO COMMUNITY CONVERSATIONS HELD IN THE CITIES OF CHIPPEWA FALLS AND CORNELL IN WHICH LOCAL HEALTH DATA AND RESULTS FROM THE SURVEY WERE SHARED. FOLLOWING FACILITATED DISCUSSION, PARTICIPANTS WERE ASKED TO PRIORITIZE THE TOP HEALTH CONCERNS OF THE COUNTY FROM THE 14 HEALTH AREAS UNDER CONSIDERATION.
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6A:	HSHS ST. JOSEPH'S HOSPITAL
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6B:	CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIPCHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHMARSHFIELD CLINICUNITED WAY OF THE GREATER CHIPPEWA VALLEY
GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN BLOOMER (MCHS-BLOOMER) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYCHRONIC DISEASEMENTAL HEALTHIN 2019, MCHS-BLOOMER TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES: MCHS-BLOOMER HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:MUSIC AND MOVEMENT FOR PRESCHOOLERS (FOURTEEN CLASSES).HIKING (TWO EVENTS). FAMILY SWIM.MY NIGHT TO COOK.KIDS IN THE GARDEN. MCHS-BLOOMER PARTNERED WITH THE FOLLOWING ORGANIZATION:EAU CLAIRE YMCA - HOSTED NINTH ANNUAL CAMP WABI FOR CHILDREN STRUGGLING WITH WEIGHT.MCHS-BLOOMER PROVIDED MONETARY SUPPORT TO THE FOLLOWING:$500 TO THE MACS IN MOTION DAYS AT THE MCDONNELL CATHOLIC AREA SCHOOLSTHESE STRATEGIES PROVIDED COMMUNITY MEMBERS THE OPPORTUNITY TO ENGAGE IN PHYSICAL ACTIVITY AND TO LEARN SKILLS FOR PREPARING AND SERVING HEALTHY FOOD.CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:MCHS-BLOOMER HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:"KNOW YOUR NUMBERS" BIOMETRIC SCREENING (TWO TIMES).STRONG BODIES SIX SESSIONS BEGINNING IN JANUARY 20, MAY 1, AND SEPTEMBER 8.HEALTHY LIVING WITH CHRONIC PAIN SIX WEEK SESSION BEGINNING JUNE 3.CHIPPEWA VALLEY BREAST CANCER SIX SESSIONS. MCHS-BLOOMER PARTNERED WITH THE FOLLOWING ORGANIZATION: BLOOMER HEALTH FAIR - PROVIDING HEALTH INFORMATION, ACTIVITIES AND CHOLESTEROL SCREENING.MCHS-BLOOMER PROVIDED MONETARY SUPPORT THROUGH THE FOLLOWING:$25,000 TO THE LEGACY COMMUNITY CENTER AGNES TABLE. NOT BEING CONNECTED TO COMMUNITY RESOURCES AND SUPPORT HAS A DIRECT EFFECT ON HEALTH. THE LEGACY CENTER OFFERS A ONE-STOP LOCATION FOR ASSISTANCE WITH BASIC NEEDS AND CONNECTION TO APPROPRIATE AGENCIES INCLUDING HOUSING AND EMPLOYMENT RESOURCES TO AGNES.$10,000 TO THE BLOOMER FOOD PANTRY'S FOOD IS MEDICINE PROGRAM. THIS PROGRAM IS OFFERING PANTRY VISITORS WITH CHRONIC DISEASES THE CHANCE TO PARTICIPATE IN A PILOT PROGRAM RECEIVING HEALTHY FOOD BOXES CUSTOMIZED TO THEIR HEALTH CONDITION.$8,500 TO THE HOPE VILLAGE IN CHIPPEWA FALLS FOR THE BUILDING OF ONE TINY HOME. HOMELESSNESS IS A GROWING ISSUE IN CHIPPEWA FALLS. HOPE VILLAGE IS A SMALL COMMUNITY OF TINY HOMES NEAR DOWNTOWN CHIPPEWA FALLS. THE HOUSING IS MEANT TO BE TEMPORARY, WHERE PEOPLE CAN STAY FOR FOUR TO EIGHT MONTHS, AND PROVIDES MENTORS AND LIFE COACHES TO HELP GUESTS GET BACK ON THEIR FEET. MCHS-BLOOMER DONATED APPROXIMATELY 189 HOURS OF TIME TO CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH HOURS SUCH AS SERVING AS BOARD MEMBERS OF ORGANIZATIONS, VOLUNTEERING, AND PRESENTING INFORMATION.THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH ACTIONABLE INFORMATION AND RESOURCES TO MANAGE THEIR HEALTH AND WITH FOOD NECESSARY FOR A HEALTHY LIFE. MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: MCHS-BLOOMER HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:COMMON BONDS-GRIEF SUPPORT GROUP - TWELVE SESSIONSTOUCHPOINTS GRIEF SUPPORT GROUP - FOUR SESSIONSNATURE OF GRIEF SUPPORT GROUP - FOUR SESSIONSROAD TO RESILIENCE: RAISING HEALTHY KIDS - ADULTS HELP CHILDREN BUILD RESILIENCY ALONG WITH SOCIAL AND COPING SKILLS BY PARTICIPATING IN THIS ONLINE SIX-WEEK PROGRAM. CONTENT IS GROUPED BY AGE LEVEL AND CHILDREN USE A GAME SHEET TO RECORD PROGRESS. OCT 10 - NOVEMBER 17.SLIM YOUR SCREEN TIME JUNE - JULYMCHS-BLOOMER PROVIDED MONETARY SUPPORT THROUGH THE FOLLOWING:$1,000 TO THE CHIPPEWA VALLEY YOUTH MENTAL HEALTH SUMMIT.$500 TO COLFAX HEALTH AND REHABILITATION FOR TRANSPORTATION FOR SENIORS.$200 TO THE BRIDGING MEMORIES PROGRAM THROUGH THE AGING AND DISABILITY RESOURCE CENTER.MCHS-BLOOMER WAS AN ACTIVE PARTNER IN THE MENTAL HEALTH MATTERS COALITION WHICH IS AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS.THROUGH THE VOICES IN PREVENTION ACTION TEAM OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP (CHIP), MAYO CLINIC HEALTH SYSTEM CONTRIBUTED ACTION TEAM MEMBERSHIP AS PART OF WORKING TO IMPROVE COPING MECHANISMS AMONG AREA YOUTH. ACTION TEAM EFFORTS INCLUDED OUTREACH TO AREA SCHOOLS ABOUT VAPING AND HIGH-RISK DRINKING PREVENTION EDUCATION.THESE STRATEGIES PROVIDED OPPORTUNITIES FOR COMMUNITY MEMBERS TO INCREASE THEIR LEVELS OF MENTAL HEALTH THROUGH SUPPORT IN TIMES OF GRIEF AND THROUGH LEARNING THE SKILL OF RESILIENCE.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-BLOOMER IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ACCESS TO DENTAL CARE: THIS IS OUTSIDE THE EXPERTISE AND RESOURCES AVAILABLE AT THE HOSPITAL.ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY, INCLUDING THE LOCAL UNITED WAY AND HEALTH DEPARTMENT ARE ADDRESSING THESE ISSUES. REPRESENTATIVES FROM MAYO CLINIC HEALTH SYSTEM ARE PART OF THESE ACTION TEAMS.TOBACCO USE: MCHS-BLOOMER CONTINUES TO SUPPORT THE DECREASE IN TOBACCO USE THROUGH PATIENT EDUCATION.PARENTING: MCHS-BLOOMER WILL CONTINUE TO WORK CLOSELY WITH THE LOCAL FAMILY SUPPORT CENTER ON ITS EFFORTS TO REDUCE PARENTING CONCERNS.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE
GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE 2019 DUNN COUNTY CHNA SERVES AS THE BASIS FOR THE MCHS-MENOMONIE COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2019 DUNN COUNTY CHNA WAS CONDUCTED BY THE DUNN COUNTY CHNA STEERING COMMITTEE. THE COMMITTEE IS A COLLABORATIVE MADE UP OF NINE COMMUNITY ORGANIZATIONS FROM DUNN COUNTY: ARBOR PLACE, COMMUNITY FOUNDATION OF DUNN COUNTY, DUNN COUNTY HEALTH DEPARTMENT, EXTENSION-DUNN COUNTY, MCHS IN MENOMONIE (MCHS-MENOMONIE), MARSHFIELD CLINIC-DENTAL CLINIC, PREVEA HEALTH, UNITED WAY OF DUNN COUNTY AND UW-STOUT.THE CHNA PROCESS INCLUDED A VARIETY OF COMMUNITY ENGAGEMENT METHODS IN ORDER TO CONNECT WITH SEVERAL DIFFERENT DEMOGRAPHIC GROUPS IN THE COMMUNITY AND TO DEVELOP A THOROUGH UNDERSTANDING OF HEALTH ISSUES FACING THE DUNN COUNTY RESIDENTS. THESE METHODS INCLUDED PRIMARY QUALITATIVE DATA COLLECTION THROUGH AN ONLINE AND HARDCOPY COMMUNITY HEALTH SURVEY, SURVEY OUTREACH WITH UNDERREPRESENTED DEMOGRAPHICS GROUPS, AND STAKEHOLDER CONVERSATIONS WITH UNDERREPRESENTED GROUPS TO VALIDATE RESPONSES.AT THE OUTSET OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, STEERING COMMITTEE PARTNERS CONDUCTED LISTENING SESSIONS WITH THE LOCAL AGRICULTURAL COMMUNITY. THIS PROCESS INFORMED THE NEED TO INCLUDE NEW QUESTIONS AROUND SOCIAL HEALTH FACTORS INCLUDING FAMILY HEALTH, SOCIAL ISOLATION/SUPPORT. IT ALSO AFFIRMED THE NEED TO INCLUDE QUESTIONS REGARDING ACCESS TO CLINICAL MENTAL AND PHYSICAL HEALTH CARE AND HEALTH BEHAVIORS AROUND ALCOHOL AND OTHER DRUGS. THE COMMUNITY HEALTH SURVEY WAS DISTRIBUTED TO RESIDENTS THROUGHOUT DUNN COUNTY IN MARCH AND APRIL OF 2019. THE LINK TO THE WEB SURVEY WAS WIDELY DISTRIBUTED THROUGH THE NETWORKS OF EACH OF THE PARTNER ORGANIZATIONS, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. COMMUNITY ORGANIZATIONS INCLUDED: AGING AND DISABILITY RESOURCE CENTER-SENIOR NUTRITION SITES, LOCAL CHURCHES AND FOOD PANTRIES, EXTENSION-DUNN COUNTY, EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION, THE BRIDGE TO HOPE, THE DUNN COUNTY JAIL, THE DUNN COUNTY CRIMINAL JUSTICE COLLABORATING COUNCIL, EL CENTRO, TOWN/VILLAGE CLERKS AND OTHERS. THE SURVEY LAUNCH WAS ANNOUNCED BY A PRESS RELEASE AND WAS WIDELY ADVERTISED IN LOCAL NEWSPAPERS, SOCIAL MEDIA, AND FLYERS THROUGHOUT THE COUNTY. SPECIAL EFFORT WAS MADE TO ENSURE THE SURVEY WAS AVAILABLE TO UNDERREPRESENTED GROUPS WHO CAN BE AT THE HIGHEST RISK OF SUFFERING FROM HEALTH DISPARITIES. HARDCOPY AND LARGE PRINT SURVEYS WERE ALSO MADE AVAILABLE THROUGHOUT THE COUNTY. COMMITTEE MEMBERS COMPLETED A MAPPING EXERCISE TO MAKE SURE THE SURVEY WAS DISTRIBUTED TO A BROAD LIST OF COMMUNITY MEMBERS. A TOTAL OF 978 DUNN COUNTY RESIDENTS COMPLETED THE SURVEY.IN ADDITION, QUANTITATIVE COMMUNITY HEALTH DATA WAS COLLECTED BASED ON THE MEASURES RECOMMENDED IN THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS & BOARDS CORE DATASET AND THE STATE HEALTH PLAN. SOURCES INCLUDED: COUNTY HEALTH RANKINGS, US CENSUS, GOVERNMENT REPORTS, CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY DEPARTMENT REPORTS, WISCONSIN DEPARTMENT OF HEALTH SERVICES STATISTICS, SCHOOLS, AND OTHER PUBLICLY AVAILABLE SOURCES.
GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 6B:	ARBOR PLACECOMMUNITY FOUNDATION OF DUNN COUNTYDUNN COUNTY HEALTH DEPARTMENTEXTENSION-DUNN COUNTYMARSHFIELD CLINIC-DENTAL CLINICPREVEA HEALTHUNITED WAY OF DUNN COUNTYUNIVERSITY OF WISCONSIN-STOUT
GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN MENOMONIE (MCHS-MENOMONIE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITYCHRONIC DISEASEMENTAL HEALTHIN 2019, MCHS-MENOMONIE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY: TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES AND AWARENESS OF PROPER NUTRITION AND EDUCATION REGARDING ITS IMPORTANCE FOR LONG TERM HEALTH FOR YOUTH AND FAMILIES:MCHS-MENOMONIE PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:$5,000 SPEEDY EITY RUN$2,500 GET IT DUNN RUN$1,000 COMMUNITY WALKER EVENT$500 KINDNESS KITCHEN EVENT$500 MUSTANG 5K$250 ROAD RUNNER EVENT$150 YOUTH TRIATHLON MCHS-MENOMONIE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:STRONG BODIES (NINE 12 TO 15 WEEK SESSIONS IN WHICH EACH WEEK CONSISTED OF TWO CLASSES)SNOWSHOE AND WINTER HIKEMUSIC AND MOVEMENT (TWELVE CLASSES)ZUMBA CLASSES (THREE SIXTEEN-WEEK SESSIONS IN WHICH EACH WEEK CONSISTED OF ONE CLASS)COMMUNITY HIKES (THREE EVENTS)COOKING CLASSES FOR KIDS (FOUR CLASSES)MUSIC AND MOVEMENT (WEEKLY CLASSES IN WINTER, SPRING AND FALL)ROLLER SKATINGFAMILY SWIMUW-STOUT CHALLENGE AND ROPE COURSE ADVENTURESEAT WELL ON A BUDGET (TWO CLASSES) MCHS-MENOMONIE PARTNERED WITH THE FOLLOWING ORGANIZATIONS:EAU CLAIRE YMCA - HOSTED NINTH ANNUAL CAMP WABI FOR CHILDREN STRUGGLING WITH WEIGHT.HEALTH DUNN RIGHT - CHRONIC DISEASE PREVENTION ACTION TEAM. MCHS-MENOMONIE IS A KEY PARTNER IN SUPPORTING THE HEALTH DUNN RIGHT COALITION INCLUDING A TEAM THAT IS WORKING ON IMPROVING NUTRITION AND INCREASING PHYSICAL ACTIVITY IN THE COMMUNITY.THESE STRATEGIES PROVIDED COMMUNITY MEMBERS THE OPPORTUNITY TO ENGAGE IN PHYSICAL ACTIVITY AND TO LEARN SKILLS FOR PREPARING AND SERVING HEALTHY FOOD. CHRONIC DISEASE: TO INCREASE COMMUNITY OPPORTUNITIES TO EFFECTIVELY MANAGE CHRONIC DISEASE CONDITIONS:MCHS-MENOMONIE PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:$12,000 TO THE STEPPING STONES OF DUNN COUNTY WINTERHAVEN (HOMELESS SHELTER). THIS PROGRAM IS A KEY COMMUNITY RESOURCE IN SUPPORTING INDIVIDUALS WHO WOULD OTHERWISE BE LIVING IN ABANDONED BUILDINGS AND CARS AS WELL AS THOSE WHO ARE "COUCH SURFING" JUST TO FIND A PLACE TO SLEEP.$10,000 TO STEPPING STONES OF DUNN COUNTY IN SUPPORT OF POP-UP PANTRIES. LACK OF ACCESS TO HEALTHY, AFFORDABLE FOOD CONTRIBUTES TO OBESITY AND CHRONIC DISEASE. THIS PROGRAM OFFERS POP-UP FOOD PANTRIES IN RURAL AREAS PROVIDING EASIER ACCESS TO NUTRITIOUS FOOD FOR LOW-INCOME RESIDENTS.$5,000 HEALTH WEEK FOR THE BOYS AND GIRLS CLUB.$1,000 KIDS AGAINST HUNGER.$1,000 AMERICAN CANCER SOCIETY.$500 ADVANCED CARE EVENT.MCHS-MENOMONIE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS: LIVING WELL WITH CHRONIC PAIN (ONE SIX-WEEK WORKSHOP IN WHICH EACH WEEK CONSISTED OF ONE CLASS)KNOW YOUR NUMBERS CHOLESTEROL SCREENING EVENT (TWO DAYS) TYPE 1 DIABETES SUPPORT GROUP (ONCE A MONTH)HOT TOPICS FOR THE HMONG COMMUNITYSTEPPING ON: FALL PREVENTION CLASS (ONE SIX-WEEK SESSION IN WHICH EACH WEEK CONSISTED OF ONE CLASS)BARIATRIC CONNECTIONS SUPPORT GROUP (TWO CLASSES)MCHS-MENOMONIE PARTNERED WITH THE FOLLOWING ORGANIZATION:MENOMONIE AREA FREE CLINIC IS PHYSICALLY LOCATED IN MCHS-MENOMONIE. MCHS-MENOMONIE DONATED APPROXIMATELY 425 HOURS OF TIME TO CHRONIC DISEASE MANAGEMENT AND PREVENTION THROUGH BOARD OR COMMITTEE MEMBERSHIP IN LOCAL ORGANIZATIONS, VOLUNTEER HOURS, PRESENTATIONS AND EDUCATION.THESE STRATEGIES PROVIDED COMMUNITY MEMBERS WITH ACTIONABLE INFORMATION AND RESOURCES TO MANAGE THEIR HEALTH AND TO OBTAIN FOOD NECESSARY FOR A HEALTHY LIFE. MENTAL HEALTH: TO INCREASE AWARENESS OF MENTAL HEALTH AND ITS IMPORTANCE FOR LONG-TERM HEALTH OUTCOMES: MCHS-MENOMONIE PROVIDED MONETARY SUPPORT TO SUPPORT THE FOLLOWING ORGANIZATIONS:$20,000 BOYCEVILLE SCHOOL DISTRICT COACHING TRAUMA-INFORMED RESILIENCE. THIS PROGRAM INVOLVES A TRAUMA-INFORMED CURRICULUM. IT ADDRESSES THE DEVELOPMENT OF STRESS RESILIENCE BY INCORPORATING MINDFULNESS AND SELF-REGULATION ACTIVITIES IN THE SCHOOL. FUNDING WILL BUILD THE CAPACITY OF INTERNAL COACHES AND TEACHERS AND HELP THEM EXPAND COLLABORATION WITH MONDOVI SCHOOLS.$25,000 TO THE COMMUNITY FOUNDATION OF DUNN COUNTY TO THE HOME SWEET MENOMONIE PROGRAM. THIS PROGRAM SUPPORTS FIRST-TIME HOMEBUYERS WITH BUYING A HOME IN THE CITY OF MENOMONIE, WHICH IS AIMED AT RESTORING THE VITALITY AND CONNECTEDNESS OF THE COMMUNITY.$2,500 EARLY CHILDHOOD CONFERENCE AT UW-STOUT.$1,000 THE RIPPLE EFFECT, WHICH IS A COMMUNITY DOCUMENTARY SHOWING AIMED AT SUICIDE PREVENTION. MCHS-MENOMONIE HOSTED OR SPONSORED THE FOLLOWING PROGRAMS:TOUCHPOINTS-GRIEF (FOUR MEETINGS).NOT ENOUGH APOLOGIES: TRAUMA STORIES DOCUMENTARY SCREENING. MCHS-MENOMONIE PARTNERED WITH THE FOLLOWING ORGANIZATION:HEALTH DUNN RIGHT - MENTAL HEALTH PROMOTION ACTION TEAM. MCHS-MENOMONIE IS A KEY PARTNER IN SUPPORTING THE HEALTH DUNN RIGHT COALITION INCLUDING A TEAM THAT IS WORKING ON STRENGTHENING MENTAL HEALTH AND RESILIENCY EFFORTS IN THE COMMUNITY.THESE STRATEGIES PROVIDED OPPORTUNITIES FOR COMMUNITY MEMBERS TO INCREASE THEIR LEVELS OF MENTAL HEALTH THROUGH SUPPORT IN TIMES OF GRIEF AND TRAUMA RECOVERY.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-MENOMONIE IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:ALCOHOL AND DRUG USE/ABUSE: OTHER AGENCIES IN THE COUNTY ARE ADDRESSING THESE ISSUES, AND THEY ARE GENERALLY OUT OF SCOPE FOR MCHS-MENOMONIE. TOBACCO: MCHS-MENOMONIE WILL CONTINUE TO SUPPORT THE DECREASE OF TOBACCO USE THROUGH PATIENT EDUCATION. HEALTHY GROWTH AND DEVELOPMENT: THIS IS A CORE SERVICE OF MCHS-MENOMONIE THAT WE WILL CONTINUE TO ADDRESS TO MEET THE NEEDS OF OUR PATIENTS. ACCESS TO HEALTH CARE: MCHS-MENOMONIE WILL CONTINUE TO FOCUS ON INCREASING ACCESS TO CARE FOR OUR PATIENTS. REPRODUCTIVE/SEXUAL HEALTH: THIS IS A FOCUS FOR DUNN COUNTY PUBLIC HEALTH AND UNIVERSITY HEALTH SERVICES, WHOSE EFFORTS ARE SUPPORTED BY MCHS-MENOMONIE.
GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 5:	COMMUNITY INPUT:FREEBORN COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH COMMUNITY HEALTH CARE COLLABORATIVE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF FREEBORN COUNTY.FOCUS GROUPS WITH COMMUNITY HEALTH CARE COLLABORATIVE GROUP, SUBGROUPS OF THE COMMUNITY HEALTH CARE COLLABORATIVE INCLUDING SENIOR, FAMILIES AND CHILDREN, MENTAL HEALTH COMMITTEES AND FREEBORN COUNTY WORKSITE WELLNESS COMMITTEE.1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING FREEBORN COUNTY PUBLIC HEALTH, CHIEF OF POLICE, FREEBORN COUNTY SHERIFF, ALBERT LEA AREA SCHOOLS, CHAMBER OF COMMERCE, UNITED WAY, SENIOR RESOURCES, ALBERT LEA FAMILY YMCA, PARKS AND RECREATION, ALBERT LEA FIRE, BLUE ZONES VITALITY PROJECT, ALBERT LEA CHILDREN'S CENTER AND AMBULANCE SERVICES.TWO COMMUNITY LISTENING SESSIONS OPEN TO COMMUNITY MEMBERS AND AGENCIES.SURVEYS WITH COMMUNITY MEMBERS VISITING THE FREEBORN COUNTY HEALTH OFFICE, MAYO CLINIC HEALTH SYSTEM LANGUAGE SERVICES DEPARTMENT AND ALBERT LEA SCHOOL DISTRICT'S ADULT BASIC EDUCATION STUDENTS. MOWER COUNTY: MAY 2018-AUGUST 2018 MEETINGS WITH MOWER REFRESHED STEERING COMMITTEE, A DIVERSE GROUP OF COMMUNITY LEADERS REPRESENTING NUMEROUS SECTORS IN THE COMMUNITY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF MOWER COUNTY.FOCUS GROUPS WITH LOCAL COMMUNITY COLLEGE STUDENTS, SOUTHERN MINNESOTA EDUCATION CONSORTIUM SCHOOL SOCIAL WORKERS, AND MOWER COUNTY PUBLIC HEALTH NURSES.ENGLISH AS A SECOND LANGUAGE ADULT LEARNERS1:1 INTERVIEWS WITH KEY COMMUNITY INFORMANTS REPRESENTING A DIVERSE SOCIAL SPECTRUM, INCLUDING MOWER COUNTY SENIOR CENTER, ST. MARK'S LUTHERAN HOME, CHIEF OF POLICE, MOWER COUNTY SHERIFF, UNITED WAY, CITY OF AUSTIN PORT AUTHORITY, AUSTIN YMCA, FAITH COMMUNITIES, MOWER COUNTY HHS, AFRICAN-ASIAN REFUGEE SERVICES, WELCOME CENTER, AMBULANCE SERVICE.SURVEYS SENT THROUGHOUT THE COUNTY.SURVEYS WITH COMMUNITY MEMBERS VISITING THE COUNTY HEALTH AND HUMAN SERVICES OFFICE.
GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 6B:	FREEBORN COUNTY PUBLIC HEALTHMOWER COUNTY PUBLIC HEALTH
GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 11:	FREEBORN COUNTYBASED ON THE CHNA CONDUCTED IN 2016, MCHS IN ALBERT LEA AND AUSTIN (MCHS-AL/AUS) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT IN FREEBORN COUNTY:MENTAL HEALTHHEALTHY EATINGIN 2019, MCHS-AL/AUS IN FREEBORN COUNTY TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE THE CAPACITY OF INDIVIDUALS TO ACHIEVE MENTAL WELLNESS, MCHS-AL/AUS HELD OR PARTICIPATED IN THE FOLLOWING EVENTS:TWO HEALTH TALK SERIES - PRESENTATIONS TO SENIORS ON TOPICS SUCH AS RESPIRATORY HEALTH, FALL RISKS, VISION HEALTH, ARTHRITIS, HEART DISEASE AND BLADDER HEALTH. THESE TOPICS ARE OF PARTICULAR INTEREST TO OLDER PEOPLE AND THE INFORMATION SHARED BENEFITS THEIR MENTAL WELL-BEING.ROAD TO RESILIENCE (RAISING HEALTHY KIDS) - FREE VIRTUAL CHALLENGE TO HELP BUILD AND STRENGTHEN RESILIENCE AND COPING SKILLS FOR CHILDREN. TOOLKITS WERE PROVIDED THROUGHOUT THE COMMUNITY. TO ACHIEVE THEIR GOALS, PARTICIPANTS WERE GIVEN A LIST OF ACTIVITIES, VIDEOS, ARTICLES AND A GAME BOARD TO TRACK PROGRESS. WIND DOWN WEDNESDAYS - EVENT IN DOWNTOWN ALBERT LEA WHICH EMPLOYEES VOLUNTEERED TO GIVE OUT INFORMATION ON WHERE TO SEEK CARE FOR MENTAL HEALTH, NURSE LINE, ONLINE CARE, EXPRESS CARE CLINIC, CLINIC VISITS, SAME DAY CLINIC AND EMERGENCY ROOM IN FREEBORN COUNTY.EMPLOYER HEALTH FAIRS AT ALBERT LEA SELECT FOODS AND EDWARD MANUFACTURING - EMPLOYEES VOLUNTEERED TO GIVE INFORMATION ON WHERE TO SEEK CARE IN FREEBORN COUNTY AND INFORMATION TO PROMOTE AN ACTIVE AND HEALTHY LIFESTYLE TO ACHIEVE BETTER WELL-BEING.IN ADDITION, MCHS-AL/AUS DONATED TO THE ALBERT LEA FAMILY YMCA - FIT FOREVER HEALTH INITIATIVE COLLABORATIVE TO PROVIDE FREEBORN COUNTY 5TH, 6TH AND 7TH GRADERS FREE ACCESS TO THE YMCA TO INCREASE PHYSICAL ACTIVITY AND MENTAL WELL-BEING; SENIOR RESOURCES OF FREEBORN COUNTY TO FUND THE SENIOR ADVOCACY & INFORMATION PROGRAM SUPPORTING MENTAL HEALTH; FREEBORN COUNTY SERVICES/SEMCAC - ASSISTANCE FOR OUTREACH & EMERGENCY SERVICES AND SENIOR SERVICES DEPARTMENTS TO SECURE NEEDED SERVICES FOR HOMELESS AND SENIOR RESIDENTS WHICH WILL BENEFIT MENTAL WELL-BEING.HEALTHY EATING: TO PROMOTE COMMUNITY WELLNESS, MCHS-AL/AUS HELD THE FOLLOWING EVENTS:"HEALTHY EATING" EVENT THAT PROVIDED A HEALTHY SNACK DEMONSTRATION TO SENIORS, HEALTHY EATING TIPS AND DISTRIBUTED CUTTING BOARDS, OVEN MITTS AND SPATULAS."MINNESOTA GOVERNORS FISHING OPENER" ACTIVITIES INCLUDING HOOKED ON BROADWAY EVENT IN DOWNTOWN ALBERT LEA AND BLUE ZONES WALK/RUN ON FOUNTAIN LAKE WHICH EMPLOYEES VOLUNTEERED TO GIVE OUT HEALTHY FISH RECIPES, WATER BOTTLES, FRISBEES AND EDUCATIONAL MATERIALS PROMOTING ACTIVE LIVING AND HEALTHY EATING. FREEBORN COUNTY FAIR "WALKING FOR WELLNESS" BOOTH WHICH EMPLOYEES VOLUNTEERED TO SHARE INFORMATION ON THE BENEFITS OF WALKING TO FAIRGOERS, WATER BOTTLES, COOLING TOWELS AND FRISBEES TO PROMOTE ACTIVE LIVING AND A HEALTHY LIFESTYLE.WALK TO END ALZHEIMER'S FREEBORN COUNTY TO PROMOTE ACTIVE LIVING AND BATTLE CHRONIC DISEASE.IN ADDITION, MCHS-AL/AUS DONATED TO THE KIESTER, MN COMMUNITY TO CONTINUE SUPPORT OF THE COMMUNITY GARDEN; ROCK & ROLL THE LAKES BIKING SPONSORSHIP TO ENCOURAGE HEALTHY LIFESTYLE HABITS INCLUDING, ACTIVE LIVING AND HEALTHY EATING; LIFE CENTER OF FREEBORN COUNTY TO CONTRIBUTE TO HEALTHY EATING AND ACTIVE LIFESTYLE PROGRAM; MOWER COUNTYTHROUGH A VARIETY OF PROGRAMS, ACTIVITIES AND PARTNERSHIPS CONDUCTED IN MOWER COUNTY, MCHS-AL/AUS TEAM DISSEMINATED RELEVANT INFORMATION ON ILLEGAL CHEMICAL USE, FAMILY DYNAMICS AND NUTRITION/EXERCISE. THIS BROUGHT AWARENESS TO RESOURCES AVAILABLE IN THE COMMUNITY AS WELL AS PROVIDED RECIPIENTS WITH ACTIONABLE INFORMATION THEY COULD USE TO MANAGE THEIR OWN HEALTH. SOME OF THE STRATEGIES FOR ACHIEVING THIS ARE DESCRIBED BELOW. BASED ON THE CHNA CONDUCTED IN 2016, MCHS-AL/AUS IDENTIFIED THE FOLLOWING NEEDS IN MOWER COUNTY:ILLEGAL CHEMICAL USENUTRITION AND EXERCISEFAMILY CHALLENGESIN 2019, MCHS-AL/AUS IN MOWER COUNTY TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ILLEGAL CHEMICAL USE: TO INCREASE AWARENESS OF TOBACCO USE AND VAPING BY TEENS, MOWER REFRESHED, A COMMUNITY COLLABORATION FUNDED BY MCHS-AL/AUS, IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS, CREATED AND POSTED ELECTRONIC SIGNAGE ON HEALTH SYSTEM PROPERTY TO EDUCATE ON TOBACCO AND VAPING HAZARDS. MCHS-AL/AUS ALSO PUBLISHED INFORMATION ON ILLEGAL CHEMICAL USE IN THE MOWER REFRESHED NEWSLETTER, A BI-MONTHLY E-NEWSLETTER DISTRIBUTED TO A LIST OF APPROXIMATELY 500 SUBSCRIBERS. MCHS-AL/AUS ALSO PARTICIPATES AS A COMMITTEE MEMBER IN THE AUSTIN POSITIVE ACTION COALITION, A COMMUNITY GROUP FUNDED BY A STATE GRANT TO REDUCE THE USE OF TOBACCO AND VAPING BY TEENS. LIFESTYLE HABITS: TO INCREASE ENGAGEMENT IN COMMUNITY PROGRAMS AND EFFORTS THAT ADDRESS HEALTHY EATING AND ACTIVE LIVING, MCHS-AL/AUS COLLABORATED WITH OTHER COMMUNITY ORGANIZATIONS TO HOST HARVEST FEST - A DOWNTOWN NEIGHBORHOOD EVENT THAT BRINGS THE COMMUNITY TOGETHER TO HARVEST HEALTHY FOOD FOR LOCAL FOOD SHELVES, ENCOURAGES GETTING OUTDOORS AND MOVING WITH A 5K WALK/RUN THAT ENCOURAGES PARTICIPANTS TO EXPLORE LIVING HEALTHY IN MOWER COUNTY. MCHS-AL/AUS HOSTED A "WOMEN'S MORNING OF WELL-BEING" EVENT IN APRIL 2019, ATTRACTING 160 PEOPLE WHO ATTENDED TO LEARN ABOUT NUTRITION, STRESS MANAGEMENT AND SELF-CARE. A LUNCH & LEARN IN JANUARY 2019 FEATURED A MCHS PHYSICIAN WHO SPOKE ON THE TOPIC OF WORKSITE WELLNESS. FAMILY CHALLENGES: TO POSITIVELY INFLUENCE THE HEALTH OF FAMILY SYSTEMS, MCHS-AL/AUS, THROUGH ITS FUNDING OF MOWER REFRESHED, DISTRIBUTES AN E-NEWSLETTER THAT OFFERS INFORMATION ON RESOURCES AVAILABLE TO LIVE HEALTHY IN MOWER COUNTY SUCH AS NUTRITION, FINANCIAL MANAGEMENT, STRESS REDUCTION, FAMILY RELATIONSHIPS, GOAL SETTING, ETC. IN 2019, THIS E-NEWSLETTER HAD APPROXIMATELY 500 ADDRESSES ON ITS DISTRIBUTION LIST. MCHS-AL/AUS ALSO SUPPORTED THIS PRIORITY AREA BY HOSTING TWO COMMUNITY WORKSHOPS ON "RAISING KIDS IN THE DIGITAL AGE AND "KEEPING KIDS SAFE IN THE DIGITAL AGE." MCHS-AL/AUS ALSO OFFERED A COMMUNITY LUNCH & LEARN ON "FINDING YOUR WHY," FEATURING A LOCAL WELLNESS SPEAKER. FAMILY CHALLENGE ISSUES WERE ALSO ADDRESSED IN THE BI-MONTHLY MOWER REFRESHED NEWSLETTER, DISTRIBUTED TO 500 SUBSCRIBERS. THE 2016-2019 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCHS-AL/AUS IS NOT ADDRESSING FOR THE REASONS STATED:FREEBORN COUNTYCHRONIC DISEASE: CHRONIC HEALTH ISSUES REMAIN AS SIGNIFICANT COMMUNITY CONCERNS SINCE THE 2013 COMMUNITY SURVEY; HOWEVER, FOCUSING ON IMPROVED MENTAL HEALTH IS NECESSARY IN ADDRESSING CHRONIC DISEASES, AND IMPROVED MENTAL HEALTH LEADS TO GREATER ABILITY TO MANAGE HEALTH. DENTAL CARE: MCHS-AL/AUS DOES NOT PROVIDE DENTAL SERVICES. MOWER COUNTYDECREASING INCIDENCE OF ADOLESCENTS BECOMING SEXUALLY ACTIVE: MCHS-AL/AUS IS LIMITED IN REACHING ADOLESCENTS PRIOR TO BECOMING ACTIVE SEXUALLY. PUBLIC HEALTH, SCHOOL PROGRAMS, FAITH COMMUNITIES, AND PARENTS ARE WELL-POSITIONED TO ADDRESS THIS.UNSUPERVISED CHILDREN AFTERSCHOOL: MCHS-AL/AUS IS NOT ADDRESSING THIS SPECIFICALLY BUT WILL PROMOTE AND CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS ADDRESSING THIS SUCH AS THE AUSTIN YMCA, DISTRICT SCHOOL PROGRAMMING, ETC.
PART V, SECTION B	FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF:	- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN LA CROSSE (MCHS-LA CROSSE). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6A:	MCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSTOMAH MEMORIAL HOSPITALGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6B:	GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
