TY 2020 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/PRES/FORMER OFFICER	40.00 ................. 0.00	X	X	X			2,638,370	0	103,692
(2) GOSTOUT MD BOBBIE S...................................................................... DIR/VICE CHAIR/VP OPS/INTERIM REG VP-SEMN	40.00 ................. 0.00	X	X	X			1,873,308	0	105,862
(3) BOLTON JEFFREY W...................................................................... DIRECTOR/CAO	40.00 ................. 0.00	X		X			1,598,992	0	94,206
(4) HARPER JR MD CHARLES M...................................................................... DIR/FORMER OFFICER/FORMER KEY	1.00 ................. 40.00	X					0	1,473,519	36,424
(5) THIELEN MD KENT R...................................................................... DIR/CEO/CHAIR/VP OPERATIONS	40.00 ................. 0.00	X	X	X			1,383,196	0	99,201
(6) QUINONES-HINOJOSA MD ALFREDO...................................................................... DIRECTOR	40.00 ................. 0.00	X					1,338,117	0	90,795
(7) GRAY MD RICHARD J...................................................................... DIRECTOR/VP OPERATIONS	40.00 ................. 0.00	X	X	X			1,327,097	0	83,863
(8) DAHLEN DENNIS E...................................................................... DIRECTOR/VP/TREASURER	40.00 ................. 0.00	X	X				1,262,423	0	107,568
(9) MEYER MD FREDRIC B...................................................................... DIR/PHYSICIAN	40.00 ................. 0.00	X		X			1,310,667	0	50,081
(10) PICHELMANN MD MARK A...................................................................... FORMER HIGHEST PAID	0.00 ................. 40.00					X	0	1,268,295	79,638
(11) BENDOK MD BERNARD R...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,257,086	0	86,931
(12) WIECHMANN MD ROBERT J...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,256,025	0	84,057
(13) NOTTMEIER MD ERIC W...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,250,502	0	84,872
(14) LYONS MD MARK K...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,248,412	0	77,316
(15) ZIMMERMAN MD RICHARD S...................................................................... DIRECTOR	40.00 ................. 0.00	X					1,272,723	0	35,834
(16) DEEN JR MD HUGH G...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,224,163	0	35,821
(17) MURPHY JOSHUA B...................................................................... SECY/ASST SECY	40.00 ................. 0.00		X				1,158,473	0	93,961

(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) HOFFMAN III HARRY N........................................................................ TREASURER	40.00 .......................0.00		X			1,200,125	0	33,578
(19) GORES MD GREGORY J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	1,182,079	38,426
(20) GORMAN PAUL A........................................................................ CHIEF INVESTMENT OFFICER	40.00 .......................0.00			X		1,039,906	0	103,321
(21) OTLEY MD CLARK C........................................................................ DIRECTOR/PRESIDENT	1.00 .......................40.00	X	X			0	1,017,848	99,321
(22) WILLIAMSON MARY J........................................................................ DIR/SECY/ASST SECY/CAO MCHS	1.00 .......................40.00	X	X			0	963,652	99,886
(23) SHARMA MBBS MANISH S........................................................................ DIRECTOR	40.00 .......................0.00	X				968,346	0	79,743
(24) CIOTA MD MARK R........................................................................ DIRECTOR	40.00 .......................0.00	X				918,346	0	87,654
(25) MENKOSKY PAULA E........................................................................ DIR/SECY/ASST TREAS	40.00 .......................0.00	X	X			882,404	0	100,568
(26) FRASER CATHRYN H........................................................................ CHIEF HUMAN RESOURCES OFFICER	40.00 .......................0.00			X		847,355	0	95,327
(27) WILLIAMS MD AMY W........................................................................ DIR/VICE CHAIR/PHYSICIAN	40.00 .......................0.00	X	X	X		845,050	0	84,307
(28) HALAMKA MD JOHN D........................................................................ PRES-MAYO CLINIC PLATFORM	40.00 .......................0.00			X		845,152	0	78,508
(29) STEWART MD MICHAEL W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	817,761	0	95,096
(30) DECKER MBBCH GUSTAV A........................................................................ PRESIDENT INTERNATIONAL	40.00 .......................0.00			X		842,921	0	69,238
(31) ROSS CHRISTOPHER J........................................................................ CHIEF INFORMATION OFFICER	40.00 .......................0.00			X		825,220	0	84,932
(32) HEBL MD JAMES R........................................................................ DIR/PRES/CHAIR/REG VP-SWMN	1.00 .......................40.00	X	X			0	823,154	86,068
(33) RADEMACHER MD DANA E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	813,168	0	89,905
(34) ORTIZ MD JOSE A........................................................................ DIRECTOR	40.00 .......................0.00	X				792,103	0	107,274
(35) GILLIGAN SHERRI W........................................................................ CHIEF MARKETING OFFICER	40.00 .......................0.00			X		817,897	0	80,534
(36) RIHAL MD CHARANJIT S........................................................................ DIRECTOR	1.00 .......................40.00	X				0	792,951	101,850
(37) NOLTE DO CHARLES P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	811,661	0	80,679
(38) ZORN CHRISTINA K........................................................................ DIR/SECY/ASST TREAS	40.00 .......................0.00	X	X			797,976	0	81,633
(39) CHONG MD BRIAN W........................................................................ DIRECTOR	40.00 .......................0.00	X				770,825	0	96,161
(40) FONSECA MD RAFAEL........................................................................ DIRECTOR	40.00 .......................0.00	X				760,832	0	94,863
(41) WALD MD JOHN T........................................................................ DIRECTOR	1.00 .......................40.00	X				0	751,873	102,136
(42) DEVAULT MD KENNETH R........................................................................ DIRECTOR	40.00 .......................0.00	X				771,537	0	69,920
(43) HARA MD AMY K........................................................................ DIRECTOR	40.00 .......................0.00	X				749,870	0	89,889
(44) HELMERS MD RICHARD A........................................................................ DIR/CHAIR/PRES/REG VP-NWWI	1.00 .......................40.00	X	X			0	801,505	36,455
(45) MUELLER MD PAUL S........................................................................ DIR/CHAIR/REG VP-SWWI	1.00 .......................40.00	X	X			0	735,829	95,427
(46) ANDREWS MD PAUL E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			723,041	0	104,531
(47) COOPER MD LESLIE T........................................................................ DIRECTOR	40.00 .......................0.00	X				727,862	0	95,174
(48) MCKINNEY MD J MARK........................................................................ PHYSICIAN	40.00 .......................0.00			X		726,431	0	92,983
(49) PETERSON MD JEFFREY J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	735,546	0	82,858
(50) TERKONDA MD SARVAM P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	714,242	0	92,212
(51) STONE MD WILLIAM M........................................................................ FORMER OFFICER	40.00 .......................0.00				X	768,670	0	31,063
(52) PATEL MB TUSHAR C........................................................................ DIRECTOR	40.00 .......................0.00	X				711,782	0	87,918
(53) CROSS III MD WILLIAM W........................................................................ DIRECTOR	1.00 .......................40.00	X				0	710,375	81,167
(54) DOUGLAS MD DAVID D........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	711,395	0	78,296
(55) PEARSON MD SUSAN E........................................................................ FORMER OFFICER	40.00 .......................0.00				X	696,386	0	93,201
(56) HAKAIM MD ALBERT G........................................................................ DIRECTOR	40.00 .......................0.00	X				687,230	0	92,826
(57) MOSS MD ADYR A........................................................................ PHYSICIAN	40.00 .......................0.00			X		684,137	0	95,852
(58) SADOSTY MD ANNIE T........................................................................ DIR/CHAIR/REG VP-SEMN/FORMER OFFICER	1.00 .......................40.00	X	X			0	687,635	90,485
(59) TANER MD BURCIN C........................................................................ DIRECTOR	40.00 .......................0.00	X				693,015	0	82,162
(60) LEIGHTON MD JONATHAN A........................................................................ PHYSICIAN	40.00 .......................0.00			X		732,461	0	38,823
(61) BUSKIRK MD STEVEN J........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			713,056	0	37,196
(62) TING MD HENRY H........................................................................ DIRECTOR	40.00 .......................0.00	X				661,092	0	81,686
(63) LEIBOVICH MD BRADLEY C........................................................................ DIRECTOR	1.00 .......................40.00	X				0	653,271	85,135
(64) KENDRICK MD MICHAEL L........................................................................ DIRECTOR	1.00 .......................40.00	X				0	652,453	85,237
(65) UY MD JONATHAN J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	650,034	0	80,527
(66) MORICE MD WILLIAM G........................................................................ DIRECTOR	1.00 .......................40.00	X				0	636,966	88,540
(67) ANIL MD GOKHAN........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			639,700	0	79,236
(68) DOWDY MD SEAN C........................................................................ DIRECTOR	1.00 .......................40.00	X				0	629,150	83,579
(69) CASLER MD JOHN D........................................................................ DIRECTOR	40.00 .......................0.00	X				613,930	0	91,193
(70) CIMA MD ROBERT R........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	614,379	83,658
(71) JOHNSON MD DANIEL J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	587,814	0	100,391
(72) WHITED MD BRIAN L........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	600,632	87,002
(73) BRUCE MD CHARLES J........................................................................ DIRECTOR	40.00 .......................0.00	X				641,074	0	41,475
(74) TRENTMAN MD TERRENCE L........................................................................ PHYSICIAN	40.00 .......................0.00			X		583,948	0	96,822
(75) BAKKUM-GAMEZ MD JAMIE N........................................................................ DIRECTOR	1.00 .......................40.00	X				0	603,126	74,944
(76) THIEL MD DAVID D........................................................................ DIRECTOR	40.00 .......................0.00	X				601,294	0	76,028
(77) CHAPITAL MD ALYSSA B........................................................................ DIRECTOR	40.00 .......................0.00	X				594,502	0	78,501
(78) KEENAN MD LAWRENCE R........................................................................ DIRECTOR	1.00 .......................40.00	X				0	587,052	81,936
(79) ETZIONI MD DAVID A........................................................................ PHYSICIAN	40.00 .......................0.00			X		585,138	0	82,962
(80) MUELLER MD JEFF T........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	575,069	0	85,956
(81) BROWN MD MICHAEL J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	567,034	87,922
(82) ZIETLOW MD SCOTT P........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	608,427	35,592
(83) BARTLETT MD BRIAN N........................................................................ PHYSICIAN	40.00 .......................0.00			X		561,197	0	77,765
(84) MCLAUGHLIN MD SARAH A........................................................................ DIRECTOR	40.00 .......................0.00	X				584,838	0	53,982
(85) ROGERS JAMES A........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			548,077	0	86,666
(86) PASCUAL MD JORGE M........................................................................ DIRECTOR	40.00 .......................0.00	X				519,470	0	97,708
(87) RYAN MICHAEL J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	573,745	0	36,829
(88) NASSAR MD AZIZA........................................................................ PHYSICIAN	40.00 .......................0.00			X		524,126	0	86,270
(89) DRONCA MD ROXANA S........................................................................ DIRECTOR	40.00 .......................0.00	X				520,802	0	84,389
(90) KHOOR MD ANDRAS........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	529,313	0	74,552
(91) FREDERICK RYANNON K........................................................................ DIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X				531,233	0	70,975
(92) FRANCIS JAMES R........................................................................ DIRECTOR/ASST TREASURER	40.00 .......................0.00	X	X			501,254	0	98,968
(93) TAZELAAR MD HENRY D........................................................................ PHYSICIAN	40.00 .......................0.00			X		562,606	0	35,655
(94) KROSCH MD TARA C........................................................................ PHYSICIAN	40.00 .......................0.00			X		519,061	0	74,953
(95) ABENSTEIN MD JOHN P........................................................................ DIRECTOR	1.00 .......................40.00	X				0	555,916	35,797
(96) KRAHN MD LOIS E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			481,655	0	106,005
(97) HELLMICH MD THOMAS R........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X				0	481,846	90,087
(98) KIM MD HYUN I........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			479,465	0	90,954
(99) CHO LAWRENCE H........................................................................ COO - INTERNATIONAL	40.00 .......................0.00			X		520,812	0	49,060
(100) JOHNSON MD MARGARET M........................................................................ DIRECTOR	40.00 .......................0.00	X				470,830	0	91,313
(101) LIMPER MD ANDREW H........................................................................ DIRECTOR	1.00 .......................40.00	X				0	522,648	38,091
(102) ALBRIGHT JR DO ROBERT C........................................................................ REGIONAL VP SEMN	1.00 .......................40.00		X			0	465,677	90,789
(103) CULLINAN MD SUSAN M........................................................................ DIR/CHAIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X	X	X		456,045	0	99,856
(104) GOYAL MD DEEPI G........................................................................ DIRECTOR	1.00 .......................40.00	X				0	485,381	66,348
(105) DEWITT MD JASON J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	478,229	0	73,436
(106) KELLEY SHARON M........................................................................ CFO MCHS	40.00 .......................0.00		X			461,235	0	77,964
(107) SANTRACH MD PAULA J........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................40.00	X	X			0	516,918	18,327
(108) NARR MD BRADLY J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	498,081	33,925
(109) BUNKERS MD BRIAN E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			438,664	0	91,888
(110) PECK MD ROBERT C........................................................................ DIRECTOR	40.00 .......................0.00	X				434,595	0	85,384
(111) MCNEILL STEVEN L........................................................................ CHIEF PLANNING OFFICER	40.00 .......................0.00			X		478,252	0	37,327
(112) SILVERS MD SCOTT M........................................................................ PHYSICIAN	40.00 .......................0.00			X		427,111	0	87,260
(113) RIGDON ALICE W........................................................................ DIRECTOR/TREASURER	40.00 .......................0.00	X	X			489,489	0	15,897
(114) COSTAKOS MD DENNIS T........................................................................ DIRECTOR	40.00 .......................0.00	X				410,760	0	85,542
(115) MCALPINE MD DAVID A........................................................................ DIRECTOR	40.00 .......................0.00	X				426,776	0	68,200
(116) HORST ADAM M........................................................................ DIRECTOR	40.00 .......................0.00	X				459,716	0	24,571
(117) SOUSOU MD COSTA H........................................................................ PHYSICIAN	40.00 .......................0.00			X		389,776	0	93,616
(118) HORVATH MD PAUL R........................................................................ PHYSICIAN	40.00 .......................0.00			X		395,777	0	86,857
(119) URUMOV MD ANDREJ........................................................................ PHYSICIAN	40.00 .......................0.00			X		410,518	0	72,103
(120) OTTE KIMBERLY K........................................................................ ASST SECY	40.00 .......................0.00		X			393,986	0	86,453
(121) PRESUTTI DO RICHARD J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	386,294	0	91,543
(122) SEINOLA SCOTT A........................................................................ DIR/CEO/PRES/CHAIR/DIV CHAIR	40.00 .......................0.00	X	X	X		445,154	0	32,440
(123) FAUBION MD STEPHANIE S........................................................................ DIRECTOR	40.00 .......................1.00	X				278,464	119,763	75,143
(124) DEXTER MD DONN D........................................................................ PHYSICIAN	40.00 .......................0.00			X		383,830	0	87,776
(125) MESCHIA MD JAMES F........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	371,734	0	91,257
(126) YOUNG MD TIMOTHY J........................................................................ PHYSICIAN	40.00 .......................0.00			X		356,258	0	99,420
(127) KRIEN MD JOSEPH S........................................................................ PHYSICIAN	40.00 .......................0.00			X		370,252	0	83,977
(128) MORREY MICHAEL A........................................................................ DIR/REG CHAIR-ADMIN SWWI/FORMER OFFICER	1.00 .......................40.00	X	X			0	367,146	86,735
(129) NOE MD KATHERINE H........................................................................ DIRECTOR	40.00 .......................0.00	X				368,509	0	82,554
(130) EZENAGU MD LEONARD C........................................................................ DIRECTOR/SECY	40.00 .......................0.00	X	X			360,560	0	89,538
(131) LITCHY MD WILLIAM J........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	394,720	54,352
(132) SHERRILL TODD E........................................................................ TREAS/FORMER OFFICER	40.00 .......................0.00		X			352,596	0	95,436
(133) PIGNOLO MD PHD ROBERT J........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................40.00	X	X			0	350,053	93,188
(134) CRANE MD SARAH J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	357,461	78,072
(135) YUN MD BLENDA........................................................................ PHYSICIAN	40.00 .......................0.00			X		355,156	0	80,341
(136) HOLTAN DOUGLAS J........................................................................ DIRECTOR	1.00 .......................40.00	X	X			0	397,194	31,312
(137) KNUDSON STEVE L........................................................................ DIRECTOR	40.00 .......................0.00	X				387,103	0	32,084
(138) CHUKWUDELUNZU SR MD FELIX E........................................................................ PHYSICIAN	40.00 .......................0.00			X		327,514	0	91,192
(139) SIMPSON MD HENRY J........................................................................ PHYSICIAN	40.00 .......................0.00			X		338,055	0	80,369
(140) HIRISAVE KRISHNA MD BIPINCHANDRA........................................................................ PHYSICIAN	40.00 .......................0.00			X		336,275	0	79,346
(141) WEBER JOAN A........................................................................ DIRECTOR	40.00 .......................0.00	X				401,205	0	13,840
(142) CAVINESS MD JOHN N........................................................................ DIRECTOR	40.00 .......................0.00	X				376,508	0	37,844
(143) GADE CHRIS W........................................................................ CHIEF PUBLIC AFFAIRS OFFICER	40.00 .......................0.00			X		375,510	0	37,296
(144) FOSS MD RANDY M........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			335,129	0	76,590
(145) HERRMANN MD MARTIN J........................................................................ DIRECTOR	40.00 .......................0.00	X				324,257	0	85,475
(146) LANGBEHN DO JENNIFER M........................................................................ DIRECTOR	40.00 .......................0.00	X				323,056	0	85,950
(147) DIETER HEIDI L........................................................................ DIRECTOR	1.00 .......................40.00	X				0	345,558	61,713
(148) AGERTER MD DAVID C........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	375,065	31,004
(149) MERFELD MD JOHN........................................................................ PHYSICIAN	40.00 .......................0.00			X		321,764	0	82,550
(150) CONNOLLY TERESA L........................................................................ DIRECTOR	40.00 .......................1.00	X				229,883	86,120	86,109
(151) HUBERT SHERRY L........................................................................ ASST SECY	40.00 .......................0.00		X			300,966	0	99,693
(152) BRANDT TERRY L........................................................................ DIR/SECY/REG CHAIR-ADMIN SWMN	1.00 .......................40.00	X	X			0	370,206	30,261
(153) MYHRE MD KAREN K........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			308,357	0	91,560
(154) HORECKI MD RICHARD J........................................................................ PHYSICIAN	40.00 .......................0.00			X		315,241	0	83,809
(155) KOWAL DO GERALD K........................................................................ PHYSICIAN	40.00 .......................0.00			X		311,484	0	87,513
(156) KORDUCKI MD JANE M........................................................................ PHYSICIAN	40.00 .......................0.00			X		301,742	0	95,214
(157) ACKERMAN FRANKLIN K........................................................................ DIR/ASSOCIATE ADMIN	40.00 .......................0.00	X		X		308,978	0	86,908
(158) MORRIS MD MARIE E........................................................................ DIRECTOR/CHAIR	40.00 .......................0.00	X	X			306,593	0	88,951
(159) VIRAMONTES ALLISON L........................................................................ DIRECTOR/TREASURER	40.00 .......................0.00	X	X			376,223	0	19,238
(160) POWELL III MD RALPH........................................................................ DIRECTOR	40.00 .......................0.00	X				316,253	0	78,264
(161) FITZGERALD MD KEVIN........................................................................ PHYSICIAN	40.00 .......................0.00			X		314,512	0	79,781
(162) MATHEWS HILARY G........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	354,321	37,945
(163) STEVENS MD MARK K........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	318,469	0	4
(164) MOLLING DO PAUL E........................................................................ DIR/VICE CHAIR/VP MCHS - FMC	40.00 .......................0.00	X	X			309,342	0	80,812
(165) BLAIR MD DAVID........................................................................ FORMER OFFICER	40.00 .......................0.00				X	292,539	0	97,186
(166) LINDAHL ROGER A........................................................................ DIR/ASST SECY/ASST TREAS	40.00 .......................0.00	X	X			297,080	0	90,632
(167) LENHART MD JILL........................................................................ PHYSICIAN	40.00 .......................0.00			X		288,968	0	96,006
(168) ROBELIA MD PAUL M........................................................................ DIRECTOR	1.00 .......................40.00	X				0	297,684	84,658
(169) GREEN MD JEFFREY P........................................................................ FORMER OFFICER	40.00 .......................0.00				X	293,021	0	88,174
(170) HOLMES TINA E........................................................................ CHIEF OF STAFF	40.00 .......................0.00			X		300,406	0	78,837
(171) GOYAL MANEESH........................................................................ COO-MAYO CLINIC PLATFORM	40.00 .......................0.00			X		333,962	0	43,863
(172) CRAIG JASON E........................................................................ REGIONAL CHAIR-ADMIN NWWI	40.00 .......................0.00		X			305,672	0	64,643
(173) MEYERS ANN M........................................................................ DIR/FORMER OFFICER	1.00 .......................40.00	X				0	334,738	31,303
(174) GOLDMAN DANIEL S........................................................................ ASST SECY	40.00 .......................0.00		X			287,125	0	77,260
(175) LOCKETT KEVIN M........................................................................ DIRECTOR/TREASURER	40.00 .......................0.00	X	X			269,538	0	89,426
(176) MONEY MD SAMUEL R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	285,350	0	72,175
(177) JELINEK DIANE F........................................................................ DIRECTOR	40.00 .......................0.00	X				341,446	0	14,611
(178) SKAAR MD PHILLIP J........................................................................ DIRECTOR	40.00 .......................0.00	X				266,848	0	88,115
(179) NORBY MARK L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	281,666	0	65,905
(180) BERG DAVID W........................................................................ ADMIN - MCHS SEMN	40.00 .......................0.00			X		266,450	0	79,441
(181) MEKALA PRAVEEN........................................................................ TREAS/ASST TREAS/CFO MN	1.00 .......................40.00		X			266,592	57,692	20,176
(182) CROCKETT ERIC D........................................................................ DIR/SECY/REG CHAIR-ADMIN SEMN	1.00 .......................40.00	X	X			0	265,830	77,271
(183) GLENN SEAN W........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			264,364	0	78,152
(184) POE JOHN D........................................................................ DIRECTOR	1.00 .......................40.00	X				0	266,574	74,637
(185) ADLEMAN BREEANN M........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			261,050	0	79,176
(186) WHITE PAMELA K........................................................................ CHIEF NURSING OFFICER	40.00 .......................0.00			X		253,250	0	86,210
(187) THIEMANN KAY M........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	301,702	36,036
(188) TIGGELAAR THOMAS H........................................................................ FORMER OFFICER	40.00 .......................0.00				X	262,882	0	73,374
(189) LINDBERG STEVEN J........................................................................ DIR/VICE PRES/SECY/FORMER OFFICER	40.00 .......................0.00	X	X			259,799	0	76,223
(190) MURPHY MARIALENA........................................................................ ASSOC ADMIN	40.00 .......................0.00			X		263,598	0	72,293
(191) DILLON KEVIN R........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	257,617	77,296
(192) NORDRUM CHARLOTTE J........................................................................ FORMER OFFICER	40.00 .......................0.00				X	251,752	0	82,872
(193) GROSS TERA L........................................................................ DIRECTOR	40.00 .......................0.00	X				285,154	0	48,515
(194) HOLTZ MD CAROL P........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	268,481	59,163
(195) GALINDEZ JR PETER........................................................................ ASST SECY/FORMER OFFICER	40.00 .......................0.00		X			241,666	0	78,621
(196) GRENISEN MD MARGARET M........................................................................ PHYSICIAN	40.00 .......................0.00			X		238,381	0	80,326
(197) GABRIELSON SHARON R........................................................................ FORMER OFFICER	40.00 .......................0.00				X	243,001	0	75,219
(198) HANSEN JULIE S........................................................................ DIRECTOR/TREASURER/CFO WI	40.00 .......................0.00	X	X			281,227	0	35,679
(199) THORESON SCOTT D........................................................................ DIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X				260,756	0	55,588
(200) DEGEN SUSANNE C........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	251,183	0	64,776
(201) ROTTY BRIAN W........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	239,338	67,002
(202) PARKS DOUGLAS A........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	270,652	34,960
(203) MELVIN KEVIN B........................................................................ ASST SECY	1.00 .......................40.00		X			0	227,361	77,557
(204) BYRD MD JANE D........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			217,695	0	86,878
(205) BROWN MICHAEL E........................................................................ FORMER OFFICER	40.00 .......................0.00				X	230,666	0	66,925
(206) TRAUB MD STEPHEN J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	222,498	0	68,812
(207) HANSON VICTORIA M........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		223,137	0	66,338
(208) LEBRASSEUR NATHAN K........................................................................ DIRECTOR	1.00 .......................40.00	X				0	218,164	66,285
(209) CAPLAN SHERRY M........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		225,346	0	50,417
(210) FALLER MD ANNETTE........................................................................ PHYSICIAN	40.00 .......................0.00			X		226,623	0	48,676
(211) BROWN WILLIAM A........................................................................ ASST TREASURER	40.00 .......................0.00		X			244,561	0	29,906
(212) JOHNSON RYAN R........................................................................ DIRECTOR	1.00 .......................40.00	X				0	216,505	56,048
(213) GUDGELL STEPHEN F........................................................................ TREASURER/SECY	1.00 .......................40.00		X			0	242,228	29,347
(214) COGNETTA-RIEKE CHERISTI M........................................................................ CHIEF NURSING OFFICER	40.00 .......................1.00			X		141,786	76,311	53,073
(215) MARTIN DAVID L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	207,780	0	62,749
(216) HANSEN GAYLE B........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	194,316	0	75,574
(217) DAVIS AMY L........................................................................ SECRETARY	40.00 .......................0.00		X			203,003	0	65,082
(218) EBERLE MICHELE R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	216,450	0	51,182
(219) EIDE DEAN B........................................................................ DIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X				220,812	0	45,609
(220) SLEGH KERI A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	195,177	0	69,517
(221) JOHNSON CARLA J........................................................................ ASST SECY	40.00 .......................0.00		X			212,755	0	51,813
(222) MATTHIAS MARK A........................................................................ FORMER OFFICER	40.00 .......................0.00				X	177,542	0	82,429
(223) FROISLAND JEFFREY R........................................................................ DIR/TREAS/FORMER OFFICER	40.00 .......................0.00	X	X			236,749	0	20,745
(224) SANDGREN KENT A........................................................................ DIRECTOR	1.00 .......................40.00	X				0	227,558	27,677
(225) DRUCKER PAUL E........................................................................ DIRECTOR/VICE PRESIDENT	1.00 .......................40.00	X	X			0	184,332	64,543
(226) MCCONNELL LISA A........................................................................ DIRECTOR	40.00 .......................0.00	X				193,707	0	50,186
(227) DALBELLO JR ALBERT........................................................................ DIRECTOR/SECRETARY	1.00 .......................40.00	X	X			0	179,004	63,284
(228) LOHKAMP CHRISTIE A........................................................................ ASST TREASURER	40.00 .......................0.00		X			199,438	0	41,305
(229) LONG AMY K........................................................................ DIRECTOR	40.00 .......................0.00	X				177,253	0	46,572
(230) ENQUIST MARK A........................................................................ DIR/SECY/TREASURER	1.00 .......................40.00	X	X			0	195,165	26,812
(231) WILKER MD CAROLINE G........................................................................ PHYSICIAN	40.00 .......................0.00			X		184,873	0	35,445
(232) LANZ APRIL D........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		169,576	0	50,019
(233) KUEHL MD MARY J........................................................................ DIRECTOR	40.00 .......................0.00	X				146,378	0	71,563
(234) RUSTAD CHRISTOPHER D........................................................................ DIR/SECY/TREASURER	1.00 .......................40.00	X	X			0	176,869	33,306
(235) LANZEL TRICIA G........................................................................ DIRECTOR/CHAIR	40.00 .......................0.00	X	X			143,505	0	51,028
(236) EVENSON LAURA K........................................................................ DIRECTOR	40.00 .......................0.00	X				150,001	0	39,192
(237) JOHNSON KIRBY A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	150,551	0	36,708
(238) NESSE MD ROBERT E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	174,693	0	1,032
(239) FENNELL THOMAS J........................................................................ ASST SECY	40.00 .......................0.00		X			134,774	0	38,169
(240) FEHMI RASHID A........................................................................ TREASURER	40.00 .......................0.00		X			130,476	0	32,082
(241) KRUMM TARA L........................................................................ DIRECTOR	40.00 .......................0.00	X				118,512	0	42,858
(242) SMOLDT CRAIG A........................................................................ DIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X				124,620	0	8,695
(243) FISCHER DEBORAH R........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	104,404	0	11,332
(244) PRIEST WILLIAM F........................................................................ SECY	40.00 .......................0.00		X			59,082	0	43,972
(245) AKKERMAN ROBIN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(246) BAKER SALLY CHASE........................................................................ DIRECTOR/PRESIDENT	1.00 .......................0.00	X	X			0	0	0
(247) BECKER JOHN........................................................................ DIRECTOR/TREAS/CHAIR	1.00 .......................0.00	X	X			0	0	0
(248) BENTS IAN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(249) BERGERON-BOWE MELISSA........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X			0	0	0
(250) BOE RUSSELL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(251) BOHL HEIDI........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(252) BORSHEIM PAUL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(253) BROLSMA GREG........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(254) CADMAN BERWYN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(255) CARPENTER MARK........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X			0	0	0
(256) CHRISTENSEN SISTER GEORGIA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(257) CLARK DIANE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(258) CRANDALL DAVID........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(259) ELSBERND SISTER HELEN........................................................................ DIRECTOR/SECRETARY	1.00 .......................0.00	X	X			0	0	0
(260) FLANNERY BRENDA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(261) FLORES JAZMINE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(262) FOOT III SILAS B........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(263) GRUBER JOHN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(264) HALOM MARTIN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(265) HERRICK DDS JAMES V........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(266) JACOBSON ROSEMARY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(267) KASPER JOHN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(268) LANZER LORI........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(269) LARDY TRACI........................................................................ DIRECTOR/SECY/TREASURER	1.00 .......................0.00	X	X			0	0	0
(270) LEGARE GREG........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(271) LUETH MELISSA M........................................................................ DIRECTOR/VICE CHAIR/SECY	1.00 .......................0.00	X	X			0	0	0
(272) MAHN DAVID........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(273) MARTIN DOUG........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(274) MASON SHARI........................................................................ DIR/SECY/TREASURER	1.00 .......................0.00	X	X			0	0	0
(275) MATHY SCOTT........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(276) MCGRAW COLLEEN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(277) MCHUGH JOHN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(278) MOUW JEROMY J........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(279) OLIVER TRACY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(280) OLSON BENJAMIN D........................................................................ DIRECTOR/TREASURER	1.00 .......................0.00	X	X			0	0	0
(281) PATSCHE WANDA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(282) PERRY MICHAEL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(283) RIEBE DANIEL........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(284) ROSERA MIKE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(285) SCHAUFENBUEL KIM........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(286) SCHMIDT JAMES........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(287) SCHOENBAUER BRAD........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(288) SNEE TAMMY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(289) TONN BECKY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(290) TYDRICH SISTER JULIE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(291) WALTER DALE........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(292) WALTER KEVIN........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(293) WILSON MELISSA........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(294) YOUNG DDS RICHARD B........................................................................ DIRECTOR/VICE PRESIDENT	1.00 .......................0.00	X	X			0	0	0
(295) ZELMS ALISON........................................................................ DIRECTOR	1.00 .......................0.00	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	80,973,931
MORRISON MANAGEMENT SPECIALISTS 400 NORTHRIDGE RD STE 600 SANDY SPRINGS,GA30350	FOOD SERVICES	62,762,848
MCCARTHY BUILDING COMPANIES INC 1341 N ROCK HILL RD ST LOUIS,MO63124	CONSTRUCTION SERVICES	54,361,823
MAYO CLINIC 200 1ST ST SW ROCHESTER,MN55905	MEDICAL & SUPPORT SERVICES	39,822,272
DPR CONSTRUCTION 222 N 44TH ST PHOENIX,AZ85034	CONSTRUCTION SERVICES	37,233,350
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 1,172

- 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

2020

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		241,997	0

Total 1					241,997	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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	104,491,407	531,689,057	334,410,090	222,673,897	206,236,779	1,399,501,230
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	104,491,407	531,689,057	334,410,090	222,673,897	206,236,779	1,399,501,230
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)..						65,665,477
6	Public support. Subtract line 5 from line 4.						1,333,835,753

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..	104,491,407	531,689,057	334,410,090	222,673,897	206,236,779	1,399,501,230
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	10,137,486	19,317,703	8,186,742	23,447,811	20,219,184	81,308,926
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	351,384	621,091	526,062	212,410	3,079,355	4,790,302
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						1,485,600,458

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

3,384,129,542

First 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

89.780 %

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

90.750 %

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 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 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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 SEVENTEEN SUBORDINATES ARE CLASSIFIED AS HOSPITALS. TWO OF THE REMAINING SUBORDINATES ARE CLASSIFIED AS ORGANIZATIONS THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF THEIR SUPPORT FROM GOVERNMENT UNITS OR THE GENERAL PUBLIC. PART II, SECTION A (PUBLIC SUPPORT SCHEDULE) WAS COMPLETED FOR THESE SUBORDINATES. 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 II: SUPPORT SCHEDULE	BLOOMER LAKEVIEW, INC. IS A SUBORDINATE ORGANIZATION INCLUDED IN THE MAYO CLINIC GROUP RETURN BEGINNING TAX YEAR 2020 AND IS A PUBLIC CHARITY AS AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC. BLOOMER LAKEVIEW, INC. CHANGED THEIR ACCOUNTING PERIOD FROM A SEPTEMBER YEAR-END TO A DECEMBER YEAR-END BY FILING A SHORT-PERIOD RETURN FOR THE PERIOD OCTOBER 1, 2019 TO DECEMBER 31, 2019. AS SUCH, THEIR 5-YEAR COMPUTATION PERIOD FOR THEIR PART II SUPPORT SCHEDULE INCLUDES A SHORT YEAR.
PART III: SUPPORT SCHEDULE FOR 509(A)(2)	PART III: SUPPORT SCHEDULE SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 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 (A) 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 (B) 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 (B) 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 (C) 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 (C) 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 (D) 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 (D) 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 (E) 2020 LINE 1: 3,177,838 LINE 2: 2,002,811,664 LINE 3: 30,906 LINE 4: 0 LINE 5: 0 LINE 6: 2,006,020,408 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,006,020,408 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2020 LINE 9: 2,006,020,408 LINE 10A: 12,186,475 LINE 10B: 3,299,978 LINE 10C: 15,486,453 LINE 11: 0 LINE 12: 0 LINE 13: 2,021,506,861 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1: 12,476,113 LINE 2: 8,899,647,733 LINE 3: 158,395 LINE 4: 0 LINE 5: 0 LINE 6: 8,912,282,241 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 8,912,282,241 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 8,912,282,241 LINE 10A: 90,587,810 LINE 10B: 10,506,145 LINE 10C: 101,093,955 LINE 11: 0 LINE 12: 967,815 LINE 13: 9,014,344,011 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2020: 98.87% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2019: 98.81% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2020: 1.12% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2019: 1.18% 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) 2020

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

2020

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

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

2020

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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? ...........................................................