GROUP D-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:CHRONIC DISEASE & CONTRIBUTING FACTORS MENTAL HEALTH AND/OR SUBSTANCE ABUSE MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS IN 2019:CHRONIC DISEASE & CONTRIBUTING FACTORS: TO REDUCE THE INCIDENCE AND IMPACT OF CHRONIC DISEASE THROUGH INCREASED ADOPTION OF HEALTHY LIFESTYLES, MCHS-LA CROSSE:HOSPITAL STAFF ENGAGED SUPPORTED COMMUNITY EFFORTS TO PREVENT/MANAGE CHRONIC DISEASE, INCLUDING: LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM POPULATION HEALTH COMMITTEE, JDRF LOCAL CHAPTER, 7-RIVERS SUDDEN CARDIAC ARREST ASSOCIATION, CELEBRATING HER HEART HEALTH COMMITTEE, LA CROSSE COUNTY HEALTH AND HUMAN SERVICES BOARD, GREAT RIVERS HUB, AND ESSENTIAL HEALTH CLINIC BOARD.PROVIDED FREE ONSITE PROGRAMS INCLUDING PREVENTATIVE SCREENINGS, CLASSES AND SUPPORT GROUPS; ALSO SHARED MAYO EXPERTISE AT COMMUNITY HEALTH FAIRS ACROSS THE REGION.THE HOSPITAL CONDUCTED 38 MOBILE TEACHING KITCHEN DEMOS AT AREA EVENTS, COMMUNITY CENTERS AND ELEMENTARY SCHOOLS TO ENGAGE PEOPLE IN EXPLORING NEW FOODS AND LEARNING TO PREPARE EASY, HEALTHY, INEXPENSIVE RECIPES.PROVIDED 90 GARDEN PLOTS FOR URBAN GARDENERS. A PORTION OF THE PRODUCE WAS DONATED TO AREA FOOD PANTRIES. 5 MEALS IN MINUTES TV NEWS SEGMENTS FEATURED THE HOSPITAL'S CHEF SHARING EASY, HEALTHY, TASTY, AND INEXPENSIVE RECIPES FOR FAMILIES/PEOPLE ON THE GO.FINANCIAL AND IN-KIND SUPPORT WAS PROVIDED FOR LOCAL INITIATIVES ENGAGING PEOPLE, ESPECIALLY CHILDREN, IN GROWING, TASTING, AND PREPARING FRESH HEALTHY FOODS. PARTNERS INCLUDE HILLVIEW URBAN AGRICULTURE CENTER, GROW LA CROSSE AND COULEE REGION FARM2SCHOOL. IN-KIND SUPPORT OF FARM2SCHOOL INCLUDED 21 SCHOOL-BASED COOKING DEMONSTRATIONS CO-COORDINATED BY HOSPITAL AND SCHOOL STAFF AND FEATURING THE HOSPITAL'S EXECUTIVE CHEF. A COOKING DEMO FOR LICENSED CHILDCARE PROVIDERS WAS HELD AT THE HOSPITAL. PRESENTATIONS FOCUSED ON EASY, KID-FRIENDLY, NUTRITIOUS MEALS. THE EVENT WAS HELD IN COLLABORATION WITH THE PARENTING PLACE.PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING EVENTS AND PROGRAMS THAT PROMOTE PHYSICAL ACTIVITY AND WELLNESS: LA CROSSE COUNTY NATURE CONNECTIONS, LA CROSSE AREA BICYCLE FEST, BIKE FEDERATION OF WI BIKE WEEK, YOUTH OUTDOOR FEST, GET UP & GO DAY, CLASSIC BIKE TOUR, WEST SALEM FUN RUN, KORNFEST FUN RUN, GRANDAD HALF MARATHON AND DRIFTLESS HALF MARATHON. PROVIDED FINANCIAL SUPPORT TO GROUPS ASSISTING PEOPLE LIVING WITH CHRONIC DISEASES, INCLUDING: LOCAL LUPUS ALLIANCE, LIVING FOR LIZ (LUNG CANCER), CELEBRATING HER HEART HEALTH, JUVENILE DIABETES RESEARCH FOUNDATION, AUTISM FOUNDATION, DOWN SYNDROME FOUNDATION, LOCAL EPILEPSY SUPPORT GROUP, MS SOCIETY, AMERICAN CANCER SOCIETY, AND THE ALZHEIMER'S ASSOCIATION.HELD THE 7TH ANNUAL BIG BLUE DRAGON BOAT FESTIVAL. DRAGON BOATING PROVIDES EMOTIONAL SUPPORT FOR CANCER SURVIVORS, WHILE ALSO ADDRESSING LYMPHEDEMA. MANY SURVIVORS CONTINUED TO PADDLE ALL SUMMER USING BOATS AND EQUIPMENT OWNED BY THE HOSPITAL. THE BOYS AND GIRLS CLUB OF GREATER LA CROSSE WAS CO-PRESENTER OF THE FESTIVAL AND A PORTION OF THE NET PROCEEDS WERE DESIGNATED TO SUPPORT THE CLUB'S HEALTHY LIFESTYLES PROGRAMS FOR YOUTH.SUPPORTED THE GREAT RIVERS HUB, A COLLABORATIVE, EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. THE HUB, A CARE MANAGEMENT SYSTEM, COMPLETED ITS SECOND YEAR OF OPERATION IN 2019. COMMUNITY CARE COORDINATORS WORK 1:1 WITH CLIENTS TO ADDRESS SOCIAL DETERMINANTS IMPACTING THEIR PHYSICAL AND MENTAL HEALTH. THE HOSPITAL CONTINUES TO BE ACTIVELY INVOLVED IN THE HUB, PROVIDING REFERRALS, ASSISTING WITH DATA COLLECTION, AND PROVIDING STAFF TO SERVE ON THE STEERING AND OTHER COMMITTEES.COLLABORATED WITH ORGANIZATIONS TO POSITIVELY INFLUENCE LOCAL FOOD CULTURE AND A SUSTAINABLE FOOD SYSTEM: HILLVIEW URBAN AGRICULTURE, UW-LA CROSSE, 5TH SEASON COOPERATIVE, COULEE REGION FARM2SCHOOL, WASHBURN NEIGHBORHOOD ASSOCIATION AND CITY OF ONALASKA PARKS & REC DEPARTMENT. THE HOSPITAL ALSO CONTINUED TO SERVE AS A COMMUNITY DROP-OFF SITE FOR COMMUNITY SHARED AGRICULTURE (CSA) FRESH FOOD BOXES. EXPLORED NEW OPPORTUNITIES FOR COLLABORATION AND THE POOLING OF RESOURCES TO ADDRESS CHRONIC DISEASE AND CONTRIBUTING FACTORS. NEW COLLABORATIONS INCLUDED THE PARENTING PLACE, ESSENTIAL HEALTH CLINIC, AND THE LOCAL EPILEPSY SUPPORT GROUP.MENTAL HEALTH AND/OR SUBSTANCE ABUSE: TO INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE CONCERNS, MCHS-LA CROSSE:SHARED MAYO CLINIC EXPERTISE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH MAGAZINE, SOCIAL MEDIA POSTS, WEB BLOGS, MAYOCLINIC.COM, AND MEDIA INTERVIEWS AND PARTICIPATION IN VARIOUS HEALTH FAIRS.PROVIDED LEADERS AND STAFF TO ENGAGE IN COMMUNITY INITIATIVES TO ADDRESS MENTAL HEALTH AND/OR SUBSTANCE ABUSE. EXAMPLES INCLUDE COULEE COUNCIL ON ADDICTIONS BOARD, LA CROSSE COUNTY PREVENTION NETWORK, ALLIANCE TO HEAL STEERING AND OTHER COMMITTEES, LA CROSSE AREA SUICIDE PREVENTION INITIATIVE, LA CROSSE MENTAL HEALTH COALITION, CAMPAIGN TO CHANGE DIRECTION, AND THE BETTER TOGETHER COLLABORATIVE. CONTINUED TO HOST ITS ANNUAL CHILD MALTREATMENT CONFERENCE FOR CHILD PROTECTION WORKERS, LAW ENFORCEMENT, MEDICAL AND MENTAL HEALTH PROFESSIONALS, SCHOOL PERSONNEL, EMERGENCY RESPONSE PERSONNEL AND VICTIM/WITNESS ADVOCATES.PROVIDED FINANCIAL SUPPORT TO THE FOLLOWING COLLABORATIVE COMMUNITY EFFORTS TO RAISE AWARENESS OF MENTAL ILLNESS AND/OR SUBSTANCE ABUSE: YMCA (VETERANS MENTAL HEALTH AWARENESS WALK); LA CROSSE SCHOOL DISTRICT (REBUILDING FOR LEARNING), CAMPAIGN TO CHANGE DIRECTION, SALVATION ARMY PSYCHIATRIC SERVICES, INDEPENDENT LIVING RESOURCES (SUPPORT GROUPS), KEVIN'S LEGACY FOUNDATION (SUICIDE PREVENTION), SPORTS MENTORSHIP ACADEMY (TRAUMA-INFORMED PROGRAM), MINI DONUT FOUNDATION (SUICIDE PREVENTION), LA CROSSE COUNTY PREVENTION NETWORK (REDUCING STIGMA OF MENTAL HEALTH), ALLIANCE TO HEAL (ADDICTION), LA CROSSE POLICE DARE (SUBSTANCE ABUSE PREVENTION); COULEE COUNCIL ON ADDICTIONS (RECOVERY). PROVIDED FINANCIAL/IN-KIND SUPPORT TO THE FOLLOWING ORGANIZATIONS, ASSISTING INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE: COULEECAP HOUSING FIRST, INDEPENDENT LIVING RESOURCES, ALZHEIMER'S ASSOCIATION, AND COULEE COUNCIL ON ADDICTIONS.DONATED SPACE ON ITS CAMPUS TO HOUSE TWO LA CROSSE COUNTY SOCIAL WORKERS SERVING THE WASHBURN NEIGHBORHOOD, AND CONTINUED TO PROVIDE FULL-TIME BEHAVIORAL HEALTH SPECIALISTS FOR THE MATHY AND ERICKSON BOYS & GIRLS CLUBS. THE HOSPITAL EMPLOYS BOTH SPECIALISTS AND ABSORBS WAGES AND BENEFITS FOR ONE.CONTINUED TO PROVIDE LAND ON THE ITS CAMPUS, FOR $1/YEAR, FOR THE COULEE RECOVERY CENTER. THE FACILITY PROVIDES ADDICTION PREVENTION AND RECOVERY SERVICES.OFFERED AN EXERCISE GROUP, LED BY PHYSICAL AND OCCUPATIONAL THERAPISTS, FOR PEOPLE WHO SUFFER CHRONIC PAIN, IN AN EFFORT TO REDUCE THEIR PAIN AND RELIANCE ON MEDICATIONS.SUPPORTED GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. FREQUENT ER USERS WERE THE FOCUS OF A PILOT PROGRAM WHICH CONTINUED IN 2019. A SECOND PILOT WAS LAUNCHED TARGETING PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED TO THE HUB.EXPLORED NEW OPPORTUNITIES FOR COLLABORATION AND POOLING OF RESOURCES TO IMPROVE ACCESS TO MENTAL HEALTH AND/OR SUBSTANCE ABUSE INFORMATION, SUPPORT, AND SERVICES. NEW COLLABORATIONS INCLUDED THE RESILIENCY AND TRAUMA INFORMED CARE COMMUNITY.MORE THAN 220 PHYSICIANS/PROVIDERS PARTICIPATED IN OPIOID PRESCRIBING EDUCATION DURING 2019. AFTERWARD, 68% SAID THEY WOULD MAKE PRACTICE CHANGES AS A RESULT OF WHAT THEY LEARNED. TOP RESPONSES FOR EXPECTED PRACTICE CHANGES WERE 1) PRESCRIBE FEWER OPIOIDS, 2) OFFER ALTERNATIVE PAIN MANAGEMENT OPTIONS, AND 3) UTILIZE OPIOID RISK TOOLS.PRIORITIES NOT ADDRESSED: THE 2016 CHNA ALSO IDENTIFIED ORAL HEALTH AS A PRIORITY NEED IN THE COMMUNITY, BUT ORAL HEALTH WAS NOT ADOPTED BY MCHS-LA CROSSE DUE TO LACK OF EXPERTISE OR RESOURCES IN THIS AREA. THE HOSPITAL WAS OPEN TO SUPPORTING INITIATIVES ADDRESSING ORAL HEALTH NEEDS AND PROVIDED A $40,000 CONTRIBUTION TO SCENIC BLUFFS COMMUNITY HEALTH CENTER TO HELP ESTABLISH A LOW INCOME DENTAL CLINIC. THE DENTAL CLINIC IS EXPECTED TO OPEN MID-YEAR, 2020.
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMPASS NOW 2018 REPORT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN SPARTA (MCHS-SPARTA). THE COMPASS NOW 2018 PARTNERSHIP IS MADE UP OF GREAT RIVERS UNITED WAY, GUNDERSEN HEALTH SYSTEM, MAYO CLINIC HEALTH SYSTEM, OTTO BREMER FOUNDATION, GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS, TOMAH MEMORIAL HOSPITAL, GUNDERSEN TRI-COUNTY HOSPITAL AND CLINICS, VERNON MEMORIAL HEALTHCARE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY HEALTH DEPARTMENT, MONROE COUNTY HEALTH DEPARTMENT, TREMPEALEAU COUNTY HEALTH DEPARTMENT, VERNON COUNTY HEALTH DEPARTMENT AND HOUSTON COUNTY HEALTH DEPARTMENT.THE PURPOSE OF COMPASS NOW 2018 IS TO ASSESS COMMUNITY NEEDS, IDENTIFY COMMUNITY RESOURCES TO ADDRESS THE MOST URGENT ONES AND ENCOURAGE ACTION PLANS THAT SOLVE COMMUNITY PROBLEMS. IT SERVES AS A RESOURCE FOR PROMOTING GREATER COLLABORATION AMONG ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATION. THE PARTNERSHIP CREATES SYNERGY FOR PROMOTING GREATER COLLABORATION AMONG THOSE ORGANIZATIONS WORKING TOWARD IMPROVING THE HEALTH AND WELL-BEING OF THE POPULATION. MEMBERSHIP WAS CHOSEN TO REPRESENT A WIDE CROSS SECTION OF COMMUNITY NEEDS AND EXPERTISE. THE KEY DATA SOURCE WAS THE RANDOM HOUSEHOLD SURVEY (RHS). THE RANDOM HOUSEHOLD SURVEY WAS MAILED TO A RANDOM SELECTION OF 5,450 HOUSEHOLDS THROUGHOUT THE REGION IN JULY AND AUGUST OF 2016. AFTER REVIEWING THE DEMOGRAPHICS OF THE RANDOM HOUSEHOLD SURVEY, THE STEERING COMMITTEE DETERMINED WHOSE VOICES WERE MISSING. A PLAN WAS DEVELOPED TO CONDUCT A CONVENIENCE SURVEY (CS) TO CAPTURE THE OPINIONS OF THE GROUPS OF PEOPLE WHO DID NOT RESPOND TO THE RANDOM HOUSEHOLD SURVEY TO ENSURE THAT THEIR VOICE WAS HEARD. THE CONVENIENCE SURVEYS WERE GIVEN TO PEOPLE THAT WERE EASY TO REACH. DUE TO THIS DIFFERENCE, THE CS DATA IS SEPARATE FROM THE RHS RESULTS. STEERING COMMITTEE MEMBERS AND OTHER COMMUNITY PARTNERS COLLECTED RESPONSES TO THE CONVENIENCE SURVEY. THE DATA WORKGROUP OVERSAW THE ANALYSIS OF THE DATA AND REVIEWED THE RESULTS.AS PART OF THE COMPASS NOW 2018 PROCESS, ORGANIZATIONS WERE ASKED TO REACH OUT TO AND SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDERREPRESENTED. LOCAL ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDERREPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, CHILDREN-YOUTH-FAMILIES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE-SEXUAL VIOLENCE-TRAFFICKING, AND THE LGBTQ COMMUNITY.TO ADD TO THE SURVEY DATA, THE DATA WORKGROUP WAS TASKED WITH COLLECTING EXISTING DATA FROM FEDERAL, STATE, AND LOCAL SOURCES. THIS DATA INCLUDED INFORMATION ABOUT DEMOGRAPHICS, HEALTH, SOCIAL FACTORS, ECONOMIC FACTORS, AND MANY OTHER TOPICS. BECAUSE NUMBERS-BASED DATA ONLY TELLS PART OF A STORY, THE NEEDS ASSESSMENT PROCESS ALSO INCLUDED HOLDING COUNTY-BASED FOCUS GROUPS. FOCUS GROUPS ARE USUALLY SMALL GROUPS OF PEOPLE WHOSE OPINIONS ARE GATHERED THROUGH A GUIDED DISCUSSION. FOCUS GROUPS WERE HELD IN ALL SIX COUNTIES AND WITH GENERAL COMMUNITY MEMBERS, STUDENTS, FAMILY ADVISORY COUNCILS, LATINO COMMUNITY MEMBERS, SERVICE PROVIDERS, AND HMONG COMMUNITY MEMBERS. DATA FROM ALL THE SOURCES DISCUSSED ABOVE IS USED THROUGHOUT THIS REPORT. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM MARCH 2016 TO MARCH 2018.
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6A:	GUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSMCHS-FRANCISCAN MEDICAL CENTER LA CROSSETOMAH MEMORIAL HOSPITALVERNON MEMORIAL HEALTHCARE
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6B:	GREAT RIVERS UNITED WAYOTTO BREMER FOUNDATIONLA CROSSE COMMUNITY FOUNDATIONLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENT
GROUP D-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MCHS IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:CHRONIC DISEASE & CONTRIBUTING FACTORS MENTAL HEALTH AND/OR SUBSTANCE ABUSEIN 2019, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:CHRONIC DISEASE & CONTRIBUTING FACTORS: TO REDUCE THE INCIDENCE AND IMPACT OF CHRONIC DISEASE THROUGH INCREASED ADOPTION OF HEALTHY LIFESTYLES, MCHS-SPARTA:SHARED MAYO CLINIC EXPERTISE IN THE COMMUNITY BY PROVIDING INFORMATION ON CHRONIC DISEASE PREVENTION/MANAGEMENT AT NO COST TO COMMUNITY MEMBERS VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH MAGAZINE, SOCIAL MEDIA, WEB BLOGS, MAYOCLINIC.COM, AND MEDIA INTERVIEWS.PROVIDED A HOSPITAL REPRESENTATIVE TO SERVE ON THE MONROE COUNTY NUTRITION WORKGROUP, WHICH WAS CONVENED AS PART OF THE COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS CHRONIC DISEASE AND CONTRIBUTING FACTORS.PARTICIPATED IN VARIOUS COMMUNITY HEALTH FAIRS, INCLUDING WOMEN'S HEALTH NIGHT, THE TORO HEALTH FAIR, AND THE FORT MCCOY WELLNESS FAIR. ADDITIONALLY, THE HOSPITAL DISTRIBUTED INFORMATION ON RECOGNIZING AND PREVENTING STROKES AT THE MONROE COUNTY FAIR, AND SHARED INFORMATION ABOUT ALZHEIMER'S DISEASE AND DEMENTIA AT MONROE COUNTY'S "THE LONGEST DAY" EVENT AND AT THE TOMAH WALK TO END ALZHEIMER'S. ENCOURAGED THE CONSUMPTION OF HEALTHY FOODS AND SUPPORTED IMPROVED ACCESS TO HEALTHY FOODS IN THE FOLLOWING WAYS:PROVIDED FINANCIAL SUPPORT TO THE NEIGHBOR TO NEIGHBOR FOOD PANTRY AND THE BREAD BASKET, TO COMBAT LOCAL FOOD INSECURITY. ALSO COLLABORATED WITH THE TOMAH FUTURE FARMERS OF AMERICA TO PROVIDE FREE CONTAINER GARDEN PLANTS TO CLIENTS OF THE NEIGHBOR TO NEIGHBOR FOOD PANTRY. PROVIDED HEALTHY MEALS AT THE HOSPITAL TO 20 STUDENTS PARTICIPATING IN THE WEEK-LONG DEKE SLAYTON SPACE CAMP. ADDITIONALLY, A HOSPITAL REGISTERED DIETITIAN SPOKE TO THE GROUP ABOUT NUTRITION. CONTINUED TO SERVE AS A COMMUNITY DROP-OFF SITE FOR COMMUNITY SUPPORTED AGRICULTURE SHARES (FRESH FOOD BOXES). PROVIDED 5-2-1-0 HEALTHY LIFESTYLES EDUCATION (A PUBLIC EDUCATION CAMPAIGN ENDORSING 5 FRUITS AND VEGETABLES, 2 HOURS OF SCREEN TIME, 1 HOUR OF PHYSICAL ACTIVITY, AND 0 SUGARY DRINKS) AS A STANDARD COMPONENT OF WELL-CHILD VISITS. FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY PROGRAMS THAT PROMOTE PHYSICAL ACTIVITY AND WELLNESS THROUGH THE COMMUNITY INVESTMENT PROGRAM. FUNDING WAS PROVIDED FOR THE FOLLOWING PROGRAMS: THE REMEMBERING JESSE PARKER 5K RUN; THE TOMAH KITE FESTIVAL; FORT MCCOY FAMILY FUN DAY, AND THE CASHTON LIVE ON MAIN STREET EVENT WITH PROCEEDS SUPPORTING HEALTHY LIVING PROGRAMS IN THE COMMUNITY. STAFF ALSO ENGAGED IN FUNDRAISING FOR SPARTA AREA CANCER SUPPORT (SACS).EXPLORED NEW OPPORTUNITIES FOR COLLABORATION AND THE POOLING OF RESOURCES TO ADDRESS CHRONIC DISEASE AND CONTRIBUTING FACTORS IN THE COMMUNITY. NEW COLLABORATIONS THIS YEAR INCLUDED THE TOMAH FUTURE FARMERS OF AMERICA. MENTAL HEALTH AND/OR SUBSTANCE ABUSE: TO INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL HEALTH AND/OR SUBSTANCE ABUSE CONCERNS, MCHS-SPARTA:SHARED MAYO CLINIC EXPERTISE IN THE COMMUNITY BY PROVIDING INFORMATION ON MENTAL HEALTH AND/OR SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH MAGAZINE, SOCIAL MEDIA POSTS, BLOG POSTS, MAYOCLINIC.COM, AND MEDIA INTERVIEWS. HOSPITAL REPRESENTATIVES ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH AND/OR SUBSTANCE ABUSE, INCLUDING THE MONROE COUNTY PRESCRIPTION DRUG TASKFORCE AND THE MONROE COUNTY DEMENTIA COALITION. SUPPORTED COMMUNITY EFFORTS TO RAISE AWARENESS ABOUT MENTAL ILLNESS AND/OR SUBSTANCE ABUSE THROUGH THE COMMUNITY INVESTMENT PROGRAM, INCLUDING MONROE COUNTY DEMENTIA-FRIENDLY COALITION AND THE AGING AND DISABILITY RESOURCE CENTER OF MONROE COUNTY. SPONSORED AND PARTICIPATED IN THE SENIOR HEALTH AND WELLNESS EXPO, PROVIDING INFORMATION ON DEPRESSION, SENIOR ISOLATION, AND PHQ-9 ASSESSMENTS. CONTINUED TO EDUCATE PHYSICIANS/PROVIDERS ON THE REQUIREMENTS OF THE WISCONSIN PRESCRIPTION DRUG MONITORING PROGRAM. CONTINUED TO IMPLEMENT BEST PRACTICES FOR PRESCRIBING AND MONITORING OPIOIDS, INCLUDING A SPECIAL TOOLKIT AVAILABLE ON THE PHYSICIAN PRACTICE WEBPAGE. THE TOOLKIT INCLUDES SAMPLE CONTROLLED SUBSTANCE AGREEMENTS, RECENT NEWS ARTICLES, AND OTHER RESOURCES. EMR SCORECARDS FOR CHRONIC OPIOID THERAPY ARE ALSO USED AS TOOLS FOR DOCUMENTING BEST PRACTICES. BEHAVIORAL HEALTH PROVIDERS ARE NOW INTEGRATED INTO PRIMARY CARE TEAMS. THE HOSPITAL ALSO CONTINUED TO EXPLORE NON-TRADITIONAL METHODS OF CARE DELIVERY, SUCH AS TELEMEDICINE, TO IMPROVE ACCESS TO CARE AND MAXIMIZE RESOURCES. AT BOTH THE SPARTA AND TOMAH CAMPUSES, PATIENTS CAN RECEIVE PSYCHIATRIC SERVICES VIA TELEMEDICINE.PHYSICIANS/PROVIDERS PARTICIPATED IN OPIOID PRESCRIBING EDUCATION DURING 2019. AFTERWARD, PARTICIPANTS INDICATED THEY WOULD MAKE PRACTICE CHANGES AS A RESULT OF WHAT THEY LEARNED. TOP RESPONSES FOR EXPECTED PRACTICE CHANGES WERE 1) PRESCRIBE FEWER OPIOIDS, 2) OFFER ALTERNATIVE PAIN MANAGEMENT OPTIONS, AND 3) UTILIZE OPIOID RISK TOOLS.PRIORITIES NOT ADDRESSED: THE 2016 CHNA ALSO IDENTIFIED ORAL HEALTH AS A PRIORITY NEED IN THE COMMUNITY, BUT ORAL HEALTH WAS NOT ADOPTED BY MCHS-SPARTA DUE TO LACK OF EXPERTISE OR RESOURCES IN THIS AREA. THE HOSPITAL WAS OPEN TO SUPPORTING INITIATIVES SEEKING TO ADDRESS ORAL HEALTH NEEDS, BUT NO FUNDING WAS SOUGHT FOR THIS PURPOSE IN 2019.
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 1: MAYO CLINIC HOSPITAL IN ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE CHNA FOR MARICOPA COUNTY WAS A JOINT EFFORT. ORGANIZATIONS INCLUDED IN THE COLLABORATION WERE MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, MAYO CLINIC HOSPITAL IN ARIZONA (MCA), ADELANTE HEALTHCARE, BANNER HEALTH, DIGNITY HEALTH, NATIVE HEALTH, AND PHOENIX CHILDREN'S HOSPITAL.THE BROAD INTERESTS OF THE COMMUNITY WERE INCORPORATED THROUGH THREE MEANS. FIRST, DATA WAS COLLECTED THROUGH FOCUS GROUPS ENGAGING MEMBERS OF UNDERSERVED POPULATIONS AND COMMUNITIES. SECOND, SURVEYS WERE CONDUCTED WITH KEY INFORMANTS WHO SERVE THE PRIMARY SERVICE AREA. FINALLY, A SERIES OF MEETINGS WERE HELD WITH KEY STAKEHOLDERS FROM THE PRIMARY SERVICE AREA OF ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER. MEMBERS OF THE COMMUNITY HEALTH INFORMATION NETWORK AND ARIZONA'S COMMUNITY OF CARE NETWORK (ACCN) PROVIDED INPUT ON THE SELECTION OF DATA INDICATORS, PROVIDED FEEDBACK ON DATA COLLECTED, AND AIDED IN THE SELECTION OF FINAL PRIORITIES. MEMBERSHIP OF THE ABOVE-MENTIONED COMMITTEES AND COLLABORATIONS INTENTIONALLY REPRESENT VULNERABLE AND DISENFRANCHISED POPULATIONS INCLUDING THE HOMELESS, UNINSURED/UNDERINSURED, MEDICAID, MEDICARE, IMMIGRANT, DISABLED, MENTALLY ILL, AND ELDERLY.A SERIES OF 36 FOCUS GROUPS WITH MEDICALLY UNDERSERVED POPULATIONS ACROSS MARICOPA COUNTY WERE CONDUCTED BETWEEN SEPTEMBER 2017 AND JUNE 2018. FOCUS GROUPS HELPED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE WITHIN MARICOPA COUNTY. MEMBERS OF THE COMMUNITY REPRESENTING SUBGROUPS, DEFINED AS GROUPS WITH UNIQUE ATTRIBUTES (RACE AND ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF AN AREA IN MARICOPA COUNTY), WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A COMMUNITY HEALTH SURVEY WAS ALSO ADMINISTERED TO KEY INFORMANTS. KEY INFORMANTS WERE IDENTIFIED AS HEALTH OR COMMUNITY EXPERTS FAMILIAR WITH TARGET POPULATIONS AND GEOGRAPHIC AREAS WITHIN MARICOPA COUNTY. THE SURVEY INSTRUMENT WAS CREATED BY MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH BASED ON RECOMMENDATIONS FROM THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND MAYO CLINIC LEADERSHIP. THE SURVEY WAS ADMINISTERED TO 152 KEY INFORMANTS WHO PROVIDE SERVICES THROUGHOUT MARICOPA COUNTY. IN ADDITION TO THE ABOVE, COMMUNITY INPUT FOR THE CHNA INCLUDED ENGAGEMENT FROM MCA'S COMMUNITY ENGAGEMENT COMMITTEE, MCA'S COMMUNITY ADVISORY BOARD AND MCA'S EXECUTIVE OFFICE TEAM.
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6A:	BANNER HEALTHDIGNITY HEALTHPHOENIX CHILDRENS HOSPITAL
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6B:	MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHNATIVE HEALTHADELANTE HEALTHCARE
GROUP E-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HOSPITAL IN ARIZONA (MCA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:CANCERACCESS TO CAREHOMELESSNESSMEDICAL TRANSPLANTATIONIN 2019, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:CANCER: TO MEET THE HEALTH RELATED CANCER NEEDS OF PATIENTS WITHIN MARICOPA COUNTY, MCA:IMPLEMENTED A 2018 APPROVAL FOR A GI CLINIC AT ADELANTE (A FEDERALLY QUALIFIED HEALTH CENTER). ADELANTE PATIENTS WITH ABNORMAL "FIT TEST" ARE REFERRED TO MCA FOR COLONOSCOPIES AT NO COST TO ADELANTE NOR THE REFERRED PATIENT. ADELANTE REFERRED PATIENTS THAT ARE DIAGNOSED WITH CANCER AS A RESULT OF THE COLONOSCOPY ARE TREATED AT MCA'S HOSPITAL THROUGH THE PATIENT ACCESS PANEL KNOWN AS CHARITY CARE.PROVIDED PRO BONO BIOPSIES AT MOUNTAIN PARK HEALTH CENTER (MPHC), (A DEEMED FEDERALLY QUALIFIED HEALTHCARE ORGANIZATION), AND PROVIDED CANCER TREATMENT TO SIX WOMEN REFERRED TO MCA FROM MPHC. PROVIDED ONGOING WEEKLY MAMMOGRAPHY SERVICES AT MPHC THROUGH MCA'S DEPARTMENT OF RADIOLOGY. MCA HAS PROVIDED, AND CONTINUES TO MAINTAIN AND MONITOR THE MCA DONATED EQUIPMENT IN ADDITION TO PROVIDING THE SCREENINGS AT NEITHER A COST TO MPHC NOR THE PATIENTS MPHC REFERS FOR SCREENING.ACCESS TO CARE: TO ASSIST WITH PROVIDING CARE THROUGH STRATEGIC COMMUNITY CLINICAL PARTNERSHIPS TO POPULATIONS THAT LACK ACCESS TO QUALITY CLINICAL CARE, THE MEDICAL STUDENTS OF THE MAYO CLINIC ALIX SCHOOL OF MEDICINE EXPANDED MCA'S CLINICAL OUTREACH TO THE COMMUNITY, SPECIFICALLY POPULATIONS THAT HAVE ISSUES WITH CLINICAL CARE ACCESS SUCH AS AN APARTMENT COMPLEX WITH 90% IMMIGRANT POPULATION.PROVIDED A MONTHLY SPECIALTY CLINIC FOR PATIENTS SEEN IN THE PRIMARY CARE CLINIC OF ST. VINCENT DE PAUL, AN ORGANIZATION THAT PROVIDES MEDICAL SERVICES TO THE WORKING POOR.HOMELESSNESS: TO ADDRESS HOMELESSNESS, MCA HELPED PROVIDE CARE FOR THE MOST VULNERABLE OF MARICOPA COUNTY AS DESCRIBED BELOW:MAYO CLINIC'S OFFICE OF DIVERSITY AND INCLUSION FUNDS MAYO EMPLOYEE RESOURCE GROUPS (MERGS), WHICH ARE EMPLOYEE-ORGANIZED GROUPS THAT FORM AROUND A COMMON DIMENSION OF DIVERSITY. MCA'S MERG ADDRESSED HOMELESSNESS AS FOLLOWS:MESA MEN'S SHELTER: STAFF ASSISTED IN PREPARING AND SERVING MEALS ALONG WITH CLEANUP AFTERWARDS.FEED MY STARVING CHILDREN: MEMBERS OF THE MERG VOLUNTEER TO FILL FOOD BOXES FOR RESIDENTS THAT HAVE NEED FOR FOOD. ST. MARY'S FOOD BANK: MERG MEMBERS FILL FOOD BOXES FOR COMMUNITY MEMBERS EXPERIENCING HARDSHIP. CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS: MERG MEMBERS PROVIDE TOILETRY BAGS FOR RESIDENTS AND INFORMATION TO ASSIST RESIDENTS LIVING IN THE FACILITY TO GET SOCIAL SECURITY, DISABILITY BENEFITS. PROVIDED A MONTHLY SPECIALTY CLINIC FOR PATIENTS SEEN IN THE PRIMARY CARE CLINIC OF ST. VINCENT DE PAUL, AN ORGANIZATION THAT PROVIDES MEDICAL SERVICES TO THE WORKING POOR. IN ADDITION, MCA AWARDED $80,000 OF SEASON OF GIVING GRANTS TO THE FOLLOWING FIVE NOT-FOR-PROFIT ORGANIZATIONS THAT TREAT HOMELESS AND IMPOVERISHED PEOPLE: SHERMAN HOUSE HOSPICE OF THE VALLEYCIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS ADELANTE HEALTH CAREHELP IN HEALING HOME FACILITY FOR TRANSPLANT AND CANCER PATIENTSST. VINCENT DE PAUL MEDICAL AND DENTAL CLINICMEDICAL TRANSPLANTATION: MCA CONTINUES TO PROVIDE COMPREHENSIVE CARE TO PATIENTS OF MARICOPA COUNTY IN NEED OF SOLID ORGAN TRANSPLANTATION. MCA'S HOSPITAL IS THE ONLY HOSPITAL IN MARICOPA COUNTY THAT PROVIDES SOLID ORGAN TRANSPLANTATION FOR FOUR ORGANS. MOST HOSPITALS PROVIDE ONE ORGAN TRANSPLANTATION. HOSPITALS REFER PATIENTS TO MCA FOR TRANSPLANT PATIENTS THEY ARE NOT CAPABLE OF TRANSPLANTING.
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE COMMUNITY HEALTH NEEDS IDENTIFIED FOR MAYO CLINIC HOSPITAL IN FLORIDA (MCF) WERE BASED ON THE CHNA CONDUCTED BY THE JACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIP (THE PARTNERSHIP). THE PARTNERSHIP IS A COALITION OF NON-PROFIT HOSPITALS WHOSE VISION IS TO CONTRIBUTE TO IMPROVEMENTS IN POPULATION HEALTH ACROSS THE NORTHEAST FLORIDA REGION BY ADDRESSING GAPS THAT PREVENT ACCESS TO QUALITY, INTEGRATING HEALTH CARE, AND IMPROVING ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE. THE PARTNERSHIPS MEMBERS ARE BAPTIST HEALTH, BROOKS REHABILITATION, MAYO CLINIC HOSPITAL IN FLORIDA (MCF), UF HEALTH JACKSONVILLE, ST. VINCENT'S HEALTHCARE AND WOLFSON CHILDREN'S HOSPITAL. THE PRIMARY DATA USED IN THE ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS CONDUCTED BY PHONE, FOCUS GROUP DISCUSSIONS AND A COMMUNITY SURVEY DISTRIBUTED THROUGHOUT THE SERVICE AREA THROUGH ONLINE AND PAPER SUBMISSIONS. OVER 1,034 COMMUNITY MEMBERS CONTRIBUTED THEIR INPUT ON THE COMMUNITY'S HEALTH AND HEALTH-RELATED NEEDS, BARRIERS, AND OPPORTUNITIES FOR DUVAL AND ST. JOHNS COUNTIES, WITH SPECIAL FOCUS ON NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS. THIRTY-TWO KEY INFORMANT INTERVIEWS WERE CONDUCTED BY PHONE FROM MARCH 13, 2018 THROUGH APRIL 23, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS, BARRIERS, STRENGTHS, AND OPPORTUNITIES (INCLUDING THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS AS REQUIRED BY IRS REGULATIONS). PEOPLE WITH PUBLIC HEALTH EXPERTISE; THE ABILITY TO SPEAK ON THE NEEDS OF LOW-INCOME, UNDERSERVED, OR MINORITY POPULATIONS; AND THE ABILITY TO SPEAK ON THE BROAD INTERESTS OF THE COMMUNITY WERE ASKED TO PARTICIPATE IN KEY INFORMANT INTERVIEWS. OF THE 32 KEY INFORMANT INTERVIEWS CONDUCTED, 24 INTERVIEWS WERE WITH COMMUNITY EXPERTS WHO EITHER SERVED OR REPRESENTED UNDERSERVED COMMUNITIES.22 FOCUS GROUPS WITH 212 PARTICIPANTS WERE CONDUCTED FROM MARCH 28, 2018 THROUGH APRIL 25, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS AND BARRIERS. THE FOCUS GROUPS WERE SPLIT ALMOST EVENLY INTO TWO CATEGORIES: (1) FOCUS GROUPS OF HOSPITAL STAFF ASSOCIATED WITH MCF, AND (2) FOCUS GROUPS OF COMMUNITY MEMBERS WITH WIDE BACKGROUNDS, INCLUDING PERSONS WITH DISABILITIES, VETERANS, PERSONS OF LIMITED INCOME, COMMUNITIES OF COLOR, FAITH COMMUNITIES, AND MORE. OF THE 22 FOCUS GROUPS CONDUCTED, 10 OF THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS OF UNDERSERVED COMMUNITIES OR COMMUNITY ADVOCATES FOR UNDERSERVED COMMUNITIES.THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED ONLINE FROM MARCH 26, 2018 THROUGH APRIL 16, 2018. THE SURVEY WAS ALSO MADE AVAILABLE ON PAPER, THOUGH PAPER DISTRIBUTION WAS LIMITED. THE SURVEY ELICITED RESPONSES FROM 790 COMMUNITY MEMBERS IN DUVAL AND ST. JOHNS COUNTIES.
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6A:	BAPTIST HEALTHBROOKS REHABILITATIONST. VINCENT'S HEALTHCAREUF HEALTH JACKSONVILLEWOLFSON CHILDREN'S HOSPITAL
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6B:	CLAY COUNTY HEALTH DEPARTMENTDUVAL COUNTY HEALTH DEPARTMENTNASSAU COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENT
GROUP E-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 11:	MAYO CLINIC HOSPITAL IN FLORIDA (MCF), IN COLLABORATION WITH MAYO CLINIC JACKSONVILLE AND COLLECTIVELY REFERRED TO AS MCF, IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY MENTAL HEALTHHEALTH DISPARITIES AND ACCESS TO HEALTH CAREIN 2019, MCF TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MCF:CONTINUED THE WELLNESS RX PROGRAM THAT WAS INITIATED IN 2017. WELLNESS RX IS A COMMUNITY LED WELLNESS PROGRAM AND IS MANAGED BY MCF TO EMPOWER AND EDUCATE NEW TOWN, FLORIDA RESIDENTS WITH INFORMATION TO IMPROVE THEIR OVERALL HEALTH. THROUGH CIVIC ENGAGEMENT, NEW TOWN SUCCESS ZONE HAS CREATED A MODEL OF ENGAGEMENT WHICH ENCOURAGES SELF-RESPONSIBILITY, ACCOUNTABILITY AND COMMUNITY DRIVEN ACTION AROUND HEALTH AND WELLNESS PRIORITIES. DUE TO THE COMMUNITY HEALTH STATISTICS AROUND STROKE, HEART DISEASE AND DIABETES, THE AMERICAN HEART ASSOCIATION (AHA) WAS ASKED TO SERVE AS THE CORE AGENCY TO SUPPORT THIS INITIATIVE. AHA'S EXPERTISE IS AN ESSENTIAL COMPONENT OF THE PROGRAMMING PLAN TO ENSURE SUCCESS AROUND HEALTH DISPARITIES. IN 2019, THE PROGRAM SERVED 875 PEOPLE AND 65,000 LBS OF FOOD WERE DISTRIBUTED.MENTAL HEALTH: TO INCREASE COMMUNITY CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENTS, MCF:PARTICIPATED IN THE MENTAL HEALTH FIRST AID INITIATIVE, A COLLABORATION OF ALL NON-PROFIT HOSPITALS IN THE DUVAL COUNTY, JACKSONVILLE AREA TO TRAIN LAY CITIZENS ON THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND TO PROVIDE THEM WITH REQUISITE KNOWLEDGE ON HOW TO RESPOND TO SOMEONE WHO MAY BE EXPERIENCING A MENTAL ILLNESS CRISIS. IN 2019 THE EFFORT TRAINED 1,955 COMMUNITY MEMBERS IN THE MENTAL HEALTH FIRST AID CURRICULUM.COLLABORATED WITH OTHER NON-PROFIT HOSPITALS TO FUND A POST-MSN DOCTOR OF NURSING PRACTICE PSYCH-MENTAL HEALTH NURSING PRACTICE PROGRAM WITH THE GOAL OF INCREASING THE NUMBER OF ADVANCED PRACTICE NURSES WITH SPECIFIC TRAINING IN MANAGING MENTAL ILLNESS.HEALTH DISPARITIES AND ACCESS TO HEALTH CARE: TO SUPPORT COMMUNITY EFFORTS DESIGNED TO DECREASE HEALTH DISPARITIES AND INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO FINANCIAL MEANS IN THE COMMUNITY, MAYO PHYSICIANS AND THEIR RESPECTIVE RESIDENTS AND FELLOWS PROVIDED OFF-SITE APPOINTMENTS/MEDICAL PROCEDURES AND ON-CAMPUS CONSULTATIONS AND SURGICAL PROCEDURES, AT NO EXPENSE TO PATIENTS WHO RECEIVE CARE AT THESE AGENCIES. MCF PROVIDED SUPPORT TO THE FOLLOWING NONPROFIT ORGANIZATIONS WITH MONETARY AND/OR IN-KIND DONATIONS: SULZBACHER CENTER: MCF CONTRIBUTED SUPPLEMENTAL CARE IN BEHAVIORAL HEALTH, CARDIOLOGY, FAMILY MEDICINE (TO INCLUDE ROUTINE PROCEDURES), AND GASTROENTEROLOGY SERVICES. VOLUNTEERS IN MEDICINE (VIM): MCF CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS THROUGH THE FOLLOWING DONATED SERVICES:INOCULATION AND TESTING FOR HUMAN PAPILLOMAVIRUS (HPV);MCF PHYSICIANS SUPPLEMENTED VIM CLINIC STAFF. THE SERVICES INCLUDE CARDIOLOGY, GASTROENTEROLOGY, INTERNAL MEDICINE, HEMATOLOGY AND PAIN MANAGEMENT.MISSION HOUSE: MCF SUPPLEMENTED THE CLINIC STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY, ONCOLOGY, AND UROLOGICAL SURGERIES. MASS CLINIC: MCF PROVIDED MANAGEMENT EXPERTISE AND PHYSICAL THERAPY.UNITED WAY OF NORTHEAST FLORIDA: MCF PROVIDED $60,000 TO SUPPORT OUTREACH EFFORTS TO FINANCIALLY CHALLENGED RESIDENTS.THE 2016 CHNA ALSO IDENTIFIED THE FOLLOWING NEEDS THAT MCF IS NOT ADDRESSING OR ADDRESSING WITH ADDITIONAL RESOURCES FOR THE REASONS STATED:DIABETES, COMMUNICABLE DISEASES, AND MATERNAL & CHILD HEALTH: THE FLORIDA DEPARTMENT OF HEALTH HAS ROBUST PROGRAMS FOCUSING ON EACH OF THESE TOPICS.POVERTY: THE WOMEN'S GIVING ALLIANCE HAS IDENTIFIED POVERTY AS THEIR NUMBER ONE PRIORITY FOR PROGRAM FUNDING. TRANSPORTATION: THE JACKSONVILLE TRANSPORTATION AUTHORITY IS THE LOCAL AGENCY THAT MANAGES PUBLIC TRANSPORTATION. AS SUCH, THEY ARE SPEARHEADING MULTIPLE EFFORTS TO INCREASE ACCESS ACROSS THE COMMUNITY AND TO IMPROVE THE QUALITY OF THAT TRANSPORTATION.