Yes

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

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

Yes

1,327,121

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

Yes

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

Yes

407,000

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

1,734,121

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 2020, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS ISSUES RELATED TO PANDEMIC RESPONSE AS WELL AS 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. MANY DISCUSSIONS WERE HELD VIRTUALLY TO ENSURE SAFETY IN THE PANDEMIC ENVIRONMENT. 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 2020, 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 AS WELL AS MAYO'S SUPPORT FOR THE RESPONSE TO THE COVID-19 PANDEMIC. IN ADDITION TO CORRESPONDENCE, MAYO EXPRESSES ITS PERSPECTIVE ON POLICY ISSUES VIA EDITORIALS AND IN RESPONSES TO MEDIA INQUIRIES. ON OCCASION, MAYO'S POLICY PERSPECTIVE MAY BE INCLUDED IN THE SPEECH CONTENT OF MAYO LEADERS. 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 2020, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $1,087,466. 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 2020, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS ISSUES RELATED TO PANDEMIC RESPONSE AS WELL AS 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. MANY DISCUSSIONS WERE HELD VIRTUALLY TO ENSURE SAFETY IN THE PANDEMIC ENVIRONMENT. 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 2020, 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 AS WELL AS MAYO'S SUPPORT FOR THE RESPONSE TO THE COVID-19 PANDEMIC. IN ADDITION TO CORRESPONDENCE, MAYO EXPRESSES ITS PERSPECTIVE ON POLICY ISSUES VIA EDITORIALS AND IN RESPONSES TO MEDIA INQUIRIES. ON OCCASION, MAYO'S POLICY PERSPECTIVE MAY BE INCLUDED IN THE SPEECH CONTENT OF MAYO LEADERS. 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 2020, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $1,087,466. 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) 2020

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

2020

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) 2020

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	2,846
d	Additions during the year ............................	1d	853
e	Distributions during the year ..........................	1e	2,476
f	Ending balance ................................	1f	1,223

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 ....	581,677,751	643,594,273	675,799,917	563,023,595	439,084,796
b	Contributions ...	15,205,665	24,924,499	22,664,654	26,381,268	201,427,649
c	Net investment earnings, gains, and losses	88,044,445	78,187,578	15,430,166	112,420,743	23,873,232
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	16,109,580	165,028,599	70,300,464	26,025,689	101,362,082
f	Administrative expenses ....
g	End of year balance ......	668,818,281	581,677,751	643,594,273	675,799,917	563,023,595

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

Board designated or quasi-endowment SchDMd Bullet

39.260 %

Permanent endowment SchDMd Bullet

41.690 %

Term endowment SchDMd Bullet

19.050 %

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 .....	136,677,877		136,677,877
b	Buildings ....	4,595,453,534	2,446,666,392	2,148,787,142
c	Leasehold improvements	11,251,119	7,724,860	3,526,259
d	Equipment ....	2,594,558,562	1,834,434,239	760,124,323
e	Other .....	407,360,617		407,360,617
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,456,476,218

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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	1,018,695,602	F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,018,695,602

Part VIII

Investments - Program 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				5,231,721,455
(2)ART				420,000
(3)CONTRIBUTED ASSETS PENDING DISPOSAL				1,423,097
(4)GIFT ANNUITIES				136,360,142
(5)RELOCATION HOUSES				917,231
(6)OTHER LONG TERM ASSETS				49,666,061
(7)TRUSTS				9,019,844
(8)DEFERRED INCOME TAX ASSET				401,801
(9)TECH BASED VENTURES				81,452,131
(10)BOND RELATED INVESTMENTS				124
(11)ASSETS HELD BY TRUSTEES				54,247
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				5,511,436,133

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	126,562
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,900,753,895
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) 2020

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, 2020 AND 2019, 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) 2020

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

2020

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	56	TRAVEL		85,865
	EAST ASIA AND THE PACIFIC	0	37	TRAVEL		29,407
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	173	TRAVEL		223,385
	MIDDLE EAST AND NORTH AFRICA	0	178	TRAVEL		1,133,848
	NORTH AMERICA	0	96	TRAVEL		84,625
	RUSSIA AND THE NEIGHBORING STATES	0	0	TRAVEL
	SOUTH AMERICA	0	30	TRAVEL		39,191
	SOUTH ASIA	0	10	TRAVEL		11,306
	SUB-SAHARAN AFRICA	0	18	TRAVEL		29,768
	CENTRAL AMERICA AND THE CARIBBEAN	1	4	PROGRAM SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	159,737
	NORTH AMERICA	2	2	PROGRAM SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	279,674
	SOUTH AMERICA	2	3	PROGRAM SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	127,208
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	1	PROGRAM SERVICES	PATIENT CARE	15,200
	MIDDLE EAST AND NORTH AFRICA	0	15	PROGRAM SERVICES	PATIENT CARE	199,165
	NORTH AMERICA	0	1	PROGRAM SERVICES	CONSULTING	360
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		900,000
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS		13,634,000
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS		2,202,000
	CENTRAL AMERICA AND THE CARIBBEAN	0	2	SERVICES PURCHASED	MARKETING	375,655
	EAST ASIA AND THE PACIFIC	0	9	SERVICES PURCHASED	MARKETING	420,547
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	2	SERVICES PURCHASED	MARKETING	36,160
	MIDDLE EAST AND NORTH AFRICA	0	5	SERVICES PURCHASED	MARKETING	1,211,558
	NORTH AMERICA	0	3	SERVICES PURCHASED	MARKETING	195,668
	SOUTH AMERICA	0	0	SERVICES PURCHASED	MARKETING
3a	Sub-total ....	0	580			1,607,627
b	Total from continuation sheets to Part I ...	5	65			19,786,700
c	Totals (add lines 3a and 3b)	5	645			21,394,327

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

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
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARDS	89,851	CHECK, ELECTRONIC	0
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	106,970	CHECK, ELECTRONIC	0
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	196,157	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	336,416	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	24,370	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	30,730	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	19,170	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	38,590	CHECK, ELECTRONIC	0
NORTH AMERICA	RESEARCH SUBAWARDS	9,300	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 .......................	9

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 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) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

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 FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 1C, 4, AND 5C FILER WITH RESPECT TO THE SPECIFIED FOREIGN CORPORATIONS (SFCS) AND CONTROLLED FOREIGN CORPORATIONS (CFCS) LISTED BELOW. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE SFCS AND CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. ADDITIONAL SFCS AND CFCS REQUIRING THE FILING OF FORMS 5471 MAY BE IDENTIFIED BY THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW AFTER THE TAXPAYER'S FILING DATE. THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW WILL SATISFY THE FILING REQUIREMENTS OF FORMS 5471 FOR ANY ADDITIONAL SFCS AND CFCS NOT IDENTIFIED BELOW. 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: OGDEN, UT 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: OGDEN, UT SPECIFIED FOREIGN CORPORATIONS AND CONTROLLED FOREIGN CORPORATIONS REQUIRING THE FILING OF FORM 5471: ATRIAN MEDICAL LTD UNIT 204, BUSINESS INNOVATION CENTRE, NATIONAL UNIVERSITY OF IRELAND GALWAY, H91 TK33, IRELAND BAIN CAPITAL CREDIT CLO 2017-2, LTD C/O MAPLESFS, LTD, PO BOX 1903, BOUNDARY HALL, CRICKET SQUARE GRAND CAYMAN, KY1-1102, CAYMAN ISLANDS REF#: BAINCAPITALCREDITCLO20172LTD EBA MED SA AVENUE DE SECHERON 15, CH-1202 GENEVA, SWITZERLAND REF#: EBAMEDSA ENERGY CAPITAL PARTNERS MEZZANINE OPPORTUNITIES FUND OFFSHORE FEEDER AIV, LP 40 BEECHWOOD ROAD SUMMIT, NJ 07901 EIN: 98-1278544 MAYO CLINIC (UK) LTD 3 MORE LONDON RIVERSIDE LONDON, SE1 2AQ, UNITED KINGDOM REF#: MCMCUKL MAYO INSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN, KY1-1102, CAYMAND ISLANDS REF#: MCMICL MC ALLIANCE LTD C/O SERVICES CAYMAN LIMITED, PO BOX 10008 WILLOW HOUSE, CRICKET SQUARE, GRAND CAYMAN CJ KY EIN: 98-1527769 SIT ALPHA II BOND FUND, LTD C/O APPLEBY TRUST (CAYMAN) LTD, CLIFTON HOUSE 75 FORT STREET, PO BOX 1350 GRAND CAYMAN, CAYMAN ISLANDS EIN: 98-0648163 WUXI DIAGNOSTICS LAB (SHIJIAZHUANG) CO, LTD RM 1245, BUILDING 5, 319 CHANGJIANG AVE, GAOXIN DISTRICT, SHIJIAZHUANG, CHINA REF#: WUXISHIJIAZHUANG WUXI DIAGNOSTICS LAB (WUXI) CO, LTD ROOM 306, NO 88 MEILIANG ROAD, BINHU DISTRICT, WUXI CITY, JIANGSU PROVINCE, CHINA REF#: WUXIDIAGNOSTICSLAB WUXI DIAGNOSTICS MEDICAL TESTING INSTITUTE (SHANGHAI) CO, LTD SECTION A 1ST FLOOR BUILDING 104, NO 1-30 LANE 88 MIN BEI ROAD MINHANG DISTRICT, SHANGHAI, CHINA REF#: WUXIDIAGNOSTICSSHANGHAI DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS (CFPS), 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. ADDITIONAL CFPS REQUIRING THE FILING OF FORMS 8865 MAY BE IDENTIFIED BY THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW AFTER THE TAXPAYER'S FILING DATE. THE OTHER U.S. TAXPAYERS IDENTIFIED BELOW WILL SATISFY THE FILING REQUIREMENTS OF FORMS 8865 FOR ANY ADDITIONAL CFPS NOT IDENTIFIED BELOW. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH FORMS 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT APPIAN NATURAL RESOURCES FUND (HG AIV) L.P. 47 ESPLANADE ST. HELIER, JERSEY JE1 0BD APPIAN NATURAL RESOURCES FUND (NV) L.P. 47 ESPLANADE ST. HELIER, JERSEY JE1 0BD ABINGWORTH BIOVENTURES VII LP 38 JERMYN ST. LONDON, UNITED KINGDOM, W1Y 6DN ANRH COOPERATIEF U.A. ZUIDPLEIN 126, WTC, TOWER H, 15TH FL. AMSTERDAM, THE NETHERLANDS, 1077 XV ARVO, LLC C/O WALKERS CORP. LTD, CAYMAN CORPORATE CENTRE, 27 HOSPITAL ROAD GEORGE TOWN, CAYMAN ISLANDS, KY1-9008 BAIN CAPITAL ASIA FUND II, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL ASIA FUND III, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL EUROPE FUND IV, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL EUROPE FUND V, SCSP 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL FUND XII, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BAIN CAPITAL SPECIAL SITUATIONS ASIA, L.P. 200 CLARENDON ST., FL 41 BOSTON, MA UNITED STATES, 02116-5016 BLACK RIVER FOOD FUND 2 LP 33 S. 6TH ST., SUITE 4100 MINNEAPOLIS, MN, UNITED STATES, 55402 BLACKSTONE REAL ESTATE PARTNERS (OFFSHORE) VIII-NQ L.P. C/O THE BLACKSTONE GROUP, 345 PARK AVE. NEW YORK, NY, UNITED STATES, 10154 BLACKSTONE REAL ESTATE PARTNERS EUROPE V L.P. C/O THE BLACKSTONE GROUP, 345 PARK AVE. NEW YORK, NY, UNITED STATES, 10154 BLACKSTONE REAL ESTATE PARTNERS EUROPE V-NQ L.P. C/O THE BLACKSTONE GROUP, 345 PARK AVE. NEW YORK, NY, UNITED STATES, 10154 BVCF III, L.P. 190 ELGIN AVE. GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9005 BVCF IV, L.P. C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9008 BVCF REALIZATION FUND, L.P., C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9008 CANAAN X L.P 285 RIVERSIDE AVE., STE 250 WESTPORT, CT UNITED STATES, 06880 CANAAN XI L.P 285 RIVERSIDE AVE., STE 250 WESTPORT, CT UNITED STATES, 06880 CREDIT SOLUTIONS INDIA HOLDCO PTE LTD 77 ROBINSON RD #13-00 SINGAPORE, SINGAPORE, SN 068896 CVC CAPITAL PARTNERS VI (A) L.P. 27 ESPLANADE ST. HELIER, JERSEY, JE1 1SG CVC CAPITAL PARTNERS VII (A) L.P. 27 ESPLANADE ST. HELIER, JERSEY, JE1 1SG EAGLE HOLDINGS LIMITED FIRST FLOOR, JUBILEE BUILDINGS, VICTORIA STREET DOUGLAS, ISLE OF MAN, IM1 2SH EQT CAMERA SIDE CAR (NO.2) SCSP 26A BLVD ROYAL LUXEMBOURG, LUXEMBOURG, L-2449 EQT VIII (NO.2) SCSP 26A BLVD ROYAL LUXEMBOURG, LUXEMBOURG, L-2449 EVOLUTION FUND I, L.P. C/O MSVC GP LTD, STE 905-6, 9/F ICBC TOWER, 3 GARDEN RD HONG KONG, HONG KONG GREAT HILL EQUITY PARTNERS VI-A, LP C/O CO SERVICES CAYMAN LTD, P.O. BOX 10008, WILLOW HOUSE, CRICKET SQUARE GRAND CAYMAN, CAYMAN ISLANDS, KY1-1001 GREENSTONE RESOURCES II L.P. PO BOX 656, E. WING, TRAFALGAR COURT, LES BANQUES ST PETER PORT, GUERNSEY, GY1 3PP IDG CHINA CAPITAL FUND III LP UNIT 5505, 55/F, THE CENTER, 99 QUEEN'S RD CENTRAL HONG KONG, HONG KONG IDG CHINA VENTURE CAPITAL FUND V L.P. UNIT 5505, 55/F, THE CENTER, 99 QUEEN'S RD CENTRAL HONG KONG, HONG KONG INCE CAPITAL PARTNERS, L.P. CAYMAN CORP. CENTRE, 27 HOSPITAL RD GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, CJ KY1-9008 KEROGEN DIGITAL SOLUTIONS, L.P. C/O INTERTRUST CORP. SERVICES (CAYMAN) LTD, 190 ELGIN AVE. GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9005 KEROGEN FUND II INVESTMENTS HOLDING LIMITED C/O INTERTRUST CORP. SERVICES (CAYMAN) LTD, 190 ELGIN AVE. GEORGE TOWN, GRAND CAYMAN, CAYMAN ISLANDS, KY1-9005 KILDARE EUROPEAN PARTNERS II, LP CLARENDON HOUSE, 2 CHURCH ST. HAMILTON, BERMUDA, HM 11 KKR ASIAN FUND III L.P. C/O KOHLBERG KRAVIS ROBERTS & CO., 9 W. 57TH ST. NEW YORK, NY UNITED STATES, 10019 MARIETTE HOLDINGS LIMITED 13-14 ESPLANADE ST. HELIER, JERSEY, JE1 1BD MORNINGSIDE CHINA TMT FUND IV, L.P. C/O MORNINGSIDE CHINA TMT GP IV, L.P., STE 905-6, 9/F ICBC TOWER, THREE GARDEN RD HONG KONG MORNINGSIDE CHINA TMT SPECIAL OPPORTUNITY FUND II, L.P. C/O MORNINGSIDE CHINA TMT GP IV, L.P., STE 905-6, 9/F ICBC TOWER, THREE GARDEN RD HONG KONG OAKTREE OPPORTUNITIES FUND IX AIF CAYMAN, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE OPPORTUNITIES FUND IX, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE OPPORTUNITIES FUND X AIF CAYMAN, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE PRINCIPAL FUND V RESTRUCTURING AIV (CAYMAN), L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 OAKTREE PRINCIPAL FUND V, L.P. 333 S. GRAND AVE., 28TH FL. LOS ANGELES, CA UNITED STATES, 90071 PLUTUS ENERGY INVESTMENTS HOLDING LIMITED 28 ESPLANADE ST HELIER, JERSEY, JE1 8S
PART IV - FILING OF CERTAIN FOREIGN FORMS	PMI CANADA HOLDINGS LP 1055 W. GEORGIA ST. VANCOUVER, CANADA, BC V6E 4N7 PMI HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 PMI INTERMEDIATE HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 PROVIDENCE EQUITY PARTNERS VII LP 50 KENNEDY PLAZA, 18TH FL. PROVIDENCE, RI UNITED STATES, 02903 SAIF PARTNERS INDIA V LIMITED IFS COURT, BANK ST., TWENTYEIGHT, CYBERCITY EBENE, REPUBLIC OF MAURITIUS, 72201 SAIF PARTNERS INDIA VI LIMITED IFS COURT, BANK ST., TWENTYEIGHT, CYBERCITY EBENE, REPUBLIC OF MAURITIUS, 72201 SEQUOIA CAPITAL CHINA GROWTH FUND IV, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL CHINA GROWTH FUND V, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL CHINA GROWTH FUND VI, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL CHINA VENTURE FUND VII, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL GLOBAL GROWTH FUND III ENDURANCE PARTNERS, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL INDIA IV, LTD 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL INDIA V, LTD 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL INDIA VI, LTD 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US GROWTH FUND VII, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US GROWTH FUND VIII, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US VENTURE FUND XV, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SEQUOIA CAPITAL US VENTURE FUND XVI, L.P. 2800 SAND HILL RD, STE 101 MENLO PARK, CA UNITED STATES, 94025 SHORELINE CHINA VALUE III, L.P. FOLIO CHAMBERS, P.O. BOX 800, RD TOWN TORTOLA, BRITISH VIRGIN ISLANDS SHUBH HOLDINGS PTE LTD 77 ROBINSON RD #13-00 SINGAPORE, SINGAPORE, SN 068896 TCV IX (A), L.P. 250 MIDDLEFIELD RD MENLO PARK, CA UNITED STATES, 94025 TCV X, L.P. 250 MIDDLEFIELD RD MENLO PARK, CA UNITED STATES, 94025 THE SOCIAL+CAPITAL PARTNERSHIP III, L.P. 317 UNIVERSITY AVE., #200 PALO ALTO, CA UNITED STATES, 94301 THE VARDE FUND XIII (B) (FEEDER), L.P. C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, CAYMAN ISLANDS, KY1-9008 THE VARDE FUND XIII, L.P. C/O WALKERS CORP. LTD, 27 HOSPITAL RD GEORGE TOWN, CAYMAN ISLANDS, KY1-9008 TPC CANADA HOLDINGS LIMITED PARTNERSHIP 1055 W. GEORGIA ST. VANCOUVER, CANADA, BC V6E 4N7 TPC HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 TPC INTERMEDIATE HOLDING COMPANY LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104 VARDE HOLDINGS PTE LTD 77 ROBINSON RD #13-00 SINGAPORE, SINGAPORE, SN 068896 WIND POINT PARTNERS IX-A, LP 676 N. MICHIGAN AVE., STE 3700 CHICAGO, IL UNITED STATES, 60611 WIND POINT PARTNERS VIII-A GLOBAL LP UGLAND HOUSE, P.O. BOX 309 GRAND CAYMAN, CAYMAN ISLANDS, KY1-1104

Schedule F (Form 990) 2020

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

2020

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) . . .	63,491,014		63,491,014	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .	612,842,913	315,840,420	297,002,493	2.830 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	676,333,927	315,840,420	360,493,507	3.440 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,388,382	1,005	2,387,377	0.020 %
f	Health professions education (from Worksheet 5) . . .	117,452,587	18,111,478	99,341,109	0.950 %
g	Subsidized health services (from Worksheet 6) . . . .	477,040,343	293,187,560	183,852,783	1.750 %
h	Research (from Worksheet 7) .	195,103,569	127,027,583	68,075,986	0.650 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,061,669		2,061,669	0.020 %
j	Total. Other Benefits . .	794,046,550	438,327,626	355,718,924	3.390 %
k	Total. Add lines 7d and 7j .	1,470,380,477	754,168,046	716,212,431	6.830 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	453,244	453,244	0 %
4	Environmental improvements	193	193	0 %
5	Leadership development and training for community members
6	Coalition building	187,223	187,223	0 %
7	Community health improvement advocacy
8	Workforce development	166,626	166,626	0 %
9	Other
10	Total	807,286	807,286	0 %

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. ......