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 5:	COMMUNITY INPUT:THE OLMSTED COUNTY HEALTH NEEDS ASSESSMENT REPORT SERVES AS THE BASIS FOR THE MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY COALITION ON THE PROJECT ENCOMPASSES THE CORE COLLABORATING ORGANIZATIONS OF OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT, OLMSTED COUNTY HEALTH, HOUSING AND HUMAN SERVICES ADMINISTRATION, OLMSTED MEDICAL CENTER, MCH-R AND MORE THAN 30 OTHER COMMUNITY ORGANIZATIONS THROUGHOUT OLMSTED COUNTY. THE PLANNING TEAM USED THE FOLLOWING PRIMARY MEANS OF DATA COLLECTION:OUTREACH TO ORGANIZATION AND PROGRAM LEADERS FROM HUMAN SERVICE/NON-PROFIT ORGANIZATIONS TO GATHER COMMENTS/IMPROVEMENT SUGGESTIONS FROM 2016 CHNA PROCESS.A RANDOM MAIL SURVEY OF 2,000 COMMUNITY MEMBERS WAS CONDUCTED IN JUNE 2018 AND RESULTED IN 569 RESPONSES.A CONVENIENCE SURVEY (SAME AS THE MAILED SURVEY WITH ADDITION OF 2 QUESTIONS REGARDING FREQUENCY OF MOVES WITHIN PAST MONTH) TO 1,089 INDIVIDUALS REPRESENTING DIVERSE AND UNDERREPRESENTED PERSPECTIVES IN THE RANDOM MAIL SURVEY.LISTENING SESSIONS WITH LOCAL STAKEHOLDER GROUPS, INCLUDING CITY AND COUNTY GOVERNMENT LEADERS AND PRIORITIZING MINORITY AND OTHER UNDERREPRESENTED DIVERSE GROUPS. THE LISTENING SESSIONS INCLUDED A BROAD RANGE OF COMMUNITY GROUPS, INCLUDING YOUTH, ELDERLY, RURAL, VETERANS, AND LGBTQ GROUPS. LISTENING SESSION GROUPS WERE SELECTED TO BROADEN INPUT FROM RESIDENTS NOT AS LIKELY TO PARTICIPATE IN THE MAIL SURVEY. THE GROUPS GATHERED REFLECTED THE OPINIONS OF 184 INDIVIDUALS.OVER 380 COMMUNITY RESIDENTS REPRESENTING BROAD (PRIVATE/BUSINESS, HUMAN SERVICE/NONPROFIT, GOVERNMENT AND PRIVATE COMMUNITY) PERSPECTIVES PARTICIPATED IN MULTIPLE PUBLIC PRIORITIZATION SESSIONS. THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM JANUARY 2017 THROUGH JULY 2019.
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6A:	OLMSTED MEDICAL CENTER
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6B:	OLMSTED COUNTY PUBLIC HEALTH DEPARTMENTOLMSTED COUNTY HEALTH, HOUSING, AND HUMAN SERVICES ADMINISTRATION
GROUP E-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:INJURY PREVENTIONMENTAL HEALTHOBESITYIMMUNIZATIONSFINANCIAL STRESSMCH-R INTEGRATES PROGRAMMING AND STAFFING WITH MAYO CLINIC'S COMPREHENSIVE OUTPATIENT PATIENT CARE SERVICES, RESEARCH AND EDUCATION OPERATIONS ON ITS ROCHESTER CAMPUS. LOCAL COMMUNITY HEALTH IMPROVEMENT IS ADDRESSED THROUGH ALL MAYO CLINIC OPERATIONS, INCLUDING HOSPITAL TREATMENT AND RECOVERY ROOMS, CLASSROOMS AND CLINICAL TRAINING AREAS (PUBLIC HEALTH AS WELL AS MEDICAL EDUCATION), RESEARCH LABS, OUTPATIENT CARE SETTINGS AND COMMUNITY SPACES. IN 2019, IN CONJUNCTION WITH MAYO CLINIC, MCH-R (HEREIN AFTER COLLECTVELY REFERRED TO AS MAYO) ADDRESSED THE IDENTIFIED NEEDS AS FOLLOWS:INJURY PREVENTION: TO INCREASE MAYO'S AND THE LOCAL COMMUNITY'S CAPACITY TO EDUCATE HIGH RISK GROUPS ABOUT SAFE DRIVING PRACTICES (TEENS) AND FALL PREVENTION (ELDERLY), MAYO:ACTIVELY ENGAGED IN THE OLMSTED COUNTY FALL PREVENTION COALITION TO PROVIDE AWARENESS, ADVOCACY, AND COLLABORATION AROUND FALL PREVENTION AT THE COMMUNITY LEVEL. PROVIDED STAFF TIME, EXPERTISE, AND MATERIALS TO THE STEPPING ON PROGRAM - AN EVIDENCE-BASED FALL PREVENTION PROGRAM OFFERED AT MANY COMMUNITY LOCATIONS TO HELP INCREASE CONFIDENCE AND EMPOWER OLDER ADULTS TO CARRY OUT HEALTH BEHAVIORS THAT REDUCE THE RISK OF FALLS. IN 2019, MAYO'S TRAUMA CENTER EXPANDED THESE EFFORTS FROM PREVIOUS YEARS TO TRAIN 7 NEW TRAINING LEADERS AND PROVIDED FALLS-PREVENTION OUTREACH TO 118 COMMUNITY MEMBERS. MAYO EXPERTS ALSO PUBLISHED A SCHOLARLY ARTICLE "BUILDING A CASE FOR PEDIATRIC FALL PREVENTION IN THE JOURNAL OF NURSING."CONTINUED TO LOAN MAYO'S DISTRACTED DRIVING SIMULATOR TO COMMUNITY GROUPS TO BUILD AWARENESS AND SKILLS. THROUGH OCTOBER 2019, 1,723 YOUTH AND ADULTS UTILIZED THE EQUIPMENT AND/OR VIEWED A PRESENTATION ON DISTRACTED DRIVING.COORDINATED MONTHLY CAR SEAT INSPECTION CLINICS AT A LOCAL FIRE STATION TO CHECK FOR CORRECT USE OF CHILD SAFETY RESTRAINTS AND TO EDUCATE CAREGIVERS ON THE SAFE TRANSPORTATION OF CHILDREN IN MOTOR VEHICLES. THROUGH OCTOBER 2019, 176 CAR SEATS WERE CHECKED AND 204 ADULTS WERE PROVIDED SAFE CARE SEAT INSTALLMENT EDUCATION. ACTIVELY PARTICIPATED IN THE SOUTHEAST MINNESOTA REGIONAL TRAUMA ADVISORY COUNCIL TO DEVELOP, IMPLEMENT, AND MONITOR THE REGIONAL TRAUMA SYSTEM WITH THE GOAL OF PREVENTING DEATH AND DISABILITY RESULTING FROM TRAUMATIC INJURIES AND MASS CASUALTY EVENTS.CONTINUED WORK WITH THE TOWARD ZERO DEATH STEERING COMMITTEE, FATAL REVIEW COMMITTEE, AND THE OLMSTED SAFE ROADS COALITION TO ADDRESS TRAFFIC SAFETY.MENTAL HEALTH: TO INCREASE MAYO CLINIC'S AND THE LOCAL COMMUNITY'S CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENT, MAYO:COLLABORATED WITH OLMSTED MEDICAL CENTER, OLMSTED COUNTY HEALTH DEPARTMENT, AND THE COLLABORATION FOR COMMUNITY HEALTH INTEGRATION TO ADVOCATE AND SECURE SUPPORT FOR LONG-TERM CARE SERVICES FOR POST-ACUTE BEHAVIORAL PATIENTS. IN 2019 THESE EFFORTS SECURED $5 MILLION FROM STATE FUNDS TO CONSTRUCT A NEW BEHAVIORAL HEALTH CRISIS CENTER TO SERVE OLMSTED AND ADJACENT COMMUNITIES IN SOUTHEAST MINNESOTA. MAYO WILL BE PROVIDING ONGOING OPERATIONAL AND IN-KIND SUPPORT TO RUN THE NEW CLINIC. PROVIDED SUPPORT TO HOST A MENTAL HEALTH EXHIBIT TO IMPROVE AWARENESS AND ACCESS FOR MENTAL HEALTH RESOURCES AND REDUCE STIGMA IN THE COMMUNITY. NEARLY 5,000 PEOPLE VISITED AND MORE THAN 100,000 PEOPLE WERE REACHED THROUGH COMMUNICATIONS AND MARKETING WITH MENTAL HEALTH AWARENESS MESSAGING THROUGH EARNED AND PAID MEDIA. MAYO PROVIDED SUPPORT TO LOCAL NON-PROFIT ORGANIZATIONS TO SUPPORT SERVICES TO COMMUNITY MEMBERS THAT FACILITATE MENTAL HEALTH.OBESITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MAYO:PROVIDED SUPPORT TOWARDS COMMUNITY PROGRAMS RELATED TO PHYSICAL ACTIVITY AND RECREATION OPPORTUNITIES.STAFF PARTICIPATED IN THE OLMSTED COUNTY OBESITY COMMUNITY HEALTH IMPROVEMENT WORK GROUP WHICH HELD COMMUNITY CONVERSATIONS ABOUT OBESITY TO ELEVATE SPECIFIC THEMES AND OPPORTUNITIES.IMPLEMENTED AND EXPANDED A WELLNESS CHAMPION MODEL AT MAYO AND MAYO CLINIC HEALTH SYSTEM SITES WITH COMMUNITY-INSPIRED MESSAGES AND RESOURCES.PROMOTED HEALTHY PHYSICAL ACTIVITY AND EATING MESSAGES THROUGH MAYO'S ONLINE HEALTH INFORMATION AND SOCIAL MEDIA PLATFORMS.IMMUNIZATIONS: TO INCREASE THE RATE OF IMMUNIZATIONS AMONG COMMUNITY MEMBERS FOR EARLY CHILDHOOD SERIES, ANNUAL INFLUENZA AND HUMAN PAPILLOMAVIRUS, MAYO:CO-FACILITATED COMMUNITY-WIDE IMMUNIZATION AWARENESS AND ACCESS THROUGH THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN VACCINE PREVENTABLE DISEASES WORKGROUP. CONTINUED WORK WITH OLMSTED COUNTY PUBLIC HEALTH AND ROCHESTER PUBLIC SCHOOLS TO PROMOTE AND PROVIDE IMMUNIZATIONS TO CHILDREN IN LOCAL PRIVATE AND PUBLIC SCHOOLS. IN 2019 THIS COLLABORATION VACCINATED A RECORD-HIGH 9,543 STUDENTS WITH INFLUENZA VACCINES AT 55 LOCAL AND REGIONAL K-12 GRADE SCHOOLS. CONTINUED TO LEAD THE SOUTHEAST MINNESOTA IMMUNIZATION CONNECTION (SEMIC), THAT COLLECTS AND ANALYZES LOCAL VACCINATION DATA TO IDENTIFY GAPS. SEMIC ALSO EDUCATES VACCINE PROVIDERS ON BEST PRACTICE TO IMPROVE VACCINE PARTICIPATION AND VACCINE DELIVERY THROUGHOUT SOUTHEAST MINNESOTA. FINANCIAL STRESS: TO SUPPORT COMMUNITY EFFORTS THAT PROVIDE HUMAN SERVICES/SUPPORT FOR COMMUNITY MEMBERS WITH FINANCIAL HARDSHIP, MAYO:PROVIDED SUPPORT FOR COMMUNITY EFFORTS TO IMPROVE SERVICES AND SUPPORT FINANCIALLY STRESSED COMMUNITY MEMBERS, INCLUDING EDUCATION, LITERACY, JOB TRAINING, AND BASIC NEEDS (HOUSING, FOOD, HEALTH CARE).PARTICIPATED IN THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION. IN 2019 THE COALITION AWARDED MORE THAN $2.2 MILLION IN FUNDING TO CREATE AFFORDABLE HOUSING IN OLMSTED COUNTY. CONTRIBUTED SUPPORT TO DEVELOP AND OPERATE A NEW WARMING SHELTER TO BE OPEN DURING WINTER MONTHS TO ASSURE SAFE SHELTER TO ROCHESTER'S HOMELESS POPULATION.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 4: MCHS IN EAU CLAIRE, - FACILITY 5: MCHS IN MANKATO, - FACILITY 8: MCHS IN FAIRMONT, - FACILITY 10: MCHS IN NEW PRAGUE, - FACILITY 11: MCHS IN WASECA, - FACILITY 12: MCHS IN BARRON, - FACILITY 13: MCHS IN BLOOMER, - FACILITY 16: MCHS IN ST. JAMES, - FACILITY 17: MCHS IN SPRINGFIELD, - FACILITY 18: MCHS IN OSSEO
REPORTING GROUP A PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP A PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP A PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP A PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP A PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP B
FACILITY REPORTING GROUP B CONSISTS OF:	- FACILITY 7: MCHS IN ALBERT LEA AND AUSTIN, - FACILITY 14: MCHS IN MENOMONIE
REPORTING GROUP B PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP B PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP B PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP B PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP B PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP C
FACILITY REPORTING GROUP C CONSISTS OF:	- FACILITY 9: MCHS IN RED WING, - FACILITY 19: MCHS IN LAKE CITY, - FACILITY 20: MCHS IN CANNON FALLS
REPORTING GROUP C PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP C PART V, SECTION B, LINE 5:	COMMUNITY INPUT:MEETINGS WERE HELD THAT INVOLVED A DIVERSE GROUP OF COMMUNITY LEADERS IN GOODHUE COUNTY WHO ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE FROM SEPTEMBER 2018 TO JUNE 2019.FALL OF 2018 SURVEY DATA WAS OBTAINED THROUGH RANDOM MAILED SURVEYS IN GOODHUE COUNTY AND CONVENIENCE SAMPLE SURVEYS GATHERED IN THREE AREAS THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS - FOOD SHELVES, THE CARE CLINIC (FREE CLINIC IN GOODHUE COUNTY) AND AT GOODHUE COUNTY HEALTH AND HUMAN SERVICES LOBBY. GOODHUE COUNTY HEALTHY COMMUNITIES SUPERVISOR AND UNITED WAY OF GOODHUE, WABASHA AND PIERCE COUNTIES EXECUTIVE DIRECTOR SERVED ON THE ADVISORY TEAM FOR THE CHNA. NOVEMBER 2018 THROUGH JANUARY 2019 1:1 INTERVIEWS WITH KEY INFORMANTS WERE HELD IN EACH COMMUNITY INCLUDING PUBLIC HEALTH, CHIEF OF POLICE, SHERIFF, SCHOOL SUPERINTENDENTS, CITY STAFF, AMBULANCE SERVICES, YMCA, CHAMBERS AND CITIZENS.COMMUNITY LISTENING SESSIONS WERE HELD WITH NATURAL FOCUS GROUPS, CAPSTONE PROJECT ON MENTAL HEALTH WAS COMPLETED IN THE RED WING AREA AND CHNA UPDATES WERE GIVEN IN ALL THREE COMMUNITIES.
REPORTING GROUP C PART V, SECTION B, LINE 6A:	MCHS-LAKE CITYMCHS-CANNON FALLSMCHS-RED WING
REPORTING GROUP C PART V, SECTION B, LINE 6B:	GOODHUE COUNTY PUBLIC HEALTHUNITED WAY OF GOODHUE, WABASHA, AND PIERCE COUNTY
REPORTING GROUP C PART V, SECTION B, LINE 11:	BASED ON THE CHNA CONDUCTED IN 2016, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MCHS IN LAKE CITY (MCHS-LAKE CITY) AND MCHS IN CANNON FALLS (MCHS-CANNON FALLS) AND MCHS IN RED WING (MCHS-RED WING), COLLECTIVELY REFERRED TO AS MCHS:OBESITY MENTAL HEALTH HEALTH BEHAVIORS IN 2019, MCHS TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY AND HEALTH BEHAVIORS: TO INCREASE PHYSICAL ACTIVITY, PROPER NUTRITION, AND AWARENESS OF PERSONAL RESPONSIBILITY IN LIFESTYLE AND HEALTH DECISIONS:MCHS-CANNON FALLS:HOSTED A BOOTH OFFERING HEALTH INFORMATION TO THE PUBLIC AT FIRST THURSDAYS, A MONTHLY STREET FAIR HELD IN CANNON FALLS DURING SUMMER MONTHS. IN ADDITION, MCHS-CANNON FALLS PARTNERED WITH GOODHUE COUNTY HEALTH AND HUMAN SERVICES TO PROVIDE BIKE SAFETY INFORMATION AT THE SAME EVENT.PARTNERED WITH THE CANNON VALLEY TRAIL TO OFFER HEALTHY SNACKS DURING SPECIALTY PROGRAMS.PARTNERED WITH SHIP TO SPONSOR THE "I CAN PREVENT DIABETES" CURRICULUM IN ZUMBROTA.PARTNERED WITH THE CANNON FALLS BOOSTER CLUB TO HOLD AN OBSTACLE COURSE AND OFFERED INFORMATION ON HEALTH AND WELLNESS AT AN EVENT HELD PRIOR TO A HIGH SCHOOL FOOTBALL GAME.OFFERED YOGA FOR SENIORS AT THE SENIOR CENTER AND LOCAL COMMUNITY ROOM.PROVIDED HAND WASHING STATIONS AT THE CANNON VALLEY FAIR.MCHS-LAKE CITY:PARTNERED WITH THE LAKE CITY ROTARY TO SPONSOR AND PROMOTE A CIRCLE OF LIFE RELAY, A 5K WALK AND FAMILY RUN EVENT.SPONSORED AND PROMOTED FOOD FOR FIVE, AN ANNUAL COMMUNITY INITIATIVE TO RAISE MONEY FOR THE LAKE CITY FOOD SHELF. PARTNERED WITH LAKE CITY FARMERS MARKET AS A SPONSOR FOR THE POP (POWER OF PRODUCE) PROGRAM FOR CHILDREN. POP PROGRAM INCREASED FIRST TIME SHOPPERS AND RETURN SHOPPERS WITH YOUTH. PARTNERED WITH THE CHAMBER OF COMMERCE TO SPONSOR AND PROMOTE THE TOUR DE PEPIN BIKE EVENT.MCHS-RED WING:PROVIDED NUTRITIONAL EDUCATION ALONG WITH A COOKING DEMONSTRATION FOR AT-RISK YOUTH. PARTNERED WITH THE RED WING CHAMBER OF COMMERCE TO PROVIDE THE 12 HEALTHY HABITS OF WELL-BEING AT A CHAMBER EXPO.PARTNERED WITH THE RED WING FAMILY YMCA TO SPONSOR THE RIVER CITY RAMBLE 5K, WALK AND FAMILY FUN RUN, WHICH RAISES FUNDS TO SUPPORT SCHOLARSHIPS FOR CHILDREN TO PARTICIPATE IN HEALTHY ACTIVITIES THROUGHOUT THE YEAR.PARTNERED WITH UNITED WAY AND ST. JOSEPH CHURCH IN FARE FOR ALL - A NONPROFIT FOOD PROGRAM PROMOTING AND PROVIDING ACCESS TO LEAN MEAT, FRESH FRUITS AND VEGETABLES. THE PROGRAM IS UNDER THE LEADERSHIP OF UNITED WAY, BUT LOCATED AT MCHS-RED WING. PROVIDED VOLUNTEERS AT FOUR OF THE MONTHLY EVENTS.STAFF SPONSORED TENT AT THE FARMERS MARKET FOR FOUR WEEKS WITH HEALTHY INFORMATION, RECIPES, COOKING TIPS AS PART OF THE POP (POWER OF PRODUCE) PROGRAM SPONSORSHIP. DISTRIBUTED POP CERTIFICATES THROUGH THE FREE CLINIC, BACK PACK PROGRAM IN SCHOOLS AND SUMMER PARK PROGRAM.COUNTY WIDE: IN ADDITION TO THE ACTIONS TAKEN BY EACH HOSPITAL TO ADDRESS OBESITY AS DESCRIBED ABOVE, COLLECTIVELY, THE THREE HOSPITALS:SUPPORTED THE LIVE WELL GOODHUE COUNTY SHIP PROGRAM WITH STAFF TIME AND MEETING SPACE; SPONSORED THE I CAN PREVENT DIABETES CLASSES THAT WERE HELD AT ZUMBROTA LIBRARY, BUT PUBLICIZED IN THE SURROUNDING COMMUNITIES, INCLUDING CANNON FALLS, ZUMBROTA AND KENYON.PROVIDED INTEGRATED HEALTH MEDICINE, ROAD TO BETTER HEALTH, AND 12 HEALTHY HABITS TO WELL-BEING AT THE PRAIRIE ISLAND INDIAN COMMUNITY HEALTH FAIR. PLINKO GAME WITH HEALTHY LIFESTYLE CARDS WERE DISCUSSED WITH 120 PARTICIPANTS.MCHS EMPLOYEES FROM THE LACTATION COALITION PROVIDED A ROCK AND REST BOOTH FOR GOODHUE COUNTY FAIR PARTICIPANTS. MENTAL WELLNESS: TO INCREASE THE STATE OF WELL-BEING IN WHICH INDIVIDUALS CAN COPE WITH NORMAL STRESSES OF LIFE AND WORK, COLLECTIVELY THE THREE HOSPITALS:SUPPORTED MAKE IT OK - A COUNTY-WIDE ANTI STIGMA EDUCATION PROGRAM OFFERED IN AREA CHURCHES AND LOCAL SCHOOLS. AN MCHS STAFF MEMBER SERVED ON THE ADVISORY BOARD AND VOLUNTEERED AS A TRAINER. SPONSORED AND CO-SPONSORED ANGST AT LOCAL SCHOOLS, ZUMBROTA, LAKE CITY, CANNON FALLS, GOODHUE AND RED WING, INCLUDING COMMUNITY FORUMS IN LAKE CITY, CANNON FALLS AND RED WING. ANGST WAS ATTENDED BY 7 TO 12 GRADERS IN ALL SCHOOLS. PROVIDED EDUCATIONAL MATERIAL FOR THE MAKE IT OK SPONSORED RURAL COMMUNITY MENTAL HEALTH WORKSHOPPRIMARY CARE STAFF SERVED ON THE Q&A PANEL FOLLOWING THE ANGST PROGRAM IN LAKE CITY AND ZUMBROTA PROVIDING EXPERTISE TO PARENTS, STAFF AND STUDENTS.CONDUCTED A GRATITUDE CAMPAIGN IN WHICH INFORMATION PROMOTING JOURNALING AND FOCUSING ON GRATITUDE TO BUILD RESILIENCE WAS SHARED AT THREE HEALTH FAIRS.SUPPORTED A WOMEN'S MORNING OF WELL-BEING WORKSHOP AT A LOCAL GOLF COURSE WITH WELL-BEING CHAMPIONS SERVING AS VOLUNTEERS AND ASSISTING WITH THE EVENT. IN ADDITION, THE COST OF THE SPACE AND FOOD WAS PAID FOR BY MCHS. MCHS SPEAKERS PROVIDED EXPERTISE ON NUTRITION THROUGH THE AGES, BUILDING RESILIENCE AND CARE FOR THE CARE GIVER. PARTICIPATED AND SUPPORTED A COUNTY WIDE MENTAL HEALTH CONVENERS COLLABORATIVE TO AVOID DUPLICATION OF SERVICES AND PROMOTE MENTAL WELLNESS THROUGH COUNTY WIDE INITIATIVES IN THE SCHOOLS AND COMMUNITIES. PROVIDED STAFF AND FUNDING FOR A FACILITATOR FOR TWO COMMUNITY COLLABORATIVE MEETINGS WITH 90 ATTENDING EACH TO DEVELOP MENTAL HEALTH INITIATIVES IN GOODHUE COUNTY. THE WORK HAS CONTINUED IN FOUR ACTION TEAMS WORKING TO BUILD MENTAL HEALTH SERVICES, PROVIDE EDUCATION ON ACES, DEVELOP RESOURCE DIRECTORIES AND DEVELOP CIVILITY PROGRAM TO DECREASE ISOLATION IN THE COMMUNITY. BUILDING BRIDGES COLLABORATION LED BY MINNESOTA DEPARTMENT OF HEALTH WITH MINNESOTA EXTENSION, BLUE CROSS AND BLUE SHIELD, ALLINA, AND MCHS, EXPLORING PROGRAMMING ON SOCIAL RELATIONSHIPS AND ISOLATION. PARTNERSHIPS IN GOODHUE COUNTY INCLUDE:CHAMBER OF COMMERCELIVE HEALTHY RED WINGSTRIVE- EVERY HAND JOINEDGOODHUE COUNTY COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANLIVE WELL GOODHUE COUNTY- SHIPTHE 2016 CHNA ALSO IDENTIFIED ACCESS TO CARE AS A NEED IN THE COMMUNITY. MCHS WILL CONTINUE TO SUPPORT UNINSURED COMMUNITY MEMBERS IN PARTNERSHIP WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY. THE CARE CLINIC CONTINUES TO WORK WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES AT NO CHARGE. MCHS WILL SUPPORT THE CARE CLINIC WITH BOARD LEADERSHIP AND LIABILITY COVERAGE FOR EMPLOYEES FROM ALL SITES WHO VOLUNTEER. THE CARE CLINIC THAT PROVIDES SERVICES FOR AT-RISK POPULATIONS IS CURRENTLY LOCATED, AT NO CHARGE, IN A MCHS FACILITY.
REPORTING GROUP C PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP C PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP C PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP C PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP D
FACILITY REPORTING GROUP D CONSISTS OF:	- FACILITY 2: MCHS IN LA CROSSE, - FACILITY 15: MCHS IN SPARTA
REPORTING GROUP D PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP D PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP D PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP D PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP D PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 1: MAYO CLINIC HOSPITAL IN ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA
REPORTING GROUP E PART V, SECTION B, LINE 3J:	REQUIRED RESPONSE FOR LINE 3E: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS DESCRIBED IN THE CHNA REPORT ARE PRIORITIZED BASED ON THE PRIORITIZATION PROCESS DEFINED IN THE CHNA REPORT.
REPORTING GROUP E PART V, SECTION B, LINE 13H:	THE REGIONAL PROXIMITY OF A PATIENT'S RESIDENCY IS A FACTOR FOR PRESCHEDULED SERVICES ONLY AND SECONDARY TO MEDICAL NEED AND UNIQUENESS OF CARE. REGIONAL PROXIMITY IS NOT A FACTOR FOR EMERGENCY CARE PROVIDED.
REPORTING GROUP E PART V, SECTION B, LINE 15E:	REFER PATIENTS TO APPLY FOR MEDICAL ASSISTANCE.
REPORTING GROUP E PART V, SECTION B, LINE 16J:	UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE AND EXPRESSES AN INABILITY TO PAY, ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE ARE DISCUSSED WITH THE PATIENT.
REPORTING GROUP E PART V, SECTION B, LINE 20E:	FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS, STATEMENTS, AND LETTERS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVERNMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?96
Name and address		Type of Facility (describe)
1	1 - MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	CLINIC & RESEARCH FACILITY
2	2 - MAYO CLINIC BUILDING - SCOTTSDALE 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	CLINIC, RESEARCH FACILITY, MEDICAL SCHOOL
3	3 - MCHS NWWI REGION CLAIREMONT CAMPUS 733 W CLAIREMONT AVENUE EAU CLAIRE,WI54701	CLINIC
4	4 - MCHS NWWI REGION LUTHER CAMPUS 1400 BELLINGER STREET EAU CLAIRE,WI54703	CLINIC
5	5 - MCHS MANKATO IN MADISON EAST CENTER 1400 MADISON AVENUE MANKATO,MN56001	CLINIC, THERAPY, DME, HOSPICE
6	6 - MAYO CLINIC SPECIALTY BUILDING 5779 EAST MAYO BOULEVARD PHOENIX,AZ85054	CLINIC
7	7 - MAYO CLINIC DIALYSIS NORTHEAST 3041 STONEHEDGE DRIVE NORTHEAST ROCHESTER,MN55906	HOSPITAL BASED DIALYSIS FACILITY
8	8 - MCHS FRANCISCAN HEALTHCARE ONALASKA 191 THEATER ROAD ONALASKA,WI54650	CLINIC, BEHAVIORAL HEALTH, PHARMACY
9	9 - MAYO CLINIC ALBERT LEA HEALTH REACH 1705 BROADWAY SOUTHEAST ALBERT LEA,MN56007	HOSPITAL BASED DIALYSIS FACILITY, PHYSICAL THERAPY
10	10 - MAYO CLINIC DIALYSIS EAU CLAIRE 3845 LONDON ROAD EAU CLAIRE,WI54701	DIALYSIS
11	11 - MAYO CLINIC DIALYSIS CENTER 4658 WORRALL WAY JACKSONVILLE,FL32216	OUTPATIENT DIALYSIS
12	12 - MCHS FRANCISCAN HEALTHCARE TOMAH 325 BUTTS AVENUE TOMAH,WI546600610	CLINIC, BEHAVIORAL HEALTH
13	13 - MAYO CLINIC DIALYSIS ONALASKA 191 THEATER ROAD ONALASKA,WI54650	HOSPITAL BASED DIALYSIS FACILITY
14	14 - GATE PARKWAY PRIMARY CARE CENTER 7826 OZARK DRIVE JACKSONVILLE,FL32256	CLINIC
15	15 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH,IA52101	HOSPITAL BASED DIALYSIS FACILITY
16	16 - MAYO CLINIC DIALYSIS MENOMONIE 407 21ST STREET SOUTHEAST MENOMONIE,WI54751	DIALYSIS
17	17 - MCHS NEW PRAGUE 212 COUNTY ROAD 37 NEW PRAGUE,MN56071	CLINIC
18	18 - MCHS FRANCISCAN HEALTHCARE HOLMEN 1303 MAIN STREET SOUTH HOLMEN,WI546369337	CLINIC, BEHAVIORAL HEALTH
19	19 - BASSO BUILDING 4634 WORRELL WAY JACKSONVILLE,FL32256	SLEEP DISORDER CENTER
20	20 - MCHS NORTHLAND IN RICE LAKE 331 SOUTH MAIN STREET SUITE H RICE LAKE,WI548682239	CLINIC
21	21 - MCHS FRANCISCAN HEALTHCARE WAUKON 105 EAST MAIN STREET WAUKON,IA52172	CLINIC
22	22 - FOUNTAIN CENTERS IN ALBERT LEA 404 WEST FOUNTAIN STREET ALBERT LEA,MN56007	CHEMICAL DEPENDENCY
23	23 - BEACHES PRIMARY CARE CENTER 742 MARSH LANDING PARKWAY JACKSONVILLE BEACH,FL32250	CLINIC
24	24 - MCHS MANKATO IN EASTRIDGE 101 MARTIN LUTHER KING JR DRIVE MANKATO,MN56001	CLINIC
25	25 - MCHS NEW PRAGUE IN MONTGOMERY 501 4TH STREET NORTHWEST MONTGOMERY,MN56069	CLINIC
26	26 - MCHS NEW PRAGUE IN BELLE PLAINE 700 WEST PRAIRIE STREET BELLE PLAINE,MN56011	CLINIC
27	27 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN 800 EAST BLACKHAWK AVENUE PRAIRIE DU CHIEN,WI53821	CLINIC, BEHAVIORAL HEALTH
28	28 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS 611 1ST AVENUE CHIPPEWA FALLS,WI54729	CLINIC
29	29 - MCHS IN OWATONNA 2200 26TH STREET NORTHWEST OWATONNA,MN55060	CLINIC AND DIALYSIS FACILITY
30	30 - MC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE,AZ85260	CLINIC
31	31 - FRANCISCAN FAMILY HEALTH CLINIC 815 SOUTH 10TH STREET LA CROSSE,WI54601	FAMILY HEALTH CLINIC
32	32 - MAYO CLINIC DIALYSIS BARRON 1222 E WOODLAND AVENUE BARRON,WI54812	DIALYSIS
33	33 - MCHS MANKATO IN NORTHRIDGE 1695 LOR RAY DRIVE NORTH MANKATO,MN56003	CLINIC
34	34 - ST AUGUSTINE PRIMARY CARE 110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE,FL32086	CLINIC
35	35 - MCHS MANKATO IN ST PETER 1900 NORTH SUNRISE DRIVE ST PETER,MN56082	CLINIC
36	36 - MAYO CLINIC FAMILY MED ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE,AZ85308	CLINIC
37	37 - MCHS FRANCISCAN HEALTHCARE ARCADIA 895 SOUTH DETTLOFF DRIVE ARCADIA,WI546121499	CLINIC, BEHAVIORAL HEALTH
38	38 - MAYO CLINIC PRIMARY CARE PHOENIX 5701 EAST MAYO BOULEVARD PHOENIX,AZ85054	CLINIC
39	39 - MCHS FRANCISCAN HEALTHCARE CALEDONIA 701 NORTH SPRAGUE STREET CALEDONIA,MN559211066	CLINIC, BEHAVIORAL HEALTH
40	40 - MCHS FRANCISCAN HC LA CRESCENT 524 NORTH ELM STREET LA CRESCENT,MN559471027	CLINIC
41	41 - MCHS RED WING IN ZUMBROTA 1350 JEFFERSON DRIVE ZUMBROTA,MN55992	CLINIC
42	42 - MCHS MANKATO IN LE SUEUR 625 SOUTH 4TH STREET LE SUEUR,MN56058	CLINIC
43	43 - MCHS OAKRIDGE IN MONDOVI 700 BUFFALO STREET MONDOVI,WI54755	CLINIC
44	44 - MAYO CLINIC PRIMARY CARE SAN TAN 1850 EAST NORTHROP BLVD SUITE 160 CHANDLER,AZ85286	CLINIC
45	45 - MCHS NORTHLAND IN CHETEK 220 DOUGLAS STREET CHETEK,WI547280027	CLINIC
46	46 - FRANCISCAN OCCUPATIONAL HLTH CLINIC 630 10TH STREET LA CROSSE,WI54601	OCCUPATIONAL HEALTH CLINIC
47	47 - MCHS NEW PRAGUE FITNESS CENTER 504 6TH AVENUE NORTHWEST NEW PRAGUE,MN56071	PHYSICAL THERAPY & REHABILITATION
48	48 - MCHS RED CEDAR IN GLENWOOD CITY 219 EAST OAK STREET GLENWOOD CITY,WI54013	CLINIC
49	49 - MCHS AUSTIN HOSPICE 101 14TH STREET NORTHWEST AUSTIN,MN55912	HOSPICE OFFICES
50	50 - MCHS RED WING IN ELLSWORTH 530 WEST CAIRNS STREET ELLSWORTH,WI54011	CLINIC
51	51 - MCHS MANKATO IN LAKE CRYSTAL 200 EAST PRINCE STREET LAKE CRYSTAL,MN56055	CLINIC
52	52 - FOUNTAIN CENTERS IN AUSTIN 101 14TH STREET NORTHWEST AUSTIN,MN55912	CHEMICAL DEPENDENCY
53	53 - MCHS AUSTIN IN ADAMS 908 WEST MAIN STREET ADAMS,MN55909	CLINIC
54	54 - FOUNTAIN CENTERS IN ROCHESTER CEDARWOOD MALL 4122 18TH AVENUE NW ROCHESTER,MN55901	CHEMICAL DEPENDENCY
55	55 - MCHS LAKE CITY IN PLAINVIEW 275 1ST STREET SOUTHWEST PLAINVIEW,MN55964	CLINIC
56	56 - FOUNTAIN CENTERS IN FAIRMONT 828 NORTH AVENUE FAIRMONT,MN56031	CHEMICAL DEPENDENCY
57	57 - PROFESSIONAL ARTS BUILDING 615 SOUTH 10TH STREET LA CROSSE,WI54601	ALLERGY, ORAL SURGERY
58	58 - MCHS ALBERT LEA IN WELLS 301 SOUTH BROADWAY WELLS,MN56097	CLINIC
59	59 - FOUNTAIN CENTERS IN FARIBAULT 2301 4TH STREET NORTHWEST FARIBAULT,MN55021	CHEMICAL DEPENDENCY
60	60 - MCHS ALBERT LEA IN LAKE MILLS 309 SOUTH 10TH AVENUE EAST LAKE MILLS,IA50450	CLINIC
61	61 - FOUNTAIN CENTERS IN MANKATO 1400 MADISON AVENUE SUITE 326 MANKATO,MN56001	CHEMICAL DEPENDENCY
62	62 - MCHS RED CEDAR IN ELMWOOD 236 EAST SPRINGER AVENUE ELMWOOD,WI54740	CLINIC
63	63 - MCHS NEW PRAGUE EXPRESS CARE 200 ALTON AVENUE SOUTHEAST NEW PRAGUE,MN56071	EXPRESS CARE
64	64 - MCHS WASECA IN JANESVILLE 312 NORTH MAIN STREET JANESVILLE,MN56048	CLINIC
65	65 - MCHS-EYE CARE CENTER 2409 STOUT ROAD MENOMONIE,WI54751	OPTOMETRY
66	66 - FOUNTAIN CENTERS IN OWATONNA 134 SOUTHVIEW STREET OWATONNA,MN55060	CHEMICAL DEPENDENCY
67	67 - MCHS EXPRESS CARE IN ALBERT LEA 2708 BRIDGE AVENUE ALBERT LEA,MN56007	EXPRESS CARE CLINIC
68	68 - MCHS WASECA IN WATERVILLE 212 EAST LAKE STREET WATERVILLE,MN56096	CLINIC & OUTPATIENT PHYSICAL THERAPY
69	69 - MCHS ALBERT LEA IN NEW RICHLAND 318 FIRST STREET SOUTHWEST NEW RICHLAND,MN56072	CLINIC
70	70 - MCHS NEW PRAGUE PHYSICAL MEDICINE 314 EAST MAIN STREET NEW PRAGUE,MN56071	PEDIATRIC PHYSICAL MEDICINE
71	71 - MCHS ALBERT LEA IN ALDEN 192 WASHINGTON AVENUE ALDEN,MN56009	CLINIC
72	72 - MCHS FAIRMONT IN SHERBURN 32 NORTH MAIN STREET SHERBURN,MN56171	CLINIC
73	73 - MCHS ALBERT LEA IN KIESTER 120 NORTH MAIN STREET KIESTER,MN56051	CLINIC
74	74 - GERARD HALL 940 DIVISION STREET LA CROSSE,WI54601	MATERNITY HOME
75	75 - MCHS MANKATO EXPRESS CARE 2010 ADAMS STREET MANKATO,MN56001	GENERAL EXPRESS CARE
76	76 - MCHS FRANCISCAN HEALTHCARE BELLE SQUARE 232 3RD STREET NORTH SUITE 100 LA CROSSE,WI54601	CLINIC
77	77 - MCHS BLUE EARTH CLINIC 411 SOUTH GROVE STREET SUITE 3 BLUE EARTH,MN56013	PSYCHOLOGY SERVICES CLINIC
78	78 - MCHS FAIRMONT IN ARMSTRONG 412 6TH STREET ARMSTRONG,IA50514	CLINIC
79	79 - MCHS FAIRMONT IN TRUMAN 401 NORTH 4TH AVENUE EAST TRUMAN,MN56088	CLINIC
80	80 - MCHS AUSTIN IN BLOOMING PRAIRIE 405 EAST MAIN BLOOMING PRAIRIE,MN55917	CLINIC
81	81 - MCHS FRANCISCAN WOMEN RECOVERY HOUSE 535 SOUTH 17TH STREET LA CROSSE,WI54601	BEHAVIORAL HEALTH
82	82 - BEHAVIORAL HEALTH SERVICE LA CROSSE 212 11TH STREET SOUTH LA CROSSE,WI54601	BEHAVIORAL HEALTH
83	83 - MCHS SPRINGFIELD IN LAMBERTON 310 SOUTH MAIN LAMBERTON,MN56152	CLINIC
84	84 - MCHS FRANCISCAN MEN RECOVERY HOUSE 1005 JACKSON STREET LA CROSSE,WI54601	BEHAVIORAL HEALTH
85	85 - MCHS ST JAMES IN TRIMONT 437 MAIN STREET EAST TRIMONT,MN56176	CLINIC
86	86 - MAYO CLINIC BUILDING - PHOENIX 5881 EAST MAYO BOULEVARD PHOENIX,AZ85054	PROTON BEAM CANCER CENTER
87	87 - FRANCISCAN HEALTHCARE HOSPICE 620 SOUTH 11TH STREET LA CROSSE,WI546014711	HOSPICE OFFICES
88	88 - ST FRANCIS GROUP HOME 518 10TH STREET SOUTH LA CROSSE,WI54601	BEHAVIORAL HEALTH
89	89 - ST CLARE HEALTH MISSION 916 FERRY STREET LA CROSSE,WI54601	CLINIC
90	90 - SPORTS MEDICINE BUILDING 2120 E RIO SALADO PARKWAY TEMPE,AZ85281	CLINIC
91	91 - JACOBY BUILDING 14225 ZUMBRO DRIVE JACKSONVILLE,FL32224	CLINIC
92	92 - MANGURIAN BUILDING 4500 MELLISH DRIVE JACKSONVILLE,FL32224	CLINIC
93	93 - SPARTA EYE CLINIC 400 JEFFERSON AVENUE SPARTA,WI54656	CLINIC
94	94 - ORTHOPEDIC & REHABILITATION CENTER 2407 STOUT ROAD MENOMONIE,WI54751	REHABILITATION
95	95 - MCHS IN FARIBAULT 300 STATE AVENUE FARIBAULT,MN55021	CLINIC
96	96 - MCHS IN KENYON 225 HUSETH STREET KENYON,MN55946	CLINIC

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	MEDICAL INDIGENCY MAY BE USED TO DETERMINE ELIGIBILITY. IF A PATIENT BALANCE EXCEEDS 25% OF THE ANNUAL HOUSEHOLD INCOME, BUT THE PATIENT DOES NOT QUALIFY BASED ON FPG, CHARITY WILL BE ADJUSTED TO A MINIMUM OF THE AMOUNT GENERALLY BILLED (AGB). THE ABG IS DETERMINED USING THE LOOK-BACK METHOD AND CALCULATED USING ALL CLAIMS ALLOWED BY PRIVATE PAY INSURERS (INCLUDING MEDICARE ADVANTAGE) AND MEDICARE (TRADITIONAL) FOR INPATIENT AND OUTPATIENT SERVICES FOR THE YEAR.
PART I, LINE 7:	A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7G:	THE FOLLOWING NET COMMUNITY BENEFIT COST ATTRIBUTED TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES: $65,980,633.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 169,325,524.
PART I, LINE 5A:	CHARITY CARE IS ESTIMATED FOR FINANCIAL PLANNING PURPOSES ONLY. THE ESTIMATED AMOUNT OF CHARITY CARE DOES NOT INFLUENCE NOR HAVE ANY IMPACT ON THE AMOUNT OF CHARITY CARE PROVIDED.
PART III, LINE 1:	THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.
PART II, COMMUNITY BUILDING ACTIVITIES:	DONATIONS AND GRANTS TO PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS ASSIST WITH SUSTAINING AND ENHANCING THE DETERMINANTS OF HEALTH OF THE COMMUNITIES SERVED.
PART III, LINE 2:	BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4:	FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 7 AND 13 OF MAYO CLINIC'S 2019 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $758,842,870. THE MOST COMMON REASONS FOR A DIFFERENCE BETWEEN THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H AND THE MEDICARE SHORTFALL BASED ON THE FINANCIAL STATEMENTS INCLUDE: (1) INCLUSION OF MEDICARE ADVANTAGE REVENUE AND EXPENSES; (2) INCLUSION OF PART B REVENUE AND EXPENSES; (3) INCLUSION OF OTHER FEE SCHEDULE REVENUE; AND (4) SOME TIMING ISSUES.THE MEDICARE SHORTFALL REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS REPORTS THE TOTAL MEDICARE SHORTFALL RELATED TO PATIENT CARE PROVIDED BY ALL SUBORDINATES IN THE GROUP RETURN AND IS THEREFORE NOT ADJUSTED FOR EDUCATION EXPENSE AND SUBSIDIZED HEALTH SERVICES.REASONS WHY THE MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B:	MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION AND CONSIDER FINANCIAL ASSISTANCE PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY. MAYO CLINIC AND AFFILIATES ALSO MAKE REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS BEFORE REQUESTING PAYMENT FROM A PATIENT. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENT'S RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS POTENTIALLY MEETING MAYO CLINIC'S FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF THE PATIENT IS DETERMINED TO BE INELIGIBLE FOR FINANCIAL ASSISTANCE OR IS ELIGIBLE FOR ONLY PARTIAL FINANCIAL ASSISTANCE AND DOES NOT AGREE TO PAY THE REMAINING BALANCE.
PART VI, LINE 2:	MAYO CLINIC, THE CENTRAL ORGANIZATION FOR THE SUBORDINATES INCLUDED IN THIS GROUP RETURN, ATTRACTS PATIENTS FROM AREAS FAR BEYOND ITS IMMEDIATE COMMUNITIES. PATIENTS COME TO MAYO CLINIC FROM EVERY STATE AND MANY FOREIGN COUNTRIES. BESIDES ITS PRINCIPAL CLINICAL AND HOSPITAL FACILITIES IN ROCHESTER, MINNESOTA, MAYO CLINIC HAS FACILITIES IN SCOTTSDALE AND PHOENIX, ARIZONA AS WELL AS JACKSONVILLE, FLORIDA. MAYO CLINIC ALSO HAS A NETWORK OF COMMUNITY BASED HEALTH CARE PROVIDERS IN OVER 60 COMMUNITIES THROUGHOUT SOUTHERN MINNESOTA, NORTHERN IOWA, AND WEST CENTRAL WISCONSIN. IN ADDITION, MAYO CLINIC SUPPORTS AND COORDINATES EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING WITHIN EACH OF THE COMMUNITIES IT SERVES AS WELL AS CONDUCTING MEDICAL EDUCATION AND RESEARCH ACTIVITIES TO ADVANCE THE SCIENCE OF MEDICINE TO BENEFIT A BROAD RANGE OF REGIONAL, NATIONAL AND INTERNATIONAL COMMUNITIES.THE SUBORDINATES INCLUDED IN THIS GROUP RETURN WORK COLLABORATIVELY WITH THEIR INPATIENT AND OUTPATIENT PRACTICES TO MEET THE HEALTH CARE NEEDS OF THEIR RESPECTIVE LOCAL COMMUNITIES. THESE ENTITIES ARE COLLECTIVELY REFERRED TO AS "MAYO CLINIC" FOR PURPOSES OF THIS DESCRIPTION.MAYO CLINIC'S EFFORTS TO ASSESS THE HEALTH CARE NEEDS OF THE LOCAL COMMUNITIES REST ON FOUR GUIDING PRINCIPLES DEVELOPED IN CONJUNCTION WITH COMMUNITY PARTNERS AND AFFIRMED BY MAYO CLINIC LEADERSHIP:1. HEALTH IS VALUED BY BOTH THE COMMUNITY AND MAYO CLINIC.2. "HEALTH" IS DETERMINED BY BOTH MEDICAL AND NON-MEDICAL (E.G., SOCIAL AND BEHAVIORAL) FACTORS AND BOTH CATEGORIES OF FACTORS MUST BE ADDRESSED.3. MAYO CLINIC IS COMMITTED TO PRODUCING MEASURABLE IMPROVEMENTS IN THE HEALTH OF LOCAL COUNTY RESIDENTS AND BEYOND.4. STRATEGIES TO IMPROVE COMMUNITY HEALTH ARE BEST DETERMINED AND IMPLEMENTED THROUGH PARTNERSHIPS BETWEEN HEALTH CARE PROVIDERS AND COMMUNITY MEMBERS.WITH THESE PRINCIPLES AS THE BASIS OF ITS DECISION MAKING, AND CONSISTENT WITH ITS PRIMARY VALUE OF "THE NEEDS OF THE PATIENT COME FIRST", MAYO CLINIC'S APPROACH TO ASSESS THE NEEDS OF THE COMMUNITY IS ORGANIZED INTO TWO MAIN FUNCTIONS: 1) MECHANISMS TO ENGAGE AND UTILIZE INPUT FROM THE COMMUNITY AND 2) MECHANISMS TO SUPPORT AND COORDINATE INITIATIVES WITHIN MAYO CLINIC.WITHIN MAYO CLINIC, COORDINATION OF COMMUNITY ENGAGEMENT INITIATIVES IS ACCOMPLISHED THROUGH COMMUNITY GIVING COMMITTEES THAT EVALUATE FUNDING AND SPONSORSHIP REQUESTS FROM COMMUNITY AGENCIES AND GUIDES INSTITUTIONAL SUPPORT FOR VARIOUS COMMUNITY INITIATIVES. THE COMMITTEES ENSURE THE GUIDING PRINCIPLES ARE FOLLOWED AND FACILITATE COMMUNITY OUTREACH INITIATIVES.
PART VI, LINE 3:	MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THE FINANCIAL ASSISTANCE POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE.MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AND APPLICATIONS AVAILABLE ON THEIR WEBPAGES, INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY AND APPLICATION FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST IN PERSON OR BY PHONE. THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE PLAIN LANGUAGE SUMMARY (PLS) EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND OUTLINES ELIGIBILITY CRITERIA AND PROVIDES INSTRUCTIONS TO SUBMIT AN APPLICATION. WITHIN EACH HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED. ADDITIONALLY, CHARITABLE CARE AND FINANCIAL ASSISTANCE IS REFERENCED ON PATIENT CORRESPONDENCE INCLUDING: THE MONTHLY STATEMENT OF ACCOUNT, ACCOUNT BALANCE LETTERS, AND LATE PAYMENT NOTIFICATIONS. ALL PATIENT CORRESPONDENCE REFERENCING CHARITABLE CARE AND FINANCIAL ASSISTANCE INCLUDE INTERNET, PHONE, AND MAILING ADDRESS CONTACT INFORMATION. PATIENTS MAY ALSO BE MADE AWARE OF THE FAP VIA THEIR PROVIDER AND/OR OTHER MAYO CLINIC EMPLOYEES, WHO CAN PUT A PATIENT IN CONTACT WITH RESOURCES AVAILABLE TO ASSIST WITH THE APPLICATION PROCESS.
PART VI, LINE 4:	MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) WORKS COLLABORATIVELY WITH MAYO CLINIC TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. TOGETHER, MAYO CLINIC AND MCH-R SERVE THE POPULATION OF OLMSTED COUNTY IN MINNESOTA AS WELL AS A WIDER REGIONAL, NATIONAL, AND EVEN INTERNATIONAL POPULATION. ALTHOUGH IT SERVES A WIDE RANGE OF HEALTH CARE NEEDS INCLUDING PRIMARY AND COMMUNITY CARE, MAYO IS ESPECIALLY FOCUSED IN PROVIDING TERTIARY CARE AND SPECIALTY TREATMENT OF THE MORE UNUSUAL AND DIFFICULT MEDICAL CASES.DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2018, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 156,277, OF WHICH AN ESTIMATED 24.5% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 15% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $72,337 WITH APPROXIMATELY 8.3% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC ARIZONA, THE LEGAL ENTITY WHICH OWNS AND OPERATES THE MAYO CLINIC HOSPITAL IN ARIZONA (MCA), IS LOCATED IN THE GREATER PHOENIX METROPOLITAN AREA. THE OUTPATIENT CLINIC IS IN THE NORTHEAST QUADRANT OF SCOTTSDALE, ARIZONA. THE INPATIENT HOSPITAL IS LOCATED IN NORTH PHOENIX, APPROXIMATELY 13 MILES NORTHWEST OF THE SCOTTSDALE LOCATION. POPULATIONS SERVED ARE FROM THE PHOENIX/SCOTTSDALE AREA, THE SOUTHWESTERN UNITED STATES AND INTERNATIONALLY. BOTH PHOENIX AND SCOTTSDALE ARE MORE URBAN AND SUBURBAN COMMUNITIES. HOWEVER, MCA RESIDES IN MARICOPA COUNTY - THE LARGEST COUNTY IN THE STATE AND 4TH LARGEST IN THE UNITED STATES. IN ADDITION TO LARGE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES, IT ALSO HAS A LARGER SERVICE AREA OF RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2018, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,410,824, OF WHICH AN ESTIMATED 24.3% WAS UNDER THE AGE OF 18 AND 14.8% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $58,580 WITH APPROXIMATELY 13.5% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC HOSPITAL IN FLORIDA (MCF) AND ITS AFFILIATED CLINIC, MAYO CLINIC JACKSONVILLE (MCJ), ARE LOCATED IN JACKSONVILLE, FLORIDA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF DUVAL AND ST. JOHNS COUNTIES IN NORTHEAST FLORIDA. POPULATIONS SERVED ARE FROM THE JACKSONVILLE AREA, THE SOUTHEASTERN UNITED STATES AND INTERNATIONALLY. THE SERVICE AREA WOULD INCLUDE METROPOLITAN, URBAN AND SUBURBAN COMMUNITIES. IN ADDITION, THE SERVICE AREA WOULD EXTEND TO AREAS WITH RURAL AND FARMING COMMUNITIES. MCF/MCJ DOES NOT HAVE PEDIATRIC OR OBSTETRIC PRACTICES, AND THIS LIMITS ACCESS TO MEDICAID PATIENTS SINCE FLORIDA'S MEDICAID BENEFITS ARE GENERALLY RESTRICTED TO CHILDREN AND PREGNANT WOMEN. HOWEVER, MCF/MCJ DOES HAVE AGREEMENTS WITH THE STATE OF FLORIDA TO PROVIDE A CERTAIN PERCENTAGE OF ORGAN TRANSPLANTS TO MEDICAID OR CHARITY PATIENTS (THE AMOUNT VARIES WITH EACH ORGAN).DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS, AS OF JULY 1, 2018, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,204,442, OF WHICH AN ESTIMATED 22.25% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 16.75% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $62,468 WITH APPROXIMATELY 11.7% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS IN ALBERT LEA AND AUSTIN (MCHS-AL/AUS), MCHS IN CANNON FALLS (MCHS-CANNON FALLS), MCHS IN RED WING (MCHS-RED WING) AND MCHS IN LAKE CITY (MCHS-LAKE CITY) ARE LOCATED IN THE SOUTHEAST REGION OF MINNESOTA. MCHS-AL/AUS PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF MOWER, FREEBORN, STEELE AND RICE. MCHS-CANNON FALLS, MCHS-LAKE CITY, AND MCHS-RED WING PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF GOODHUE AND WABASHA. BOTH SERVICE AREAS INCLUDE URBAN, SUBURBAN, RURAL AND FARMING COMMUNITIES.DEMOGRAPHICS: BASED ON THE U.S. CENSUS BUREAU QUICKFACTS, AS OF JULY 1, 2018, MOWER, FREEBORN, STEELE AND RICE COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 173,781, OF WHICH AN ESTIMATED 23.48% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.35% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $56,767 WITH APPROXIMATELY 10.7% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA HAD A COMBINED ESTIMATED POPULATION OF 68,048, OF WHICH AN ESTIMATED 22.15% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 20.15% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $62,202 WITH APPROXIMATELY 7.5% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS IN MANKATO (MCHS-MANKATO), MCHS IN FAIRMONT (MCHS-FAIRMONT), MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD), MCHS IN WASECA (MCHS-WASECA), MCHS IN ST. JAMES (MCHS-ST. JAMES) AND MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) ARE LOCATED IN THE SOUTHWEST REGION OF MINNESOTA. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF BLUE EARTH, NICOLLET, MARTIN, BROWN, WASECA, WATONWAN, SCOTT AND LE SUEUR IN SOUTHERN MINNESOTA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN SOUTHERN MINNESOTA AND NORTHERN IOWA. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2018, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 352,089, OF WHICH AN ESTIMATED 23.16% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.3% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $61,203 WITH APPROXIMATELY 9.68% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE), MCHS IN MENOMONIE (MCHS-MENOMONIE), MCHS IN OSSEO (MCHS-OSSEO), MCHS IN BARRON (MCHS-BARRON) AND MCHS IN BLOOMER (MCHS-BLOOMER) ARE LOCATED IN WESTERN WISCONSIN. THE LARGEST PORTION OF THIS SERVICE AREA IS COMPRISED OF THE COUNTIES OF EAU CLAIRE, DUNN, TREMPEALEAU, BARRON AND CHIPPEWA. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN WESTERN WISCONSIN. THIS SERVICE AREA INCLUDES URBAN AND SUBURBAN COMMUNITIES, ALONG WITH RURAL AND FARM COMMUNITIES. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2018, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 288,406, OF WHICH AN ESTIMATED 21.78% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 17.48% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $53,058 WITH APPROXIMATELY 11.62% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS IN LA CROSSE (MCHS-LA CROSSE) AND MCHS IN SPARTA (MCHS-SPARTA) SERVE THE RESIDENTS OF BUFFALO, CRAWFORD, GRANT, JACKSON, JUNEAU, LA CROSSE, MONROE, RICHLAND, SAUK, AND VERNON, COUNTIES IN WISCONSIN, FILLMORE, HOUSTON, WABASHA, AND WINONA, COUNTIES IN MINNESOTA, AND ALLAMAKEE AND WINNESHIEK COUNTIES IN IOWA. THE CITIES OF LA CROSSE (51.6K) AND WINONA (26.8K) REPRESENT SMALL METROPOLITAN AREAS AND THE BALANCE OF THE SERVICE AREA IS EITHER RURAL OR SMALL TOWNS (500 TO 10K). DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2018, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 550,724, OF WHICH AN ESTIMATED 21.76% WAS UNDER THE AGE OF 18 AND 19.57% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2013 TO 2017 WAS $53,398 WITH APPROXIMATELY 11.6% OF THE POPULATION BELOW THE POVERTY LEVEL.
PART VI, LINE 5:	THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE AFFILIATES OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE,MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION - EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED.PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES. SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE.COMMUNITY REPRESENTATION ON GOVERNING BODY - THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, EXPERIENCE, AND OTHER CRITERIA ESTABLISHED BY THE INDEPENDENT NOMINATING COMMITTEE OF THE BOARD OF TRUSTEES. AREAS OF EXPERTISE AND EXPERIENCE INCLUDE SUCH AREAS AS HEALTH CARE POLICY, RESEARCH, EDUCATION, BUSINESS, AND GOVERNMENT. THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, WHICH ARE CONTROLLED BY MAYO CLINIC, RELY ON THE COMMUNITY REPRESENTATION OF THE MAYO CLINIC BOARD OF TRUSTEES TO FULFILL THIS REQUIREMENT. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, SEVERAL OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ALSO INVOLVE LOCAL COMMUNITY MEMBERS ON THEIR GOVERNING BODIES. OPEN V. CLOSED STAFF MODEL - SEVERAL OF MAYO CLINIC'S HOSPITAL ENTITIES HAVE OBTAINED LETTER RULINGS APPROVING A STAFF MODEL IN WHICH ONLY MAYO CLINIC EMPLOYED PHYSICIANS ARE GIVEN STAFF PRIVILEGES IN ORDER TO MAINTAIN STANDARD METHODS OF PRACTICE AND PROTOCOLS. FOR THOSE ENTITIES, THE PHYSICIANS ARE SALARIED EMPLOYEES AND THUS THE ISSUE OF PRIVATE INUREMENT AND PRIVATE BENEFIT ADDRESSED BY THE OPEN STAFF REQUIREMENT ARE OTHERWISE ADDRESSED. THREE OF THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN OPERATE BASED ON THE CLOSED STAFF MODEL.EMERGENCY ROOM - THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN MAINTAIN EMERGENCY ROOMS WITHIN THEIR HOSPITAL FACILITIES 24 HOURS A DAY, 7 DAYS A WEEK, WHICH ARE OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6:	THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN ARE PART OF A GROUP OF HEALTHCARE ENTITIES AFFILIATED WITH MAYO CLINIC. MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE IN THE WORLD. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." APPROXIMATELY 6,900 PHYSICIANS, SCIENTISTS AND RESIDENTS AND OVER 63,000 ADMINISTRATIVE AND ALLIED HEALTH STAFF WORK AT MAYO CLINIC, WHICH HAS SITES IN ROCHESTER, MINNESOTA, JACKSONVILLE, FLORIDA, AND SCOTTSDALE/PHOENIX, ARIZONA, AS WELL AS A REGIONAL NETWORK OF HOSPITALS AND CLINICS IN MINNESOTA, WISCONSIN, AND IOWA. COLLECTIVELY, MORE THAN 1.2 MILLION PEOPLE ARE TREATED EACH YEAR. SPECIFICALLY, THE SUBORDINATE ORGANIZATIONS REPORTED ON SCHEDULE H OF THIS GROUP RETURN PROVIDE ONE OR MORE OF THE FOLLOWING SERVICES AT THEIR RESPECTIVE LOCATIONS: MEDICAL EDUCATION, RESEARCH, HOSPITAL AND CLINIC SERVICES.FOR MORE SPECIFIC DESCRIPTION, SEE THE RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS (REPORTED IN SCHEDULE O).
PART VI, LINE 7:	NEITHER THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO A STATE HOSPITAL ASSOCIATION.