176,876,776

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).....

1,566,645,017

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

1,860,635,712

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

-293,990,695

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) 2020

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		CANCER & SURGERY CENTER	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			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		CLINIC, RESEARCH	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	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			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	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	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, CARE CENTER	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	C

Schedule H (Form 990) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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) 2020

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 2019, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-MANKATO: HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED LOCAL EXPERT TO SPEAK ON RESILIENCY TO OVER 35 MEMBERS OF THE CHAMBER'S YOUNG PROFESSIONALS GROUP.PROVIDED $16,500 IN FUNDING FOR 6 ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR STAFF DURING THE PANDEMIC.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED.RECORDED PRESENTATION ON MENTAL WELL-BEING FOR VINE FAITH IN ACTION. 42 VIDEO VIEWS.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MANKATO:CO-HOSTED THE OPIOID FIX VIEWING AND PANEL DISCUSSION ON JAN. 29 WITH MINNESOTA STATE UNIVERSITY, MANKATO WITH OVER 375 ATTENDEES.PARTICIPATED IN THE AMERICAN LUNG ASSOCIATION TOBACCO WORKGROUP, STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM MEETINGS AND THE NICOLLET COUNTY CHEMICAL WELLNESS ADVOCATE COALITION.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC)CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MANKATO:PROVIDED A COMMUNITY GARDEN AT EASTRIDGE CLINIC AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS.PARTNERED WITH MANKATO AREA PUBLIC SCHOOLS TO OFFER A MONTH-LONG WELLNESS CHALLENGE FOR THEIR EMPLOYEES, INCLUDING WEEKLY WELLNESS WEBINAR. 190 EMPLOYEES ACTIVELY PARTICIPATED WITH INFORMATION SENT TO 1,200 EMPLOYEES. ALSO PROVIDED MANKATO AREA PUBLIC SCHOOLS 1,200 MAYO CLINIC ROAD TO BETTER HEALTH CALENDARS FOCUSING ON A MONTHLY HEALTH TIP.PROVIDED $20,000 FINANCIAL SUPPORT AND OVER $2,500 IN-KIND SUPPORT TO THE CHILDREN'S MUSEUM FOR WELLNESS CONTENT PROVIDED TO MUSEUM MEMBERS AND GUESTS; PROVIDED GUEST EXPERTS AT MUSEUM PROGRAMMING SUCH AS TODDLER WEDNESDAY AND PROVIDED WEEKLY WELLNESS WEDNESDAY SOCIAL MEDIA POSTS. MUCH MORE WAS PLANNED, BUT MUSEUM WAS CLOSED MUCH OF THE YEAR DUE TO PANDEMIC.PROVIDED INDOOR WALKING ROUTES AT RIVER HILLS MALL AND MAYO CLINIC HEALTH SYSTEM EVENT CENTER.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 SUCH AS FEEDING OUR COMMUNITIES PARTNERS WITH 50 VOLUNTEER HOURS AND ECHO FOOD SHELF WITH 78 VOLUNTEER HOURS.HOSTED OCTOBER'S SECOND HARVEST COVID-19 FOOD ASSISTANCE PROGRAM DISTRIBUTION AND PROVIDED OVER 20 MAYO CLINIC HEALTH SYSTEM VOLUNTEERS, SPACE AND STAFF TIME TO COORDINATE. OVER 700 FOOD BOXES WERE DISTRIBUTED.PARTICIPATED IN THE FOLLOWING COMMUNITY COALITIONS TO COLLABORATE AND IMPROVE HEALTH: BLUE EARTH AND NICOLLET COUNTY STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM (COMMUNITY LEADERSHIP TEAM THAT ADVISES ON HEALTH IMPROVEMENT WORK AND PROJECTS) AND MANKATO AREA CARE NETWORK.LAUNCHED THE MAYO MILE AND COLON CANCER PREVENTION EVENT ON MARCH 4 AT MAYO CLINIC EVENT CENTER WITH APPROXIMATELY 100 ATTENDEES.HIRED COMMUNITY HEALTH WORKER TO FOCUS ON SOMALI COMMUNITY AND IMPROVING HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. HELD NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS ON MAYOCLINICHEALTHSYSTEM.ORG'S HOMETOWN HEALTH BLOG. HELD VIRTUAL PRESENTATION FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT ON CHRONIC PAIN FOR VINE FAITH IN ACTION MEMBERS. 10 PARTICIPANTS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-MANKATO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-MANKATO) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-MANKATO'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-FAIRMONT TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-FAIRMONT: INSTALLED A PRAYER WALL IN CHAPEL FOR USE BY EMPLOYEES AND THE PUBLIC.PROVIDED $5,000 IN FUNDING FOR A FAIRMONT SCHOOL COUNSELOR AND A GRANDA-HUNTLEY-EAST CHAIN SCHOOL COUNSELOR TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.ASSEMBLED JONATHAN ZIERDT CANCER FUND CARING BOXES TO BENEFIT ONCOLOGY PATIENTS. HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.PARTICIPATED IN THE MARTIN COUNTY STRONGER TOGETHER COALITION ADDRESSING ACES (ADVERSE CHILDHOOD EXPERIENCES) AND RESILIENCY.HOSTED A RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT SPEAKING ON GRIEF DURING THE HOLIDAYS.PROVIDED MEDIA RELEASES ON MANAGING DAYLIGHT SAVINGS TIME, STRESS-RELATED SLEEP DISRUPTION, SEASONAL AFFECTIVE DISORDER AND PREPARING FOR THE LONG WINTER.SUBMITTED A SENTINEL NEWSPAPER STORY ON STUDENT MENTAL HEALTH FOCUSED ON CHANGES RELATED TO COVID-19.DEVELOPED A POD CAST FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT SPEAKING ON MENTAL HEALTH & WELL-BEING. MADE A PRESENTATION TO LOCAL AG COMMUNITY FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT ENTITLED - I GET BY WITH A LITTLE HELP FROM MY FRIENDS. 175 PEOPLE ATTENDED.CONDUCTED 5 CANCER SUPPORT GROUP MEETINGS (2 STAFF - 11 PEOPLE).HAD AN ARTICLE IN FAIRMONT CHAMBER NEWSLETTER ON COPING FOR KIDS DURING COVID-19 PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-FAIRMONT:WAS A TEAM MEMBER OF THE MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION COALITION.DONATED TO THE NORTH UNION SCHOOL FOR AFTER PROM EVENT TO PROVIDE SAFE ENVIRONMENT FOR STUDENTS.CO-HOSTED THE OPIOID FIX VIEWING AND PANEL DISCUSSION ON JAN. 29 WITH MINNESOTA STATE UNIVERSITY, MANKATO WITH OVER 375 ATTENDEES.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC)CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-FAIRMONT:EMPLOYEES DELIVERED MEALS TO HOMEBOUND THROUGH MEALS ON WHEELS FOR 15 DAYS (35 CLIENTS). WAS A TEAM MEMBER OF THE MARTIN COUNTY STRONGER TOGETHER COALITION ADDRESSING ACCESS TO CARE, CHRONIC DISEASE AND RESILIENCY. HELD EDUCATIONAL DISPLAY ON HEART HEALTH AT CARDIAC REHAB OPEN HOUSE (130 PEOPLE), COLON CANCER AWARENESS IN CLINIC LOBBY FOR 1 MONTH AND BREAST CANCER AT BOOMGARS LADIES NIGHT OUT (50 PEOPLE).WAS A BOARD MEMBER OF STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM.WAS A TEAM MEMBER OF PROJECT 1590 FOCUSED ON DEVELOPMENT OF YMCA IN FAIRMONT.PROVIDED PRESENTATIONS BY A MAYO CLINIC HEALTH SYSTEM EXPERT TO SERVICE GROUPS ON DISEASES OF THE EYE (20 PEOPLE), DRY EYE DISEASE IMPACT ON CHRONIC DISEASE (20 PEOPLE) AND CONNECTED CARE (20 PEOPLE).WAS A TEAM MEMBER OF MARTIN COUNTY COVID-19 FOOD RESPONSE TEAM.EMPLOYEES VOLUNTEERED AT KIDS AGAINST HUNGER FOOD PACK (10 EMPLOYEES) AND SECOND HARVEST FRUIT TRUCK (3 EMPLOYEES).CREATED SECOND BREAST FEEDING/LACTATION ROOM IN FACILITY TO BENEFIT THE PUBLIC AND EMPLOYEES.CONDUCTED MONTH LONG COMMUNITY WELLNESS CHALLENGE, INCLUDING WEEKLY WELLNESS WEBINAR - 50 PARTICIPANTS.EMPLOYEES CONDUCTED A FOOD DRIVE TO DONATE HEALTHY SNACKS TO ALATEEN.HOSTED A RADIO PROGRAM ON THE IMPORTANCE OF SCREENING & PREVENTION AND COVID-19 IMPACT ON OVER-ALL HEALTH.DONATED $1,000 TO KIDS AGAINST HUNGER, $5,000 TO APPLE TREE DENTAL TO IMPROVE ACCESS TO DENTAL CARE AND $1,143 TO YMCA FOR BLOOD PRESSURE SELF-MONITORING PROGRAM FOR 25 PEOPLE.COORDINATED $5,000 TO HEAVENS TABLE FOOD SHELF THROUGH MANKATO UNITED WAY COVID-19 FUND.CONDUCTED STEPPING ON: A SERIES OF 6 CLASSES ADDRESSING FALL PREVENTION FOR 13 PARTICIPANTS.PROVIDED MEDIA RELEASES ON COLORECTAL CANCER SCREENING, ADVANCED DIRECTIVES, IMPORTANCE OF SEEKING TREATMENT FOR MINOR INJURIES AND ILLNESS DURING COVID-19 PANDEMIC AND BREAST CANCER SCREENING.PROVIDED WEEKLY STAFF TO SUPPORT BABY CAFE WITH A LPN NURSE TRAINED IN LACTATION (IN PERSON AND VIRTUAL).CONDUCTED COOKING FOR ONE CLASS - 5 PEOPLE.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-FAIRMONT BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-FAIRMONT) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-FAIRMONT'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-NEW PRAGUE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-NEW PRAGUE: IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC).CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-NEW PRAGUE:OFFERED A MONTH-LONG WELLNESS CHALLENGE FOR AREA BUSINESSES, ORGANIZATIONS, COMMUNITY MEMBERS AND OUR EMPLOYEES, WHICH INCLUDED A WEEKLY WELLNESS WEBINAR. 494 PEOPLE ACTIVELY PARTICIPATED ACROSS THE REGION. PROVIDED $4,500 SPONSORSHIP TO SUPPORT TO NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE VIRTUAL EVENT. ADDITIONAL HEALTH EXPERTISE AND SUPPORT PLAN WAS SIDELINED DUE TO COVID-19.PARTNERED WITH THE FITNESS & AQUATIC CENTER ON THEIR MEMBER SCALE BACK CHALLENGE BY PROVIDING NUTRITION EXPERTISE IN PERSON AND VIA SOCIAL MEDIA. PROVIDED INDOOR WALKING ROUTE AT THE FITNESS & AQUATIC CENTER.CONDUCTED PRESENTATIONS FEATURING A CLINICAL NUTRITION DIETITIAN TO SENIORS IN OUR COMMUNITY ON EATING SMART FOR HEALTHY AGING, TO NEW PRAGUE AREA SCHOOL HEALTH SPECIALISTS ON NUTRITION MYTHS AND FAD DIETS, TO NEW PRAGUE AREA SCHOOL STUDENTS ON THE IMPORTANCE OF GOOD NUTRITION AND VARIOUS OTHER COMMUNITY PRESENTATIONS ON NUTRITION/EATING HEALTHY.PROVIDED PRESENTATIONS FEATURING CARDIAC REHABILITATION NURSES ON THE RISK FACTORS AND CARE FOR HEART DISEASE.INCREASED OPERATIONAL SUPPORT OF PEACE CENTER FOOD SHELF DURING COVID-19 PANDEMIC WITH FULL TIME STAFFING FOR SIX MONTHS, ENSURING THE COMMUNITY HAD ACCESS TO THE FOOD SUPPORT NEEDED.PROVIDED $3,500 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS THE JONATHAN ZIERDT CANCER FUND AND IRIS (INFANTS REMEMBERED IN SILENCE).INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW PRAGUE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-NEW PRAGUE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-NEW PRAGUE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-WASECA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-WASECA:BEGAN WORKING WITH WASECA PUBLIC SCHOOLS TO FIND STAFF TO ATTEND THE STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC). CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-WASECA:OFFERED A MONTH-LONG WELLNESS CHALLENGE FOR AREA BUSINESSES, ORGANIZATIONS, COMMUNITY MEMBERS AND OUR EMPLOYEES, WHICH INCLUDED A WEEKLY WELLNESS WEBINAR. 494 PEOPLE ACTIVELY PARTICIPATED ACROSS THE REGION. PROVIDED $3,150 IN SPONSORSHIPS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS THE JONATHAN ZIERDT CANCER FUND, JUNIOR ACHIEVEMENT VIRTUAL RUN AND THE FEMALE ATHLETE EMPOWERMENT SYMPOSIUM.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-WASECA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-WASECA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-WASECA'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2020, MCHS-ST. JAMES TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-ST. JAMES:PROVIDED $5,500 IN FUNDING FOR TWO ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES HOSTED A VIRTUAL DISCOVER GRATITUDE CHALLENGE. 64 RESILIENCY JOURNALS AND 51 VIDEOS WATCHED IN THE SOUTHWESTERN MINNESOTA REGION.HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING 80 ATTENDEES PER WEBINAR.PROVIDED FREE PSYCHOLOGICAL FIRST AID FOR OUR SOUTHWESTERN MINNESOTA STAFF DURING THE PANDEMIC.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-ST. JAMES:IN CONJUNCTION WITH OTHER MCHS SWMN ENTITIES PURCHASED GIANT INFLATABLE LUNG AS VISUAL FOR SUBSTANCE ABUSE PUBLIC EDUCATION EVENTS. (HAVE NOT BEEN ABLE TO UTILIZE DUE TO COVID-19 PANDEMIC).WAS A MEMBER OF WATONWAN COUNTY COMMUNITY HEALTH NEEDS ADVISORY BOARD - DUE TO COVID-19 PANDEMIC THESE MEETINGS HAVE BEEN PUT ON HOLD.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-ST. JAMES:OFFERED FREE WEIGHT MEASUREMENT AND BLOOD PRESSURE CHECKS.OFFERED MONTH LONG WELLNESS CHALLENGE TO COMMUNITY MEMBERS, INCLUDING WEEKLY WEBINAR, WITH 56 PARTICIPANTS.HIRED COMMUNITY HEALTHCARE WORKER POSITION TO START FOCUSING ON CHRONIC DISEASES IN TARGETED HISPANIC POPULATION.PARTICIPATED IN COMMUNITY MEETING HEALTHY FAMILIES/HEALTHY FUTURES.PROVIDED GROCERY STORE TOURS WITH DIETICIAN.INTEGRATED AUNT BERTHA'S COMMUNITY RESOURCE DATABASE INTO OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, CREATED A COMMUNITY RESOURCE PAGE WITHIN MAYOCLINICHEALTHSYSTEM.ORG TO PROVIDE THIS ADDITIONAL RESOURCE TO THE COMMUNITY. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WILL BE ADDRESSED BY MCHS-NEW ST. JAMES BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-ST. JAMES) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-ST. JAMES'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN SPRINGFIELD (MCHS-SPRINGFIELD) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEMCHS-SPRINGFIELD WILL NOT BE ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 CHNA REPORT DUE TO THE HOSPITAL CLOSURE EFFECTIVE MARCH 1, 2020.