Schedule H (Form 990) 2019

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
MAYO CLINIC GROUP RETURN

Employer identification number
38-3952644

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MAYO CLINIC 200 FIRST STREET SW ROCHESTER,MN55905	41-6011702	501(C)(3)	1,207,576,299	SUPPORT CHARITABLE PROGRAMS
(2) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT LOS ANGELES 10945 LE CONTE AVE STE 2339 BOX 951687 LOS ANGELES,CA90095	95-6006143	STATE OF CA	2,069,700	SUPPORT RESEARCH PROGRAM
(3) ARIZONA STATE UNIVERSITY 411 N CENTRAL AVE PHOENIX,AZ85004	86-0196696	STATE OF AZ	1,050,042	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(4) SANFORD-BURNHAM MEDICAL RESEARCH INSTITUTE 10901 N TORREY PINES RD LA JOLLA,CA92037	51-0197108	501(C)(3)	850,112	SUPPORT CHARITABLE PROGRAMS
(5) THE HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE INC 6720-A ROCKLEDGE DR STE 100 BETHESDA,MD20817	52-1317896	501(C)(3)	806,551	SUPPORT CHARITABLE PROGRAMS
(6) MEDICAL UNIVERSITY OF SOUTH CAROLINA 179 ASHLEY AVE CHARLESTON,SC294258908	57-6000722	STATE OF SC	752,085	SUPPORT RESEARCH PROGRAM
(7) REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS,MN55414	41-6007513	STATE OF MN	457,559	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(8) JOHNS HOPKINS UNIVERSITY 1101 E 33RD ST STE D200 BALTIMORE,MD21218	52-0595110	501(C)(3)	408,983	SUPPORT CHARITABLE PROGRAMS
(9) UNIVERSITY OF NEBRASKA DBA UNIV OF NEBRASKA MEDICAL CENTER 986800 NEBRASKA MEDICAL CENTER OMAHA,NE681985050	47-0049123	STATE OF NE	382,334	SUPPORT RESEARCH PROGRAM
(10) TRUSTEES OF DARTMOUTH COLLEGE DBA DARTMOUTH COLLEGE 37 DEWEY FIELD RD STE 6163 HANOVER,NH03755	02-0222111	501(C)(3)	325,447	SUPPORT CHARITABLE PROGRAMS
(11) COLUMBIA UNIVERSITY 630 W 168TH ST UNIT 39 NEW YORK,NY10032	13-5598093	501(C)(3)	319,084	SUPPORT CHARITABLE PROGRAMS
(12) UNIVERSITY OF MARYLAND 620 WEST LEXINGTON STREET BALTIMORE,MA21201	52-6002033	STATE OF MD	290,914	SUPPORT RESEARCH PROGRAM
(13) MESO SCALE DIAGNOSTICS LLC 1601 RESEARCH BLVD ROCKVILLE,MD20850	52-1974952	-	254,401	SUPPORT RESEARCH PROGRAM
(14) BOSTON UNIVERSITY SCHOOL OF MEDICINE 715 ALBANY STREET A-305 BOSTON,MA021182526	04-2103547	501(C)(3)	204,361	SUPPORT CHARITABLE PROGRAMS
(15) PGA TOUR INC 100 PGA TOUR BOULEVARD PONTE VERDE BEACH,FL32082	52-0999206	501(C)(6)	200,000	SUPPORT EXEMPT PURPOSE
(16) UNIVERSITY OF ALABAMA AT BIRMINGHAM 1665 UNIVERSITY BLVD STE 327 BIRMINGHAM,AL352940022	63-6005396	STATE OF AL	197,838	SUPPORT RESEARCH PROGRAM
(17) BAPTIST HEALTHCARE SYSTEM INC 1740 NICHOLASVILLE RD LEXINGTON,KY405031499	61-0444707	501(C)(3)	175,491	SUPPORT CHARITABLE PROGRAMS
(18) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	143,525	SUPPORT CHARITABLE PROGRAMS
(19) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ONE COLLEGE HALL PHILADELPHIA,PA191046303	23-1352685	501(C)(3)	142,431	SUPPORT CHARITABLE PROGRAMS
(20) CLEVELAND CLINIC EDUCATIONAL FOUNDATION PO BOX 931653 CLEVELAND,OH44193	34-0714585	501(C)(3)	138,513	SUPPORT CHARITABLE PROGRAMS
(21) UNIVERSITY OF WASHINGTON 325 9TH AVE SEATTLE,WA98195	91-6001537	STATE OF WA	134,282	SUPPORT RESEARCH PROGRAM
(22) ST JUDE CHILDRENS RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS,TN381053678	62-0646012	501(C)(3)	120,000	SUPPORT CHARITABLE PROGRAMS
(23) KAISER FOUNDATION RESEARCH INSTITUTE 1 KAISER PLAZA 15L OAKLAND,CA94612	94-1105628	501(C)(3)	114,725	SUPPORT CHARITABLE PROGRAMS
(24) BANNER HEALTH RESEARCH INSTITUTE 1441 NORTH 12TH STREET PHOENIX,AZ85006	45-0233470	501(C)(3)	108,997	SUPPORT CHARITABLE PROGRAMS
(25) UNIVERSITY OF PITTSBURGH 4200 5TH AVE PITTSBURGH,PA15260	25-0965591	501(C)(3)	106,847	SUPPORT CHARITABLE PROGRAMS
(26) FORSYTH MEMORIAL HOSPITAL 3333 SILAS CREEK PKWY WINSTONSALEM,NC27103	56-0928089	501(C)(3)	102,682	SUPPORT CHARITABLE PROGRAMS
(27) OREGON HEALTH & SCIENCES UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND,OR97239	93-1176109	STATE OF OR	102,500	SUPPORT RESEARCH PROGRAM
(28) DUKE UNIVERSITY DUMC 3934 DURHAM,NC27710	56-0532129	501(C)(3)	101,407	SUPPORT CHARITABLE PROGRAMS
(29) CITY OF MONDOVI 156 SOUTH FRANKLIN ST MONDOVI,WI54755	39-6005537	CTY OF MONDOVI	100,100	SUPPORT COMMUNITY PROGRAMS
(30) STATE OF MINNESOTA 658 CEDAR ST ST PAUL,MN55155	41-6007162	STATE OF MN	100,000	SUPPORT RESEARCH PROGRAM
(31) SAGE BIONETWORKS 1100 FAIRVIEW AVE N SEATTLE,WA981091024	26-4489946	501(C)(3)	96,664	SUPPORT CHARITABLE PROGRAMS
(32) DIGNITY HEALTH 185 BERRY STREET SAN FRANCISCO,CA94107	94-1196203	501(C)(3)	93,746	SUPPORT CHARITABLE PROGRAMS
(33) MANKATO FAMILY YMCA 1401 SOUTH RIVERFRONT DRIVE MANKATO,MN56001	41-0739108	501(C)(3)	85,000	SUPPORT CHARITABLE PROGRAMS
(34) UNITED WAY OF NORTHEAST FLORIDA INC 40 EAST ADAMS STREET SUITE 200 JACKSONVILLE,FL32202	59-0637825	501(C)(3)	85,000	SUPPORT CHARITABLE PROGRAMS
(35) MAINE MEDICAL CENTER 22 BRAMHALL STREET PORTLAND,ME04402	01-0238552	501(C)(3)	82,010	SUPPORT CHARITABLE PROGRAMS
(36) WEILL CORNELL MEDICAL COLLEGE 1315 YORK AVENUE NEW YORK,NY10021	13-1623978	501(C)(3)	79,732	SUPPORT CHARITABLE PROGRAMS
(37) BOYS AND GIRLS CLUB OF GREATER LA CROSSE 1331 CLINTON STREET LA CROSSE,WI54603	39-6084791	501(C)(3)	79,104	SUPPORT CHARITABLE PROGRAMS
(38) EAU CLAIRE COMMUNITY FOUNDATION 301 SOUTH BARSTOW ST NO 104 EAU CLAIRE,WI54701	39-1891064	501(C)(3)	75,500	SUPPORT CHARITABLE PROGRAMS
(39) UNIVERSITY OF VERMONT 128 LAKESIDE AVE SUITE 100 BURLINGTON,VT05401	03-0179440	STATE OF VT	74,585	SUPPORT RESEARCH PROGRAM
(40) OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HWY NEW ORLEANS,LA701212484	72-0502505	501(C)(3)	72,800	SUPPORT CHARITABLE PROGRAMS
(41) UNIVERSITY OF CENTRAL FLORIDA PO BOX 160115 ORLANDO,FL328160115	59-2924021	STATE OF FL	69,878	SUPPORT RESEARCH PROGRAM
(42) MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	86-0800150	501(C)(3)	67,377	SUPPORT CHARITABLE PROGRAMS
(43) CITY OF EAU CLAIRE 203 S FARWELL ST EAU CLAIRE,WI54701	39-6005436	CTY OF EAU CLAIRE	60,250	SUPPORT COMMUNITY PROGRAMS
(44) CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES,CA90048	95-1644600	501(C)(3)	53,774	SUPPORT CHARITABLE PROGRAMS
(45) SOUTH DAKOTA HEALTH RESEARCH FOUNDATION 1400 W 22ND ST SIOUX FALLS,SD57105	46-0450378	501(C)(3)	50,000	SUPPORT CHARITABLE PROGRAMS
(46) AUSTIN COMMUNITY GROWTH VENTURES 329 N MAIN STREET SUITE 106L AUSTIN,MN55912	47-5042107	501(C)(3)	50,000	SUPPORT CHARITABLE PROGRAMS
(47) INTERVENT INTERNATIONAL LLC 340 EISENHOWER DR BLDG 1400 STE 17 SAVANNAH,GA31406	45-2954871	-	49,585	SUPPORT RESEARCH PROGRAM
(48) PRAIRIE EDUCATION AND RESEARCH COOPERATIVE 317 N 5TH STREET SPRINGFIELD,IL62701	37-1157915	501(C)(3)	49,350	SUPPORT CHARITABLE PROGRAMS
(49) CARDIOVASCULAR ASSOCIATES OF THE SOUTHEAST LLC 3980 COLONNADE PKWY BIRMINGHAM,AL35243	45-2697154	-	45,960	SUPPORT RESEARCH PROGRAM
(50) OHIO HEALTH RESEARCH INSTITUTE 180 EAST BROAD STREET 33RD FLOOR COLUMBUS,OH432153707	31-6059784	501(C)(3)	45,705	SUPPORT CHARITABLE PROGRAMS
(51) SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL 1325 4TH AVE STE 1310 SEATTLE,WA98101	91-1452438	501(C)(3)	45,505	SUPPORT CHARITABLE PROGRAMS
(52) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND,OH441067037	34-1018992	501(C)(3)	44,858	SUPPORT CHARITABLE PROGRAMS
(53) INTEGRATIVE MEDICINE SERVICE BOX 303 1275 YORK AVE NEW YORK,NY10021	13-1624082	501(C)(3)	43,472	SUPPORT CHARITABLE PROGRAMS
(54) YALE UNIVERSITY PO BOX 7619 NEW HAVEN,CT06519	06-0646973	501(C)(3)	42,100	SUPPORT CHARITABLE PROGRAMS
(55) NORTH CENTRAL CARDIAC RESEARCH INSTITUTE LTD 4520 W 69TH ST SIOUX FALLS,SD57108	46-0445351	-	41,525	SUPPORT RESEARCH PROGRAM
(56) BIOMEDICAL RESEARCH FOUNDATION 4300 WEST 7TH STREET LITTLE ROCK,AR72205	71-0675830	501(C)(3)	41,160	SUPPORT CHARITABLE PROGRAMS
(57) VASCULAR SURGERY ASSOCIATES PC 5020 W BRISTOL RD FLINT,MI48507	38-2237803	-	40,805	SUPPORT RESEARCH PROGRAM
(58) ADVENTIST HEALTHCARE 820 W DIAMOND AVE STE 600 GAITHERSBURG,MD20878	52-1532556	501(C)(3)	40,500	SUPPORT CHARITABLE PROGRAMS
(59) THE REGENTS OF THE UNIVERSITY OF MICHIGAN 1500 E MEDICAL CENTER DR ANN ARBOR,MI481090201	38-6006309	STATE OF MI	40,253	SUPPORT RESEARCH PROGRAM
(60) SCENIC BLUFFS HEALTH CENTER INC 238 FRONT ST CASHTON,WI54619	39-1760445	501(C)(3)	40,000	SUPPORT CHARITABLE PROGRAMS
(61) THE MIRIAM HOSPITAL 164 SUMMIT AVE PROVIDENCE,RI029034970	05-0258905	501(C)(3)	39,700	SUPPORT CHARITABLE PROGRAMS
(62) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA,GA30303	13-1788491	501(C)(3)	39,700	SUPPORT CHARITABLE PROGRAMS
(63) LIFE LINE SCREENING OF AMERICA 901 S MOPAC EXPY BLDG 2 STE 130 AUSTIN,TX787465759	34-1839775	-	39,000	SUPPORT RESEARCH PROGRAM
(64) UNIVERSITY OF WISCONSIN - LA CROSSE 1725 STATE STREET LA CROSSE,WI54601	39-1805963	STATE OF WI	38,350	SUPPORT RESEARCH PROGRAM
(65) SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE SUITE 550 LANSING,MI48912	38-3075242	501(C)(3)	36,210	SUPPORT CHARITABLE PROGRAMS
(66) UNIVERSITY OF FLORIDA 33 TIGERT HALL GAINESVILLE,FL32611	59-6002052	STATE OF FL	35,598	SUPPORT RESEARCH PROGRAM
(67) CLEVELAND VA MEDICAL RESEARCH AND EDUCATION FOUNDATION 10701 E BLVD VAMC 151C W CLEVELAND,OH44106	34-1710663	501(C)(3)	35,315	SUPPORT CHARITABLE PROGRAMS
(68) LEUKEMIA & LYMPHOMA SOCIETY 1311 MAMARONECK AVEUNE SUITE 310 WHITE PLAINS,NY10605	13-5644916	501(C)(3)	35,025	SUPPORT CHARITABLE PROGRAMS
(69) MUSEUM OF SCIENCE AND HISTORY OF JACKSONVILLE INC 1025 MUSEUM CIR JACKSONVILLE,FL322079053	59-0651090	501(C)(3)	34,900	SUPPORT CHARITABLE PROGRAMS
(70) GREAT RIVERS UNITED WAY INC 1855 EAST MAIN STREET ONALASKA,WI54650	39-0848188	501(C)(3)	34,438	SUPPORT CHARITABLE PROGRAMS
(71) METRO KNOXVILLE HMA LLC 10820 PARKSIDE DR KNOXVILLE,TN37934	45-2535623	-	33,275	SUPPORT RESEARCH PROGRAM
(72) PENNSYLVANIA STATE UNIVERSITY 500 UNIVERSITY DR HERSHEY,PA17033	24-6000376	-	33,180	SUPPORT RESEARCH PROGRAM
(73) SOUTHERN ILLINOIS HOSPITAL PO BOX 3988 CARBONDALE,IL629023988	37-0618939	501(C)(3)	32,764	SUPPORT CHARITABLE PROGRAMS
(74) SAINT ANDREWS LIGHTHOUSE INC 4599 WORRALL WAY JACKSONVILLE,FL32224	31-1489868	501(C)(3)	32,500	SUPPORT CHARITABLE PROGRAMS
(75) MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC 55 FRUIT ST BLDG RM 205 BOSTON,MA021142622	04-2807148	501(C)(3)	32,195	SUPPORT CHARITABLE PROGRAMS
(76) WAKE FOREST UNIVERSITY HEALTH SCIENCES-ULTRASOUND MEDICAL CENTER BLVD WINSTONSALEM,NC271571039	22-3849199	501(C)(3)	31,635	SUPPORT CHARITABLE PROGRAMS
(77) UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY,IA52242	42-6004813	STATE OF IA	31,608	SUPPORT RESEARCH PROGRAM
(78) MEDVANTX INC 5151 SHOREHAM DRIVE STE 250 SAN DIEGO,CA921225962	33-0888232	-	31,600	SUPPORT RESEARCH PROGRAM
(79) MERCY HOSPITALS EAST COMMUNITIES 615 S NEW BALLAS RD ST LOUIS,MO63141	43-0653493	501(C)(3)	30,575	SUPPORT CHARITABLE PROGRAMS
(80) LA CROSSE COMMUNITY THEATRE 428 FRONT STREET SOUTH LA CROSSE,WI54601	39-1035843	501(C)(3)	30,000	SUPPORT CHARITABLE PROGRAMS
(81) REGIONAL ONCOLOGY CENTER SUNY 35 STATE ST ALBANY,NY122072826	14-1368361	501(C)(3)	29,845	SUPPORT CHARITABLE PROGRAMS
(82) UNIVERSITY OF SOUTHERN CALIFORNIA 1510 SAN PABLO HCC 514 LOS ANGELES,CA90033	95-1642394	501(C)(3)	29,685	SUPPORT CHARITABLE PROGRAMS
(83) INOVA HEALTH CARE SERVICES 8110 GATEHOUSE RD STE 400W FALLS CHURCH,VA22042	54-0620889	501(C)(3)	29,600	SUPPORT CHARITABLE PROGRAMS
(84) MORTON PLANT MEASE HEALTH CARE 207 JEFFORDS ST MS 110 CLEARWATER,FL33756	59-2374556	501(C)(3)	29,530	SUPPORT CHARITABLE PROGRAMS
(85) DEACONESS SPECIALTY PHYSICIANS 600 MARY ST EVANSVILLE,IN477471658	82-4503095	501(C)(3)	29,440	SUPPORT RESEARCH PROGRAM
(86) COMMUNITY FOUNDATION OF DUNN COUNTY INC 500 MAIN STREET E 322 MENOMONIE,WI54751	39-1819945	501(C)(3)	29,200	SUPPORT CHARITABLE PROGRAMS
(87) ROCHESTER AREA FOUNDATION 400 SOUTH BROADWAY SUITE 300 ROCHESTER,MN55904	41-6017740	501(C)(3)	29,000	SUPPORT CHARITABLE PROGRAMS
(88) NC HEART AND VASCULAR RESEARCH 3000 NEW BERN AVE STE G-100 RALEIGH,NC27610	56-2001346	-	27,620	SUPPORT RESEARCH PROGRAM
(89) CARDIAC AND VASCULAR RESEARCH CENTER OF NORTHERN MICHIGAN 560 W MITCHELL STE 500 PETOSKEY,MI49770	38-3576853	-	27,340	SUPPORT RESEARCH PROGRAM
(90) REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE 101 THE CITY DR S ORANGE,CA928683201	95-2226406	501(C)(3)	27,037	SUPPORT RESEARCH PROGRAM
(91) HOPE GOSPEL MISSION INC PO BOX 1127 EAU CLAIRE,WI54702	39-1948605	501(C)(3)	26,900	SUPPORT CHARITABLE PROGRAMS
(92) VANDERBILT UNIVERSITY 1285 MRB IV NASHVILLE,TN372320575	62-0476822	501(C)(3)	26,612	SUPPORT CHARITABLE PROGRAMS
(93) CHIPPEWA VALLEY FREE CLINIC 836 RICHARD DRIVE EAU CLAIRE,WI54701	39-1840231	501(C)(3)	26,200	SUPPORT CHARITABLE PROGRAMS
(94) HARTFORD HOSPITAL 80 SEYMOUR ST HARTFORD,CT061025037	06-0646668	501(C)(3)	26,015	SUPPORT CHARITABLE PROGRAMS
(95) OHIO STATE UNIVERSITY 558 DOAN HALL 410 W 10TH AVENUE COLUMBUS,OH43210	31-6025986	STATE OF OH	25,935	SUPPORT RESEARCH PROGRAM
(96) TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N FIFTH STREET SUITE 600 PHOENIX,AZ85004	75-3065445	501(C)(3)	25,619	SUPPORT CHARITABLE PROGRAMS
(97) UNITED WAY OF MOWER CO PO BOX 605 AUSTIN,MN55912	41-0831896	501(C)(3)	25,400	SUPPORT CHARITABLE PROGRAMS
(98) GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE,WI54601	39-1028657	501(C)(3)	25,044	SUPPORT CHARITABLE PROGRAMS
(99) BENJAMIN'S HOUSE EMERGENCY SHELTER INC 1107 HEART ISLAND PARKWAY RICE LAKE,WI54868	27-0407042	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(100) AUSTIN COMMUNITY CHARITABLE FUND (VISION 2020) 329 NORTH MAIN STREET SUITE 106L AUSTIN,MN55912	36-3487772	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(101) WEST CENTRAL WISCONSIN REGIONAL PLANNING COMMISSION 800 WISCONSIN ST MAIL BOX 9 EAU CLAIRE,WI54703	39-1178189	-	25,000	SUPPORT COMMUNITY PROGRAMS
(102) UNITED WAY OF FREEBORN COUNTY INC 341 SOUTH BROADWAY ALBERT LEA,MN56007	41-0956396	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(103) LEGACY COMMUNITY CENTER INC 26 W GRAND AVE CHIPPEWA FALLS,WI54729	90-1107703	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(104) HARVARD MEDICAL SCHOOL 260 LONGWOOD RM 262 BOSTON,MA021155720	04-2103580	501(C)(3)	24,858	SUPPORT CHARITABLE PROGRAMS
(105) HUNTSVILLE CARDIOVASCULAR CLINIC PA 4601 WHITESBURG DR S STE 201 HUNTSVILLE,AL358021658	63-1211664	-	24,275	SUPPORT RESEARCH PROGRAM
(106) BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY 201 E LAKE ST EAU CLAIRE,WI547013842	39-2032491	501(C)(3)	24,000	SUPPORT CHARITABLE PROGRAMS
(107) NATIONAL VITALITY CENTER 135 S BROADWAY ALBERT LEA,MN56007	45-4540205	501(C)(3)	24,000	SUPPORT CHARITABLE PROGRAMS
(108) RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA PO BOX 400202 CHARLOTTESVILLE,VA229044202	54-6001796	STATE OF VA	23,530	SUPPORT RESEARCH PROGRAM
(109) STEPPING STONES OF DUNN COUNTY 1602 STOUT RD MENOMONIE,WI547512964	39-1608607	501(C)(3)	23,300	SUPPORT CHARITABLE PROGRAMS
(110) MINNEAPOLIS CLINIC OF NEUROLOGY LTD 4225 GOLDEN VALLEY RD GOLDEN VALLEY,MN55422	41-0999094	-	23,175	SUPPORT RESEARCH PROGRAM
(111) FIRST COAST CARDIOVASCULAR 7011 A C SKINNER PKWY STE 160 JACKSONVILLE,FL32256	47-0854466	-	23,150	SUPPORT RESEARCH PROGRAM
(112) MOUNT SINAI MEDICAL CENTER OF FLORIDA INC 4300 ALTON RD MIAMI BEACH,FL33140	59-0624424	501(C)(3)	23,138	SUPPORT CHARITABLE PROGRAMS
(113) MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVE CAMBRIDGE,MA021394307	04-2103594	501(C)(3)	23,112	SUPPORT CHARITABLE PROGRAMS
(114) FEED MY PEOPLE INC 331 PUTNAM ST EAU CLAIRE,WI54703	36-1488941	501(C)(3)	22,950	SUPPORT CHARITABLE PROGRAMS
(115) FAMILY Y OF ALBERT LEA MINNESOTA INC 2021 WEST MAIN STREET ALBERT LEA,MN56007	41-1000679	501(C)(3)	22,500	SUPPORT CHARITABLE PROGRAMS
(116) NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION INC 4150 CLEMENT STREET 151NC SAN FRANCISCO,CA94121	94-3084159	501(C)(3)	22,300	SUPPORT CHARITABLE PROGRAMS
(117) REGIONAL FOOD BANK OF NORTHEAST FLORIDA INC 1116 EDGEWOOD AVE N UNITS D AND E JACKSONVILLE,FL322542393	46-5014769	501(C)(3)	22,000	SUPPORT CHARITABLE PROGRAMS
(118) VETERANS EDUCATION AND RESEARCH ASSOCIATION OF MICHIGAN 2215 FULLER ROAD ANN ARBOR,MI48105	38-3060217	501(C)(3)	21,720	SUPPORT CHARITABLE PROGRAMS
(119) OVERLAKE HOSPITAL MEDICAL 1035 116TH AVE NE BELLEVUE,WA98004	91-0652651	501(C)(3)	21,700	SUPPORT CHARITABLE PROGRAMS
(120) VETERANS RESEARCH PITTSBURGH UNIVERSITY DRIVE C 151 BLDG 30 GROUND FLOOR PITTSBURGH,PA152401003	25-1666090	501(C)(3)	21,200	SUPPORT RESEARCH PROGRAM
(121) PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC 1000 N FRONT ST WORMLEYSBURG,PA17043	32-0321362	-	21,100	SUPPORT RESEARCH PROGRAM
(122) MISSION CARDIOVASCULAR RESEARCH INSTITUTE 2333 MOWRY AVE STE 300 FREMONT,CA945381626	27-1276137	-	21,025	SUPPORT RESEARCH PROGRAM
(123) BOYCEVILLE COMMUNITY SCHOOL DISTRICT 1003 TIFFANY STREET BOYCEVILLE,WI54725	39-6001052	STATE OF WI	21,000	SUPPORT EDUCATIONAL PROGRAMS
(124) UNITED WAY OF STEELE COUNTY 110 N CEDAR AVE OWATONNA,MN55060	23-7366680	501(C)(3)	20,458	SUPPORT CHARITABLE PROGRAMS
(125) CHILDRENS MUSEUM OF SOUTHERN MINNESOTA 224 LAMM STREET MANKATO,MN56001	20-4351801	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(126) AUSTIN CONVENTION & VISITOR'S BUREA 301 NORTH MAIN 101 AUSTIN,MN55912	41-1796839	501(C)(6)	20,000	SUPPORT EXEMPT PURPOSE
(127) ALBERT LEA CONVENTION & VISITORS BUREA 102 W CLARK ST ALBERT LEA,MN56007	41-1824600	501(C)(6)	20,000	SUPPORT EXEMPT PURPOSE
(128) AUSTIN ASPIRES INC 329 N MAIN SUITE 106L AUSTIN,MN55912	46-5424422	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(129) KATIES CAPLES FOUNDATION 914 ATLANTIC AVENUE SUITE 1A AMELIA ISLAND,FL32034	59-3580838	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(130) EMORY UNIVERSITY SCHOOL OF MEDICINE 1365-B CLIFTON RD ATLANTA,GA30322	58-0566256	501(C)(3)	19,400	SUPPORT CHARITABLE PROGRAMS
(131) HEART GROUP PC 4015 GATEWAY BLVD STE 2120 NEWBURGH,IN47630	35-1776713	-	19,350	SUPPORT RESEARCH PROGRAM
(132) MCHS--SOUTHEAST MINNESOTA REGION (FKA MCHS - ALBERT LEA AND AUSTIN) 1000 FIRST DRIVE NW AUSTIN,MN55912	41-1404075	501(C)(3)	29,364	SUPPORT CHARITABLE PROGRAMS
(133) BETH ISRAEL DEACONESS MEDICAL CENTER 3300 BROOKLINE AVE BOSTON,MA02215	04-2103881	501(C)(3)	18,885	SUPPORT CHARITABLE PROGRAMS
(134) CONFLUENCE COUNCIL INC 128 GRAHAM AVE EAU CLAIRE,WI54701	45-5405233	501(C)(3)	18,635	SUPPORT CHARITABLE PROGRAMS
(135) MANKATO AREA FOUNDATION 127 SOUTH SECOND STREET SUITE 100 MANKATO,MN56001	41-0011094	501(C)(3)	18,500	SUPPORT CHARITABLE PROGRAMS
(136) TEXAS A&M ENGINEERING 400 HARVEY MITCHELL PKW S COLLEGE STATION,TX77845	74-1974733	STATE OF TX	18,380	SUPPORT RESEARCH PROGRAM
(137) THE SALVATION ARMY 10 WEST ALGONQUIN ROAD DES PLAINES,IL600166006	36-2167910	501(C)(3)	18,100	SUPPORT CHARITABLE PROGRAMS
(138) JDRF INTERNATIONAL 26 BROADWAY 15TH FL NEW YORK,NY10004	23-1907729	501(C)(3)	17,625	SUPPORT CHARITABLE PROGRAMS
(139) LA CROSSE COUNTY 400 N FOURTH ST LA CROSSE,WI54601	39-6005709	CT OF LA CROSSE	17,500	SUPPORT COMMUNITY PROGRAMS
(140) GREATER MANKATO GROWTH INC 3 CIVIC CENTER PLAZA NO 100 MANKATO,MN56001	41-1446548	501(C)(6)	17,500	SUPPORT EXEMPT PURPOSE
(141) WORLD AFFAIRS COUNCIL OF JACKSONVILLE INC 100 FESTIVAL PARK AVENUE JACKSONVILLE,FL32202	59-2522757	501(C)(3)	17,500	SUPPORT CHARITABLE PROGRAMS
(142) UPMC HAMOT 201 STATE STREET ERIE,PA16550	25-0965387	501(C)(3)	16,825	SUPPORT CHARITABLE PROGRAMS
(143) THE METHODIST HOSPITAL RESEARCH INSTITUTE 6670 BERTNER AVENUE HOUSTON,TX77030	87-0721923	501(C)(3)	16,730	SUPPORT CHARITABLE PROGRAMS
(144) WISCONSIN CASA ASSOCIATION 2701 LARSEN ROAD GREEN BAY,WI54303	39-1974356	501(C)(3)	16,500	SUPPORT CHARITABLE PROGRAMS
(145) UNIVERSITY OF CHICAGO 5747 S ELLIS AVE 122 CHICAGO,IL606371043	36-2177139	501(C)(3)	16,405	SUPPORT CHARITABLE PROGRAMS
(146) COASTAL CAROLINA SURGICAL ASSOCIATES PA 1411 PHYSICIANS DR WILMINGTON,NC28401	56-1637012	-	16,140	SUPPORT RESEARCH PROGRAM
(147) FRIENDS OF THE SPARTA FREE LIBRARY PO BOX 71 SPARTA,WI54656	45-5397422	501(C)(3)	16,000	SUPPORT CHARITABLE PROGRAMS
(148) AUSTIN AREA COMMISSION FOR THE ARTS 300 N MAIN STREET AUSTIN,MN55912	41-1650727	501(C)(3)	15,800	SUPPORT CHARITABLE PROGRAMS
(149) LEHIGH VALLEY HOSPITAL 1200 S CEDAR CREST BLVD ALLENTOWN,PA181036202	23-1689692	501(C)(3)	15,710	SUPPORT CHARITABLE PROGRAMS
(150) INTERMOUNTAIN HEALTH CARE 36 S STATE ST STE 2200 SALT LAKE CITY,UT84111	87-0269232	501(C)(3)	15,075	SUPPORT CHARITABLE PROGRAMS
(151) LYERLY BAPTIST INC 3563 PHILLIPS HWY JACKSONVILLE,FL32207	03-0571183	-	15,000	SUPPORT RESEARCH PROGRAM
(152) DIVERSITY LEADERSHIP ALLIANCE 13835 NORTH TATUM BLVD SUITE 9-457 PHOENIX,AZ85032	20-2260284	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(153) HOUSING AUTHORITY OF THE CITY OF EAU CLAIRE 203 S FARWELL STREET EAU CLAIRE,WI54701	39-1330628	CTY OF EAU CLAIRE	15,000	SUPPORT COMMUNITY PROGRAMS
(154) DONOR NETWORK OF ARIZONA 201 WEST COOLIDGE STREET PHOENIX,AZ85013	86-0707697	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(155) EAU CLAIRE YMCA 700 GRAHAM AVENUE EAU CLAIRE,WI54701	39-0806351	501(C)(3)	14,751	SUPPORT CHARITABLE PROGRAMS
(156) SETON FAMILY OF HOSPITALS 1345 PHILOMENA ST STE 362 AUSTIN,TX786111219	74-1109643	501(C)(3)	14,615	SUPPORT CHARITABLE PROGRAMS
(157) UNIVERSITY OF UTAH 110 S FORT DOUGLAS BLVD SALT LAKE CITY,UT84113	87-6000525	STATE OF UT	13,936	SUPPORT RESEARCH PROGRAM
(158) VHS-HARLINGEN HOSPITAL COMPANY LLC DBA VALLEY BAPTIST MEDICAL CENTER-HARLIN 2101 PEASE ST MAP 203 HARLINGEN,TX785508307	45-2662980	-	13,800	SUPPORT RESEARCH PROGRAM
(159) MINNESOTA STATE COLLEGES AND UNIVERSITIES 236 WIGLEY ADMINISTRATION CENTER MANKATO,MN56001	41-1687554	STATE OF MN	13,773	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(160) FRANCISCAN ALLIANCE INC 8111 S EMERSON AVE INDIANAPOLIS,IN46237	35-0913537	-	13,400	SUPPORT RESEARCH PROGRAM
(161) UW-EAU CLAIRE FOUNDATION PO BOX 4004 EAU CLAIRE,WI547024004	39-0972350	501(C)(3)	13,225	SUPPORT CHARITABLE PROGRAMS
(162) ST JAMES PUBLIC SCHOOLS ISD 840 PO BOX 509 ST JAMES,MN56081	41-6004625	STATE OF MN	13,000	SUPPORT COMMUNITY PROGRAMS
(163) BALTIMORE RESEARCH AND EDUCATION FOUNDATION 10 NORTH GREENE ST BALTIMORE,MD21201	52-1705976	501(C)(3)	12,850	SUPPORT CHARITABLE PROGRAMS
(164) WELLMONT CARDIOLOGY SERVICES 1905 AMERICAN WAY KINGSPORT,TN37660	26-3557623	501(C)(3)	12,700	SUPPORT CHARITABLE PROGRAMS
(165) OPEN DOOR HEALTH CENTER 309 HOLLY LANE MANKATO,MN56001	41-1461726	501(C)(3)	12,500	SUPPORT CHARITABLE PROGRAMS
(166) PROVIDENCE HEALTH & SERVICES OREGON 4805 NE GLISAN ST STE 5F40 PORTLAND,OR97213	93-0386929	-	12,450	SUPPORT RESEARCH PROGRAM
(167) HENRY FORD HEALTH SYSTEM 2799 W GRAND BLVD DETROIT,MI48202	38-1357020	501(C)(3)	12,374	SUPPORT CHARITABLE PROGRAMS
(168) ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC 225 N MICHIGAN AVE 17TH FLOOR CHICAGO,IL60601	13-3039601	501(C)(3)	12,350	SUPPORT CHARITABLE PROGRAMS
(169) ST FRANCIS HOSPITAL 100 PORT WASHINGTON BLVD ROSLYN,NY115761348	11-2050523	-	12,165	SUPPORT RESEARCH PROGRAM
(170) TRINITY HEALTH MICHIGAN DBA ST JOSEPH MERCY PORT HURON 2601 ELECTRIC AVE PORT HURAN,MI48060	38-2113393	501(C)(3)	11,955	SUPPORT CHARITABLE PROGRAMS
(171) HACKENSACK UNIVERSITY MEDICAL CENTER 30 PROSPECT AVE HACKENSACK,NJ07601	22-1487576	501(C)(3)	11,800	SUPPORT RESEARCH PROGRAM
(172) GENERAL HOSPITAL CORPORATION 55 FRUIT BOSTON,MA02114	04-2697983	501(C)(3)	11,385	SUPPORT CHARITABLE PROGRAMS
(173) THE TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO,OH43606	34-4428256	501(C)(3)	10,950	SUPPORT CHARITABLE PROGRAMS
(174) PORT CITY OPERATING COMPANY DBA ST JOSEPHS MEDICAL CENTER 1800 NORTH CALIFORNIA ST STOCKTON,CA952046019	46-5322209	501(C)(3)	10,625	SUPPORT RESEARCH PROGRAM
(175) OWATONNA SOCCER ASSOCIATION PO BOX 169 OWATONNA,MN55060	41-1908332	501(C)(3)	10,250	SUPPORT CHARITABLE PROGRAMS
(176) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE INC 3901 RAINBOW BLVD KANSAS CITY,MO66160	48-1108830	501(C)(3)	10,105	SUPPORT CHARITABLE PROGRAMS
(177) COMPREHENSIVE ADVANCED LIFE SUPPORT 717 DELAWARE STREET SE NO 508 MINNEAPOLIS,MN55414	20-1240867	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(178) HEALTHFINDERS COLLABORATIVE INC PO BOX 731 NORTHFIELD,MN55057	20-1805262	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(179) BLOOMER AREA FOOD PANTRY INC 808 JACKSON ST BLOOMER,WI54724	22-3950687	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(180) UNIVERSITY OF NORTH FLORIDA FOUNDATION INC 1 UNF DRIVE JACKSONVILLE,FL32224	23-7167701	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(181) CAMP SWEET LIFE ADVENTURES INC 10 HANTEN DRIVE MANKATO,MN56001	27-3206536	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(182) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF MANKATO 127 S 2ND ST STE 200 MANKATO,MN56001	41-0711619	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(183) ST JOHNS LUTHERAN COMMUNITY 901 LUTHER PLACE ALBERT LEA,MN56007	41-0847708	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(184) RIVERLAND TECHNICAL COLLEGE 1900 8TH AVENUE NW AUSTIN,MN55912	41-1286409	STATE OF MN	10,000	SUPPORT COMMUNITY PROGRAMS
(185) SOUTHEAST SERVICE COOPERATIVE 210 WOOD LAKE DR SE ROCHESTER,MN55904	41-1333904	STATE OF MN	10,000	SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS
(186) CITY OF CALEDONIA 231 EAST MAIN STREET CALEDONIA,MN55921	41-6005025	CTY OF CALEDONIA	10,000	SUPPORT COMMUNITY PROGRAMS
(187) GROW LA CROSSE INC PO BOX 1241 LA CROSSE,WI54601	47-0992006	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(188) ROCHESTER SWIMMING INC 720 27TH STREET NW ROCHESTER,MN55901	47-3368655	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(189) OPPORTUNITY DEVELOPMENT INC 2709 ART MUSEUM DRIVE JACKSONVILLE,FL32207	59-1842440	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(190) MISSION HOUSE INC 800 SHETTER AVE JACKSONVILLE BEACH,FL32250	59-3376704	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(191) WE CARE JACKSONVILLE INC 4080 WOODCOCK DRIVE SUITE 130 JACKSONVILLE,FL32207	59-3431724	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(192) GENERATION W INC 2320 3RD STREET S SUITE 5 JACKSONVILLE BEACH,FL32250	59-6150746	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(193) VOLUNTEERS IN MEDICINE 41 EAST DUVAL ST JACKSONVILLE,FL32202	75-3002172	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(194) FUNK-ZITIELLO FOUNDATION INC 830-13 A1A NORTH 187 PONTE VERDE BEACH,FL32082	81-3204321	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(195) BUTTERFIELD COMMUNITY FUND INC PO BOX 147 BUTTERFIELD,MN56120	83-0915745	-	10,000	SUPPORT COMMUNITY PROGRAMS
(196) THUNDERBIRDS 7226 N 16TH ST STE 100 PHOENIX,AZ85020	86-0373052	501(C)(6)	10,000	SUPPORT EXEMPT PURPOSE
(197) MARICOPA COUNTY 201 W JEFFERSON ST PHOENIX,AZ850032225	86-6000472	CT OF MARICOPA	10,000	SUPPORT MISSION
(198) JUNIOR ACHIEVEMENT OF WISCONSIN INC 11111 WEST LIBERTY DRIVE MILWAUKEE,WI53224	39-0826295	501(C)(3)	9,500	SUPPORT CHARITABLE PROGRAMS
(199) GIFT OF LIFE INC 705 2ND STREET SW ROCHESTER,MN55901	41-1495845	501(C)(3)	9,300	SUPPORT CHARITABLE PROGRAMS
(200) NEW PRAGUE AREA SCHOOLS 410 CENTRAL AVENUE NORTH NEW PRAGUE,MN56071	41-6003815	STATE OF MN	9,100	SUPPORT COMMUNITY PROGRAMS
(201) ECONFINA CARDIOLOGY GROUP PA 801 E 6TH ST STE 504 PANAMA CITY,FL32401	59-2005970	-	9,080	SUPPORT RESEARCH PROGRAM
(202) REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO 1855 FOLSOM ST BOX 0812 SAN FRANCISCO,CA94143	94-6036493	STATE OF CA	9,055	SUPPORT RESEARCH PROGRAM
(203) CROHN'S & COLITIS FOUNDATION OF AMERICA INC 733 THIRD AVENUE SUITE 510 NEW YORK,NY10017	13-6193105	501(C)(3)	9,000	SUPPORT CHARITABLE PROGRAMS
(204) BAPTIST HOSPITAL OF MIAMI DBA MIAMI CARDIAC AND VASCULAR INSTITUTE 8900 N KENDALL DR MIAMI,FL33176	59-0910342	501(C)(3)	8,990	SUPPORT RESEARCH PROGRAM
(205) HOPE VILLAGE TINY HOUSES ALTERNATIVES INC 4140 126TH STREET CHIPPEWA FALLS,WI54729	82-0758024	501(C)(3)	8,500	SUPPORT CHARITABLE PROGRAMS
(206) HOSPICE OF THE VALLEY 5111 SCOTTSDALE RD 108 SCOTTSDALE,AZ85250	86-0338886	501(C)(3)	8,500	SUPPORT CHARITABLE PROGRAMS
(207) SCHOOL DISTRICT OF LA CROSSE 807 EAST AVE S LA CROSSE,WI54601	39-6002841	STATE OF WI	8,200	SUPPORT COMMUNITY PROGRAMS
(208) STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC 77 WARREN ST BHMC 333 BRIGHTON,MA021352907	27-2473667	501(C)(3)	8,180	SUPPORT CHARITABLE PROGRAMS
(209) STANFORD UNIVERSITY 1450 PAGE MILL RD STANFORD,CA94304	94-1156365	501(C)(3)	8,140	SUPPORT CHARITABLE PROGRAMS
(210) UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES,FL331242912	59-0624458	501(C)(3)	8,100	SUPPORT CHARITABLE PROGRAMS
(211) COULEE COUNCIL ON ADDICTIONS INC 921 WEST AVENUE SOUTH LA CROSSE,WI54601	39-1129125	501(C)(3)	8,000	SUPPORT CHARITABLE PROGRAMS
(212) TANDEM MENTORSHIP INC PO BOX 1993 EAU CLAIRE,WI54702	82-4693050	501(C)(3)	8,000	SUPPORT CHARITABLE PROGRAMS
(213) YOUNG WOMENS CHRISTIAN ASSOCIATION OF LA CROSSE 3219 COMMERCE ST LA CROSSE,WI54603	39-0810543	501(C)(3)	7,910	SUPPORT CHARITABLE PROGRAMS
(214) NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE 750 N KALE SHORE DR CHICAGO,IL606113008	36-2167817	501(C)(3)	7,900	SUPPORT CHARITABLE PROGRAMS
(215) EAU CLAIRE AREA CHAMBER OF COMMERCE PO BOX 1107 EAU CLAIRE,WI547021107	39-0255585	501(C)(6)	7,859	SUPPORT EXEMPT PURPOSE
(216) THE SALVATION ARMY NORTHERN DIVISION - SERVING MN & ND 2445 PRIOR AVE N ROSEVILLE,MN55113	41-0698597	501(C)(3)	7,792	SUPPORT CHARITABLE PROGRAMS
(217) UNITED BIOSOURCE LLC 3822 SUMMIT ST KANSAS CITY,MO64111	80-0077029	-	7,784	SUPPORT RESEARCH PROGRAM
(218) BOYS AND GIRLS CLUB OF ROCHESTER 1026 EAST CENTER STREET ROCHESTER,MN55904	41-1945875	501(C)(3)	7,650	SUPPORT CHARITABLE PROGRAMS
(219) FEEDING OUR COMMUNITIES PARTNERS 2120 HOWARD DR SUITE F G NORTH MANKATO,MN56003	27-2374187	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(220) FAMILY AND CHILDREN'S CENTER 1707 MAIN STREET LA CROSSE,WI54601	39-0821863	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(221) JACKSONVILLE WOMENS LDRSHP FORUM INC PO BOX 5734 JACKSONVILLE,FL322475734	46-3938058	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(222) JACKSONVILLE UNIVERSITY 2800 UNIVERSITY BOULEVARD NORTH JACKSONVILLE,FL32211	59-0624412	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(223) GENESIS HEALTH INC DBA BROOKS HEALTH SYSTEM 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE,FL32216	59-2249370	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(224) UNIVERSITY OF NORTH FLORIDA 1 UNF DRIVE BUILDING 53 SUITE 2100 JACKSONVILLE,FL32224	59-2976169	STATE OF FL	7,500	SUPPORT RESEARCH PROGRAM
(225) CANCER SUPPORT COMMUNITY ARIZONA 360 EAST PALM LANE PHOENIX,AZ85004	86-0897810	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(226) COLON CANCER ALLIANCE INC 1025 VERMONT AVE NW STE 1066 WASHINGTON,DC20005	86-0947831	501(C)(3)	7,475	SUPPORT CHARITABLE PROGRAMS
(227) PANCREATIC CANCER ACTION NETWORK 2141 ROSECRANS AVE STE 7000 EL SEGUNDO,CA90245	33-0841281	501(C)(3)	7,050	SUPPORT CHARITABLE PROGRAMS
(228) SCHOOL DISTRICT OF THE MENOMONIE AREA 215 PINE AVE NE MENOMONIE,WI54751	39-6003384	STATE OF WI	6,950	SUPPORT COMMUNITY PROGRAMS
(229) UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL DBA UNC CENTER FOR HEART & VASC 104 AIRPORT DR CAMPUS BOX 1220 CHAPEL HILL,NC275991220	56-6001393	501(C)(3)	6,891	SUPPORT CHARITABLE PROGRAMS
(230) WILLIAM BEAUMONT HOSPITAL 16500 WEST TWELVE MILE ROAD SOUTHFIELD,MI480762975	38-1459362	501(C)(3)	6,840	SUPPORT CHARITABLE PROGRAMS
(231) RETHREADED INC 820 BARNETT STREET JACKSONVILLE,FL32209	45-3036999	501(C)(3)	6,804	SUPPORT CHARITABLE PROGRAMS
(232) NATIONAL ASSOC OF HEALTH SVCS EXECS 1050 CONNECTICUT AVE WASHINGTON,DC20036	62-1312239	501(C)(3)	6,750	SUPPORT CHARITABLE PROGRAMS
(233) UNIVERSITY OF ARIZONA PO BOX 3520 TUCSON,AZ857223520	74-2652689	501(C)(3)	6,726	SUPPORT CHARITABLE PROGRAMS
(234) AMERICAN LUNG ASSOCIATION 55 W WACKER DRIVE CHICAGO,IL60601	13-1632524	501(C)(3)	6,600	SUPPORT CHARITABLE PROGRAMS
(235) BERKS CARDIOLOGISTS 222 N 12TH ST READING,PA19610	23-1911520	-	6,480	SUPPORT RESEARCH PROGRAM
(236) ROTARY WORKS FOUNDATION PO BOX 1571 LA CROSSE,WI54601	39-6076868	501(C)(3)	6,300	SUPPORT CHARITABLE PROGRAMS
(237) MINNESOTA PRIVATE COLLEGE FUND 445 MINNESOTA STREET NO 500 ST PAUL,MN55101	51-0166951	501(C)(3)	6,300	SUPPORT CHARITABLE PROGRAMS
(238) COUNTY OF WATONWAN PO BOX 518 ST JAMES,MN56081	41-6005922	CT OF WATONWAN	6,002	SUPPORT COMMUNITY PROGRAMS
(239) FRIENDS OF THE COULEE REGION R 2920 EAST AVE S SUITE 104 LA CROSSE,WI54601	39-1781646	501(C)(3)	6,000	SUPPORT CHARITABLE PROGRAMS
(240) THE JONES FAMILY FOUNDATION 101 EAST FIFTH STREET STE 2400 SAINT PAUL,MN55101	45-3069865	501(C)(3)	6,000	SUPPORT CHARITABLE PROGRAMS
(241) READY FOR KINDERGARTEN NORTHPORT CENTER 1970 LOOKOUT DRIVE DRIVE NORTH MANKATO,MN56003	41-6000310	STATE OF MN	5,950	SUPPORT COMMUNITY PROGRAMS
(242) NATIONAL MULTIPLE SCLEROSIS SOCIETY UPPER MIDWEST CHAPTER 200 12TH AVE S MINNEAPOLIS,MN554151255	41-0790658	501(C)(3)	5,750	SUPPORT CHARITABLE PROGRAMS
(243) EMERGENCY COMMUNITY HELP ORGANIZATION INC 1014 SOUTH FRONT STREET MANKATO,MN56002	41-1429214	501(C)(3)	5,500	SUPPORT CHARITABLE PROGRAMS
(244) UTHSCSA-DEPT OF SURGERY 7703 FLOYD CURL DR SAN ANTONIO,TX782293900	74-1586031	STATE OF TX	5,390	SUPPORT RESEARCH PROGRAM
(245) MOUNT SINAI SCHOOL OF MEDICINE CTR TO ADVANCE PALLIATIVE CARE 1255 FIFTH AVENUE STE C-2 NEW YORK,NY10029	13-6171197	501(C)(3)	5,310	SUPPORT CHARITABLE PROGRAMS
(246) CHILDREN'S MUSEUM OF EAU CLAIRE INC 220 S BARSTOW ST EAU CLAIRE,WI54701	39-2015286	501(C)(3)	5,200	SUPPORT CHARITABLE PROGRAMS
(247) INDEPENDENT SCHOOL DISTRICT 241 FREEBORN COUNTY 211 W RICHWAY DR ALBERT LEA,MN56007	41-6001171	STATE OF MN	5,050	SUPPORT COMMUNITY PROGRAMS
(248) CHARTERHOUSE INC 211 SECOND STREET NW ROCHESTER,MN55901	41-1405254	501(C)(3)	6,885	SUPPORT CHARITABLE PROGRAMS
(249) MAYO CLINIC HEALTH SYSTEM--FAIRMONT 800 CLINIC CIRCLE FAIRMONT,MN56031	41-0760836	501(C)(3)	33,756,392	SUPPORT CHARITABLE PROGRAMS
(250) ST JOHN HEALTH SYSTEM INC 1923 S UTICA AVE TULSA,OK74104	73-1215174	501(C)(3)	5,050	SUPPORT CHARITABLE PROGRAMS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

216

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIPS	534	3,085,598
(2) MEDICAL STUDENT STIPENDS	259	1,446,304
(3) RESEARCH GRANT SUBAWARDS	82	74,314
(4) CHARITABLE SUPPORT OF INDIVIDUALS	220	280,982
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE SUBORDINATE ORGANIZATIONS WITHIN THIS GROUP RETURN CONSIDER REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS IN THE COMMUNITY WITH PROGRAMS THAT ENHANCE THE MISSION OF THE FILING ORGANIZATION AND ADDRESS UNMET OR UNDER-FUNDED COMMUNITY NEEDS IN THE AREAS OF HEALTHCARE, EDUCATION, RESEARCH, DIVERSITY AND EQUALITY OF OPPORTUNITY. IN ADDITION, THE SUBORDINATE ORGANIZATIONS MAY CONSIDER REQUESTS FOR FUNDING AND IN-KIND SUPPORT TO ORGANIZATIONS WITHIN THE COMMUNITY WITH PROGRAMS THAT ARE NOT WITHIN THE FILING ORGANIZATION'S EXEMPT PURPOSE BUT ARE STILL CHARITABLE IN NATURE OR PROVIDE BENEFIT TO THE COMMUNITY. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO INDIVIDUALS AND OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE), SUBPART D-SUBRECIPIENT MONITORING AND MANAGEMENT 200.331 REQUIREMENTS FOR PASS-THROUGH ENTITIES. TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE SUBORDINATE ORGANIZATIONS AND THE GRANTEE ORGANIZATIONS MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS ARE AWARDED TO INDIVIDUALS PURSUING A DEGREE IN A HEALTHCARE FIELD AND ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS. SHORT-TERM FINANCIAL ASSISTANCE AND SUPPORT IS PROVIDED TO EMPLOYEES AND INDIVIDUALS EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE PAID TO THE STUDENTS OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED.