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 2019, MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-EAU CLAIRE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-EAU CLAIRE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AZURA MEMORY CARE - $400 (AZURA DEMENTIA)BIG BROTHERS BIG SISTERS - $1,400 (ANNUAL GALA)BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $5,500 (OPERATIONAL) BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $6,000 (EAU CLAIRE VIRTUAL LEARNING)CHIPPEWA VALLEY MUSEUM - $500 (HOW THE OTHER SIDE LIVES EXHIBIT)INCLUSA, INC. - $11,000 (EVERYBODYIN GRANT)JONAH -$500LGBT COMMUNITY CENTER OF THE CHIPPEWA VALLEY - $4,000 (EVERYBODYIN)LITERACY CHIPPEWA VALLEY - $350 (SCRABBLE BEE TEAM)PREVENT SUICIDE CHIPPEWA VALLEY - $1,000 (SHARING HOPE WALK)UNIVERSITY OF WISCONSIN CHIPPEWA VALLEY - $1,000 (DAY OF CARING)YMCA SPORTS CENTER - $2,000 (KIDS EXPO)PROVIDED A GRANT TO EAU CLAIRE COMMUNITY FOUNDATION - $75,000 (L.E. PHILLIPS PUBLIC LIBRARY STORY BUILDER CAMPAIGN)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. LAUNCHED A MASK MADE BY ME CAMPAIGN, A COLORING CONTEST FOR KIDS TO DESIGN THEIR OWN COVID-19 FACE MASK, WITH 123 PARTICIPANTS. IN ADDITION, RESOURCES WERE AVAILABLE FOR PARENTS TO PROMOTE MASK-WEARING FOR KIDS.HOSTED AN EVENT (STORIES FROM THE HEART) WHERE HEART PATIENTS SHARED THEIR STORIES TO PROVIDE PERSPECTIVE ON HEART CARE AND TREATMENTS RELATED TO HEART DISEASE.PROVIDED TWO CLASSES ATTENDED BY 10 PEOPLE RELATED TO UNDERSTANDING ALZHEIMER'S AND DEMENTIA.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BEACON HOUSE (VOLUNTEER)CHIPPEWA VALLEY FREE CLINIC (VOLUNTEERS)CHIPPEWA VALLEY TECHNICAL COLLEGE (COMMITTEE MEMBER)DOWNTOWN EAU CLAIRE, INC. (COMMITTEE MEMBER)EAU CLAIRE CHAMBER OF COMMERCE (COMMITTEE MEMBER) EAU CLAIRE HEALTHY COMMUNITIES (MENTAL ACTION TEAM MEMBERSHIP)FOOD PANTRY (COMMUNITY TABLE VOLUNTEER) HOARDING TASK FORCE (COMMITTEE MEMBER) HOMELESSNESS STRATEGIC PLANNING (MEMBERSHIP)HOMETOWN HEROES OUTDOORS (VOLUNTEER) JUNIOR ACHIEVEMENT (VOLUNTEER)L.E. PHILLIPS MEMORIAL PUBLIC LIBRARY (COMMITTEE MEMBER)MENTAL HEALTH MATTERS (YOUTH MENTAL HEALTH EDUCATION, MINDFULNESS TRAINING) NATIONAL ALLIANCE OF MENTAL ILLNESS (VOLUNTEER AND BOARD MEMBER) PROJECT SEARCH (MENTORING PROJECT)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBERS AND VOLUNTEERS)WISCONSIN DEPARTMENT OF WORKFORCE (COMMITTEE MEMBER)WORK EAU CLAIRE ACT WORK READY COMMUNITIES (COMMITTEE MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT - $1,500 (ALLIANCE VAPING METH CAMPAIGN)RCU FOUNDATION - $1,500 (ROCK THE RIVERFRONT)HOPE GOSPEL MISSION - $2,500 (HARVEST HOPE FUNDRAISER) SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PROVIDED A GRANT TO EAU CLAIRE CITY-COUNTY HEALTH DEPARTMENT - $15,000 (ALLIANCE FOR ALCOHOL & OTHER DRUG ABUSE PREVENTION)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:BRAIN TEAM (COMMITTEE MEMBER)CHIPPEWA VALLEY CHILD ADVOCACY CENTER MULTI-DISCIPLINARY TEAM (COMMITTEE MEMBER)EAU CLAIRE COUNTY SEXUAL ASSAULT RESPONSE TEAM (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES (COMMITTEE MEMBER)HOUSING AND HOMELESSNESS (VOLUNTEER)SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-EAU CLAIRE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION - $5,000 (HEART WALK)BIG BROTHERS BIG SISTERS - $1,200 (BOWL FOR KIDS SAKE) BOYS AND GIRLS CLUB OF CHIPPEWA VALLEY - $1,950 (LIVE SAFE APP FOR COVID-19 SAFETY)CHIPPEWA OFF ROAD BIKE ASSOCIATION - $300 (SNOWSHOE AND BIKE EVENT)EAU CLAIRE AREA SCHOOL DISTRICT LONGFELLOW - $250 (PUDDLE JUMP) EAU CLAIRE CHILDREN'S MUSEUM - $2,500 (LET'S GET COOKING) + $1,000 (SCHOOLS OUT)FAMILY RESOURCE CENTER - $3,000 (PATT HOME VISITING SERVICES)FEED MY PEOPLE FOOD BANK - $1,000 (EMPTY BOWLS)GIRLS ON THE RUN OF CHIPPEWA VALLEY - $1,500 MIDWEST POWER SOCCER ASSOCIATION - $833.34 NATIONAL MULTIPLE SCLEROSIS SOCIETY - $750 (AWARENESS WALK) NORTHERN WISCONSIN BREASTFEEDING NETWORK - $750PROVIDED GRANTS TO THE CHIPPEWA VALLEY FREE CLINIC ($25,000 OPERATING GRANT) AND THE WELLNESS SHACK ($4,000 OPERATIONAL SUPPORT).HELD THE FOLLOWING CLASSES TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODY CLASS (16 CLASSES WERE HELD WITH 40 INDIVIDUALS ATTENDING)BASIC STRONG BODY CLASS (16 CLASSES WERE HELD IN EAU CLAIRE WITH 32 INDIVIDUALS ATTENDING AND 20 CLASSES HELD WITH 20 PEOPLE ATTENDING IN FALL CREEK) COMMUNITY HEALTH NEEDS ASSESSMENT PRESENTATION (ONE CLASS WAS HELD WITH 10 PEOPLE IN ATTENDANCE)LIVING AGAIN CANCER SUPPORT GROUP (TWO CLASSES WERE HELD WITH 9 PEOPLE IN ATTENDANCE)LYMPHEDEMA: LAUGH & LEARN SUPPORT GROUP (ONE CLASS WAS HELD WITH 7 PEOPLE IN ATTENDANCE) MYELOMA SUPPORT GROUP (3 CLASSES WERE HELD WITH AN AVERAGE OF 14 PEOPLE ATTENDING AT EACH SESSION)UW - EXTENSION (PRESENTATION ON STROKE CARE)UW-EAU CLAIRE (PRESENTATION ON NUTRITION)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)AMERICAN CANCER SOCIETY (VOLUNTEER)AMERICAN HEART ASSOCIATION BIG BROTHER BIG SISTER (VOLUNTEER)BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (BOARD MEMBER, VOLUNTEERS, $30,000 LAB AND X-RAY) CHIPPEWA VALLEY TECHNICAL COLLEGE (BOARD MEMBER)CHIPPEWA VALLEY YMCA (BOARD MEMBER AND VOLUNTEER)CITY OF EAU CLAIRE (OVER $72,000 TOWARD SUPPORT OF REGIONAL AMBULANCE SERVICE) COMMUNITY TABLE (VOLUNTEER)EAU CLAIRE COUNTY AGING AND DISABILITY RESOURCE CENTER (VOLUNTEER AND PRESENTATIONS)EAU CLAIRE HEALTH DEPARTMENT (COMMITTEE DEPARTMENT)EAU CLAIRE HEALTH WATCH (COMMITTEE MEMBER)EAU CLAIRE HEALTHY COMMUNITIES CHRONIC DISEASE PREVENTION ACTION TEAM ISLAMIC SOCIETY OF NORTHERN WISCONSIN (BOARD MEMBER AND VOLUNTEER)LIVE STRONG AT THE Y (41 CLASSES WITH 15 ATTENDEES)TRINITY LUTHERAN FOOD PANTRY (VOLUNTEER)UW-MADISON MSW CLASS (CHNA PRESENTATION)VISUAL IMPAIRED PERSONS (PRESENTATION)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-EAU CLAIRE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN EAU CLAIRE COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-EAU CLAIRE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THE RESPONSE AND EFFORTS IN ADDRESSING COVID-19, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-EAU CLAIRE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN BARRON (MCHS-BARRON) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-BARRON TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BARRON: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON PUBLIC LIBRARY - $2,000 (FALL WELLNESS PROGRAMMING)BOYS AND GIRLS CLUB OF BARRON COUNTY - $12,000 (2020 COVID-19 OPERATIONS)BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (ADVOCATE FOR CHANGE)HUNT HILL - $2,000 (ACTIVE OUTDOOR SPONSORSHIP)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PROVIDED CAR SEAT TRAINING CHECKS IN BARRON COUNTY (50 PEOPLE ATTENDED) PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BARRON CHAMBER OF COMMERCE (BOARD OF DIRECTOR AND COMMITTEE MEMBER) CAREER PRESENTATIONS TO CAMERON HIGH SCHOOL (A TOTAL OF 10 PEOPLE ATTENDED).CHETEK AND DALLAS AMBULANCE SERVICE/EMS COMMUNITY RESPONSE TO POVERTY SUMMIT (COMMITTEE MEMBER) FREE CLINIC - LAB OVERSITE, COMPLIANCE AND ASSIST WITH POINT OF CARE. (VOLUNTEER)KIWANIS (PRESENTATION ON COVID-19)RICE LAKE FARM DAYS (400 PEOPLE WERE IN ATTENDANCE). SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT TO BARRON HIGH SCHOOL - $50 (POST PROM SPONSOR) SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH SCHOOL DISTRICT OF TURTLE LAKE - WELLNESS COMMITTEE (VOLUNTEER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BARRON:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BARRON AREA COMMUNITY CENTER - $3,000 (TRIATHLON) CHETEK-WEYERHAUSER SCHOLARSHIP - $2,000 (2020 FISHY FOUR 4K COMMUNITY RACE)MIDWEST POWER SOCCER - $833.34 (CHIPPEWA VALLEY HOOLIGANS - WHEELCHAIR POWERED SOCCER FOR DISABLED) RICE LAKE AREA SCHOOL DISTRICT - $1,000 (SNACKS FOR SUCCESS) HELD THE FOLLOWING CLASSES/EVENTS TO PROMOTE HEALTH AND WELLNESS:BLOOD PRESSURE SCREENINGS - TO PROVIDE PARTICIPANTS THEIR NUMBERS TO MAINTAIN THEIR HEALTH AND TO PROMOTE REGULAR BLOOD PRESSURE CHECKS. MORNING YOGA - THIS CLASS COMBINES FLOW MOVEMENTS AND HOLDING POSTURES TO IMPROVE STRENGTH, FLEXIBILITY AND BALANCE. (4 SESSIONS HELD WITH 30 PEOPLE IN ATTENDANCE).ROCK 'N' ROLLER SKATING - LACE UP YOUR ROLLER SKATES AND GATHER YOUR FRIENDS FOR SOME FAST-PACED FUN AND EXERCISE. (166 PEOPLE PARTICIPATED).SNOWSHOE AND WINTER HIKE - BUNDLE YOUR FAMILY FOR A FREE WINTER WONDERLAND HIKE. (25 PEOPLE ATTENDED).PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS - BOARD MEMBER AND ATTEND MEETINGS ON A REGULAR BASIS, HOST AND CHAMPION LOCAL BLOOD DRIVES.BARRON COUNTY HEALTH DEPARTMENT - COUNTY HEALTH COALITION MEMBER.HEALTHCARE EMERGENCY READINESS COALITION - MEMBER (COVID-19 PREPAREDNESS, OTHER STATE DISCUSSIONS). SCHOOL DISTRICT OF TURTLE LAKE (COMMITTEE MEMBER OF WELLNESS COMMITTEE).HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BARRON BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN BARRON COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-BARRON) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-BARRON'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN OSSEO (MCHS-OSSEO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-OSSEO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-OSSEO: PROVIDED MONETARY SUPPORT TO MONDOVI PUBLIC LIBRARY FOR ITS SUMMER READING PROGRAM.HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PARTNERED WITH MONDOVI PUBLIC LIBRARY ON THEIR CAPITAL CAMPAIGN PROJECT.SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-OSSEO:PROVIDED MONETARY SUPPORT TO GILMANTON HIGH SCHOOL FOR ITS POST PROM AFTER PARTY.SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-OSSEO:GRANTED $10,000 FOR COMPREHENSIVE ADVANCED LIFE SUPPORT EQUIPMENT (ADULT MANNEQUIN AND CRASH CART) IN SUPPORT OF RURAL EMERGENCY MEDICINE PROVIDERS.HELD STRONG BODIES-BASIC CLASS, A MULTIWEEK EVIDENCE-BASED STRENGTH TRAINING PROGRAM DESIGNED FOR MIDDLE-AGED AND OLDER ADULTS. EACH CLASS IN THE PROGRAM INCLUDES PROGRESSIVE WEIGHT TRAINING, FLEXIBILITY AND BALANCE ACTIVITIES. OPTIONAL FLOOR EXERCISES ARE INCLUDED. BENEFITS INCLUDE IMPROVED MOOD, ENERGY AND SLEEP. (14 CLASSES WERE ATTENDED WITH 20 PEOPLE IN ATTENDANCE).PARTNERED WITH THE OSSEO FAIRCHILD SCHOOL DISTRICT TO SUPPORT 13 ATHLETIC PROGRAMS WITH APPROXIMATELY 105 STUDENT ATHLETES AT SIGNIFICANTLY REDUCED FEES, INCLUDING BOYS AND GIRLS CROSS COUNTRY, FOOTBALL, BOYS AND GIRLS GOLF, GIRLS VOLLEYBALL, BOYS AND GIRLS BASKETBALL, WRESTLING, BOYS AND GIRLS TRACK/FIELD, AND SOFTBALL AND BASEBALL.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-OSSEO BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN TREMPEALEAU COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-OSSEO) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-OSSEO'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN BLOOMER (MCHS-BLOOMER) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-BLOOMER TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-BLOOMER: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $12,000 (VIRTUAL LEARNING)BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $5,000 (PROGRAMMING)BOYS AND GIRLS CLUB GREATER CHIPPEWA VALLEY - $5,500 (OPERATIONAL)CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $1,000 (HAND SANITIZER)CHIPPEWA FALLS PUBLIC LIBRARY - $1,000 (EVERYBODYIN FUND FOR CHANGE)CHIPPEWA VALLEY FAMILY YMCA - 100 (FREE FISHING) CHIPPEWA VALLEY FAMILY YMCA - $200 (HEALTHY KIDS DAY) UNITED WAY OF CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRAILS)HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:BLOOMER FOOD PANTRY - STAFF ASSISTED WITH EDUCATION FOR HEALTHY FOOD OPTIONS FOR INDIVIDUALS WHO HAVE DIABETES AND/OR CONGESTIVE HEART FAILURE.CHIPPEWA FALLS LIBRARY - REACHED 100 CHILDREN/TEENS WITH DONATION OF PATIENT EDUCATION MATERIALS RELATED TO SELF-CARE AND MENTAL HEALTH.MENTAL HEALTH MATTER COALITION - AN ACTIVE PARTNER IN THE COALITION WITH EFFORT AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS. TRAINING HELD WITH STAFF AT BLOOMER SCHOOL DISTRICT.YMCA HEALTHY KIDS DAY - REACHED 300 YOUTH VIA A HANDWASHING DEMONSTRATION AND HEALTH EDUCATION BOOTH. SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT TO CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $2,000 (FINANCIAL SUPPORT OF STRENGTHENING FAMILIES PROGRAM TO HELP FAMILIES DEAL WITH ISSUES LIKE SUBSTANCE ABUSE AND ALCOHOL MISUSE). SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE:BLOOMER ROPE JUMP - ANNUAL EVENT THAT PROMOTES PHYSICAL ACTIVITY WITH YOUTH AND FAMILIES AND HOW TO MAINTAIN HEALTHY COPING MECHANISMS. 75 PEOPLE ATTENDEES. CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP - THROUGH THE VOICES IN PREVENTION ACTION TEAM, CONTRIBUTED TO IMPROVE COPING MECHANISMS AMONG AREA YOUTH. ACTION TEAM EFFORTS INCLUDED OUTREACH TO AREA SCHOOLS ABOUT VAPING AND HIGH-RISK DRINKING PREVENTION EDUCATION. NEW AUBURN SCHOOL DISTRICT - DISCUSSED THE IMPACT THAT SMOKING/VAPING HAS ON LUNGS AND WAYS THAT STUDENTS CAN MAINTAIN A HEALTHY LIFESTYLE. 140 STUDENT ATTENDEES.SUBSTANCE-FREE PREGNANCY AND RECOVERY COALITION (COMMITTEE MEMBER).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BLOOMER:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:ALZHEIMER ASSOCIATION - $1,500 (WALK - CANCELED DUE TO COVID-19)BLOOMER CHAMBER OF COMMERCE - $500 (COMMUNITY PICNIC CHILDREN'S GAMES - CANCELED DUE TO COVID-19)CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $500 (NUTRITION EDUCATION)CHIPPEWA VALLEY FAMILY YMCA - $500 (ANNUAL STRONG KIDS - CANCELED DUE TO COVID-19)CHIPPEWA VALLEY FAMILY YMCA - $750 (PURE WATER DAY RACES - CANCELED DUE TO COVID-19)HELD THE FOLLOWING CLASSES TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODY CLASS (40 CLASSES WERE OFFERED WITH 49 PEOPLE IN ATTENDANCE)BASIC STRONG BODY CLASS (16 CLASSES WERE HELD IN CHIPPEWA FALLS WITH 27 ATTENDING AND 20 CLASSES WERE HELD IN BLOOMER WITH 20 PEOPLE ATTENDING)CHIPPEWA VALLEY BREAST CANCER SUPPORT GROUP (3 CLASSES WERE HELD AVERAGING 10 PEOPLE IN ATTENDANCE) FOOD IS MEDICINE PROGRAM WITH BLOOMER FOOD PANTRY (1 CLASS WITH 15 PEOPLE ATTENDED)HEALTHY LIVING WITH CHRONIC PAIN (TWO SESSIONS WERE HELD AND 10 PEOPLE ATTENDED) MUSIC AND MOVEMENT PRESCHOOLERS (FOUR SESSIONS WERE HELD AND 25 PEOPLE ATTENDED)SNOWSHOE AND WINTER HIKE (HELD ONE EVENT WITH 25 ATTENDEES)MCHS-BLOOMER ALSO PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE HEALTH AND WELLNESS:AMERICAN RED CROSS (BOARD MEMBERS)BLOOMER AQUATIC CENTER - COMMUNITY WELLNESS EVENT; BROCHURES AND WELLNESS INFORMATION AVAILABLE AND CONDUCTED STRONG BODIES CLASS DEMONSTRATION (50 PEOPLE) BLOOMER LIBRARY - HEALTHY AFTER SCHOOL SNACK AND ACTIVITY (2 EVENTS HELD, 40 CHILDREN ATTENDING)BLOOMER CHAMBER OF COMMERCE (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (1 VOLUNTEER WITH 50 HOURS)UNITED WAY OF THE GREATER CHIPPEWA VALLEY (VOLUNTEER AND REPRESENTATIVES ON THE BOARD)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCHS-BLOOMER BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN CHIPPEWA COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-BLOOMER) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-BLOOMER'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN MENOMONIE (MCHS-MENOMONIE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2020, MCHS-MENOMONIE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE STRONG, HEALTHY SOCIAL CONNECTIONS AMONG RESIDENTS' ACROSS ALL LIFE STAGES TO PROMOTE MENTAL WELLNESS, MCHS-MENOMONIE: PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB - $5,500 (OPERATIONAL)BRIDGE TO HOPE - $1,000 (QUILT TOUR) MABEL TAINTER - $5,000 (2020 GENERAL SUPPORT)MENOMONIE PUBLIC LIBRARY - $1,800 (2021 YOGA AND MEDITATION PROGRAM)MENOMONIE PUBLIC LIBRARY - $1475 (MUSIC OVER MENOMONIE JR). MENOMONIE THEATER GUILD - $1,500 (BLACK FRIDAY)SCHOOL DISTRICT OF MENOMONIE - $300 (FIELD AND TRACK DAY)STEPPING STONES OF DUNN COUNTY - $500 (GARDEN TOUR)UNITED WAY OF MENOMONIE - $1375 (EVENT CANCELLED - DONATION)UW STOUT DISCOVERY CENTER - $3,000 (EARLY CHILDCARE EDUCATION CONFERENCE) HOSTED A VIRTUAL CHALLENGE (DISCOVER GRATITUDE) WHERE PARTICIPANTS LEARNED ABOUT JOURNALING, MINDFULNESS AND GRATITUDE. THIS WAS HELD IN NOVEMBER WITH 256 JOURNAL CLICKS AND 204 PARTICIPANTS FROM THE NORTHWEST WISCONSIN REGION WATCHED THE VIDEO. REACH OUT AND READ - CHILDHOOD LITERACY PROGRAM. 1,000 PEOPLE IMPACTED.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB (COMMITTEE MEMBER)COLFAX SCHOOL BOARD (BOARD MEMBER)COMMUNITY FOUNDATION OF DUNN COUNTY (BOARD MEMBER AND COMMITTEE MEMBER)DUNN COUNTY COALITION FOR MENTAL HEALTH SERVICES (COMMITTEE MEMBER)INDIANHEAD ENTERPRISES (BOARD MEMBER)MENOMONIE CHAMBER OF COMMERCE - FACILITATION OF HEALTH AND HUMAN SERVICE DAY (VOLUNTEER)UNITED WAY OF DUNN COUNTY (BOARD MEMBER)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB - $5,000 (OPERATIONAL AND PROGRAMMING COSTS)MENOMONIE LIONS CLUB - $500 (CHECKER FLAG WELLNESS SPONSOR)SHARED FINDINGS FROM A RESEARCH STUDY WITH LOCAL MEDIA REGARDING CHANGES IN SUBSTANCE ABUSE AMONG YOUNG ADULTS DURING COVID-19 PANDEMIC.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:DUNN COUNTY PARTNERSHIP FOR YOUTH (COMMITTEE MEMBER)DUNN COUNTY COVID-19 COMMUNITY RECOVERY ACTION TEAM (COMMITTEE MEMBERS) HEALTH DUNN RIGHT "ALCOHOL, NICOTINE AND DRUGS ACTION TEAM" (COMMITTEE MEMBER)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MENOMONIE:PROVIDED MONETARY SUPPORT FOR THE FOLLOWING ORGANIZATIONS:AMERICAN CANCER SOCIETY - $1,500 (RELAY FOR LIFE)FRIENDS OF THE RED CEDAR STATE TRAIL - $250 (BUSINESS MEETING)MIDWEST POWER SOCCER ASSOCIATION - $833.33 (CHIPPEWA VALLEY HOOLIGANS - WHEELCHAIR POWERED SOCCER FOR DISABLED YOUTH) SCHOOL DISTRICT OF MENOMONIE - $200 (MENOMONIE IN ACTION)STEPPING STONES OF DUNN COUNTY - $1,000 (EMPTY BOWLS)STEPPING STONES OF DUNN COUNTY - $500 (STEP UP TO HUNGER)PROVIDED A GRANT TO ELMWOOD AREA AMBULANCE - $27,000 (ZOLL X-SERIES CARDIAC MONITOR)HELD THE FOLLOWING CLASSES/EVENTS TO PROMOTE HEALTH AND WELLNESS:ADVANCED STRONG BODIES CLASSES - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND METAL HEALTH. (A TOTAL OF 14 CLASSES WERE HELD WITH 42 PEOPLE IN ATTENDANCE). ADVANCED STRONG BODIES CLASSES II - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND MENTAL HEALTH. (A TOTAL OF 14 CLASSES WERE HELD WITH 25 PEOPLE IN ATTENDANCE). BASIC STRONG BODIES - CLASS IS HELD FOR MIDDLE AGED TO OLDER ADULTS TO BUILD UP STRENGTH, ENDURANCE, BALANCE AND MENTAL HEALTH (14 CLASSES WERE HELD WITH 45 PEOPLE IN ATTENDANCE). H2O CLASSES - THIS CLASS FOCUSED ON BALANCE, RANGE OF MOTION AND COORDINATION. (A TOTAL OF 16 CLASSES WERE HELD WITH 23 PEOPLE IN ATTENDANCE). MIND OVER MATTER: HEALTHY BOWELS, HEALTHY BLADDER - IS A WISCONSIN INSTITUTE FOR HEALTHY AGING PROGRAM DESIGNED TO HELP WOMAN DEVELOP SKILLS, LEARN EXERCISES AND ADOPT STRATEGIES TO PREVENT OR IMPROVE INCONTINENCE SYMPTOMS. (A TOTAL OF 3 CLASSES WERE HELD WITH 13 PEOPLE IN ATTENDANCE). MUSIC AND MOVEMENT PRESCHOOLERS - PROGRAM FOR TODDLERS AND THEIR PARENTS/CAREGIVERS TO EXPLORE MUSIC, SOUNDS AND MOVEMENT. (A TOTAL OF 8 CLASSES WERE HELD WITH 199 PEOPLE IN ATTENDANCE).ROCK 'N' ROLLER SKATING - YOUTH AND FAMILY ROLLER SKATING EVENT TO PROMOTE PHYSICAL ACTIVITY. (THE FREE EVENT WAS HELD WITH 111 PEOPLE IN ATTENDANCE).SNOWSHOE AND WINTER HIKE - RECREATION EVENT WAS OFFERED FOR PARTICIPANTS OF ALL AGES TO ENJOY A FREE WINTER WONDERLAND HIKE. SNOWSHOES WERE PROVIDED TO PARTICIPANTS IN NEED. (AN EVENT WAS HELD WITH 500 PEOPLE IN ATTENDANCE).TYPE 1 DIABETES SUPPORT GROUP HELD AT MCHS-MENOMONIE. (A TOTAL OF 1 HOUR WITH 2 PEOPLE ATTENDING).YOGA - THIS CLASS FOCUSED ON MEDITATION, BALANCE, STRENGTH, RANGE OF MOTION AND MENTAL HEALTH - (A TOTAL OF 8 CLASSES WERE HELD WITH 18 PEOPLE IN ATTENDANCE). PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION (TEACHING OF PEDIATRIC ADVANCED LIFE SUPPORT) ELMWOOD SCHOOL DISTRICT (MEDICAL DIRECTOR)ELMWOOD SCHOOLS ELEMENTARY, MIDDLE, AND HIGH (MEDICAL DIRECTOR OF ELMWOOD SCHOOL DISTRICT, PLUM CITY DISTRICT) HEALTH DUNN RIGHT (COMMITTEE MEMBER)MENOMONIE FREE CLINIC (BOARD MEMBER AND VOLUNTEERS)MENOMONIE SENIOR CENTER (BOARD MEMBER)UW - STOUT (CAREER PRESENTATION TO HEALTH, WELLNESS AND FITNESS COURSES) STEPPING STONES OF DUNN COUNTY - MCHS-MENOMONIE IS A KEY SUPPORTER OF STEPPING STONES SERVING AS A BOARD MEMBER AND VOLUNTEER. THIS PROGRAM HELPS WITH ACCESS TO HEALTHY, AFFORDABLE FOOD WHICH REDUCES OBESITY AND CHRONIC DISEASE. PROVIDES ACCESS TO NUTRITIOUS FOOD FOR LOW-INCOME RESIDENTS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED HEALTHY GROWTH AND DEVELOPMENT, ACCESS TO HEALTH CARE, AND REPRODUCTIVE/SEXUAL HEALTH. THESE NEEDS WILL BE ADDRESSED BY MCHS-MENOMONIE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN DUNN COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-MENOMONIE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-CHIPPEWA VALLEY'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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:	BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ALBERT LEA AND AUSTIN (MCHS-AL/AUS) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT WITHIN THEIR COMMUNITY WHICH INCLUDES FREEBORN AND MOWER COUNTIES:ACCESS TO CAREMENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONIN 2020, MCHS-AL/AUS TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO REDUCE COMMUNITY-IDENTIFIED BARRIERS TO ACCESSING HEALTH CARE FOR ALL POPULATIONS, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT ACCESS TO HEALTHCARE AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:EMPLOYER ROUNDTABLE SESSIONS - HOSTED TWO DISCUSSION GROUPS, LED BY MAYO CLINIC HEALTH SYSTEM LEADERSHIP, WITH LOCAL BUSINESS LEADERS/EMPLOYERS TO PROVIDE UPDATES ON INTEGRATION BETWEEN THE ALBERT LEA AND AUSTIN CAMPUSES AND ANSWER QUESTIONS RELATED TO HEALTH CARE ACCESS. TOPICS INCLUDED WAYS TO ACCESS HEALTH CARE SERVICES, TRANSPORTATION OPTIONS FOR MEDICAL APPOINTMENTS, UTILIZING THE MCHS WEBSITE FOR HEALTH CARE RESOURCES, AND ACCESSING PATIENT ONLINE SERVICES.LEADERSHIP AUSTIN - HOSTED 32 MOWER COUNTY LEADERS TO INFORM AND DISCUSS LOCAL HEALTH CARE OPTIONS AND PROVIDE UPDATES ON CARE ACCESS IMPROVEMENTS. DISCUSSIONS AND Q&A WERE LED BY MAYO CLINIC HEALTH SYSTEM LEADERS. ANNUAL INFLUENZA COMMUNICATION - COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE INFLUENZA VACCINE AND HOW TO OBTAIN AN INFLUENZA VACCINATION. COMMUNICATION SPANNED FROM AUGUST THROUGH DECEMBER. SPORTS PHYSICALS - ASSISTED THE CLINICAL PRACTICE WITH COMMUNICATING ABOUT AND HOSTING ANNUAL SPORTS PHYSICALS FOR AREA TEENS, A REQUIREMENT FOR MINNESOTA HIGH SCHOOL SPORTS.COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.PRESENTATIONS TO COMMUNITY/CIVIC ORGANIZATIONS - SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FAQ FROM COMMUNITY MEMBERS AT ROTARY. COMMUNITY HEALTH & WELLNESS FAIR - EMPLOYEES VOLUNTEERED TO PROMOTE THE PATIENT PORTAL, MATERIALS ON WHERE TO SEEK CARE, INCLUDING EXPRESS CARE, EXPRESS CARE ONLINE, NURSE LINE, SAME DAY CLINIC, AND PATIENT ONLINE SERVICES. ALBERT LEA LEADERSHIP HEALTHY LIVING DAY - HOSTED BY MCHS-AL/AUS ON CAMPUS TO INTRODUCE HEALTHY LIFESTYLE CHOICES IN THE ALBERT LEA COMMUNITY AND TO EXPLORE OTHER WELLNESS INITIATIVES.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT MENTAL WELL-BEING AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:COMMUNITY HEALTH & WELLNESS FAIR - MCHS PROVIDERS, JOINED A PANEL DISCUSSION WITH OTHER FREEBORN COUNTY MENTAL HEALTH PROFESSIONALS ON A LIVE RADIO BROADCAST ON DEPRESSION.ROAD TO RESILIENCE VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE ROAD TO RESILIENCE VIRTUAL PROGRAM TO AREA SCHOOLS. THIS PROGRAM HELPS BUILD AND STRENGTHEN RESILIENCE AND COPING SKILLS FOR CHILDREN. WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PROGRAM WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE AND TO EDUCATE WOMEN OF THE IMPORTANCE OF EMOTIONAL WELL-BEING, PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND FEELING SAFE IN A MEDICAL SETTING.CANCER WEBINAR - COMMUNITY CANCER PATIENTS, CAREGIVERS AND THE BROADER COMMUNITY LEARNED HOW TO STAY FOCUSED DURING A TIME OF CHANGE IN AN ENVIRONMENT OF UNKNOWNS, FATIGUE AND CHANGE. HEALTH TALK: SOCIAL ISOLATION WEBINAR - PARTNERED WITH THORNE CREST SENIOR LIVING COMMUNITY TO DISCUSS HOW TO MAINTAIN SOCIAL DISTANCE WITHOUT INCREASING RISKS OF SOCIAL ISOLATION AND TO SHARE LOW & HIGH-TECH ACTIVITIES THAT CAN IMPROVE INDIVIDUAL WELL-BEING.COMMUNITY OUTREACH WITH UNDERSERVED POPULATIONS - COORDINATED REGULAR MEETINGS WITH COMMUNITY LEADERS REPRESENTING THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY.DISCOVER GRATITUDE - INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. COMMUNITY HEALTH CARE COLLABORATIVE & COUNCIL OF SOCIAL SERVICE AGENCIES MEETINGS - ATTENDED MONTHLY MEETINGS OF COMMUNITY LEADERS REPRESENTING LOCAL AGENCIES TO SHARE PROGRAMMING AND IDENTIFY GAPS IN REACHING DIVERSE AUDIENCES WITH MENTAL HEALTH, ACCESS TO CARE, AND MENTAL WELL-BEING RESOURCES.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY LIVING TO PROMOTE DISEASE PREVENTION, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS TO IMPACT CHRONIC DISEASE AND RELATED HEALTH CONCERNS WITHIN THE COMMUNITY:COMMUNITY HEALTH & WELLNESS FAIR - EMPLOYEES VOLUNTEERED TO PROVIDE INFORMATION TO PROMOTE ACTIVE AND HEALTHY LIFESTYLES. INFORMATION WAS DISTRIBUTED TO ACHIEVE BETTER HEALTH AND PREVENT CHRONIC DISEASE AND ATTENDEES WERE INVITED TO JOIN THE ONLINE PASSPORT TO HEART HEALTH CHALLENGE. A DIETICIAN DEMONSTRATED HEALTHY SNACK OPTION RECIPES.COLON CANCER AWARENESS AND PREVENTION EVENT - COMMUNITY INVITED TO EXPLORE AN EDUCATIONAL 20-FOOT-LONG INFLATABLE COLON AND A MCHS EXPERT PRESENTED AN OVERVIEW ON COLON HEALTH INCLUDING THE IMPORTANCE OF REGULAR TESTING, HEALTHY DIET, EXERCISE AND AVOIDING ALCOHOL & TOBACCO.WORKSITE WELLNESS COMMITTEE - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO CONNECT AREA BUSINESSES AND EMPLOYEES WITH COMMUNITY EVENTS AND RESOURCES WHILE MOTIVATING THEM TO LIVE A HEALTHY LIFESTYLE TO IMPROVE THEMSELVES, THEIR WORKSITES, AND THE COMMUNITY. COMMUNITY HEALTH CARE COLLABORATIVE - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF FREEBORN COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.EARLY LEARNING NATION - PROVIDED HEALTH CARE REPRESENTATION ON THIS COLLABORATION WITH AUSTIN ASPIRES, UNITED WAY OF MOWER COUNTY, AUSTIN PUBLIC SCHOOLS AND MOWER COUNTY PUBLIC HEALTH. THE PROGRAM EMPHASIZES BUILDING A COLLECTIVE NETWORK OF RESOURCES FOR EARLY CHILDHOOD GROWTH. HEALTH CARE INPUT INCLUDED INFORMATION ON PRENATAL CARE, IMMUNIZATIONS, WELL-BABY/WELL-CHILD AND CHILDHOOD DEVELOPMENT. PRESCHOOL SHOWCASE - PROVIDED INFORMATION TO YOUNG FAMILIES ON EARLY CHILDHOOD NUTRITION AND HEALTH, IMMUNIZATIONS, DEVELOPMENTAL MILESTONES AND WELL-BEING.COMMUNITY CONNECT - PARTICIPATED IN THIS EVENT THAT BRINGS TOGETHER MULTIPLE LOCAL RESOURCES FOR COMMUNITY MEMBERS TO ACCESS. PROVIDED A VARIETY OF HEALTH CARE INFORMATION ON CHRONIC DISEASE PREVENTION AND WELL-BEING. AUSTIN POSITIVE ACTION COALITION - ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO REDUCE ALCOHOL, TOBACCO AND OTHER DRUG USE AMONG TEENS. MOWER REFRESHED STEERING COMMITTEE - HOSTED BI-MONTHLY MEETINGS WITH APPROXIMATELY 25 KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF MOWER COUNTY RESIDENTS AND TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON IMPLEMENTATION.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED SOCIO-ECONOMIC FACTORS AND PREVENTION. THESE NEEDS WILL BE ADDRESSED BY MCHS-AL/AUS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.COVID-19: WITH THE UNEXPECTED COVID-19 PANDEMIC EMERGING AS A CRISIS IN FEBRUARY 2020, CHNA EFFORTS QUICKLY PIVOTED FROM PLANNED PROJECTS TO IMMEDIATE NEEDS RELATED TO THE PANDEMIC. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE CANCELLED TO SUPPORT COMMUNITY SAFETY RELATED TO COVID-19. COMMUNITY EFFORTS SHIFTED TO EDUCATING AND COMMUNICATING ABOUT COVID-19.