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

Yes

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1FARRUGIA MD GIANRICO DIR/CEO/PRESIDENT/FORMER OFFICER	(i) (ii)	2,205,438 ------------- 0	0 ------------- 0	479,937 ------------- 0	55,946 ------------- 0	33,839 ------------- 0	2,775,160 ------------- 0	0 ------------- 0
2GOSTOUT MD BOBBIE S DIRECTOR/VICE CHAIR/VP OPERATIONS	(i) (ii)	1,459,957 ------------- 0	0 ------------- 0	295,503 ------------- 0	69,945 ------------- 0	31,559 ------------- 0	1,856,964 ------------- 0	0 ------------- 0
3BOLTON JEFFREY W DIRECTOR/CAO	(i) (ii)	1,341,942 ------------- 0	0 ------------- 0	302,172 ------------- 0	64,893 ------------- 0	25,375 ------------- 0	1,734,382 ------------- 0	0 ------------- 0
4HOFFMAN III HARRY N TREASURER	(i) (ii)	742,770 ------------- 0	666,002 ------------- 0	141,551 ------------- 0	55,087 ------------- 0	24,865 ------------- 0	1,630,275 ------------- 0	0 ------------- 0
5HARPER JR MD CHARLES M DIRECTOR/VICE CHAIR/PHYSICIAN	(i) (ii)	1,185,824 ------------- 0	0 ------------- 0	277,922 ------------- 0	11,200 ------------- 0	24,888 ------------- 0	1,499,834 ------------- 0	0 ------------- 0
6THIELEN MD KENT R DIRECTOR/CEO/CHAIR/VP OPERATIONS	(i) (ii)	1,117,036 ------------- 0	0 ------------- 0	210,440 ------------- 0	55,308 ------------- 0	33,453 ------------- 0	1,416,237 ------------- 0	0 ------------- 0
7QUINONES-HINOJOSA MD ALFREDO DIRECTOR	(i) (ii)	1,219,200 ------------- 0	0 ------------- 0	99,991 ------------- 0	56,479 ------------- 0	30,998 ------------- 0	1,406,668 ------------- 0	0 ------------- 0
8MEYER MD FREDRIC B DIRECTOR/PHYSICIAN	(i) (ii)	1,069,547 ------------- 0	0 ------------- 0	238,458 ------------- 0	11,205 ------------- 0	35,353 ------------- 0	1,354,563 ------------- 0	0 ------------- 0
9WIECHMANN MD ROBERT J PHYSICIAN	(i) (ii)	1,119,434 ------------- 0	0 ------------- 0	143,059 ------------- 0	60,007 ------------- 0	26,244 ------------- 0	1,348,744 ------------- 0	0 ------------- 0
10GORMAN PAUL A CHIEF INVESTMENT OFFICER	(i) (ii)	626,282 ------------- 0	537,002 ------------- 0	93,747 ------------- 0	59,487 ------------- 0	30,963 ------------- 0	1,347,481 ------------- 0	0 ------------- 0
11ZIMMERMAN MD RICHARD S DIRECTOR	(i) (ii)	1,016,721 ------------- 0	0 ------------- 0	237,463 ------------- 0	39,926 ------------- 0	29,992 ------------- 0	1,324,102 ------------- 0	0 ------------- 0
12BENDOK MD BERNARD R PHYSICIAN	(i) (ii)	1,151,603 ------------- 0	0 ------------- 0	91,881 ------------- 0	48,935 ------------- 0	30,857 ------------- 0	1,323,276 ------------- 0	0 ------------- 0
13DAHLEN DENNIS E DIRECTOR/VP/TREASURER	(i) (ii)	1,098,177 ------------- 0	0 ------------- 0	131,633 ------------- 0	56,724 ------------- 0	31,935 ------------- 0	1,318,469 ------------- 0	0 ------------- 0
14PICHELMANN MD MARK A PHYSICIAN	(i) (ii)	657,548 ------------- 435,745	0 ------------- 0	129,953 ------------- 3,990	5,600 ------------- 38,032	17,993 ------------- 10,854	811,094 ------------- 488,621	0 ------------- 0
15WHAREN MD ROBERT E PHYSICIAN	(i) (ii)	995,219 ------------- 0	0 ------------- 0	248,637 ------------- 0	11,200 ------------- 0	26,346 ------------- 0	1,281,402 ------------- 0	0 ------------- 0
16ECKSTROM MD MICHAEL T FORMER KEY EMPLOYEE	(i) (ii)	1,020,929 ------------- 0	0 ------------- 0	84,087 ------------- 0	54,520 ------------- 0	27,469 ------------- 0	1,187,005 ------------- 0	0 ------------- 0
17OTLEY MD CLARK C DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 904,197	0 ------------- 0	0 ------------- 183,962	0 ------------- 54,359	0 ------------- 32,211	0 ------------- 1,174,729	0 ------------- 0
18GORES MD GREGORY J DIRECTOR	(i) (ii)	0 ------------- 953,251	0 ------------- 0	0 ------------- 181,490	0 ------------- 11,204	0 ------------- 26,833	0 ------------- 1,172,778	0 ------------- 0
19MURPHY JOSHUA B SECRETARY/ASST SECY	(i) (ii)	916,944 ------------- 0	0 ------------- 0	158,293 ------------- 0	51,185 ------------- 0	32,884 ------------- 0	1,159,306 ------------- 0	0 ------------- 0
20GRAY MD RICHARD J DIRECTOR/CEO/CHAIR/VP OPERATIONS	(i) (ii)	895,006 ------------- 0	0 ------------- 0	56,666 ------------- 0	45,713 ------------- 0	28,344 ------------- 0	1,025,729 ------------- 0	0 ------------- 0
21WILLIAMSON MARY J DIR/SEC/ASST SEC/CAO MCHS/FORMER KEY	(i) (ii)	0 ------------- 792,806	0 ------------- 0	0 ------------- 127,838	0 ------------- 51,600	0 ------------- 35,497	0 ------------- 1,007,741	0 ------------- 0
22CIOTA MD MARK R DIRECTOR	(i) (ii)	828,614 ------------- 0	0 ------------- 0	63,142 ------------- 0	57,276 ------------- 0	29,101 ------------- 0	978,133 ------------- 0	0 ------------- 0
23SHARMA MBBS MANISH S DIRECTOR	(i) (ii)	861,374 ------------- 0	0 ------------- 0	31,093 ------------- 0	46,487 ------------- 0	28,195 ------------- 0	967,149 ------------- 0	0 ------------- 0
24STEVENS MD MARK K FORMER KEY EMPLOYEE	(i) (ii)	684,590 ------------- 0	0 ------------- 0	168,434 ------------- 0	67,505 ------------- 0	14,521 ------------- 0	935,050 ------------- 0	0 ------------- 0
25MENKOSKY PAULA E DIRECTOR/SECY/ASST TREAS	(i) (ii)	730,923 ------------- 0	0 ------------- 0	113,345 ------------- 0	58,198 ------------- 0	29,304 ------------- 0	931,770 ------------- 0	0 ------------- 0
26RADEMACHER MD DANA E FORMER KEY EMPLOYEE	(i) (ii)	702,558 ------------- 0	0 ------------- 0	147,413 ------------- 0	54,935 ------------- 0	25,546 ------------- 0	930,452 ------------- 0	0 ------------- 0
27FRASER CATHRYN H CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	776,030 ------------- 0	0 ------------- 0	53,483 ------------- 0	59,994 ------------- 0	28,186 ------------- 0	917,693 ------------- 0	0 ------------- 0
28NESSE MD ROBERT E FORMER KEY EMPLOYEE	(i) (ii)	673,953 ------------- 0	0 ------------- 0	199,207 ------------- 0	11,200 ------------- 0	25,548 ------------- 0	909,908 ------------- 0	0 ------------- 0
29FOSKO MD SCOTT W FORMER KEY EMPLOYEE	(i) (ii)	368,747 ------------- 0	0 ------------- 0	459,603 ------------- 0	61,296 ------------- 0	12,838 ------------- 0	902,484 ------------- 0	0 ------------- 0
30ORTIZ MD JOSE A DIRECTOR	(i) (ii)	725,006 ------------- 0	0 ------------- 0	78,830 ------------- 0	58,184 ------------- 0	39,588 ------------- 0	901,608 ------------- 0	0 ------------- 0
31STEWART MD MICHAEL W FORMER KEY EMPLOYEE	(i) (ii)	687,234 ------------- 0	0 ------------- 0	124,948 ------------- 0	64,974 ------------- 0	23,326 ------------- 0	900,482 ------------- 0	0 ------------- 0
32NOLTE DO CHARLES P FORMER KEY EMPLOYEE	(i) (ii)	717,714 ------------- 0	0 ------------- 0	100,264 ------------- 0	48,347 ------------- 0	23,705 ------------- 0	890,030 ------------- 0	0 ------------- 0
33RIHAL MD CHARANJIT S DIRECTOR	(i) (ii)	0 ------------- 624,056	0 ------------- 0	0 ------------- 169,411	0 ------------- 60,088	0 ------------- 31,999	0 ------------- 885,554	0 ------------- 0
34DEVAULT MD KENNETH R DIRECTOR	(i) (ii)	655,215 ------------- 0	0 ------------- 0	115,269 ------------- 0	63,236 ------------- 0	30,555 ------------- 0	864,275 ------------- 0	0 ------------- 0
35CROSS III MD WILLIAM W DIRECTOR	(i) (ii)	0 ------------- 707,696	0 ------------- 0	0 ------------- 71,671	0 ------------- 45,188	0 ------------- 29,233	0 ------------- 853,788	0 ------------- 0
36LEIGHTON MD JONATHAN A DIRECTOR	(i) (ii)	616,153 ------------- 0	0 ------------- 0	132,959 ------------- 0	72,711 ------------- 0	29,376 ------------- 0	851,199 ------------- 0	0 ------------- 0
37ROSS CHRISTOPHER J CHIEF INFORMATION OFFICER	(i) (ii)	694,258 ------------- 0	0 ------------- 0	74,259 ------------- 0	57,588 ------------- 0	20,492 ------------- 0	846,597 ------------- 0	0 ------------- 0
38CHONG MD BRIAN W FORMER KEY EMPLOYEE	(i) (ii)	640,184 ------------- 0	0 ------------- 0	117,380 ------------- 0	56,307 ------------- 0	31,589 ------------- 0	845,460 ------------- 0	0 ------------- 0
39HARA MD AMY K DIRECTOR	(i) (ii)	674,134 ------------- 0	0 ------------- 0	89,165 ------------- 0	47,640 ------------- 0	32,335 ------------- 0	843,274 ------------- 0	0 ------------- 0
40WALD MD JOHN T DIRECTOR	(i) (ii)	0 ------------- 642,904	0 ------------- 0	0 ------------- 110,297	0 ------------- 60,075	0 ------------- 29,012	0 ------------- 842,288	0 ------------- 0
41JOHNSON MD C DANIEL FORMER KEY EMPLOYEE	(i) (ii)	643,864 ------------- 0	0 ------------- 0	158,986 ------------- 0	11,200 ------------- 0	23,286 ------------- 0	837,336 ------------- 0	0 ------------- 0
42HELMERS MD RICHARD A DIR/PRES/CHAIR/REGIONAL VP-NWWI	(i) (ii)	0 ------------- 653,692	0 ------------- 0	0 ------------- 106,537	0 ------------- 46,821	0 ------------- 24,746	0 ------------- 831,796	0 ------------- 0
43HEBL MD JAMES R DIR/PRES/CHAIR/REGIONAL VP-SWMN	(i) (ii)	0 ------------- 676,754	0 ------------- 0	0 ------------- 73,996	0 ------------- 49,920	0 ------------- 29,134	0 ------------- 829,804	0 ------------- 0
44ZORN CHRISTINA K DIRECTOR/SECRETARY/ASST TREASURER	(i) (ii)	675,464 ------------- 0	0 ------------- 0	77,488 ------------- 0	43,666 ------------- 0	29,127 ------------- 0	825,745 ------------- 0	0 ------------- 0
45LIMBURG MD PAUL J DIRECTOR	(i) (ii)	0 ------------- 601,715	0 ------------- 0	0 ------------- 138,312	0 ------------- 53,924	0 ------------- 28,997	0 ------------- 822,948	0 ------------- 0
46STONE MD WILLIAM M DIRECTOR	(i) (ii)	621,032 ------------- 0	0 ------------- 0	166,132 ------------- 0	11,200 ------------- 0	20,344 ------------- 0	818,708 ------------- 0	0 ------------- 0
47ANDREWS MD PAUL E DIRECTOR/VICE CHAIR	(i) (ii)	602,022 ------------- 0	0 ------------- 0	119,701 ------------- 0	64,550 ------------- 0	31,609 ------------- 0	817,882 ------------- 0	0 ------------- 0
48COOPER MD LESLIE T DIRECTOR	(i) (ii)	602,330 ------------- 0	0 ------------- 0	128,394 ------------- 0	56,322 ------------- 0	28,974 ------------- 0	816,020 ------------- 0	0 ------------- 0
49MCKINNEY MD J MARK PHYSICIAN	(i) (ii)	660,621 ------------- 0	0 ------------- 0	64,864 ------------- 0	56,701 ------------- 0	31,745 ------------- 0	813,931 ------------- 0	0 ------------- 0
50PETERSON MD JEFFREY J FORMER KEY EMPLOYEE	(i) (ii)	653,284 ------------- 0	0 ------------- 0	84,366 ------------- 0	42,745 ------------- 0	27,576 ------------- 0	807,971 ------------- 0	0 ------------- 0
51DOUGLAS MD DAVID D FORMER KEY EMPLOYEE	(i) (ii)	598,783 ------------- 0	0 ------------- 0	111,920 ------------- 0	65,135 ------------- 0	31,688 ------------- 0	807,526 ------------- 0	0 ------------- 0
52TERKONDA MD SARVAM P FORMER KEY EMPLOYEE	(i) (ii)	612,139 ------------- 0	0 ------------- 0	102,160 ------------- 0	54,838 ------------- 0	30,922 ------------- 0	800,059 ------------- 0	0 ------------- 0
53PEARSON MD SUSAN E FORMER OFFICER	(i) (ii)	639,581 ------------- 0	0 ------------- 0	63,826 ------------- 0	62,561 ------------- 0	29,467 ------------- 0	795,435 ------------- 0	0 ------------- 0
54PATEL MB TUSHAR C DIRECTOR	(i) (ii)	649,174 ------------- 0	0 ------------- 0	61,614 ------------- 0	53,672 ------------- 0	27,388 ------------- 0	791,848 ------------- 0	0 ------------- 0
55BUSKIRK MD STEVEN J DIRECTOR/VICE CHAIR	(i) (ii)	641,533 ------------- 0	0 ------------- 0	111,207 ------------- 0	11,200 ------------- 0	25,679 ------------- 0	789,619 ------------- 0	0 ------------- 0
56SADOSTY MD ANNIE T DIRECTOR/CHAIR/REGIONAL VP-SEMN	(i) (ii)	0 ------------- 641,768	0 ------------- 0	0 ------------- 64,509	0 ------------- 51,407	0 ------------- 29,008	0 ------------- 786,692	0 ------------- 0
57HAKAIM MD ALBERT G DIRECTOR	(i) (ii)	587,342 ------------- 0	0 ------------- 0	99,061 ------------- 0	64,967 ------------- 0	29,070 ------------- 0	780,440 ------------- 0	0 ------------- 0
58NOSEWORTHY MD JOHN H FORMER PRES/CEO/FORMER KEY EMPLOYEE	(i) (ii)	41,200 ------------- 0	0 ------------- 0	735,644 ------------- 0	2,425 ------------- 0	0 ------------- 0	779,269 ------------- 0	0 ------------- 0
59MOSS MD ADYR A PHYSICIAN	(i) (ii)	588,246 ------------- 0	0 ------------- 0	95,499 ------------- 0	54,893 ------------- 0	32,063 ------------- 0	770,701 ------------- 0	0 ------------- 0
60KEAVENY MD ANDREW P FORMER KEY EMPLOYEE	(i) (ii)	601,025 ------------- 0	0 ------------- 0	78,679 ------------- 0	48,824 ------------- 0	29,916 ------------- 0	758,444 ------------- 0	0 ------------- 0
61TANER MD BURCIN C DIRECTOR	(i) (ii)	602,196 ------------- 0	0 ------------- 0	76,479 ------------- 0	46,271 ------------- 0	28,951 ------------- 0	753,897 ------------- 0	0 ------------- 0
62WILLIAMS MD HUGH J FORMER KEY EMPLOYEE	(i) (ii)	514,530 ------------- 0	0 ------------- 0	203,304 ------------- 0	11,200 ------------- 0	22,849 ------------- 0	751,883 ------------- 0	0 ------------- 0
63MONEY MD SAMUEL R FORMER KEY EMPLOYEE	(i) (ii)	548,656 ------------- 0	0 ------------- 0	120,957 ------------- 0	60,494 ------------- 0	20,014 ------------- 0	750,121 ------------- 0	0 ------------- 0
64UY MD JONATHAN J FORMER KEY EMPLOYEE	(i) (ii)	557,383 ------------- 0	0 ------------- 0	106,494 ------------- 0	49,241 ------------- 0	27,528 ------------- 0	740,646 ------------- 0	0 ------------- 0
65ANIL MD GOKHAN DIRECTOR/VICE CHAIR	(i) (ii)	606,716 ------------- 0	0 ------------- 0	60,667 ------------- 0	40,675 ------------- 0	30,302 ------------- 0	738,360 ------------- 0	0 ------------- 0
66FONSECA MD RAFAEL DIRECTOR	(i) (ii)	510,874 ------------- 0	0 ------------- 0	136,356 ------------- 0	52,464 ------------- 0	36,630 ------------- 0	736,324 ------------- 0	0 ------------- 0
67MUELLER MD PAUL S DIRECTOR/CHAIR/REGIONAL VP-SWWI	(i) (ii)	0 ------------- 606,039	0 ------------- 0	0 ------------- 40,344	0 ------------- 57,255	0 ------------- 27,254	0 ------------- 730,892	0 ------------- 0
68TING MD HENRY H DIRECTOR	(i) (ii)	591,848 ------------- 0	0 ------------- 0	66,925 ------------- 0	47,175 ------------- 0	22,766 ------------- 0	728,714 ------------- 0	0 ------------- 0
69WILLIAMS MD AMY W DIRECTOR	(i) (ii)	0 ------------- 549,831	0 ------------- 0	0 ------------- 104,129	0 ------------- 66,687	0 ------------- 6,939	0 ------------- 727,586	0 ------------- 0
70JOHNSON MD DANIEL J PHYSICIAN	(i) (ii)	532,165 ------------- 0	0 ------------- 0	95,001 ------------- 0	67,664 ------------- 0	28,696 ------------- 0	723,526 ------------- 0	0 ------------- 0
71MORICE MD WILLIAM G DIRECTOR	(i) (ii)	0 ------------- 544,296	0 ------------- 0	0 ------------- 91,920	0 ------------- 51,243	0 ------------- 28,749	0 ------------- 716,208	0 ------------- 0
72LEIBOVICH MD BRADLEY C DIRECTOR	(i) (ii)	0 ------------- 562,172	0 ------------- 0	0 ------------- 70,232	0 ------------- 49,639	0 ------------- 28,792	0 ------------- 710,835	0 ------------- 0
73DOWDY MD SEAN C DIRECTOR	(i) (ii)	0 ------------- 562,869	0 ------------- 0	0 ------------- 69,744	0 ------------- 44,716	0 ------------- 29,775	0 ------------- 707,104	0 ------------- 0
74CASLER MD JOHN D DIRECTOR	(i) (ii)	534,886 ------------- 0	0 ------------- 0	82,221 ------------- 0	62,389 ------------- 0	21,635 ------------- 0	701,131 ------------- 0	0 ------------- 0
75BARTLETT MD BRIAN N PHYSICIAN	(i) (ii)	593,963 ------------- 0	0 ------------- 0	19,701 ------------- 0	41,341 ------------- 0	29,544 ------------- 0	684,549 ------------- 0	0 ------------- 0
76TRENTMAN MD TERRANCE L PHYSICIAN	(i) (ii)	507,961 ------------- 0	0 ------------- 0	85,651 ------------- 0	57,322 ------------- 0	31,149 ------------- 0	682,083 ------------- 0	0 ------------- 0
77WHITED MD BRIAN L DIRECTOR/CHAIR	(i) (ii)	0 ------------- 536,343	0 ------------- 0	0 ------------- 61,243	0 ------------- 60,426	0 ------------- 23,881	0 ------------- 681,893	0 ------------- 0
78THIEL MD DAVID D PHYSICIAN	(i) (ii)	554,672 ------------- 0	0 ------------- 0	42,638 ------------- 0	42,537 ------------- 0	28,756 ------------- 0	668,603 ------------- 0	0 ------------- 0
79BAKKUM-GAMEZ MD JAMIE N DIRECTOR	(i) (ii)	0 ------------- 558,259	0 ------------- 0	0 ------------- 41,748	0 ------------- 44,730	0 ------------- 21,060	0 ------------- 665,797	0 ------------- 0
80MUELLER MD JEFF T FORMER KEY EMPLOYEE	(i) (ii)	507,633 ------------- 0	0 ------------- 0	82,197 ------------- 0	52,098 ------------- 0	22,832 ------------- 0	664,760 ------------- 0	0 ------------- 0
81CHAPITAL MD ALYSSA B DIRECTOR	(i) (ii)	535,053 ------------- 0	0 ------------- 0	58,694 ------------- 0	49,270 ------------- 0	21,221 ------------- 0	664,238 ------------- 0	0 ------------- 0
82CIMA MD ROBERT R DIRECTOR/CHAIR	(i) (ii)	0 ------------- 521,883	0 ------------- 0	0 ------------- 57,070	0 ------------- 50,457	0 ------------- 26,987	0 ------------- 656,397	0 ------------- 0
83ZIETLOW MD SCOTT P DIRECTOR/CHAIR	(i) (ii)	0 ------------- 528,877	0 ------------- 0	0 ------------- 81,071	0 ------------- 11,200	0 ------------- 28,964	0 ------------- 650,112	0 ------------- 0
84BROWN MD MICHAEL J DIRECTOR	(i) (ii)	0 ------------- 488,580	0 ------------- 0	0 ------------- 66,338	0 ------------- 47,765	0 ------------- 31,245	0 ------------- 633,928	0 ------------- 0
85MCLAUGHLIN MD SARAH A DIRECTOR	(i) (ii)	542,885 ------------- 0	0 ------------- 0	39,325 ------------- 0	40,508 ------------- 0	6,891 ------------- 0	629,609 ------------- 0	0 ------------- 0
86SCHULZ MD JODI L FORMER KEY EMPLOYEE	(i) (ii)	514,919 ------------- 0	0 ------------- 0	28,254 ------------- 0	50,637 ------------- 0	31,218 ------------- 0	625,028 ------------- 0	0 ------------- 0
87THOMPSON MD GEOFFREY B DIRECTOR	(i) (ii)	0 ------------- 503,835	0 ------------- 0	0 ------------- 71,321	0 ------------- 11,200	0 ------------- 25,410	0 ------------- 611,766	0 ------------- 0
88PASCUAL MD JORGE M DIRECTOR	(i) (ii)	458,984 ------------- 0	0 ------------- 0	59,744 ------------- 0	61,819 ------------- 0	31,114 ------------- 0	611,661 ------------- 0	0 ------------- 0
89NASSAR MD AZIZA PHYSICIAN	(i) (ii)	476,408 ------------- 0	0 ------------- 0	45,864 ------------- 0	50,483 ------------- 0	34,200 ------------- 0	606,955 ------------- 0	0 ------------- 0
90KHOOR MD ANDRAS FORMER KEY EMPLOYEE	(i) (ii)	447,603 ------------- 0	0 ------------- 0	82,807 ------------- 0	61,893 ------------- 0	11,321 ------------- 0	603,624 ------------- 0	0 ------------- 0
91TAZELAAR MD HENRY D PHYSICIAN	(i) (ii)	482,606 ------------- 0	0 ------------- 0	80,874 ------------- 0	11,218 ------------- 0	25,397 ------------- 0	600,095 ------------- 0	0 ------------- 0
92ABENSTEIN MD JOHN P DIRECTOR	(i) (ii)	0 ------------- 489,312	0 ------------- 0	0 ------------- 71,107	0 ------------- 11,205	0 ------------- 25,616	0 ------------- 597,240	0 ------------- 0
93DRONCA MD ROXANA S DIRECTOR	(i) (ii)	494,112 ------------- 0	0 ------------- 0	23,447 ------------- 0	46,444 ------------- 0	31,154 ------------- 0	595,157 ------------- 0	0 ------------- 0
94ROGERS JAMES A DIRECTOR/ASST SECY	(i) (ii)	475,240 ------------- 0	0 ------------- 0	38,714 ------------- 0	49,036 ------------- 0	28,505 ------------- 0	591,495 ------------- 0	0 ------------- 0
95JOHNSON PAMELA O DIRECTOR	(i) (ii)	498,934 ------------- 0	0 ------------- 0	58,140 ------------- 0	11,218 ------------- 0	22,754 ------------- 0	591,046 ------------- 0	0 ------------- 0
96KRAHN MD LOIS E DIRECTOR/VICE CHAIR/INTERIM CEO	(i) (ii)	430,543 ------------- 0	0 ------------- 0	68,611 ------------- 0	60,395 ------------- 0	30,350 ------------- 0	589,899 ------------- 0	0 ------------- 0
97FRANCIS JAMES R DIRECTOR/ASST TREASURER	(i) (ii)	436,750 ------------- 0	0 ------------- 0	48,670 ------------- 0	62,930 ------------- 0	31,312 ------------- 0	579,662 ------------- 0	0 ------------- 0
98JOHNSON MD MARGARET M DIRECTOR	(i) (ii)	420,709 ------------- 0	0 ------------- 0	75,765 ------------- 0	57,211 ------------- 0	22,520 ------------- 0	576,205 ------------- 0	0 ------------- 0
99NARR MD BRADLY J DIRECTOR	(i) (ii)	0 ------------- 421,000	0 ------------- 0	0 ------------- 118,557	0 ------------- 11,200	0 ------------- 25,187	0 ------------- 575,944	0 ------------- 0
100SANTRACH MD PAULA J DIRECTOR/VICE CHAIR	(i) (ii)	0 ------------- 457,177	0 ------------- 0	0 ------------- 59,207	0 ------------- 45,579	0 ------------- 11,606	0 ------------- 573,569	0 ------------- 0
101KIM MD HYUN I DIRECTOR/VICE CHAIR	(i) (ii)	433,456 ------------- 0	0 ------------- 0	52,996 ------------- 0	56,988 ------------- 0	29,375 ------------- 0	572,815 ------------- 0	0 ------------- 0
102GILLIGAN SHERRI W CHIEF MARKETING OFFICER	(i) (ii)	484,563 ------------- 0	0 ------------- 0	73,398 ------------- 0	0 ------------- 0	12,348 ------------- 0	570,309 ------------- 0	0 ------------- 0
103HELLMICH MD THOMAS R DIRECTOR/CHAIR	(i) (ii)	0 ------------- 448,340	0 ------------- 0	0 ------------- 33,477	0 ------------- 61,019	0 ------------- 27,455	0 ------------- 570,291	0 ------------- 0
104DEWITT MD JASON J PHYSICIAN	(i) (ii)	489,577 ------------- 0	0 ------------- 0	12,199 ------------- 0	43,683 ------------- 0	22,990 ------------- 0	568,449 ------------- 0	0 ------------- 0
105GOINS MD JENNIFER L FORMER KEY EMPLOYEE	(i) (ii)	480,867 ------------- 0	0 ------------- 0	14,812 ------------- 0	43,419 ------------- 0	23,294 ------------- 0	562,392 ------------- 0	0 ------------- 0
106LIMPER MD ANDREW H DIRECTOR	(i) (ii)	0 ------------- 446,634	0 ------------- 0	0 ------------- 74,144	0 ------------- 11,200	0 ------------- 28,464	0 ------------- 560,442	0 ------------- 0
107DECKER MD WYATT W FORMER OFFICER/FORMER KEY EMPLOYEE	(i) (ii)	39,101 ------------- 0	0 ------------- 0	455,814 ------------- 0	52,607 ------------- 0	2,248 ------------- 0	549,770 ------------- 0	0 ------------- 0
108RYAN MICHAEL J FORMER KEY EMPLOYEE	(i) (ii)	454,891 ------------- 0	0 ------------- 0	43,826 ------------- 0	11,340 ------------- 0	28,388 ------------- 0	538,445 ------------- 0	0 ------------- 0
109GOYAL MD DEEPI G DIRECTOR	(i) (ii)	0 ------------- 433,108	0 ------------- 0	0 ------------- 45,098	0 ------------- 50,644	0 ------------- 8,060	0 ------------- 536,910	0 ------------- 0
110BUNKERS MD BRIAN E DIRECTOR/VICE CHAIR	(i) (ii)	416,598 ------------- 0	0 ------------- 0	26,409 ------------- 0	59,065 ------------- 0	28,548 ------------- 0	530,620 ------------- 0	0 ------------- 0
111CULLINAN MD SUSAN M FORMER KEY EMPLOYEE	(i) (ii)	414,195 ------------- 0	0 ------------- 0	16,802 ------------- 0	59,125 ------------- 0	35,378 ------------- 0	525,500 ------------- 0	0 ------------- 0
112PECK MD ROBERT C DIRECTOR	(i) (ii)	412,115 ------------- 0	0 ------------- 0	28,236 ------------- 0	61,363 ------------- 0	23,135 ------------- 0	524,849 ------------- 0	0 ------------- 0
113MCNEILL STEVEN L CHIEF PLANNING OFFICER	(i) (ii)	437,975 ------------- 0	0 ------------- 0	46,416 ------------- 0	11,313 ------------- 0	28,371 ------------- 0	524,075 ------------- 0	0 ------------- 0
114TRAUB MD STEPHEN J DIRECTOR	(i) (ii)	428,648 ------------- 0	0 ------------- 0	16,443 ------------- 0	49,757 ------------- 0	28,596 ------------- 0	523,444 ------------- 0	0 ------------- 0
115JOHNSON MD TIMOTHY J FORMER OFFICER	(i) (ii)	138,600 ------------- 0	0 ------------- 0	307,906 ------------- 0	61,938 ------------- 0	10,533 ------------- 0	518,977 ------------- 0	0 ------------- 0
116SILVERS MD SCOTT M PHYSICIAN	(i) (ii)	386,583 ------------- 0	0 ------------- 0	42,386 ------------- 0	44,618 ------------- 0	35,935 ------------- 0	509,522 ------------- 0	0 ------------- 0
117PRESUTTI DO RICHARD J FORMER KEY EMPLOYEE	(i) (ii)	332,924 ------------- 0	0 ------------- 0	88,232 ------------- 0	53,158 ------------- 0	29,678 ------------- 0	503,992 ------------- 0	0 ------------- 0
118COSTAKOS MD DENNIS T DIRECTOR	(i) (ii)	377,405 ------------- 0	0 ------------- 0	36,948 ------------- 0	62,918 ------------- 0	18,299 ------------- 0	495,570 ------------- 0	0 ------------- 0
119AGERTER MD DAVID C FORMER OFFICER	(i) (ii)	0 ------------- 339,145	0 ------------- 0	0 ------------- 119,520	0 ------------- 11,200	0 ------------- 22,409	0 ------------- 492,274	0 ------------- 0
120EZENAGU MD LEONARD C DIRECTOR/SECY	(i) (ii)	369,480 ------------- 0	0 ------------- 0	27,321 ------------- 0	60,636 ------------- 0	33,313 ------------- 0	490,750 ------------- 0	0 ------------- 0
121ULRICH MD MICHAEL D FORMER KEY EMPLOYEE	(i) (ii)	389,165 ------------- 0	0 ------------- 0	13,887 ------------- 0	53,574 ------------- 0	31,287 ------------- 0	487,913 ------------- 0	0 ------------- 0
122LANGE MD STEPHEN M FORMER OFFICER	(i) (ii)	355,062 ------------- 0	0 ------------- 0	90,536 ------------- 0	11,200 ------------- 0	30,778 ------------- 0	487,576 ------------- 0	0 ------------- 0
123SEINOLA SCOTT A DIR/CEO/PRES/CHAIR/DIVISION CHAIR	(i) (ii)	415,262 ------------- 0	0 ------------- 0	38,025 ------------- 0	11,270 ------------- 0	22,494 ------------- 0	487,051 ------------- 0	0 ------------- 0
124POWELL III MD RALPH DIRECTOR	(i) (ii)	392,462 ------------- 0	0 ------------- 0	10,936 ------------- 0	46,667 ------------- 0	34,361 ------------- 0	484,426 ------------- 0	0 ------------- 0
125LITCHY MD WILLIAM J FORMER OFFICER	(i) (ii)	0 ------------- 331,672	0 ------------- 0	0 ------------- 90,737	0 ------------- 31,004	0 ------------- 24,936	0 ------------- 478,349	0 ------------- 0
126CAVINESS MD JOHN N DIRECTOR	(i) (ii)	349,812 ------------- 0	0 ------------- 0	28,831 ------------- 0	66,167 ------------- 0	30,776 ------------- 0	475,586 ------------- 0	0 ------------- 0
127MORREY MICHAEL A DIRECTOR/REGIONAL CHAIR-ADMIN SWWI	(i) (ii)	0 ------------- 379,403	0 ------------- 0	0 ------------- 19,333	0 ------------- 48,470	0 ------------- 26,547	0 ------------- 473,753	0 ------------- 0
128MESCHIA MD JAMES F FORMER KEY EMPLOYEE	(i) (ii)	348,074 ------------- 0	0 ------------- 0	25,000 ------------- 0	53,922 ------------- 0	28,398 ------------- 0	455,394 ------------- 0	0 ------------- 0
129KRIEN MD JOSEPH S PHYSICIAN	(i) (ii)	346,323 ------------- 0	0 ------------- 0	26,405 ------------- 0	51,431 ------------- 0	27,221 ------------- 0	451,380 ------------- 0	0 ------------- 0
130OTTE KIMBERLY K ASST SECY	(i) (ii)	362,747 ------------- 0	0 ------------- 0	7,944 ------------- 0	52,205 ------------- 0	28,135 ------------- 0	451,031 ------------- 0	0 ------------- 0
131NELSON MD HEIDI DIRECTOR	(i) (ii)	0 ------------- 298,134	0 ------------- 0	0 ------------- 130,792	0 ------------- 8,400	0 ------------- 10,594	0 ------------- 447,920	0 ------------- 0
132DEXTER MD DONN D PHYSICIAN	(i) (ii)	363,523 ------------- 0	0 ------------- 0	21,472 ------------- 0	33,131 ------------- 0	26,942 ------------- 0	445,068 ------------- 0	0 ------------- 0
133SHERRILL TODD E TREASURER/FORMER OFFICER	(i) (ii)	349,911 ------------- 0	0 ------------- 0	9,894 ------------- 0	57,198 ------------- 0	22,142 ------------- 0	439,145 ------------- 0	0 ------------- 0
134MATTHIAS MARK A DIRECTOR/ASST TREASURER	(i) (ii)	222,022 ------------- 0	0 ------------- 0	136,716 ------------- 0	56,141 ------------- 0	23,992 ------------- 0	438,871 ------------- 0	0 ------------- 0
135LOMBARDI MD JOSEPH M FORMER KEY EMPLOYEE	(i) (ii)	359,116 ------------- 0	0 ------------- 0	21,250 ------------- 0	33,131 ------------- 0	22,301 ------------- 0	435,798 ------------- 0	0 ------------- 0
136CRANE MD SARAH J DIRECTOR	(i) (ii)	0 ------------- 339,541	0 ------------- 0	0 ------------- 24,181	0 ------------- 44,835	0 ------------- 26,419	0 ------------- 434,976	0 ------------- 0
137GRZYBOWSKI MD JOHN A FORMER KEY EMPLOYEE	(i) (ii)	341,210 ------------- 0	0 ------------- 0	12,654 ------------- 0	50,505 ------------- 0	25,326 ------------- 0	429,695 ------------- 0	0 ------------- 0
138YOUNG DO NATHAN P FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 351,124	0 ------------- 0	0 ------------- 5,921	0 ------------- 44,025	0 ------------- 27,912	0 ------------- 428,982	0 ------------- 0
139GADE CHRIS W FORMER KEY EMPLOYEE	(i) (ii)	355,621 ------------- 0	0 ------------- 0	27,805 ------------- 0	11,200 ------------- 0	29,613 ------------- 0	424,239 ------------- 0	0 ------------- 0
140KNUDSON STEVE L DIRECTOR	(i) (ii)	357,782 ------------- 0	0 ------------- 0	30,094 ------------- 0	11,204 ------------- 0	24,383 ------------- 0	423,463 ------------- 0	0 ------------- 0
141JELINEK DIANE F DIRECTOR	(i) (ii)	309,601 ------------- 0	0 ------------- 0	25,280 ------------- 0	75,826 ------------- 0	10,371 ------------- 0	421,078 ------------- 0	0 ------------- 0
142WEBER JOAN A DIRECTOR	(i) (ii)	361,285 ------------- 0	0 ------------- 0	28,306 ------------- 0	10,180 ------------- 0	21,112 ------------- 0	420,883 ------------- 0	0 ------------- 0
143LANGBEHN DO JENNIFER M DIRECTOR	(i) (ii)	328,306 ------------- 0	0 ------------- 0	11,171 ------------- 0	54,154 ------------- 0	24,486 ------------- 0	418,117 ------------- 0	0 ------------- 0
144HERRMANN MD MARTIN J DIRECTOR	(i) (ii)	315,489 ------------- 0	0 ------------- 0	17,674 ------------- 0	53,561 ------------- 0	28,164 ------------- 0	414,888 ------------- 0	0 ------------- 0
145SIMPSON MD HENRY J PHYSICIAN	(i) (ii)	323,923 ------------- 0	0 ------------- 0	11,310 ------------- 0	60,007 ------------- 0	17,375 ------------- 0	412,615 ------------- 0	0 ------------- 0
146MORRIS MD MARIE E DIRECTOR/CHAIR	(i) (ii)	305,218 ------------- 0	0 ------------- 0	18,475 ------------- 0	61,905 ------------- 0	26,317 ------------- 0	411,915 ------------- 0	0 ------------- 0
147HIRISAVE KRISHNA MD BIPINCHANDRA PHYSICIAN	(i) (ii)	330,384 ------------- 0	0 ------------- 0	5,082 ------------- 0	42,012 ------------- 0	32,982 ------------- 0	410,460 ------------- 0	0 ------------- 0
148HOLTAN DOUGLAS J DIRECTOR/CHAIR	(i) (ii)	0 ------------- 358,128	0 ------------- 0	0 ------------- 20,229	0 ------------- 0	0 ------------- 31,001	0 ------------- 409,358	0 ------------- 0
149HORECKI MD RICHARD J PHYSICIAN	(i) (ii)	309,192 ------------- 0	0 ------------- 0	12,342 ------------- 0	61,090 ------------- 0	26,473 ------------- 0	409,097 ------------- 0	0 ------------- 0
150CHO LAWRENCE H COO - INTERNATIONAL	(i) (ii)	365,306 ------------- 0	0 ------------- 0	527 ------------- 0	41,199 ------------- 0	1,134 ------------- 0	408,166 ------------- 0	0 ------------- 0
151GABRIELSON SHARON R ASST TREASURER	(i) (ii)	308,784 ------------- 0	0 ------------- 0	13,880 ------------- 0	58,583 ------------- 0	24,149 ------------- 0	405,396 ------------- 0	0 ------------- 0
152BRANDT TERRY L DIR/SECY/REGIONAL CHAIR-ADMIN SWMN	(i) (ii)	0 ------------- 345,474	0 ------------- 0	0 ------------- 26,071	0 ------------- 11,212	0 ------------- 22,278	0 ------------- 405,035	0 ------------- 0
153KOWAL DO GERALD K PHYSICIAN	(i) (ii)	306,073 ------------- 0	0 ------------- 0	11,674 ------------- 0	63,061 ------------- 0	20,166 ------------- 0	400,974 ------------- 0	0 ------------- 0
154MATHEWS HILARY G FORMER OFFICER	(i) (ii)	0 ------------- 334,432	0 ------------- 0	0 ------------- 24,991	0 ------------- 11,202	0 ------------- 29,629	0 ------------- 400,254	0 ------------- 0
155FOSS MD RANDY M DIRECTOR/VICE CHAIR	(i) (ii)	330,020 ------------- 0	0 ------------- 0	5,817 ------------- 0	35,234 ------------- 0	28,781 ------------- 0	399,852 ------------- 0	0 ------------- 0
156LINDAHL ROGER A DIRECTOR/ASST SECY/ASST TREAS	(i) (ii)	300,994 ------------- 0	0 ------------- 0	12,901 ------------- 0	59,747 ------------- 0	23,142 ------------- 0	396,784 ------------- 0	0 ------------- 0
157HUBERT SHERRY L ASST SECY	(i) (ii)	295,811 ------------- 0	0 ------------- 0	11,336 ------------- 0	58,912 ------------- 0	30,604 ------------- 0	396,663 ------------- 0	0 ------------- 0
158MYHRE MD KAREN K DIRECTOR/VICE CHAIR	(i) (ii)	304,560 ------------- 0	0 ------------- 0	2,316 ------------- 0	49,051 ------------- 0	36,306 ------------- 0	392,233 ------------- 0	0 ------------- 0
159COLLIER DPM ROBERT L FORMER KEY EMPLOYEE	(i) (ii)	303,994 ------------- 0	0 ------------- 0	5,989 ------------- 0	55,035 ------------- 0	26,083 ------------- 0	391,101 ------------- 0	0 ------------- 0
160FITZGERALD MD KEVIN PHYSICIAN	(i) (ii)	303,876 ------------- 0	0 ------------- 0	12,854 ------------- 0	47,803 ------------- 0	25,067 ------------- 0	389,600 ------------- 0	0 ------------- 0
161LENHART MD JILL PHYSICIAN	(i) (ii)	290,312 ------------- 0	0 ------------- 0	6,510 ------------- 0	56,295 ------------- 0	34,950 ------------- 0	388,067 ------------- 0	0 ------------- 0
162MILLER MD ROBERT C FORMER OFFICER	(i) (ii)	152,974 ------------- 0	0 ------------- 0	170,841 ------------- 0	53,345 ------------- 0	8,075 ------------- 0	385,235 ------------- 0	0 ------------- 0
163MOLLING DO PAUL E DIRECTOR/VICE CHAIR	(i) (ii)	307,768 ------------- 0	0 ------------- 0	10,798 ------------- 0	43,725 ------------- 0	22,243 ------------- 0	384,534 ------------- 0	0 ------------- 0
164GROVER DO MICHAEL L FORMER KEY EMPLOYEE	(i) (ii)	299,757 ------------- 0	0 ------------- 0	9,314 ------------- 0	51,101 ------------- 0	22,611 ------------- 0	382,783 ------------- 0	0 ------------- 0
165ACKERMAN FRANKLIN K DIRECTOR/ASSOCIATE ADMINISTRATOR	(i) (ii)	296,256 ------------- 0	0 ------------- 0	7,428 ------------- 0	50,492 ------------- 0	27,926 ------------- 0	382,102 ------------- 0	0 ------------- 0
166ROBELIA MD PAUL M DIRECTOR	(i) (ii)	0 ------------- 291,427	0 ------------- 0	0 ------------- 6,718	0 ------------- 48,281	0 ------------- 29,938	0 ------------- 376,364	0 ------------- 0
167MEYERS ANN M DIRECTOR/FORMER OFFICER	(i) (ii)	0 ------------- 318,716	0 ------------- 0	0 ------------- 15,855	0 ------------- 11,282	0 ------------- 22,197	0 ------------- 368,050	0 ------------- 0
168KUTCHER MD GREGORY R FORMER OFFICER	(i) (ii)	265,760 ------------- 0	0 ------------- 0	16,519 ------------- 0	64,529 ------------- 0	20,586 ------------- 0	367,394 ------------- 0	0 ------------- 0
169GREEN MD JEFFREY P FORMER OFFICER	(i) (ii)	285,283 ------------- 0	0 ------------- 0	3,090 ------------- 0	49,000 ------------- 0	28,075 ------------- 0	365,448 ------------- 0	0 ------------- 0
170ROTTY BRIAN W FORMER KEY EMPLOYEE	(i) (ii)	110,340 ------------- 127,913	0 ------------- 0	15,785 ------------- 30,167	3,367 ------------- 48,608	13,875 ------------- 13,871	143,367 ------------- 220,559	0 ------------- 0
171FROISLAND JEFFREY R DIR/TREASURER/ASST TREASURER	(i) (ii)	322,399 ------------- 0	0 ------------- 0	16,446 ------------- 0	11,372 ------------- 0	11,009 ------------- 0	361,226 ------------- 0	0 ------------- 0
172CRAIG JASON E REGIONAL CHAIR-ADMIN NWWI	(i) (ii)	261,682 ------------- 0	0 ------------- 0	40,304 ------------- 0	28,948 ------------- 0	25,227 ------------- 0	356,161 ------------- 0	0 ------------- 0
173LOCKETT KEVIN M DIRECTOR/TREASURER	(i) (ii)	271,475 ------------- 0	0 ------------- 0	2,681 ------------- 0	51,849 ------------- 0	27,851 ------------- 0	353,856 ------------- 0	0 ------------- 0
174GRENISEN MD MARGARET M PHYSICIAN	(i) (ii)	259,964 ------------- 0	0 ------------- 0	14,823 ------------- 0	53,690 ------------- 0	24,277 ------------- 0	352,754 ------------- 0	0 ------------- 0
175BERG DAVID W ASSOC ADMIN - MCHS SEMN	(i) (ii)	261,998 ------------- 0	0 ------------- 0	3,187 ------------- 0	59,544 ------------- 0	24,286 ------------- 0	349,015 ------------- 0	0 ------------- 0
176FREDERICK RYANNON K DIRECTOR/FORMER KEY EMPLOYEE	(i) (ii)	279,437 ------------- 0	0 ------------- 0	5,629 ------------- 0	36,611 ------------- 0	26,729 ------------- 0	348,406 ------------- 0	0 ------------- 0
177KELLEY SHARON M CFO MCHS	(i) (ii)	326,194 ------------- 0	0 ------------- 0	3,209 ------------- 0	5,600 ------------- 0	12,783 ------------- 0	347,786 ------------- 0	0 ------------- 0
178HANSEN GAYLE B VICE CHAIR ADMIN/FORMER KEY EMPLOYEE	(i) (ii)	261,206 ------------- 0	0 ------------- 0	6,410 ------------- 0	59,026 ------------- 0	19,683 ------------- 0	346,325 ------------- 0	0 ------------- 0
179CONNOLLY TERESA L DIRECTOR	(i) (ii)	264,318 ------------- 0	0 ------------- 0	929 ------------- 0	54,162 ------------- 0	21,645 ------------- 0	341,054 ------------- 0	0 ------------- 0
180TIGGELAAR THOMAS H FORMER OFFICER	(i) (ii)	257,438 ------------- 0	0 ------------- 0	3,541 ------------- 0	60,333 ------------- 0	19,074 ------------- 0	340,386 ------------- 0	0 ------------- 0
181NORBY MARK L FORMER KEY EMPLOYEE	(i) (ii)	278,642 ------------- 0	0 ------------- 0	2,715 ------------- 0	43,564 ------------- 0	13,340 ------------- 0	338,261 ------------- 0	0 ------------- 0
182THIEMANN KAY M FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 261,466	0 ------------- 0	0 ------------- 33,044	0 ------------- 9,413	0 ------------- 33,151	0 ------------- 337,074	0 ------------- 0
183NORDRUM CHARLOTTE J TREAS/ASST TREASURER/CFO MN	(i) (ii)	260,218 ------------- 0	0 ------------- 0	1,517 ------------- 0	46,061 ------------- 0	26,462 ------------- 0	334,258 ------------- 0	0 ------------- 0
184CROCKETT ERIC D DIR/SECY/REGIONAL CHAIR ADMIN SEMN	(i) (ii)	0 ------------- 259,850	0 ------------- 0	0 ------------- 2,011	0 ------------- 41,961	0 ------------- 28,433	0 ------------- 332,255	0 ------------- 0
185DILLON KEVIN R FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 249,156	0 ------------- 0	0 ------------- 3,021	0 ------------- 53,871	0 ------------- 23,450	0 ------------- 329,498	0 ------------- 0
186GLENN SEAN W DIRECTOR/ASST SECY	(i) (ii)	254,654 ------------- 0	0 ------------- 0	2,546 ------------- 0	41,254 ------------- 0	28,566 ------------- 0	327,020 ------------- 0	0 ------------- 0
187LINDBERG STEVEN J DIR/VP/SECY/INTERIM REG CHAIR NWWI	(i) (ii)	245,641 ------------- 0	0 ------------- 0	6,335 ------------- 0	52,596 ------------- 0	21,646 ------------- 0	326,218 ------------- 0	0 ------------- 0
188ADLEMAN BREEANN M DIRECTOR/ASST SECY	(i) (ii)	252,613 ------------- 0	0 ------------- 0	1,195 ------------- 0	39,836 ------------- 0	32,149 ------------- 0	325,793 ------------- 0	0 ------------- 0
189POE JOHN D DIRECTOR	(i) (ii)	0 ------------- 256,119	0 ------------- 0	0 ------------- 1,684	0 ------------- 44,933	0 ------------- 22,349	0 ------------- 325,085	0 ------------- 0
190HOLTZ MD CAROL P FORMER OFFICER	(i) (ii)	0 ------------- 264,277	0 ------------- 0	0 ------------- 4,636	0 ------------- 49,009	0 ------------- 6,018	0 ------------- 323,940	0 ------------- 0
191GALINDEZ JR PETER ASST SECY/FORMER OFFICER	(i) (ii)	243,461 ------------- 0	0 ------------- 0	855 ------------- 0	47,527 ------------- 0	30,761 ------------- 0	322,604 ------------- 0	0 ------------- 0
192DIETER HEIDI L DIRECTOR	(i) (ii)	0 ------------- 254,301	0 ------------- 0	0 ------------- 1,384	0 ------------- 43,713	0 ------------- 19,054	0 ------------- 318,452	0 ------------- 0
193WHITE PAMELA K CHIEF NURSING OFFICER	(i) (ii)	241,915 ------------- 0	0 ------------- 0	4,080 ------------- 0	51,379 ------------- 0	20,940 ------------- 0	318,314 ------------- 0	0 ------------- 0
194HANSEN JULIE S DIRECTOR/TREASURER/CFO WI	(i) (ii)	269,914 ------------- 0	0 ------------- 0	5,381 ------------- 0	11,029 ------------- 0	28,862 ------------- 0	315,186 ------------- 0	0 ------------- 0
195GOLDMAN DANIEL S ASST SECY	(i) (ii)	224,385 ------------- 0	0 ------------- 0	12,005 ------------- 0	45,460 ------------- 0	28,730 ------------- 0	310,580 ------------- 0	0 ------------- 0
196PARKS DOUGLAS A FORMER OFFICER	(i) (ii)	0 ------------- 268,010	0 ------------- 0	0 ------------- 3,180	0 ------------- 8,474	0 ------------- 29,163	0 ------------- 308,827	0 ------------- 0
197MELVIN KEVIN B ASST SECY	(i) (ii)	0 ------------- 227,561	0 ------------- 0	0 ------------- 2,290	0 ------------- 38,990	0 ------------- 32,750	0 ------------- 301,591	0 ------------- 0
198THORESON SCOTT D DIRECTOR/FORMER KEY EMPLOYEE	(i) (ii)	222,700 ------------- 0	0 ------------- 0	3,791 ------------- 0	47,351 ------------- 0	26,020 ------------- 0	299,862 ------------- 0	0 ------------- 0
199LOHKAMP CHRISTIE A ASST TREASURER	(i) (ii)	234,628 ------------- 0	0 ------------- 0	1,454 ------------- 0	47,072 ------------- 0	11,642 ------------- 0	294,796 ------------- 0	0 ------------- 0
200SMOLDT CRAIG A DIRECTOR/FORMER KEY EMPLOYEE	(i) (ii)	254,953 ------------- 0	0 ------------- 0	28,713 ------------- 0	0 ------------- 0	10,168 ------------- 0	293,834 ------------- 0	0 ------------- 0
201SAATHOFF BARBARA L FORMER OFFICER	(i) (ii)	218,191 ------------- 0	0 ------------- 0	2,563 ------------- 0	51,434 ------------- 0	21,415 ------------- 0	293,603 ------------- 0	0 ------------- 0
202BROWN MICHAEL E FORMER OFFICER	(i) (ii)	220,921 ------------- 0	0 ------------- 0	12,364 ------------- 0	49,681 ------------- 0	10,095 ------------- 0	293,061 ------------- 0	0 ------------- 0
203DEGEN SUSANNE C FORMER KEY EMPLOYEE	(i) (ii)	232,194 ------------- 0	0 ------------- 0	2,331 ------------- 0	38,520 ------------- 0	17,760 ------------- 0	290,805 ------------- 0	0 ------------- 0
204HANSON VICTORIA M VICE CHAIR ADMINISTRATION	(i) (ii)	213,717 ------------- 0	0 ------------- 0	1,591 ------------- 0	38,348 ------------- 0	29,244 ------------- 0	282,900 ------------- 0	0 ------------- 0
205BROWN WILLIAM A ASST TREASURER	(i) (ii)	241,871 ------------- 0	0 ------------- 0	5,706 ------------- 0	9,506 ------------- 0	24,512 ------------- 0	281,595 ------------- 0	0 ------------- 0
206ZWYGART AMY M FORMER KEY EMPLOYEE	(i) (ii)	254,862 ------------- 0	0 ------------- 0	891 ------------- 0	10,354 ------------- 0	11,280 ------------- 0	277,387 ------------- 0	0 ------------- 0
207JOHNSON RYAN R DIRECTOR	(i) (ii)	0 ------------- 207,414	0 ------------- 0	0 ------------- 19,809	0 ------------- 18,118	0 ------------- 27,669	0 ------------- 273,010	0 ------------- 0
208LEBRASSEUR NATHAN K DIRECTOR	(i) (ii)	0 ------------- 205,685	0 ------------- 0	0 ------------- 1,076	0 ------------- 33,054	0 ------------- 27,662	0 ------------- 267,477	0 ------------- 0
209GUDGELL STEPHEN F TREASURER	(i) (ii)	0 ------------- 231,586	0 ------------- 0	0 ------------- 3,277	0 ------------- 9,437	0 ------------- 22,925	0 ------------- 267,225	0 ------------- 0
210EVENSON LAURA K DIRECTOR	(i) (ii)	202,110 ------------- 0	0 ------------- 0	2,074 ------------- 0	34,663 ------------- 0	24,153 ------------- 0	263,000 ------------- 0	0 ------------- 0
211PRIEST WILLIAM F SECY	(i) (ii)	184,825 ------------- 0	0 ------------- 0	14,282 ------------- 0	36,043 ------------- 0	26,950 ------------- 0	262,100 ------------- 0	0 ------------- 0
212DAVIS AMY L SECRETARY	(i) (ii)	195,794 ------------- 0	0 ------------- 0	1,071 ------------- 0	33,732 ------------- 0	28,479 ------------- 0	259,076 ------------- 0	0 ------------- 0
213KLIMP MARY J DIR/VICE CHAIR ADMINISTRATION	(i) (ii)	227,536 ------------- 0	0 ------------- 0	6,492 ------------- 0	4,400 ------------- 0	19,574 ------------- 0	258,002 ------------- 0	0 ------------- 0
214NORDENG RODNEY L FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 191,760	0 ------------- 0	0 ------------- 3,277	0 ------------- 37,657	0 ------------- 24,090	0 ------------- 256,784	0 ------------- 0
215EIDE DEAN B FORMER KEY EMPLOYEE	(i) (ii)	210,725 ------------- 0	0 ------------- 0	2,124 ------------- 0	39,230 ------------- 0	3,573 ------------- 0	255,652 ------------- 0	0 ------------- 0
216SLEGH KERI A FORMER KEY EMPLOYEE	(i) (ii)	186,128 ------------- 0	0 ------------- 0	4,049 ------------- 0	34,590 ------------- 0	30,805 ------------- 0	255,572 ------------- 0	0 ------------- 0
217SANDGREN KENT A DIRECTOR	(i) (ii)	0 ------------- 218,065	0 ------------- 0	0 ------------- 5,420	0 ------------- 8,866	0 ------------- 22,662	0 ------------- 255,013	0 ------------- 0
218EBERLE MICHELE R DIRECTOR/FORMER KEY EMPLOYEE	(i) (ii)	199,458 ------------- 0	0 ------------- 0	6,714 ------------- 0	37,278 ------------- 0	9,668 ------------- 0	253,118 ------------- 0	0 ------------- 0
219MARTIN DAVID L FORMER KEY EMPLOYEE	(i) (ii)	197,630 ------------- 0	0 ------------- 0	1,194 ------------- 0	32,859 ------------- 0	20,581 ------------- 0	252,264 ------------- 0	0 ------------- 0
220HOLMES TINA E CHIEF OF STAFF	(i) (ii)	227,331 ------------- 0	0 ------------- 0	304 ------------- 0	3,977 ------------- 0	18,627 ------------- 0	250,239 ------------- 0	0 ------------- 0
221CAPLAN SHERRY M VICE CHAIR ADMINISTRATION	(i) (ii)	181,911 ------------- 0	0 ------------- 0	17,118 ------------- 0	24,139 ------------- 0	20,470 ------------- 0	243,638 ------------- 0	0 ------------- 0
222DRUCKER PAUL E DIRECTOR/VICE PRESIDENT	(i) (ii)	0 ------------- 169,287	0 ------------- 0	0 ------------- 10,529	0 ------------- 30,262	0 ------------- 30,832	0 ------------- 240,910	0 ------------- 0
223FISCHER DEBORAH R FORMER KEY EMPLOYEE	(i) (ii)	205,246 ------------- 0	0 ------------- 0	9,043 ------------- 0	6,515 ------------- 0	17,340 ------------- 0	238,144 ------------- 0	0 ------------- 0
224JOHNSON CARLA J ASST SECY	(i) (ii)	180,655 ------------- 0	0 ------------- 0	1,513 ------------- 0	28,866 ------------- 0	17,858 ------------- 0	228,892 ------------- 0	0 ------------- 0
225PAIGE SR KEVIN A FORMER OFFICER	(i) (ii)	0 ------------- 47,983	0 ------------- 0	53,718 ------------- 52,124	0 ------------- 65,576	0 ------------- 3,693	53,718 ------------- 169,376	0 ------------- 0
226ENQUIST MARK A DIRECTOR/SECRETARY/TREASURER	(i) (ii)	0 ------------- 188,493	0 ------------- 0	0 ------------- 3,232	0 ------------- 7,671	0 ------------- 21,787	0 ------------- 221,183	0 ------------- 0
227SCHEFFEL JEFFREY G FORMER KEY EMPLOYEE	(i) (ii)	188,363 ------------- 0	0 ------------- 0	2,707 ------------- 0	7,654 ------------- 0	21,917 ------------- 0	220,641 ------------- 0	0 ------------- 0
228JOHNSON KIRBY A ADMINISTRATOR	(i) (ii)	174,668 ------------- 0	0 ------------- 0	7,830 ------------- 0	13,540 ------------- 0	22,849 ------------- 0	218,887 ------------- 0	0 ------------- 0
229DECKER GUSTAV A PRESIDENT INTERNATIONAL	(i) (ii)	206,177 ------------- 0	0 ------------- 0	3,158 ------------- 0	3,085 ------------- 0	5,006 ------------- 0	217,426 ------------- 0	0 ------------- 0
230WEIS CAROL DIRECTOR	(i) (ii)	130,592 ------------- 0	0 ------------- 0	30,384 ------------- 0	33,476 ------------- 0	19,237 ------------- 0	213,689 ------------- 0	0 ------------- 0
231LONG AMY K DIRECTOR/FORMER KEY EMPLOYEE	(i) (ii)	169,444 ------------- 0	0 ------------- 0	948 ------------- 0	20,209 ------------- 0	22,527 ------------- 0	213,128 ------------- 0	0 ------------- 0
232RUSTAD CHRISTOPHER D DIRECTOR/SECRETARY	(i) (ii)	0 ------------- 169,949	0 ------------- 0	0 ------------- 1,702	0 ------------- 7,071	0 ------------- 25,138	0 ------------- 203,860	0 ------------- 0
233LANZEL TRICIA G DIRECTOR/VICE CHAIR	(i) (ii)	137,712 ------------- 0	0 ------------- 0	1,284 ------------- 0	20,223 ------------- 0	29,539 ------------- 0	188,758 ------------- 0	0 ------------- 0
234FEHMI RASHID A TREASURER	(i) (ii)	127,355 ------------- 0	0 ------------- 0	10,746 ------------- 0	26,514 ------------- 0	17,862 ------------- 0	182,477 ------------- 0	0 ------------- 0
235FENNELL THOMAS J ASST SECY	(i) (ii)	118,914 ------------- 0	0 ------------- 0	9,512 ------------- 0	20,811 ------------- 0	16,425 ------------- 0	165,662 ------------- 0	0 ------------- 0
236MORRISSEY MD JOHN E FORMER KEY EMPLOYEE	(i) (ii)	116,907 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	7,299 ------------- 0	124,206 ------------- 0	0 ------------- 0
237BARNES MD DARRYL E FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	109,015 ------------- 0	4,602 ------------- 0	1,595 ------------- 0	115,212 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	IN 2019, JEFFREY W. BOLTON, STEVEN J. BUSKIRK M.D., LAWRENCE H. CHO, TERESA L. CONNOLLY, DENNIS E. DAHLEN, ROXANA S. DRONCA M.D., GIANRICO FARRUGIA M.D., DANIEL S. GOLDMAN, PAUL A. GORMAN, CHARLES M. HARPER JR. M.D., TINA E. HOLMES, DIANE F. JELINEK, LOIS E. KRAHN M.D., PAULA E. MENKOSKY, ALFREDO QUINONES-HINOJOSA M.D., WILLIAM M. STONE M.D., SARVAM P. TERKONDA M.D., HENRY H. TING M.D. AND RICHARD S. ZIMMERMAN M.D. WERE PROVIDED BUSINESS/FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. BUSINESS/FIRST-CLASS AND CHARTER TRAVEL IS AVAILABLE BASED ON DEMONSTRATED BUSINESS NEED AND NOT BASED ON POSITION OR TO ANY SPECIFIC INDIVIDUALS. IN ADDITION TO ALL REGULAR TRAVEL APPROVAL AND DOCUMENTATION PROCESSES, BUSINESS/FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY TRIP ACCOUNTING MANAGER AS DELEGATED BY THE MAYO CLINIC TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES AND EX-OFFICIOS SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN ADDITION, ONE LISTED PERSON ALSO RECEIVED TRAVEL FOR COMPANIONS SO THAT THEIR SPOUSE COULD ACCOMPANY THEM TO A FUNDRAISING FUNCTION. IN 2019, JEFFREY W. BOLTON, STEVEN J. BUSKIRK, DENNIS E. DAHLEN, GUSTAV A. DECKER, GIANRICO FARRUGIA, CHARLES M. HARPER, JOSHUA B. MURPHY, ROBERT E. NESSE AND KENT R. THIELEN RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE HAVE THEIR COMPENSATION GROSSED UP IN THE FORM OF A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED AS A RESULT OF HAVING TO WORK IN A DIFFERENT STATE. IN 2019, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2019, RYANNON K. FREDERICK RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME AND GROSSED UP. A HOME RELOCATION CASH PAYMENT OPTION IS PROVIDED TO MAYO CLINIC VOTING/CONSULTING STAFF WHEN JUSTIFIED BY BUSINESS NEED. IN 2019, TWO LISTED PERSONS RECEIVED A CASH PAYMENT OPTION THAT WAS TREATED AS TAXABLE INCOME. THIS PAYMENT WAS ISSUED AFTER THE RELOCATION AND WAS GROSSED UP. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. IN 2019, SIX LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER TO NOT DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. ONE OR MORE LISTED PERSONS RECEIVED AN AWARD, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. ONE OR MORE LISTED PERSONS RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. FOUR LISTED PERSONS RECEIVED SUBSIDIZED EMPLOYEE MEMBERSHIPS TO THE YMCA AND SIMILAR HEALTH/FITNESS FACILITIES. SUCH SUBSIDIES ARE AVAILABLE TO SOME EMPLOYEES AS A BENEFIT AND ARE TREATED AS TAXABLE INCOME.
PART I, LINE 3	THE SUBORDINATES WITHIN THIS GROUP FILING RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.
PART I, LINES 4A-C	IN CONJUNCTION WITH TERMINATION OF EMPLOYMENT, DR. SCOTT W. FOSKO RECEIVED A SEVERANCE OF $1 MILLION THAT INCLUDES TAXABLE COMPENSATION, SETTLEMENT OF EMPLOYMENT CLAIMS AND LEGAL FEES. A PORTION OF THE PAYMENT WAS REPORTED ON A W2 AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). THE REMAINING AMOUNT WAS REPORTED ON A 1099 AND NOT REQUIRED TO BE REPORTED. IN ADDITION, THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT (TOTAL INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III)): JOHNSON, TIMOTHY J. $ 229,398 MATTHIAS, MARK A. $ 134,607 THE SUBORDINATES WITHIN THIS GROUP FILING HAVE A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ABENSTEIN M.D., JOHN P. $ 64,703 ACKERMAN, FRANKLIN K. $ 6,390 AGERTER M.D., DAVID C. $ 64,445 ANDREWS M.D., PAUL E. $ 100,442 ANIL M.D., GOKHAN $ 45,204 BAKKUM-GAMEZ, M.D., JAMIE N. $ 40,941 BARTLETT M.D., BRIAN N. $ 18,564 BENDOK M.D., BERNARD R. $ 88,658 BERG, DAVID W. $ 123 BOLTON, JEFFREY W. $ 284,425 BRANDT, TERRY L. $ 21,448 BROWN M.D., MICHAEL J. $ 51,144 BUNKERS M.D., BRIAN E. $ 23,445 BUSKIRK M.D., STEVEN J. $ 99,109 CASLER M.D., JOHN D. $ 75,435 CAVINESS M.D., JOHN N. $ 24,501 CHAPITAL M.D., ALYSSA B. $ 56,833 CHO, LAWRENCE H. $ 0 CHONG M.D., BRIAN W. $ 107,954 CIMA M.D., ROBERT R. $ 50,235 CIOTA M.D., MARK R. $ 57,741 COLLIER D.P.M., ROBERT L. $ 4,407 COOPER M.D., LESLIE T. $ 101,605 COSTAKOS M.D., DENNIS T. $ 32,060 CRANE M.D., SARAH J. $ 17,037 CROSS III M.D., WILLIAM W. $ 63,492 CULLINAN M.D., SUSAN M. $ 14,059 DAHLEN, DENNIS E. $ 117,841 DECKER M.D., WYATT W. $ 397,146 DECKER, GUSTAV A. $ 0 DEVAULT M.D., KENNETH R. $ 110,789 DEWITT M.D., JASON J. $ 11,014 DEXTER M.D., DONN D. $ 15,229 DOUGLAS M.D., DAVID D. $ 97,705 DOWDY M.D., SEAN C. $ 64,533 DRONCA M.D., ROXANA S. $ 21,710 ECKSTROM M.D., MICHAEL T. $ 80,042 EZENAGU M.D., LEONARD C. $ 22,493 FARRUGIA M.D., GIANRICO $ 359,595 FITZGERALD M.D., KEVIN $ 11,284 FONSECA M.D., RAFAEL $ 86,885 FOSKO M.D., SCOTT W. $ 79,438 FOSS M.D., RANDY M. $ 4,944 FRANCIS, JAMES R. $ 41,748 FRASER, CATHRYN H. $ 48,334 FROISLAND, JEFFREY R. $ 14,506 GABRIELSON, SHARON R. $ 11,645 GADE, CHRIS W. $ 24,591 GILLIGAN, SHERRI W. $ 0 GOINS M.D., JENNIFER L. $ 13,620 GORES M.D., GREGORY J. $ 168,702 GORMAN, PAUL A. $ 89,547 GOSTOUT M.D., BOBBIE S. $ 278,030 GOYAL M.D., DEEPI G. $ 37,784 GRAY M.D., RICHARD J. $ 53,562 GREEN M.D., JEFFREY P. $ 1,585 GRENISEN M.D., MARGARET M. $ 11,272 GROVER D.O., MICHAEL L. $ 6,927 GRZYBOWSKI M.D., JOHN A. $ 11,374 HAKAIM M.D., ALBERT G. $ 91,621 HANSEN, JULIE S. $ 657 HARA M.D., AMY K. $ 87,617 HARPER JR., M.D., CHARLES M. $ 257,115 HEBL M.D., JAMES R. $ 69,659 HELLMICH M.D., THOMAS R. $ 27,464 HELMERS M.D., RICHARD A. $ 97,747 HERRMANN M.D., MARTIN J. $ 15,440 HIRISAVE KRISHNA M.D., BIPINCHANDRA $ 4,086 HOFFMAN III, HARRY N. $ 132,335 HOLMES, TINA E. $ 0 HOLTAN, DOUGLAS J. $ 18,265 HOLTZ M.D., CAROL P. $ 3,721 HORECKI M.D., RICHARD J. $ 8,207 HUBERT, SHERRY L. $ 9,311 JELINEK, DIANE F. $ 10,924 JOHNSON M.D., C. DANIEL $ 115,223 JOHNSON M.D., DANIEL J. $ 78,103 JOHNSON M.D., MARGARET M. $ 64,629 JOHNSON M.D., TIMOTHY J. $ 75,825 JOHNSON, PAMELA O. $ 51,356 KEAVENY M.D., ANDREW P. $ 71,970 KELLEY, SHARON M. $ 0 KHOOR M.D., ANDRAS $ 61,855 KIM M.D., HYUN I. $ 49,922 KNUDSON, STEVE L. $ 25,520 KOWAL D.O., GERALD K. $ 7,573 KRAHN M.D., LOIS E. $ 45,051 KRIEN M.D., JOSEPH S. $ 24,686 KUTCHER M.D., GREGORY R. $ 12,891 LANGBEHN D.O., JENNIFER M. $ 9,548 LANGE M.D., STEPHEN M. $ 72,161 LEIBOVICH M.D., BRADLEY C. $ 63,664 LEIGHTON M.D., JONATHAN A. $ 104,974 LENHART M.D., JILL $ 4,278 LIMBURG M.D., PAUL J. $ 104,974 LIMPER M.D., ANDREW H. $ 53,774 LINDAHL, ROGER A. $ 9,161 LITCHY M.D., WILLIAM J. $ 24,501 LOCKETT, KEVIN M. $ 998 LOMBARDI M.D., JOSEPH M. $ 14,153 MATHEWS, HILARY G. $ 20,486 MCKINNEY M.D., J. MARK $ 60,169 MCLAUGHLIN M.D., SARAH A. $ 37,942 MCNEILL, STEVEN L. $ 43,818 MENKOSKY, PAULA E. $ 108,414 MESCHIA M.D., JAMES F. $ 23,047 MEYER M.D., FREDRIC B. $ 225,266 MEYERS, ANN M. $ 14,141 MILLER M.D., ROBERT C. $ 94,166 MOLLING D.O., PAUL E. $ 9,593 MONEY M.D., SAMUEL R. $ 88,713 MORICE M.D., WILLIAM G. $ 81,398 MORREY, MICHAEL A. $ 18,013 MORRIS M.D., MARIE E. $ 14,429 MOSS M.D., ADYR A. $ 91,405 MUELLER M.D., JEFF T. $ 73,426 MUELLER M.D., PAUL S. $ 35,971 MURPHY, JOSHUA B. $ 153,387 MYHRE M.D., KAREN K. $ 1,173 NARR M.D., BRADLY J. $ 75,170 NASSAR M.D., AZIZA $ 43,594 NELSON M.D., HEIDI $ 107,226 NESSE M.D., ROBERT E. $ 184,015 NOLTE D.O., CHARLES P. $ 97,335 NORBY, MARK L. $ 1,731 NOSEWORTHY M.D., JOHN H. $ 689,080 ORTIZ M.D., JOSE A. $ 74,046 OTLEY M.D., CLARK C. $ 154,574 OTTE, KIMBERLY K. $ 5,975 PAIGE SR., KEVIN A. $ 42,801 PARKS, DOUGLAS A. $ 998 PASCUAL M.D., JORGE M. $ 53,774 PATEL M.B., TUSHAR C. $ 57,794 PEARSON M.D., SUSAN E. $ 59,160 PECK M.D., ROBERT C. $ 22,932 PETERSON M.D., JEFFREY J. $ 82,274 PICHELMANN M.D., MARK A. $ 116,712 POWELL III M.D., RALPH $ 9,567 PRESUTTI D.O., RICHARD J. $ 41,929 QUINONES-HINOJOSA M.D., ALFREDO $ 95,760 RADEMACHER M.D., DANA E. $ 136,672 RIHAL M.D., CHARANJIT S. $ 117,329 ROBELIA M.D., PAUL M. $ 5,510 ROGERS, JAMES A. $ 36,458 ROSS, CHRISTOPHER J. $ 64,909 RYAN, MICHAEL J. $ 41,140 SADOSTY M.D., ANNIE T. $ 60,082 SANTRACH M.D., PAULA J. $ 53,312 SCHULZ M.D., JODI L. $ 26,572 SEINOLA, SCOTT A. $ 33,201 SHARMA M.B.B.S., MANISH S. $ 28,624 SHERRILL, TODD E. $ 7,500 SILVERS M.D., SCOTT M. $ 30,859 SIMPSON M.D., HENRY J. $ 8,871 SMOLDT, CRAIG A. $ 12,093 STEVENS M.D., MARK K. $ 160,336 STEWART M.D., MICHAEL W. $ 114,956 STONE M.D., WILLIAM M. $ 113,429
PART I, LINE 4A-C:	PART I, LINE 4B (CONT): TANER M.D., BURCIN C. $ 74,470 TAZELAAR M.D., HENRY D. $ 64,533 TERKONDA M.D., SARVAM P. $ 98,532 THIEL M.D., DAVID D. $ 40,771 THIELEN M.D., KENT R. $ 139,012 THOMPSON M.D., GEOFFREY B. $ 58,777 TING M.D., HENRY H. $ 62,825 TRAUB M.D., STEPHEN J. $ 14,944 TRENTMAN M.D., TERRANCE L. $ 71,972 ULRICH M.D., MICHAEL D. $ 12,186 UY M.D., JONATHAN J. $ 102,678 WALD M.D., JOHN T. $ 106,500 WEBER, JOAN A. $ 25,580 WHAREN M.D., ROBERT E. $ 213,301 WHITED M.D., BRIAN L. $ 57,262 WIECHMANN M.D., ROBERT J. $ 135,974 WILLIAMS M.D., AMY W. $ 82,331 WILLIAMS M.D., HUGH J. $ 98,297 WILLIAMSON, MARY J. $ 125,083 YOUNG D.O., NATHAN P. $ 5,293 ZIETLOW M.D., SCOTT P. $ 74,323 ZIMMERMAN M.D., RICHARD S. $ 210,508 ZORN, CHRISTINA K. $ 75,350 IN ADDITION TO THE ABOVE SUPPLEMENTAL RETIREMENT PLAN (SRP), THIS ENTITY OR ITS AFFILIATE ALSO HAVE A NONQUALIFIED DEFERRED COMPENSATION 457(B) PLAN. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM FIDELITY, AN UNRELATED ORGANIZATION, DURING THE TAX YEAR. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). BARNES M.D., DARRYL E. $ 108,921 MILLER M.D., ROBERT C. $ 71,724 PAIGE SR., KEVIN A. $ 53,718 PART I, LINE 4C UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: BENDOK M.D., BERNARD R. FARRUGIA M.D., GIANRICO GUDGELL, STEPHEN F. LIMBURG M.D., PAUL J. PRESUTTI D.O., RICHARD J.
PART II:	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.
PART I, LINE 4B	IN ADDITION TO THE ABOVE SUPPLEMENTAL RETIREMENT PLAN (SRP), THIS ENTITY OR ITS AFFILIATE ALSO HAVE A NONQUALIFIED DEFERRED COMPENSATION 457(B) PLAN. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM FIDELITY, AN UNRELATED ORGANIZATION, DURING THE TAX YEAR. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). BARNES M.D., DARRYL E. $108,921 MILLER M.D., ROBERT C. $ 71,724 PAIGE SR., KEVIN A. $ 53,718