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 2019, MCHS IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:INCREASED ACCESS TO MENTAL HEALTH CAREREDUCED DRUG & ALCOHOL USE & MISUSEINCREASED WELL-BEING OF CHILDREN & YOUTHIN 2020, MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.OFFERED AT NO COST THREE ONE-HOUR PRESENTATIONS TO HELP AREA PARENTS WITH A RANGE OF TOPICS, INCLUDING: CHILDHOOD IN A DIGITAL AGE; BACK-TO-SCHOOL TIPS FOR MENTAL HEALTH - WHATEVER THE SETTING; AND STAYING SAFE AND EMOTIONALLY SOUND DURING A COVID-19 WINTER. PRESENTERS INCLUDED A FAMILY PHYSICIAN, CHILD AND ADOLESCENT PSYCHOLOGIST, AND A PEDIATRICIAN.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS. EXAMPLES INCLUDE LA CROSSE COUNTY PREVENTION NETWORK, ALLIANCE TO HEAL, LA CROSSE AREA SUICIDE PREVENTION INITIATIVE, LA CROSSE MENTAL HEALTH COALITION, THE CAMPAIGN TO CHANGE DIRECTION, GREAT RIVERS HUB AND THE BETTER TOGETHER COLLABORATIVE.PROVIDED FINANCIAL SUPPORT FOR COMMUNITY PROGRAMS SEEKING TO RAISE AWARENESS OF MENTAL ILLNESS AND EXPAND ACCESS TO MENTAL HEALTH CARE, INCLUDING: SUICIDE PREVENTION SUMMIT, SALVATION ARMY PSYCHIATRIC SERVICES, CAMPAIGN TO CHANGE DIRECTION, COULEECAP SOAR PROGRAM AND TELLURIAN LA CROSSE CARE CENTER (ADDICTION AND MENTAL HEALTH TREATMENT).PROVIDED OFFICE SPACE ON THE HOSPITAL'S CAMPUS AT NO COST FOR TWO LA CROSSE COUNTY SOCIAL WORKERS SERVING THE RESIDENTS IN THE WASHBURN AND POWELL-POAGE-HAMILTON NEIGHBORHOODS. THE HOSPITAL CONTINUED TO PROVIDE FULL-TIME BEHAVIORAL HEALTH SPECIALISTS FOR THE MATHY CENTER AND ERICKSON BOYS & GIRLS CLUBS. THE HOSPITAL EMPLOYS BOTH SPECIALISTS AND ABSORBS WAGES AND BENEFITS FOR ONE.CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. FREQUENT EMERGENCY DEPARTMENT USERS, INCLUDING MANY WITH CHRONIC MENTAL HEALTH CONCERNS, WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE COULEE COUNCIL ON ADDICTIONS BOARD OF DIRECTORS, LA CROSSE COUNTY PREVENTION NETWORK, GREAT RIVERS HUB COMMITTEES AND THE ALLIANCE TO HEAL COMMITTEES. PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING PROGRAMS AND ORGANIZATIONS SEEKING TO REDUCE DRUG AND ALCOHOL USE/MISUSE: LA CROSSE POLICE DARE PROGRAM (SUBSTANCE ABUSE PREVENTION); COULEE COUNCIL ON ADDICTIONS (PREVENTION/RECOVERY) AND TELLURIAN LA CROSSE CARE CENTER (ADDICTION AND MENTAL HEALTH TREATMENT).CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.CONTINUED ITS COLLABORATION WITH HAMILTON COMMUNITY SCHOOL BY PROVIDING ONSITE GROUP AND 1:1 BEHAVIORAL HEALTH SERVICES FOR CHILDREN IMPACTED BY TRAUMA. THE PROGRAM WAS PAUSED DUE TO COVID-19 AND SCHOOL CLOSURES.CONTINUED TO PROVIDE SPACE ON ITS CAMPUS FOR THE COULEE RECOVERY CENTER, CHARGING RENT OF $1/YEAR. THE COULEE RECOVERY CENTER PROVIDES ADDICTION PREVENTION AND RECOVERY SERVICES.INCREASED WELL-BEING OF CHILDREN & YOUTH: TO INCREASE COMMUNITY RESOURCES TO PREVENT CHILDHOOD TRAUMA, REDUCE THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES AND ADDRESS THE NEEDS OF CHILDREN LIVING IN POVERTY, MCHS-LA CROSSE: SHARED MAYO CLINIC EXPERTISE ON CHILDREN & YOUTH WELL-BEING AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING THE WELL-BEING OF CHILDREN AND YOUTH. EXAMPLES INCLUDE THE PARENTING PLACE, BOYS & GIRLS CLUB OF GREATER LA CROSSE, BIG BROTHERS BIG SISTERS OF THE 7 RIVERS REGION, FAMILY & CHILDREN'S CENTER, LA CROSSE SCHOOL DISTRICT, LA CROSSE PUBLIC EDUCATION FOUNDATION, APTIV (DISABILITY SERVICES), GATEWAY AREA BOY SCOUTS, CHILEDA (BEHAVIORAL CHALLENGES) AND RTIC (RESILIENCY AND TRAUMA-INFORMED COMMUNITY). PROVIDED FINANCIAL SUPPORT FOR THE FOLLOWING COLLABORATIVE COMMUNITY ORGANIZATIONS SEEKING TO INCREASE THE WELL-BEING OF CHILDREN AND YOUTH: LA CROSSE POLICE DARE PROGRAM, LINCOLN MIDDLE SCHOOL, BIG BROTHERS BIG SISTERS, APTIV, FAMILY & CHILDREN'S CENTER, THE PARENTING PLACE AND THE GOOD FIGHT COMMUNITY CENTER. PROVIDED FINANCIAL SUPPORT FOR MUSCLES IN MOTION, A PROGRAM OF THE PARENTING PLACE. THIS FREE PARENT-CHILD PROGRAM SUPPORTS THE WELLBEING OF YOUNG CHILDREN AND THE ADULTS WHO CARE FOR THEM. INTERACTIONS DURING MUSCLES IN MOTION (ADULT TO ADULT, ADULT TO CHILD AND CHILD TO CHILD) FALL WITHIN THE PROTECTIVE FACTORS FRAMEWORK, A RESEARCH-BASED APPROACH TO CREATING STRONG FAMILIES THAT CONTRIBUTE TO OPTIMAL CHILD WELLBEING WHILE PREVENTING CHILD MALTREATMENT. THROUGH ITS ONGOING ADOPT-A-SCHOOL PARTNERSHIP WITH LINCOLN MIDDLE SCHOOL, PROVIDED FINANCIAL SUPPORT AND RESOURCES TO EXPAND OPPORTUNITIES FOR STUDENTS AND FAMILIES. SUPPORTS INCLUDED PRESENTATIONS TO PARENTS AND STAFF BY MAYO EXPERTS IN CHILD PSYCHOLOGY AND PEDIATRICS. THE HOSPITAL ALSO PROVIDED A FREE BABYSITTING CLASS FOR STUDENTS. FINANCIAL SUPPORT WAS PROVIDED FOR THE PURCHASE OF COVID-19 CLASSROOM SANITIZING SUPPLIES. THE HOSPITAL HOSTED A FOOD DRIVE AND PROVIDED FINANCIAL SUPPORT FOR A SCHOOL PROGRAM THAT PROVIDES THANKSGIVING MEALS TO SCHOOL FAMILIES IN NEED. CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS WERE THE FOCUS OF A HUB PILOT THAT CONTINUED IN 2020. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-LA CROSSE BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN WISCONSIN. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-LA CROSSE) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THE RESPONSE AND EFFORTS IN ADDRESSING COVID-19, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-LA CROSSE'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MCHS IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:REDUCED DRUG & ALCOHOL USE & MISUSEINCREASED ACCESS TO MENTAL HEALTH CAREINCREASED FOOD-SECURITYIN 2020, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:REDUCED DRUG & ALCOHOL USE & MISUSE: TO INCREASE COMMUNITY RESOURCES FOR PREVENTION OF DRUG & ALCOHOL MISUSE AND TO ASSIST INDIVIDUALS AND FAMILIES AFFECTED BY DRUG AND ALCOHOL ADDICTION, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON SUBSTANCE ABUSE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE THE MONROE COUNTY SAFE COMMUNITIES COALITION AND NEXT STEPS FOR CHANGE.PROVIDED FINANCIAL SUPPORT FOR SOJOURNER'S JOURNEY, A NON-DENOMINATIONAL, NONPROFIT ORGANIZATION ASSISTING THOSE WHO ARE HOMELESS AND STRUGGLING WITH SUBSTANCE ABUSE IN MONROE COUNTY. THE PROGRAM IS DESIGNED TO ESTABLISH MEANINGFUL COMMUNITY AND LASTING RELATIONSHIPS, WHILE PROVIDING RESOURCES, EDUCATION AND DEVELOPMENTAL OPPORTUNITIES TO EMPOWER THE MEN AND WOMEN TO BECOME ACTIVE, VITAL ASSETS TO OUR COMMUNITY, NOW AND FOR GENERATIONS TO COME. FUNDING WAS PROVIDED IN SUPPORT OF A NEW MEN'S HOME (RESIDENTIAL PROGRAM).INCREASED ACCESS TO MENTAL HEALTH CARE: TO REDUCE BARRIERS TO SEEKING MENTAL HEALTH CARE AND INCREASE COMMUNITY RESOURCES FOR INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS, MCHS-SPARTA: SHARED MAYO CLINIC EXPERTISE ON MENTAL HEALTH AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING MENTAL HEALTH CARE NEEDS, SUCH AS THE MONROE COUNTY HEALTH COALITION.CONTINUED TO ENHANCE ACCESS TO MENTAL HEALTH SERVICES THROUGH INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE TEAMS. IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITAL SIGNIFICANTLY EXPANDED ACCESS TO MENTAL HEALTH SERVICES VIA TELEHEALTH. INCREASED FOOD SECURITY: TO INCREASE AWARENESS OF FOOD INSECURITY IN MONROE COUNTY AND INCREASE COMMUNITY RESOURCES AVAILABLE FOR INDIVIDUALS AND FAMILIES IMPACTED BY FOOD INSECURITY, MCHS-SPARTA:SHARED MAYO CLINIC EXPERTISE ON NUTRITION AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOGS, SOCIAL MEDIA POSTS, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING FOOD INSECURITY AND NUTRITION, SUCH AS THE MONROE COUNTY NUTRITION COALITION.PROVIDED FINANCIAL SUPPORT TO THE NEIGHBOR FOR NEIGHBOR AND THE COULEECAP MONROE COUNTY FOOD PANTRIES. FUNDING WAS ALSO PROVIDED TO THE BOYS & GIRLS CLUB OF WEST CENTRAL WISCONSIN (TOMAH) TO ASSIST IN PROVIDING MEALS TO CHILDREN DURING THE COVID-19 PANDEMIC. PROVIDED A FINANCIAL CONTRIBUTION TO THE MONROE COUNTY EMERGENCY RESOURCE FUND FOLLOWING THE ONSET OF THE COVID-19 PANDEMIC TO HELP RESIDENTS WITH URGENT NEEDS INCLUDING SHELTER AND FOOD.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS, INCREASE WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN AND INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE. THESE NEEDS WILL BE ADDRESSED BY MCHS-SPARTA BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHWESTERN WISCONSIN. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCHS-SPARTA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCHS-SPARTA'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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:	MAYO CLINIC ARIZONA (MCA), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CARECANCER/BREAST CANCERSOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS)IN 2020, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO PROVIDE NON-MAYO CLINIC PATIENTS' ACCESS TO CARE FOR CONDITIONS THAT MAY OTHERWISE GO UNTREATED, OR CONDITIONS THAT REQUIRE SPECIFIC EXPERTISE, MCA:WAS FORCED TO PIVOT DUE TO COVID-19 AND PROVIDE ACCESS TO PATIENTS THROUGH VERY DIFFERENT PLATFORMS. VIRTUAL HEALTHCARE APPOINTMENTS WERE IMPLEMENTED AND PROVIDED OPPORTUNITIES FOR MCA PHYSICIAN STAFF TO PROVIDE E-CONSULT APPOINTMENTS TO COMMUNITY HEALTHCARE PROVIDERS THAT MAY WORK IN A FEDERALLY QUALIFIED CLINIC (FQHC) LIKE ADELANTE HEALTHCARE, MOUNTAIN PARK HEALTH CENTER AND PHOENIX INDIAN MEDICAL CENTER. THESE CONSULTATIONS WERE OFFERED TO BOTH PHYSICIANS THAT WORK IN THE FEDERALLY QUALIFIED CLINICS, AS WELL AS TO THE EXTERNAL PHYSICIAN OR CAREGIVER IN THE PATIENT'S PRESENCE. MCA PROVIDED PERSONAL PROTECTIVE EQUIPMENT TO ADELANTE HEALTHCARE, MOUNTAIN PARK HEALTH CENTER, ST. VINCENT DE PAUL AND CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS TO ASSIST THESE HOMELESS COMMUNITY CARE ORGANIZATIONS. MORE THAN 15,000 MASK AND OTHER PERSONAL PROTECTION EQUIPMENT WERE DISTRIBUTED TO THESE ORGANIZATIONS.ASSISTED THE NAVAJO RESERVATION IN NORTHERN ARIZONA BY PROVIDING THREE SEMI-TRUCK LOADS OF PERSONAL PROTECTIVE EQUIPMENT, WATER, GLOVES, GOWNS AND OTHER NEEDED ITEMS TO MEET THE NEEDS OF RESIDENTS OF THE NAVAJO INDIAN RESERVATION.CANCER/BREAST CANCER: TO PROVIDE BREAST CANCER CARE AND TO ASSIST IN REDUCING DISPARATE HEALTH OUTCOMES TO MINORITY, POOR, AND OTHER VULNERABLE DISPARATE POPULATIONS, MCA:CONTINUED TO SPONSOR THE COALITION OF BLACKS AGAINST BREAST CANCER IN 2020. MCA PROVIDED THE ZOOM PLATFORM, THE EDUCATION FACULTY AND THE MONETARY INVESTMENT FOR EXPANSION OF THE MONTHLY VIRTUAL MEETINGS. AS A RESULT, THE COALITION HAS REACHED A NATIONAL AUDIENCE AND TO A MORE LIMITED EXTENT, HAS SOME INTERNATIONAL REACH.PARTNERED WITH THE COALITION OF BLACKS AGAINST BREAST CANCER AND SCIENTIFIC INVESTIGATORS TO BETTER UNDERSTAND THE EXPERIENCE OF WOMEN, THEIR DIRECT DESCENDANTS AND THEIR MATERNAL FIRST LINE RELATIVE'S KNOWLEDGE, EXPERIENCES AND UNDERSTANDING OF BREAST CANCER, THE TREATMENT PROCESS, TREATMENT OPTIONS AND BARRIERS THAT CONTRIBUTE TO SEVERE DISPARATE HEALTH OUTCOME OF THE POPULATION.SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): TO SUPPORT COMMUNITY-BASED ORGANIZATIONS WORKING IN THE HOMELESSNESS/HOUSING SPACE, MCA:ASSISTED THE MESA MEN'S SHELTER IN THE PROCUREMENT, PREPARATION, AND SERVING OF MEALS TO THE MEN WHO FIND THEMSELVES IN A STATE OF TEMPORARY HOMELESSNESS.PROVIDED STAFF VOLUNTEERS TO THE CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS. VOLUNTEERISM INCLUDED SERVING AS BOARD OF TRUSTEE MEMBERS, CLINICAL TREATMENT TO THE FACILITY'S PATIENT POPULATION, PROVISION FOR TOILETRY DRIVES, PERSONAL PROTECTIVE EQUIPMENT DURING THE PANDEMIC, SURPLUS MEDICAL EQUIPMENT, FURNITURE AND SUPPLIES. CONTINUED TO VOLUNTEER AT ST. MARY'S FOOD BANK TO PACK AND DISTRIBUTE BOXES OF NON-PERISHABLE FOOD ITEMS TO INDIVIDUALS LIVING IN FOOD DESERTS, TO UNDERSERVED, POOR AND HOMELESS POPULATIONS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH PRIORITIES IDENTIFIED IN THE CHNA THAT ARE NOT BEING ADDRESSED BY MCA INCLUDE MENTAL/BEHAVIORAL HEALTH, INJURY PREVENTION, OVERWEIGHT/OBESITY AND CHRONIC DISEASE. MCA PARTICIPATES IN A COLLABORATIVE EFFORT WITH SEVERAL MARICOPA COUNTY BASED COMMUNITY HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS AND OTHER COMMUNITY BASED NOT-FOR-PROFIT HEALTHCARE PROVIDERS. THE COLLABORATIVE IS AN EFFORT THAT WORKS IN PARTNERSHIP WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH. ALL THE COLLABORATIVE MEMBERS ARE MADE AWARE OF THE COMPREHENSIVE HEALTH NEEDS OF THE ENTIRE COUNTY. AS A COLLECTIVE, THE MEMBERS ASSURE ALL THE IDENTIFIED/PRIORITY HEALTH NEEDS ARE MET THROUGH MEMBERS OF THE COLLABORATION. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND MARICOPA COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCA) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.THESE EFFORTS COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN STRATEGIES. DESPITE THE PANDEMIC, MCA WAS ABLE TO SUCCESSFULLY ACQUIRE A $1 MILLION GRANT FROM THE NATIONAL INSTITUTES OF HEALTH AIMED AT BUILDING A PLATFORM FOR BUILDING COMMUNITY TRUST ACROSS MEDICALLY UNDERSERVED RACIAL/ETHNIC MINORITY GROUPS WITH DISPROPORTIONATE BURDEN OF COVID-19 DISEASE AT THE STATE AND/OR SPECIFIC COMMUNITY LEVELS. THIS INITIATIVE INCLUDED COMMUNITY COLLABORATIONS AND PARTNERSHIPS TO SUPPORT RESEARCH ON AWARENESS, EDUCATION, AND MISTRUST AROUND COVID-19. THE GRANT IS IN PARTNERSHIP WITH THREE MAJOR ARIZONA UNIVERSITIES - ARIZONA STATE UNIVERSITY, NORTHERN ARIZONA UNIVERSITY AND UNIVERSITY OF ARIZONA. THIS INITIATIVE WILL SERVE AS ONE ALLIANCE OF INTERLINKED COMMUNITY-ENGAGED RESEARCH PROJECTS ACROSS THE UNITED STATES TO UNDERSTAND FACTORS ASSOCIATED WITH ENGAGEMENT IN COVID-19 RESEARCH, AND TO DEVELOP AN EVIDENCE BASE FOR DEPLOYMENT OF EFFECTIVE STRATEGIES TO ENHANCE AWARENESS AND UPTAKE OF PREVENTIVE HEALTH MEASURES TO MITIGATE THE PANDEMIC, AND IMPROVE THE OUTREACH AND INCLUSION IN COVID-19 RESEARCH AMONG COMMUNITY-ENGAGED PARTNERS IN UNDERSERVED COMMUNITIES. MCA HELD FOUR TOWN HALLS, FOCUSED ON COVID-19, TARGETING VULNERABLE AND UNDERSERVED COMMUNITIES, OPEN TO THESE POPULATIONS IN THE MARICOPA COUNTY COMMUNITY CATCHMENT AREA. THE TOWN HALLS WERE SUPPORTED BY MEDIA AND SOCIAL MEDIA ORGANIZATIONS, AND THE REACH WAS EXPANSIVE. (200K+ PARTICIPANTS LIVE AND RECORDED)