Schedule J (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
MAYO CLINIC GROUP RETURN

Employer identification number
38-3952644

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX ARIZONA	52-2038405	71884SAA8	05-08-2014	180,000,000	CONSTRUCTION OF HEALTH CARE FACILITIES		X		X		X
B	CITY OF JACKSONVILLE FLORIDA	59-6000344	469400BW4	05-03-2016	125,000,000	REFUND 2006 BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	180,002,359		125,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	39,404
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	911,155
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	179,051,800
11 Other spent proceeds .............			125,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2015		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........		X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	1.000 %		0.310 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0.020 %
6 Total of lines 4 and 5 .............	1.000 %		0.330 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X
b Exception to rebate? ........		X		X
c No rebate due? .........	X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX, ARIZO DATE THE REBATE COMPUTATION WAS PERFORMED: 05/08/2019
SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3	THE DIFFERENCES BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR THE BOND ISSUES ARE INVESTMENT EARNINGS AND LOSSES.

Schedule K (Form 990) 2019

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ANDERSON KATHLEEN A	FAMILY MEMBER OF OFFICER GABRIELSON, SHARON R.	151,378	EMPLOYMENT		No
(2) ANIL STACI M	FAMILY MEMBER OF DIRECTOR/OFFICER CHAIR ANIL M.D., GOKHAN	32,385	EMPLOYMENT		No
(3) BODOH MONICA M	FAMILY MEMBER OF KEY EMPLOYEE GRENISEN M.D., MARGARET M.	96,734	EMPLOYMENT		No
(4) BUNKERS MD KARI S	FAMILY MEMBER OF DIRECTOR/OFFICER CHAIR BUNKERS M.D., BRIAN E.	352,393	EMPLOYMENT		No
(5) CADMAN KATHRYN A	FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	110,297	EMPLOYMENT		No
(6) CADMAN KAYLA M	FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	48,053	EMPLOYMENT		No
(7) CHONG CATHERINE	FAMILY MEMBER OF FORMER KEY EMPLOYEE CHONG M.D., BRIAN W.	86,821	EMPLOYMENT		No
(8) COOPER MD JANE H	FAMILY MEMBER OF DIRECTOR COOPER M.D., LESLIE T.	190,375	EMPLOYMENT		No
(9) CRAIG MELINDA G	FAMILY MEMBER OF OFFICER CRAIG, JASON E.	60,449	EMPLOYMENT		No
(10) EYTCHESON ALISA S	FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA	39,143	EMPLOYMENT		No
(11) FLICEK MD KRISTINA T	FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., C. DANIEL	36,717	EMPLOYMENT		No
(12) FLOM MURPHY MELISSA A	FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B.	55,671	EMPLOYMENT		No
(13) GABRIELSON DONALD B	FAMILY MEMBER OF OFFICER GABRIELSON, SHARON R.	178,768	EMPLOYMENT		No
(14) GADE MARNE J	FAMILY MEMBER OF FORMER KEY EMPLOYEE GADE, CHRIS W.	157,021	EMPLOYMENT		No
(15) GALINDEZ BRENDA K	FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER	127,384	EMPLOYMENT		No
(16) GREENFIELD CLAIRE A	FAMILY MEMBER OF KEY EMPLOYEE JOHNSON M.D., DANIEL J.	83,489	EMPLOYMENT		No
(17) GRUBER LISA J	FAMILY MEMBER OF DIRECTOR GRUBER, JOHN	44,651	EMPLOYMENT		No
(18) HANNA CORTNIE J	FAMILY MEMBER OF DIRECTOR CLARK, DIANE	118,284	EMPLOYMENT		No
(19) HANSEN KATHERINE A	FAMILY MEMBER OF FORMER KEY EMPLOYEE MORRISSEY M.D., JOHN E.	179,262	EMPLOYMENT		No
(20) HOFFMAN WILLIAM E	FAMILY MEMBER OF OFFICER HOFFMAN III, HARRY N.	66,920	EMPLOYMENT		No
(21) JOHNSON ELEANOR G	FAMILY MEMBER OF KEY EMPLOYEE JOHNSON M.D., DANIEL J.	18,299	EMPLOYMENT		No
(22) JOHNSON THERESE A	FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., C. DANIEL	156,575	EMPLOYMENT		No
(23) KLINE AIMEE R	FAMILY MEMBER OF OFFICER GABRIELSON, SHARON R.	128,885	EMPLOYMENT		No
(24) KRIEN KAITLYN F	FAMILY MEMBER OF KEY EMPLOYEE KRIEN M.D., JOSEPH S.	12,483	EMPLOYMENT		No
(25) LEGARE JENNIFER A	FAMILY MEMBER OF DIRECTOR LEGARE, GREG	157,531	EMPLOYMENT		No
(26) LOMBARDI MD BEVERLY	FAMILY MEMBER OF FORMER KEY EMPLOYEE LOMBARDI M.D., JOSEPH M.	119,544	EMPLOYMENT		No
(27) LOMBARDI NATHANIEL J	FAMILY MEMBER OF FORMER KEY EMPLOYEE LOMBARDI M.D., JOSEPH M.	132,285	EMPLOYMENT		No
(28) MOLLING HEATHER M	FAMILY MEMBER OF DIRECTOR/OFFICER CHAIR MOLLING D.O., PAUL E.	116,045	EMPLOYMENT		No
(29) MORICE ELIZABETH M	FAMILY MEMBER OF DIRECTOR MORICE M.D., WILLIAM G.	24,464	EMPLOYMENT		No
(30) NORDENG MARY C	FAMILY MEMBER OF FORMER KEY EMPLOYEE NORDENG, RODNEY L.	23,758	EMPLOYMENT		No
(31) PASCUAL THOMAS E	FAMILY MEMBER OF DIRECTOR PASCUAL M.D., JORGE M.	13,802	EMPLOYMENT		No
(32) ROBARDS MD CHRISTOPHER B	FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A.	593,680	EMPLOYMENT		No
(33) SCHOTT MARK L	FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA	54,469	EMPLOYMENT		No
(34) TANER MD NILUFER	FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C.	401,946	EMPLOYMENT		No
(35) THIELEN MD JACQUELINE M	FAMILY MEMBER OF DIRECTOR/OFFICER THIELEN M.D., KENT R.	114,759	EMPLOYMENT		No
(36) THIEMANN BENJAMIN L	FAMILY MEMBER OF FORMER KEY EMPLOYEE THIEMANN, KAY M.	11,324	EMPLOYMENT		No
(37) TRAUB NICOLE A	FAMILY MEMBER OF DIRECTOR TRAUB M.D., STEPHEN J.	37,240	EMPLOYMENT		No
(38) WOLD DEREK J	FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	41,388	EMPLOYMENT		No
(39) WOLD INGRID Y	FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	32,396	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS, WHO ARE LISTED IN PART VII AS A CURRENT OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE, HAVE A BUSINESS RELATIONSHIP WITH ONE OR MORE OF THE OTHER INDIVIDUALS HERE LISTED BECAUSE ONE IS EMPLOYED BY A RELATED TAX EXEMPT ORGANIZATION FOR WHICH THE OTHER SERVES AS AN OFFICER, DIRECTOR, OR TRUSTEE. ANIL M.D., GOKHAN, BAKKUM-GAMEZ, M.D., JAMIE N., BECKER, JOHN, BOLTON, JEFFREY W., BRANDT, TERRY L., BROLSMA, GREG, BROWN M.D., MICHAEL J., BROWN, WILLIAM A., BUSKIRK M.D., STEVEN J., CAPLAN, SHERRY M., CASLER M.D., JOHN D., CIMA M.D., ROBERT R., CIOTA M.D., MARK R., COOPER M.D., LESLIE T., CRAIG, JASON E., CRANE M.D., SARAH J., CROCKETT, ERIC D., CROSS III M.D., WILLIAM W., DAHLEN, DENNIS E., DAVIS, AMY L., DEVAULT M.D., KENNETH R., DOWDY M.D., SEAN C., DRONCA M.D., ROXANA S., DRUCKER, PAUL E., EBERLE, MICHELE R., FARRUGIA M.D., GIANRICO, FRANCIS, JAMES R., FREDERICK, RYANNON K., FROISLAND, JEFFREY R., GALINDEZ JR., PETER, GORES M.D., GREGORY J., GOSTOUT M.D., BOBBIE S., GOYAL M.D., DEEPI G., GRAY M.D., RICHARD J., GUDGELL, STEPHEN F., HAKAIM M.D., ALBERT G., HANSEN, JULIE S., HARPER JR., M.D., CHARLES M., HEBL M.D., JAMES R., HELLMICH M.D., THOMAS R., HELMERS M.D., RICHARD A., HOFFMAN III, HARRY N., HUBERT, SHERRY L., JOHNSON M.D., MARGARET M., JOHNSON, CARLA J., JOHNSON, RYAN R., KELLEY, SHARON M., KLIMP, MARY J., LEIBOVICH M.D., BRADLEY C., LIMBURG M.D., PAUL J., LIMPER M.D., ANDREW H., LINDAHL, ROGER A., LINDBERG, STEVEN J., LOCKETT, KEVIN M., MCLAUGHLIN M.D., SARAH A., MEKALA, PRAVEEN, MELVIN, KEVIN B., MENKOSKY, PAULA E., MEYER M.D., FREDRIC B., MEYERS, ANN M., MORICE M.D., WILLIAM G., MORREY, MICHAEL A., MORRIS M.D., MARIE E., MUELLER M.D., PAUL S., MURPHY, JOSHUA B., NARR M.D., BRADLY J., NELSON M.D., HEIDI, NORDRUM, CHARLOTTE J., OTLEY M.D., CLARK C., PASCUAL M.D., JORGE M., PATEL M.B., TUSHAR C., POWELL III M.D., RALPH, PRIEST, WILLIAM F., QUINONES-HINOJOSA M.D., ALFREDO, RIHAL M.D., CHARANJIT S., ROBELIA M.D., PAUL M., RUSTAD, CHRISTOPHER D., SADOSTY M.D., ANNIE T., SANDGREN, KENT A., SANTRACH M.D., PAULA J., SHARMA M.B.B.S., MANISH S., TANER M.D., BURCIN C., THIELEN M.D., KENT R., THOMPSON M.D., GEOFFREY B., THORESON, SCOTT D., TING M.D., HENRY H., WALD M.D., JOHN T., WEBER, JOAN A., WEIS, CAROL, WHITED M.D., BRIAN L., WILLIAMS M.D., AMY W., WILLIAMSON, MARY J., ZIETLOW M.D., SCOTT P., ZORN, CHRISTINA K., *********************************************** HUBERT, SHERRY L., LINDAHL, ROGER A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC SUPPORT SERVICES, TEXAS, A RELATED TAXABLE ENTITY. ADLEMAN, BREEANN M., FROISLAND, JEFFREY R., MENKOSKY, PAULA E., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., GABRIELSON, SHARON R., HUBERT, SHERRY L., LINDAHL, ROGER A., MURPHY, JOSHUA B., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., HOFFMAN III, HARRY N., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. BOLTON, JEFFREY W., ROGERS, JAMES A., WILLIAMSON, MARY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. HELMERS M.D., RICHARD A., LINDBERG, STEVEN J., MORREY, MICHAEL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MCHS--PHARMACY & HOME MEDICAL, 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 MEMBERS OF EACH SUBORDINATE IN THE MAYO CLINIC GROUP RETURN ARE MAYO CLINIC AND/OR A SUBORDINATE OF MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7A	IN MOST CASES, THE SUBORDINATE'S GOVERNING BODIES ARE ELECTED, NOMINATED, DESIGNATED, APPOINTED, APPROVED AND/OR CONFIRMED BY MAYO CLINIC AND/OR A SUBORDINATE OF MAYO CLINIC.
FORM 990, PART VI, SECTION A, LINE 7B	THE ARTICLES AND/OR BYLAWS PROVIDE THE CORPORATE MEMBER OR MEMBERS POWER IN AREAS SUCH AS COMPENSATION, CAPITAL, BUDGET, DEBT, AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS.
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 11B	THE FORM 990 WAS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM ACCOUNTING STAFF. THE TAX RETURN WENT THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT (INCLUDING REVIEW BY THE TAX DIRECTOR). A COPY OF THE FORM 990 WAS THEN PROVIDED TO EACH MEMBER OF THE GOVERNING BODY VIA U.S. MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS WERE 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 EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, 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) OF MAYO CLINIC WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR EXECUTIVE LEADERSHIP. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE 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 EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS AND CERTAIN SENIOR ADMINISTRATIVE LEADERSHIP FROM ALL CAMPUSES (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 EXECUTIVE LEADERSHIP AND SENIOR PHYSICIAN POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS FOR THE SUBORDINATES WITHIN THIS RETURN ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. SOME OF THE SUBORDINATES WITHIN THIS GROUP RETURN ARE HOSPITALS 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 XI, LINE 9:	CHANGE IN LEASE ACCOUNTING -487,263. PENSION-POST RETIREMENT -6,476,776. LOSS ON UNCOLLECTIBLE PLEDGES -185,687. REFUNDS OF CONTRIBUTIONS -1,600.
SCHEDULE B	CONTRIBUTIONS REPORTED ON SCHEDULE B ARE ON A GROUP BASIS WITH THE DOLLAR AND PERCENTAGE THRESHOLDS APPLIED AT THE SUBORDINATE LEVEL. THESE THRESHOLDS INCLUDE THE GREATER OF $5,000 OR 2% OF TOTAL CONTRIBUTIONS FOR SECTION 501(C)(3) ORGANIZATIONS DESCRIBED IN SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). FOR PURPOSES OF SCHEDULE B, MAYO CLINIC JACKSONVILLE AND MAYO CLINIC ARIZONA REPORTED CONTRIBUTIONS USING THE 2% THRESHOLD. CONTRIBUTIONS FOR ALL OTHER SUBORDINATES WERE DETERMINED USING THE $5,000 THRESHOLD.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS,MN554021498 46-4893585	ECONOMIC DEVELOPMENT	MN	501(C)(3)	12-I	MAYO CLINIC	Yes
(2)MAYO CLINIC 200 FIRST STREET SW ROCHESTER,MN55905 41-6011702	PATIENT CARE - CLINIC	MN	501(C)(3)	10	N/A		No
(3)MAYO CLINIC STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM	FUNDRAISING FOUNDATION	GM			MFMER	Yes
(4)MILES & SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES 200 FIRST STREET SW ROCHESTER,MN55905 41-2020392	SUPPORT RESEARCH, PRACTICE & EDUCATION	MN	501(C)(3)	12-I	MAYO CLINIC	Yes
(5)HORMEL FOUNDATION 329 N MAIN ST SUITE 102L AUSTIN,MN55912 41-0694716	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(6)J ORIN EDSON FOUNDATION PO BOX 14580 JACKSON,WY830024580 26-3002560	FUNDRAISING FOUNDATION	WY	501(C)(3)	12-I	N/A		No
(7)NAEVE HEALTH CARE FOUNDATION 404 WEST FOUNTAIN ST ALBERT LEA,MN56007 41-1989509	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-III-FI	N/A		No
(8)THE HIRSH FAMILY FOUNDATION 108 NORTH MAIN STREET AUSTIN,MN55912 41-1749842	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(9)DREW FOUNDATION PO BOX 2578 JACKSONVILLE,FL322032578 59-6669745	CHARITABLE TRUST	FL	501(C)(3)	12-I	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) FRANKLIN HEATING STATION 200 FIRST STREET SW ROCHESTER,MN55905 41-0264830	UTILITY	MN	MAYO CLINIC	EXCLUDED	73	8,616,340		No		Yes		15.950 %
(2) LATIGO PETROLEUM LLC PO BOX 14230 ODESSA,TX79768 36-4767494	OIL & GAS EXPLORATION	DE	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) BWL HOLDINGS INC 1209 ORANGE STREET WILMINGTON,DE19801 47-2413749	OIL & GAS EXPLORATION	DE	N/A	C				Yes
(2) BAIN CAPITAL CREDIT CLO 2017-2 LTD PO BOX 1093 GT QUEENSGATE HOUSE S GRAND CAYMAN CJ	INVESTMENT ACTIVITIES	CJ	N/A	C				Yes
(3) MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER,MN55905 47-1751102	HEALTH SERVICES	TX	N/A	C				Yes
(4) MAYO CLINIC UK LTD 3 MORE LONDON RIVERSIDE LONDON UK	INVESTMENT ACTIVITIES	UK	N/A	C				Yes
(5) MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-1578020	HOLDING COMPANY	MN	N/A	C				Yes
(6) MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER,MN55905	SELF INSURANCE POOL	CJ	N/A	C				Yes
(7) MCHS--DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH,IA52101 41-1711329	PATIENT CARE - CLINIC	IA	N/A	C				Yes
(8) MCHS--PHARMACY & HOME MEDICAL INC 1221 WHIPPLE STREET EAU CLAIRE,WI54703 39-1528920	PHARMACY SERVICES	WI	N/A	C				Yes
(9) RESOUNDANT INC 421 1ST AVE SW SUITE 204W ROCHESTER,MN55902 46-1661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	MFMER	C	5,702,159	6,031,221	60.000 %	Yes
(10) ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-0506870	AIRPORT MANAGEMENT	MN	N/A	C				Yes
(11) SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION 13400 E SHEA BLVD SCOTTSDALE,AZ85259 86-0870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	MAYO CLINIC ARIZONA	C			93.000 %	Yes
(12) THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER,MN55905 20-8994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C				Yes
(13) MC ALLIANCE LTD 200 FIRST STREET SW ROCHESTER,MN55905 98-1527769	HEALTHCARE AND ADMINISTRATIVE SERVICES	CJ	N/A	C				Yes
(14) VIRGINIA BROADCASTING LLC 503 EAST MARKET STREET CHARLOTTESVILLE,VA22902 54-0906884	BROADCASTING	VA	N/A	C				Yes
(15) CHARITABLE LEAD TRUST	CHARITABLE TRUST	CA	N/A	T				Yes
(16) PERPETUAL TRUST	CHARITABLE TRUST	LA	N/A	T				Yes
(17) PERPETUAL TRUST (2)	CHARITABLE TRUST	MA	N/A	T				Yes
(18) PERPETUAL TRUST	CHARITABLE TRUST	MO	N/A	T				Yes
(19) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	AZ	N/A	T				Yes
(20) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T				Yes
(21) CHARITABLE REMAINDER TRUST (8)	CHARITABLE TRUST	FL	N/A	T				Yes
(22) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MA	N/A	T				Yes
(23) CHARITABLE REMAINDER TRUST (87)	CHARITABLE TRUST	MN	N/A	T				Yes
(24) CHARITABLE REMAINDER TRUST (4)	CHARITABLE TRUST	NC	N/A	T				Yes
(25) CHARITABLE REMAINDER TRUST (2)	CHARITABLE TRUST	NV	N/A	T				Yes
(26) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	TX	N/A	T				Yes
(27) PERPETUAL TRUST	CHARITABLE TRUST	ND	MFMER	T	104,400	1,894,960	90.000 %	Yes
(28) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	MFMER	T		755,237	100.000 %	Yes
(29) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	FL	MFMER	T		959,009	100.000 %	Yes
(30) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	IL	MFMER	T		224,856	100.000 %	Yes
(31) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MI	MFMER	T		2,329,879	100.000 %	Yes
(32) CHARITABLE REMAINDER TRUST (49)	CHARITABLE TRUST	MN	MFMER	T				Yes
(33) CHARITABLE REMAINDER TRUST (6)	CHARITABLE TRUST	MN	MCHS--SOUTHWEST MINNESOTA REGION	T				Yes
(34) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	WI	MCHS--NORTHWEST WISCONSIN REGION INC	T		5,471	90.000 %	Yes

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	P	6,290,251,545	GAAP
(2) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	Q	352,268	GAAP
(3) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	R	54,281	GAAP
(4) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	S	31,826,957	GAAP
(5) MAYO CLINIC AMBULANCE	M	772,492	GAAP
(6) MAYO CLINIC AMBULANCE	Q	46,744,794	GAAP
(7) CHARTERHOUSE INC	Q	21,478,146	GAAP
(8) MAYO HOLDING COMPANY	L	74,372	GAAP
(9) MAYO HOLDING COMPANY	Q	14,803,941	GAAP
(10) MAYO CLINIC HOSPITAL - ROCHESTER	L	101,271	GAAP
(11) MAYO CLINIC HOSPITAL - ROCHESTER	M	135,072	GAAP
(12) MAYO CLINIC HOSPITAL - ROCHESTER	P	3,118,027	GAAP
(13) MAYO CLINIC HOSPITAL - ROCHESTER	Q	1,512,335,050	GAAP
(14) MAYO CLINIC HOSPITAL - ROCHESTER	R	21,349,913	GAAP
(15) FRANKLIN HEATING STATION	P	815,262	GAAP
(16) FRANKLIN HEATING STATION	Q	42,162,711	GAAP
(17) MAYO CLINIC ARIZONA	B	67,377	GAAP
(18) MAYO CLINIC ARIZONA	L	55,627	GAAP
(19) MAYO CLINIC ARIZONA	M	123,904	GAAP
(20) MAYO CLINIC ARIZONA	Q	1,462,965,525	GAAP
(21) MAYO CLINIC ARIZONA	R	4,829,436	GAAP
(22) MAYO CLINIC JACKSONVILLE	C	67,377	GAAP
(23) MAYO CLINIC JACKSONVILLE	Q	922,989,175	GAAP
(24) MAYO CLINIC JACKSONVILLE	R	1,962,259	GAAP
(25) MAYO CLINIC FLORIDA	L	297,376	GAAP
(26) MAYO CLINIC FLORIDA	P	92,997,063	GAAP
(27) MAYO CLINIC FLORIDA	Q	542,752,305	GAAP
(28) MAYO CLINIC FLORIDA	R	989,748	GAAP
(29) MAYO CLINIC JACKSONVILLE	S	56,527	GAAP
(30) MAYO CLINIC FLORIDA	S	38,252,033	GAAP
(31) MCHS-PHARMACY & HOME MEDICAL INC	P	2,501,699	GAAP
(32) MCHS-PHARMACY & HOME MEDICAL INC	Q	19,633,181	GAAP
(33) MCHS-PHARMACY & HOME MEDICAL INC	S	1,171,541	GAAP
(34) MCHS--NORTHWEST WISCONSIN REGION INC	L	70,283	GAAP
(35) MCHS--NORTHWEST WISCONSIN REGION INC	M	1,256,995	GAAP
(36) MCHS--NORTHWEST WISCONSIN REGION INC	Q	661,205,237	GAAP
(37) MCHS--NORTHWEST WISCONSIN REGION INC	R	1,206,250	GAAP
(38) MCHS-FRANCISCAN MEDICAL CENTER INC	M	58,677	GAAP
(39) MCHS-FRANCISCAN MEDICAL CENTER INC	Q	386,100,128	GAAP
(40) MCHS-FAIRMONT	B	33,756,392	GAAP
(41) MCHS-FRANCISCAN MEDICAL CENTER INC	R	717,837	GAAP
(42) MCHS-FAIRMONT	L	532,098	GAAP
(43) MCHS-FAIRMONT	Q	64,557,519	GAAP
(44) MCHS-FAIRMONT	S	3,918,653	GAAP
(45) MCHS-LAKE CITY	L	387,340	GAAP
(46) MCHS-LAKE CITY	Q	27,560,795	GAAP
(47) MAYO HOLDING COMPANY	R	207,144	GAAP
(48) MCHS-LAKE CITY	S	1,451,070	GAAP
(49) MCHS--DECORAH CLINIC PHYSICIANS	Q	8,584,474	GAAP
(50) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	L	3,754,375	GAAP
(51) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	M	183,154	GAAP
(52) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	Q	424,418,761	GAAP
(53) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	R	2,411,406	GAAP
(54) MAYO CLINIC HEALTH SYSTEMSOUTHEAST MINNESOTA REGION	P	2,031,120	GAAP
(55) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	M	1,948,738	GAAP
(56) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	Q	463,591,951	GAAP
(57) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	R	199,068	GAAP
(58) MCHS-ST JAMES	L	192,219	GAAP
(59) MCHS-ST JAMES	Q	15,583,188	GAAP
(60) MAYO CLINIC JACKSONVILLE	P	81,802	GAAP
(61) MAYO CLINIC AMBULANCE	P	1,314,433	GAAP
(62) MAYO HOLDING COMPANY	P	1,964,271	GAAP
(63) MCHS--NORTHWEST WISCONSIN REGION INC	P	65,347	GAAP
(64) RESOUNDANT INC	L	876,658	GAAP
(65) CHARTERHOUSE INC	P	3,644,681	GAAP
(66) MAYO CLINIC ARIZONA	P	478,172	GAAP
(67) MAYO CLINIC HEALTH SYSTEMSOUTHWEST MINNESOTA REGION	S	52,225	GAAP
(68) MCHS-FRANCISCAN MEDICAL CENTER INC	S	336,686	GAAP
(69) MAYO CLINIC UK LTD	Q	9,483,662	GAAP
(70) MCHS-ST JAMES	S	1,078,709	GAAP

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

TY 2019 AffiliateListing

Name:

MAYO CLINIC GROUP RETURN

EIN:

38-3952644

Name	Address	EIN	Name control
CHARTERHOUSE INC	200 FIRST STREET SW ROCHESTER, MN 55905	41-1405254	CHAR
MAYO CLINIC AMBULANCE	200 FIRST STREET SW ROCHESTER, MN 55905	41-1917516	MAYO
LUTHER LAKESIDE APARTMENTS INC	PO BOX 1510 EAU CLAIRE, WI 54702	39-1409024	LUTH
MAYO CLINIC ARIZONA	13400 EAST SHEA BLVD SCOTTSDALE, AZ 85259	86-0800150	MAYO
MAYO CLINIC FLORIDA	4500 SAN PABLO ROAD JACKSONVILLE, FL 32224	59-0714831	MAYO
MAYO CLINIC HEALTH SYSTEM - AUSTIN FOUNDATION	1000 FIRST DRIVE NW AUSTIN, MN 55912	30-0107471	MAYO
MAYO CLINIC HEALTH SYSTEM - FAIRMONT	800 MEDICAL CENTER DRIVE FAIRMONT, MN 56031	41-0760836	MAYO
MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER INC	700 WEST AVE SOUTH LA CROSSE, WI 54601	39-0806374	MAYO
MAYO CLINIC HEALTH SYSTEM - LAKE CITY	500 WEST GRANT STREET LAKE CITY, MN 55041	41-1906820	MAYO
MAYO CLINIC HEALTH SYSTEM - NORTHWEST WISCONSIN REGION INC	1221 WHIPPLE STREET EAU CLAIRE, WI 54703	39-0813418	MAYO
MAYO CLINIC HEALTH SYSTEM - SOUTHEAST MINNESOTA REGION	1000 FIRST DRIVE NW AUSTIN, MN 55912	41-1404075	MAYO
MAYO CLINIC HEALTH SYSTEM - SOUTHWEST MINNESOTA REGION	1025 MARSH STREET MANKATO, MN 56002	41-1236756	MAYO
MAYO CLINIC HEALTH SYSTEM - ST JAMES	1101 MOULTON PARSONS ST JAMES, MN 56081	41-0797368	MAYO
MAYO CLINIC HOSPITAL - ROCHESTER	200 FIRST STREET SW ROCHESTER, MN 55905	41-0944601	MAYO
MAYO CLINIC JACKSONVILLE	4500 SAN PABLO ROAD JACKSONVILLE, FL 32224	59-3337028	MAYO
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH	200 FIRST STREET SW ROCHESTER, MN 55905	41-1506440	MAYO

1	Briefly describe the organization’s mission or most significant activities: PATIENT CARE, MEDICAL RESEARCH AND MEDICAL EDUCATION
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	192
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	48
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	53,269
6	Total number of volunteers (estimate if necessary) .............	6	5,051
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	32,900,357
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	5,664,781

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	484,373,082	561,850,022
9	Program service revenue (Part VIII, line 2g) .........	10,553,710,304	9,653,258,223
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	93,634,600	114,665,687
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	50,778,686	87,202,546
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	11,182,496,672	10,416,976,478
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,344,227,277	1,262,842,692
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	4,329,113,987	4,653,249,190
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 3,140,803
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	5,233,915,724	4,035,516,939
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,907,256,988	9,951,608,821
19	Revenue less expenses. Subtract line 18 from line 12.......	275,239,684	465,367,657
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	11,732,419,125	12,521,310,753
21	Total liabilities (Part X, line 26).............	5,194,051,962	5,476,248,474
22	Net assets or fund balances. Subtract line 21 from line 20.....	6,538,367,163	7,045,062,279

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 7,509,779,439 including grants of $ 1,244,514,871 ) (Revenue $ 8,845,491,980 )
	PATIENT CARE (SEE SCHEDULE O)PATIENT CAREMAYO CLINIC, AS AN AFFILIATED GROUP OF HEALTHCARE ENTITIES, IS AN INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICE AND HAS SITES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; JACKSONVILLE, FLORIDA AND ALSO SERVES MORE THAN 60 COMMUNITIES IN THE UPPER MIDWEST THROUGH THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC IS DRIVEN BY ITS MISSION OF PROVIDING THE BEST PATIENT CARE TO EVERY PATIENT EVERY DAY THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS AND ARE JOINED BY COMMON SYSTEMS AND A PHILOSOPHY THAT THE NEEDS OF THE PATIENT COME FIRST. THERE ARE 16 SUBORDINATE ORGANIZATIONS FROM THE MAYO CLINIC AFFILIATED GROUP THAT ARE PART OF THIS GROUP RETURN. OPERATIONS INCLUDE 22 HOSPITAL FACILITIES (20 LICENSED HOSPITALS), NUMEROUS CLINICAL FACILITIES, 1 NURSING HOME, 4 ELDERLY/ASSISTED LIVING FACILITIES AND 7 CHEMICAL DEPENDENCY TREATMENT CENTERS, AN AMBULANCE SERVICE ORGANIZATION, 1 FOUNDATION-TYPE ORGANIZATION AND 1 ORGANIZATION THAT PROVIDE SUPPORT SERVICES (SHARED SERVICES) TO MAYO CLINIC, ITS AFFILIATES AND PATIENTS.GEOGRAPHICALLY, THE SUBORDINATES ARE LOCATED IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA; SOUTHERN MINNESOTA; AND WESTERN WISCONSIN. FOR PURPOSES OF THIS STATEMENT, PATIENT CARE ENCOMPASSES PATIENT SERVICES (HOSPITALS, CLINICS & AMBULANCES), HOUSING FOR THE ELDERLY (NURSING HOMES & ELDERLY HOUSING FACILITIES) AND THE SALE OF MEDICAL PRODUCTS AND HEALTH INFORMATION. ON AN AGGREGATE BASIS, THE HOSPITAL SUBORDINATES HAD 4,140 LICENSED BEDS. FOR THE SUBORDINATE HOSPITAL AND CLINICAL PRACTICES, THE ANNUAL PATIENT COUNT (A DISTINCT COUNT OF THE MEDICAL RECORD NUMBERS THAT RECEIVED BILLABLE MEDICAL SERVICES) IN 2019 WAS APPROXIMATELY 821,000 PATIENTS. DURING 2019, THE SUBORDINATE AMBULANCE SERVICE PROVIDED MEDICAL TRANSPORTATION FOR APPROXIMATELY 73,000 PATIENTS AND RESPONDED TO APPROXIMATELY 26,300 EMERGENT REQUESTS THAT DID NOT RESULT IN THE TRANSPORTATION OF A PATIENT. IN ADDITION, HOUSING FOR THE ELDERLY IS PROVIDED THROUGH THE OPERATION OF 5 FACILITIES THAT PROVIDE INDEPENDENT LIVING, ASSISTED LIVING AND/OR LONG-TERM CARE. THE SUBORDINATES PROVIDE CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. FINANCIAL ASSISTANCE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. FOR 2019, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $252,086,654. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $758,842,870. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2019 ON A COMBINED BASIS WAS APPROXIMATELY $63,929,809.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 5,050 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 445,788 HOURS OF SERVICE IN 2019, VALUED AT APPROXIMATELY $11,336,400 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES.

4b	(Code: ) (Expenses $ 762,979,038 including grants of $ 0 ) (Revenue $ 762,979,038 )
	SHARED SERVICES (SEE SCHEDULE O)SHARED SERVICESAS PART OF ITS EXEMPT FUNCTION, ONE OF THE SUBORDINATE ORGANIZATIONS (MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH) FACILITATES EFFORTS AND SHARED SERVICES ON BEHALF OF AND FOR THE BENEFIT OF MAYO CLINIC AND ITS AFFILIATES. CERTAIN SERVICES ARE CENTRALIZED WITHIN THE SUBORDINATE ORGANIZATION AND INCLUDE FINANCE, HUMAN RESOURCES, LEGAL, PUBLIC AFFAIRS, SUPPLY CHAIN, INFORMATION TECHNOLOGY AND VARIOUS OTHER SERVICES. CERTAIN COSTS RELATED TO PROVIDING THESE SHARED SERVICES ARE ALLOCATED OUT OR CHARGED TO THE AFFILIATES. FACILITATING THESE EFFORTS AND SERVICES ALLOWS MAYO CLINIC AND ITS AFFILIATES TO BETTER CARRY OUT THEIR EXEMPT FUNCTIONS BY REDUCING COSTS, HAVING STANDARDIZED PRACTICES AND PROCEDURES, AND CREATING ECONOMIES OF SCALE.

4c	(Code: ) (Expenses $ 181,009,917 including grants of $ 13,795,920 ) (Revenue $ 1,551,764 )
	MEDICAL RESEARCH (SEE SCHEDULE O)MEDICAL RESEARCHMAYO CLINIC, AS AN AFFILIATED GROUP, CONDUCTS BASIC, TRANSLATIONAL, CLINICAL AND EPIDEMIOLOGICAL RESEARCH AT ITS CAMPUSES IN MINNESOTA, ARIZONA AND FLORIDA AND THROUGHOUT THE MAYO CLINIC HEALTH SYSTEM. THE NEEDS OF PATIENTS IS WHAT DRIVES RESEARCH AT MAYO CLINIC. AS DOCTORS TREAT PATIENTS AND SEE OPPORTUNITIES FOR ADVANCING PATIENT CARE, THEY WORK TOGETHER WITH MAYO SCIENTISTS AND RESEARCH TEAMS TO DEVELOP NEW AND IMPROVED DIAGNOSTIC TOOLS, MEDICATIONS, DEVICES, TREATMENT PROTOCOLS AND MORE.MAYO CLINIC'S UNIQUE CULTURE OF COLLABORATION AND TEAMWORK, AND ITS EXTENSIVE FACILITIES AND RESOURCES, MAKE IT POSSIBLE FOR RESEARCHERS TO UNRAVEL AND SOLVE COMPLEX RESEARCH QUESTIONS. ANSWERING THESE QUESTIONS REQUIRES A TEAM OF PHYSICIANS WHO CARE FOR PATIENTS WITH A DISEASE, BASIC SCIENTISTS WHO INVESTIGATE THE CONDITION'S MOLECULAR BASIS AND EPIDEMIOLOGISTS WHO STUDY ITS EFFECT ON POPULATIONS. THIS CLOSE INTEGRATION MAKES IT POSSIBLE TO QUICKLY BRING PROVEN DIAGNOSTICS AND THERAPEUTICS TO PATIENTS AND SHARE THIS KNOWLEDGE WITH THE NEXT GENERATION OF DOCTORS AND SCIENTISTS.THE RESEARCH ACTIVITIES CONDUCTED BY THE SUBORDINATES ARE CONDUCTED AT THE ARIZONA AND FLORIDA LOCATIONS AND AT SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. RESEARCH IS CONCENTRATED IN THE AREAS OF CANCER, METABOLISM, NEUROSCIENCES, NEURODEGENERATIVE DISEASES, CARDIOVASCULAR DISEASES AND GI DISORDERS/TRANSPLANTATION.

	(Code: ) (Expenses $ 110,492,838 including grants of $ 4,531,902 ) (Revenue $ 108,685,430 )
	HEALTH PROFESSIONAL EDUCATION:MAYO CLINICS INVESTMENTS IN EDUCATION INFORM AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING, ALONG WITH PREPARING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS TO PROVIDE OUTSTANDING, COMPASSIONATE CARE TO PATIENTS WORLDWIDE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE WHICH CONSISTS OF FIVE SCHOOLS:- MAYO CLINIC ALIX SCHOOL OF MEDICINE- MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION- MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES- MAYO CLINIC SCHOOL OF HEALTH SCIENCES- MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENTMAYO CLINIC, AS AN AFFILIATED GROUP, OFFERS EDUCATIONAL PROGRAMS AND TRAINING OPPORTUNITIES ON ITS CAMPUSES IN ROCHESTER, MINNESOTA; SCOTTSDALE/PHOENIX, ARIZONA; AND JACKSONVILLE, FLORIDA AND SEVERAL OF THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN. IN AFFILIATION WITH THE MAYO CLINIC COLLEGE OF MEDICINE, THE SUBORDINATES OFFER PHYSICIAN RESIDENCY PROGRAMS AND FELLOWSHIPS IN MANY MEDICAL AND SURGICAL SPECIALTIES, TRAINING PROGRAMS FOR ALLIED HEALTH PERSONNEL AND ON-GOING EDUCATION FOR PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.MANY OF THE STUDENTS EDUCATED THROUGH THE MAYO CLINIC COLLEGE OF MEDICINE TO SUSTAIN MAYO'S UNIQUE STYLE OF CARE AND PREPARE THE NEXT GENERATION OF CAREGIVERS WOULD HAVE RECEIVED SOME OF THEIR EDUCATION AT THE SUBORDINATE'S LOCATIONS IN PHOENIX/SCOTTSDALE, ARIZONA; JACKSONVILLE, FLORIDA AND THE HEALTH SYSTEM SITES IN MINNESOTA AND WISCONSIN.IN ADDITION, MANY OF THE SUBORDINATES HAVE AGREEMENTS WITH UNIVERSITIES, COLLEGES AND OTHER EDUCATIONAL ORGANIZATIONS TO PROVIDE FORMAL EDUCATION AND EXPERIENCE FOR STUDENTS STUDYING TO BECOME HEALTH CARE PROFESSIONALS.ROYALTIES: SOME SUBORDINATES WITHIN THE GROUP MAKE THE RESEARCH AND TECHNOLOGY DEVELOPED THROUGHOUT MAYO CLINIC AVAILABLE TO THE PUBLIC. THIS IS ACCOMPLISHED THROUGH LICENSING ARRANGEMENTS WITH OTHERS HAVING THE CAPABILITY TO DISTRIBUTE THE TECHNOLOGY TO THE MEDICAL COMMUNITY AND THE GENERAL PUBLIC. IN EXCHANGE FOR THESE LICENSES, THE SUBORDINATES RECEIVE ROYALTIES BASED ON GROSS REVENUES GENERATED FROM THE PRODUCTS DEVELOPED FROM THE LICENSED TECHNOLOGY OR INVENTION.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 110,492,838 including grants of $ 4,531,902 ) (Revenue $ 108,685,430 )
4e	Total program service expenses8,564,261,232

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	96,957,057	26,974,952	15,677,720

1a	Federated campaigns..		1a	22,500
b	Membership dues..		1b	4,701
c	Fundraising events..		1c
d	Related organizations		1d	439,665,460
e	Government grants (contributions)		1e	78,715,704

f	All other contributions, gifts, grants, and similar amounts not included above		1f	43,441,657

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		561,850,022

		Business Code
2a	NET PATIENT REVENUE	620000	8,780,041,991	8,761,735,939	18,306,052
b	SHARED SERVICES	561000	762,979,038	762,979,038
c	ROYALTY REVENUE	541900	91,273,935	91,273,935
d	EDUCATION REVENUE	611600	17,411,495	17,411,495
e	RESEARCH REVENUE	541700	1,551,764	1,516,663	35,101
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		9,653,258,223

3 Investment income (including dividends, interest, and othersimilar amounts) ......			114,763,782			114,763,782
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	450,979	4,446,934	6a
b	Less: rental expenses	166,340	177,483	6b
c	Rental income or (loss)	284,639	4,269,451	6c
d	Net rental income or (loss).......			4,554,090		284,639	4,269,451
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	37,986,174	3,588,993	7a
b	Less: cost or other basis and sales expenses	39,337,342	2,335,920	7b
c	Gain or (loss)	-1,351,168	1,253,073	7c
d	Net gain or (loss).........			-98,095			-98,095
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	6,778,148
b	Less: cost of goods sold ..		10b	3,062,934
c	Net income or (loss) from sales of inventory..			3,715,214		1,456,041	2,259,173
Business Code			Miscellaneous Revenue
11a	MISC. REVENUE		900099	35,304,726	30,509,476	4,635,056	160,194
b	CAFETERIA/VENDING		722310	30,493,104	30,493,104
c	MISC. CONSULTING		541610	11,395,420	3,227,793	8,114,718	52,909
d	All other revenue ....			1,739,992	1,219,616	68,750	451,626
e	Total. Add lines 11a–11d ......			78,933,242
12	Total revenue. See instructions.....			10,416,976,478	9,700,367,059	32,900,357	121,859,040

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,257,285,233	1,257,285,233
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	4,887,198	4,887,198
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	670,261	670,261
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	74,558,981	43,814,644	30,744,337
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	40,270,319	34,351,517	5,918,802
7	Other salaries and wages........	3,463,102,470	2,929,816,808	531,216,560	2,069,102
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	229,670,620	189,473,877	40,072,478	124,265
9	Other employee benefits .......	593,915,947	489,027,018	104,609,046	279,883
10	Payroll taxes ...........	251,730,853	211,184,592	40,423,796	122,465
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	16,963,291	500,848	16,462,443
c	Accounting ...........	3,549,503	367,833	3,181,670
d	Lobbying ...........	1,791,639	1,791,639
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	53,666	13,177	40,489
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	759,189,076	526,255,392	232,871,666	62,018
12	Advertising and promotion ....	9,977,274	1,368,621	8,608,653
13	Office expenses .......	625,598,374	574,092,014	51,074,689	431,671
14	Information technology ......	107,641,999	13,187,154	94,454,845
15	Royalties ..	29,881,338	314,643	29,566,695
16	Occupancy ...........	141,748,620	75,864,583	65,881,651	2,386
17	Travel ............	54,567,934	43,238,744	11,326,575	2,615
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,881,302	2,392,935	488,367
20	Interest ...........	68,831,468	64,437,244	4,394,224
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	397,298,750	303,541,133	93,757,617
23	Insurance ...	21,840,884	21,057,375	783,509
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	1,442,590,012	1,442,590,012
b	BAD DEBT EXPENSE	178,633,277	178,085,422	547,855
c	UNRELATED BUSINESS TAX	739,896	304,824	435,072
d	MN CARE TAX	64,015,224	64,015,224
e	All other expenses	107,723,412	90,331,267	17,345,747	46,398
25	Total functional expenses. Add lines 1 through 24e	9,951,608,821	8,564,261,232	1,384,206,786	3,140,803
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			446,855,279	1	470,177,953
2	Savings and temporary cash investments .........			2,399,508	2	2,384,146
3	Pledges and grants receivable, net ......			150,194,534	3	146,293,208
4	Accounts receivable, net .............			1,528,402,538	4	1,710,105,310
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			259,982,436	7	200,714,905
8	Inventories for sale or use ............			120,895,452	8	138,266,503
9	Prepaid expenses and deferred charges ......			54,575,279	9	61,188,886
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,407,742,766
b	Less: accumulated depreciation	10b	4,052,822,598	3,201,590,517	10c	3,354,920,168
11	Investments—publicly traded securities .			214,630,337	11	278,781,133
12	Investments—other securities. See Part IV, line 11 .....			2,008,872,001	12	921,343,460
13	Investments—program-related. See Part IV, line 11 ..			8,031,775	13	8,031,775
14	Intangible assets ...............			405,038	14	551,894
15	Other assets. See Part IV, line 11 ...........			3,735,584,431	15	5,228,551,412
16	Total assets. Add lines 1 through 15 (must equal line 33)...			11,732,419,125	16	12,521,310,753

17	Accounts payable and accrued expenses .....	1,676,944,743	17	1,880,843,826
18	Grants payable ...		18
19	Deferred revenue .........	35,434,842	19	36,425,601
20	Tax-exempt bond liabilities .........	366,622,891	20	304,227,899
21	Escrow or custodial account liability. Complete Part IV of Schedule D	31,531,417	21	31,980,472
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	13,084,282	23	12,517,476
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	3,070,433,787	25	3,210,253,200
26	Total liabilities. Add lines 17 through 25..	5,194,051,962	26	5,476,248,474

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	5,961,612,047	27	6,413,500,916
28	Net assets with donor restrictions ...........	576,755,116	28	631,561,363
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	6,538,367,163	32	7,045,062,279
33	Total liabilities and net assets/fund balances ........	11,732,419,125	33	12,521,310,753

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No