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 FLORIDA, IN COLLABORATION WITH MAYO CLINIC JACKSONVILLE AND COLLECTIVELY REFERRED TO AS MAYO CLINIC IN FLORIDA (MCF), IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY CANCERACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION)IN 2020, 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:STRATEGIZED TO INCREASE THE KNOWLEDGE AND AWARENESS OF OBESITY PREVENTION AND RISK REDUCTION THROUGH TARGETED COMMUNITY OUTREACH AND EDUCATION EFFORTS IN PREDOMINANTLY SPANISH-SPEAKING COMMUNITIES, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER) AND EMPLOYEE RESOURCE GROUPS.DEVELOPED HOPE PARA LA COMMUNIDAD WHICH IS A HEALTH EDUCATION, OUTREACH, AND RESEARCH INITIATIVE THAT PARTNERS WITH ORGANIZATIONS SERVING PREDOMINANTLY SPANISH-SPEAKING COMMUNITY MEMBERS IN JACKSONVILLE TO PROVIDE INFORMATION ABOUT VARIOUS WELLNESS TOPICS THAT IMPACT THE COMMUNITY. EFFORTS UNDER HOPE PARA LA COMMUNIDAD INCLUDED MCF HOSTING FOOD DISTRIBUTION WITHIN THE HISPANIC COMMUNITIES (230 FAMILIES SERVED) AND HOSTING ITS FIRST VIRTUAL HISPANIC CONFERENCE (200 REGISTERED COMMUNITY MEMBERS & 475 NON-UNIQUE LOG-ON'S WERE RECORDED). 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. MCF PROVIDED OVER 350 FACEBOOK EDUCATIONAL VIDEOS AND HAVE CREATED WELLNESS RX BLOG EDUCATIONAL FLYERS AND VIDEOS. EACH MONTH WELLNESS RX HAD A SPECIFIC HEALTH TOPIC ASSIGNED WITH EDUCATIONAL MATERIAL PROVIDED. IN 2020 THE PROGRAM DISTRIBUTED 119,549 LBS. OF FOOD AND AT EACH EVENT WE HAD CONSISTENTLY OVER 100 PARTICIPANTS. CANCER: TO INCREASE KNOWLEDGE AND AWARENESS OF INFORMATION AND RESOURCES AVAILABLE ALONG THE ENTIRE CANCER CONTINUUM, MCF:PRESERVED LONG-STANDING RELATIONSHIPS WITH AND PROVIDED FINANCIAL RESOURCES TO CANCER ORGANIZATIONS IN SUPPORT OF THEIR MISSION TO FREE THE WORLD FROM CANCER.LAUNCHED CANCER BREAKTHROUGHS: A TOWN HALL SERIES COMPLETELY VIRTUAL. THIS PROGRAM FOCUSES ON PROVIDING INFORMATION TO COMMUNITIES VIA INTERACTIVE SESSIONS WITH CANCER PROVIDERS, RESEARCHERS, ADVOCATES, AND SURVIVORS, IN PARTNERSHIP WITH MCF'S CENTER FOR HEALTH EQUITY AND COMMUNITY ENGAGEMENT RESEARCH (CHECER). THESE SESSIONS WILL DIRECTLY CONNECT COMMUNITY MEMBERS WITH INFORMATION AND RESOURCES. TOPICS COVERED IN THE SERIES WILL FOCUS ON UP TO DATE INFORMATION THROUGHOUT THE CANCER CONTINUUM FROM CANCER ETIOLOGY TO CANCER SURVIVORSHIP.THE FIRST TOWN HALL WAS IN JUNE OF 2020 AND THE PROGRAM TOPIC WAS MANAGING CANCER THROUGH COVID-19. THE SECOND TOWN HALL WAS IN OCTOBER OF 2020 AND THE PROGRAM TOPIC WAS SURVIVING BREAST CANCER. THE LATER WAS IN PARTNERSHIP WITH AGAPE FAMILY HEALTH (A FEDERALLY QUALIFIED HEALTH CENTER IN JACKSONVILLE) AND ASCENSION ST. VINCENT'S CANCER CENTER TO BRING TOGETHER BREAST CANCER SURVIVORS AND MEDICAL PROFESSIONALS TO SHARE LIFE LESSONS, INFORMATION ON HEALTHY LIFESTYLES, EARLY SCREENING, RESEARCH AND RESOURCES AVAILABLE.ACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION): TO INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO MEANS IN THE COMMUNITY, MCF: PROVIDED SUPPORT TO THE FOLLOWING NONPROFIT ORGANIZATIONS WITH MONETARY AND/OR IN-KIND SUPPORT:SULZBACHER CENTER: MCF CONTRIBUTED SUPPLEMENTAL CARE IN BEHAVIORAL HEALTH, CARDIOLOGY, FAMILY MEDICINE AND GASTROENTEROLOGY WHICH RESULTED IN 107 PATIENTS SEEN AND 119 MAYO STAFF VOLUNTEER HOURS.VOLUNTEERS IN MEDICINE (VIM): MCF CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS BY PROVIDING INOCULATION AND TESTING FOR HUMAN PAPILLOMAVIRUS (HPV) AT VIM AND SUPPLEMENTING VIM CLINIC STAFF WITH SERVICES INCLUDING CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY AND INTERNAL MEDICINE. MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINICS WITH STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING IN 26.5 HOURS AND 8 VISITS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY AND UROLOGICAL SURGERIES. AGAPE FAMILY HEALTH: MCF PARTNERED WITH AGAPE FAMILY HEALTH AND LOCAL AFRICAN AMERICAN AND HISPANIC FAITH BASED AND COMMUNITY ORGANIZATIONS TO PROVIDE COVID-19 TESTING TO OVER 400 UNDERSERVED AND UNDERREPRESENTED COMMUNITY MEMBERS. MCF ALSO PROVIDED FAMILY MEDICINE SERVICES TO AGAPE FAMILY HEALTH CLINIC.THE FOLLOWING DONATED SERVICES WHICH RESULTED IN A TOTAL OF 260 VOLUNTEER HOURS (6 NEW ADDITIONAL CLINICAL VOLUNTEERS) FROM OUR CLINICIANS AT VIM:IN ADDITION TO PROVIDING SUPPORT TO THE ABOVE NONPROFIT ORGANIZATIONS, MCF AS A MEMBER OF THE JACKSONVILLE HOSPITAL PARTNERSHIP, BELIEVES IT IS IMPORTANT TO LOOK AT WAYS THIS COMMUNITY AND OTHERS CAN OVERCOME BARRIERS AND PROVIDE AN EQUITABLE SYSTEM IN WHICH EVERY PERSON HAS ACCESS TO GOOD MEDICAL CARE TO HELP IMPROVE THEIR QUALITY OF LIFE. IN RESPONSE, THE PARTNERSHIP DEVELOPED A VIRTUAL 4 PART RACIAL HEALTH EQUITY CONFERENCE THAT LAUNCHED IN SEPTEMBER OF 2020. TOPICS INCLUDED ADVOCATING FOR YOUR HEALTH; HOW RACE IMPACTS HEALTH & WHAT CAN BE DONE TO BRING HEALTH EQUITY; BIAS IN HEALTH CARE; AND ACHIEVING HEALTH EQUITY. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED BEHAVIORAL HEALTH; MATERNAL, FETAL & INFANT HEALTH; AND POVERTY. THESE NEEDS WILL BE ADDRESSED BY MCF BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND NORTHEASTERN FLORIDA. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCF) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.IN ADDITION TO THE COVID-19 ENTERPRISE RESPONSES MENTIONED ABOVE, MCF:THROUGH ITS CENTER FOR HEALTH EQUITY & COMMUNITY ENGAGEMENT RESEARCH GROUP, HELD COMMUNITY LEADERS COMMUNICATION MEETINGS (HISPANIC BOARD) REGARDING COVID-19 AS WELL AS DEVELOPED COVID-19 EDUCATIONAL FLYERS TO PROVIDE TO THE COMMUNITY.PROVIDED PERSONAL PROTECTION EQUIPMENT TO COMMUNITY HEALTH CLINICS, CHURCHES AND COMMUNITY ORGANIZATIONS.HOSTED RACE & PLACE: COVID-19 - DISPELLING MYTHS AND MISCONCEPTIONS OF COVID-19 IN THE AFRICAN AMERICAN COMMUNITY.THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCF'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA.
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 2019, MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHFINANCIAL STRESSSUBSTANCE USETHE ROLE OF MCH-R IS TO IDENTIFY STRATEGIES THAT CAN BE UNDERTAKEN WITHIN THE COMMUNITY TO ADDRESS THE ABOVE SIGNIFICANT HEALTH NEEDS AND TO COORDINATE WITH MAYO CLINIC (PARENT OF MCH-R) IN IMPLEMENTING THOSE STRATEGIES ON BEHALF OF MCH-R. MAYO CLINIC, WITH THE COORDINATION PROVIDED BY MCH-R, TOOK THE FOLLOWING ACTIONS IN 2020 TO ADDRESS THE IDENTIFIED NEEDS: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 CLINIC SUPPORTED LOCAL MENTAL HEALTH NEEDS IN THE FOLLOWING WAYS:COLLABORATED WITH OLMSTED MEDICAL CENTER, OLMSTED COUNTY HEALTH DEPARTMENT, AND THE COLLABORATION FOR COMMUNITY HEALTH INTEGRATION TO PLAN A NEW LONG-TERM CARE SERVICE FOR POST-ACUTE BEHAVIORAL PATIENTS. IN 2020 THESE EFFORTS SECURED CONSTRUCTION AND ADMINISTRATIVE PARTNERS TO BUILD, OPEN AND OPERATE 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 PLANNED TO OPEN IN 2021. PROVIDED SALARY AND ADMINISTRATIVE SUPPORT TO OLMSTED COUNTY COMMUNITY SERVICES PSYCHIATRIST TO SERVE LOCAL QUALIFYING RESIDENTS.PROVIDED SUPPORT TO LOCAL NON-PROFIT ORGANIZATIONS TO SUPPORT SERVICES TO COMMUNITY MEMBERS THAT FACILITATE MENTAL HEALTH.PAID FOR THREE POLICE OFFICERS TO BE PRESENT IN THE EMERGENCY DEPARTMENT AROUND THE CLOCK TO ASSIST WITH DE-ESCALATING CONFLICT WITH PATIENTS PRESENTING WITH BEHAVIORAL HEALTH AND ADDICTION CONDITIONS TO SAFEGUARD THE SERVICE ENVIRONMENT FOR ALL COMMUNITY PATIENTS SEEKING CARE.FINANCIAL STRESS: TO SUPPORT COMMUNITY EFFORTS THAT PROVIDE HUMAN SERVICES/SUPPORT FOR COMMUNITY MEMBERS EXPERIENCING FINANCIAL HARDSHIP, MAYO CLINIC IMPLEMENTED THE FOLLOWING EFFORTS TO ALLEVIATE THE HEALTH IMPACTS OF FINANCIAL STRESS: PROVIDED SUPPORT FOR COMMUNITY EFFORTS AND ORGANIZATIONS TO IMPROVE SERVICES AND SUPPORT TO FINANCIALLY-STRESSED COMMUNITY MEMBERS, INCLUDING EDUCATION, LITERACY, JOB TRAINING, AND BASIC NEEDS (HOUSING, FOOD, HEALTH CARE). IN 2020 THIS INCLUDED ADDITIONAL SUPPORT FOR COVID-19-RELATED NEEDS INCLUDING DISTANCE LEARNING AND CHILDCARE PROGRAMS.PARTICIPATED AS A CO-FOUNDER AND FUNDER OF THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION. IN 2020 THE COALITION AWARDED MORE THAN $1.5 MILLION IN FUNDING TO CREATE AFFORDABLE HOUSING INVENTORY IN OLMSTED COUNTY. PROVIDED MEDICAL DIRECTION AND STAFFING TO SALVATION ARMY GOOD SAMARITAN HEALTH AND DENTAL CLINICS THAT SERVE UNDER AND UNINSURED PATIENTS IN OLMSTED COUNTY. ALSO PROVIDED CHARITY CARE TO PATIENTS REFERRED TO MAYO CLINIC FROM THESE COMMUNITY CLINICS.PROVIDED MEDICAL DIRECTION AND NURSING LIAISON SERVICES FOR STUDENT HEALTH SERVICES AT ROCHESTER ALTERNATIVE LEARNING CENTER TO ASSURE HEALTH CARE ACCESS TO UNDER AND UNINSURED STUDENTS.PROVIDED FUNDING TO FREE EDUCATIONAL TRAINING PROGRAMS FOR PEOPLE OF COLOR TO TRAIN FOR HEALTH CARE CAREERS.PROVIDED FREE HEALTH CARE SERVICES FOR REFUGEES AS PART OF ITS PEDIATRIC AND ADULT REFUGEE PROGRAMS.SUPPORTED COMMUNITY HEALTH CARE WORKERS TO WORK WITH COMMUNITY PATIENTS TO IDENTIFY AND OBTAIN SOCIAL SUPPORT SERVICES IN THE COMMUNITY NECESSITY TO MAINTAIN HEALTH (FOOD, HOUSING, TRANSPORTATION, MEDICATIONS, ETC.)SUBSTANCE USE: TO INCREASE MAYO CLINIC'S AND OUR LOCAL COMMUNITY'S CAPACITY TO HELP PREVENT AND TREAT PATIENTS AND RESIDENTS WITH SUBSTANCE USE, MAYO CLINIC IMPLEMENTED THE FOLLOWING TO REDUCE SUBSTANCE USE AND ABUSE: EXPANDED LOCAL SUBSTANCE USE SERVICES THROUGH THE ESTABLISHMENT OF THE SOUTHEAST REGIONAL CRISIS CENTER (SEE ABOVE UNDER MENTAL HEALTH).SUPPORTED A FULL-TIME PEER SUPPORT SPECIALIST FROM A LOCAL SUBSTANCE USE COUNSELING SERVICE WITHIN ITS EMERGENCY DEPARTMENT TO ASSIST PATIENTS WITH ADDICTION-RELATED HEALTH NEEDS. THIS SPECIALIST PROVIDES 1:1 COUNSELLING AND REFERRAL SUPPORT TO HELP STABILIZE PATIENTS TO ENABLE LONG-TERM RECOVERY. THIS COUNSELING SERVED 244 PATIENTS IN 2020. DISTRIBUTED HEALTH INFORMATION ABOUT SUBSTANCE USE ACROSS ITS WEBSITES AND SOCIAL MEDIA PLATFORMS THROUGHOUT 2020 TO PROMOTE AWARENESS AND HELP DIRECT AUDIENCES TO AVAILABLE RESOURCES. IN ADDITION, TO THE ABOVE ACTIONS IMPLEMENTED, MCH-R PARTICIPATED IN AND FINANCIALLY SUPPORTED STAFFING OF THE OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PROCESS. THIS PROCESS ENGAGES NUMEROUS VOLUNTEERS AND ORGANIZATIONS IN COLLABORATIVE COMMUNITY HEALTH EFFORTS TO ADDRESS LOCAL HEALTH PRIORITIES. HEALTH NEEDS NOT ADDRESSED: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND WITHIN OLMSTED COUNTY. MAYO CLINIC AND ITS AFFILIATES (INCLUDING MCH-R) RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. THESE COVID-19 EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT STRATEGIES OUTLINED IN MCH-R'S IMPLEMENTATION PLAN FOR ADDRESSING THE PRIORITIZED HEALTH NEEDS FROM THE 2019 CHNA. MAYO CLINIC'S RESPONSES TO THE PANDEMIC INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES. SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.
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 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 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 JOINT CHNA CONDUCTED IN 2019, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MCHS IN LAKE CITY (MCHS-LAKE CITY), MCHS IN CANNON FALLS (MCHS-CANNON FALLS) AND MCHS IN RED WING (MCHS-RED WING): MENTAL WELL-BEINGCHRONIC DISEASE PREVENTIONSUBSTANCE MISUSEMCHS-LAKE CITY, MCHS-CANNON FALLS AND MCHS-RED WING ARE CLOSELY AFFILIATED HOSPITAL ENTITIES LOCATED IN GOODHUE COUNTY (THEIR DEFINED COMMUNITY). THEIR ROLES IN CARRYING OUT THE STRATEGIES OUTLINED IN THEIR JOINT IMPLEMENTATION PLAN IS TO WORK COLLECTIVELY AND COLLIGATIVELY IN IMPLEMENTING THOSE STRATEGIES. AS SUCH, THE THREE HOSPITALS IN 2020 PARTICIPATED, EITHER DIRECTLY OR INDIRECTLY, IN THE BELOW ACTIONS UNDERTAKEN TO ADDRESS THE IDENTIFIED NEEDS:MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, THE THREE HOSPITALS: HOSTED A WOMEN & WELL-BEING WEBINAR DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PROGRAM WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE AND TO EDUCATE WOMEN OF THE IMPORTANCE OF EMOTIONAL WELL-BEING AND FEELING SAFE IN A MEDICAL SETTING.HELD A DISCOVER GRATITUDE PROGRAM. THIS PROGRAM INVITED EDUCATORS, SOCIAL SERVICE AGENCIES, AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. PARTICIPATED IN THE CANNON FALLS COMMUNITY HEALTH & WELLNESS FAIR. MCHS PROVIDERS JOINED COMMUNITY MEMBERS IN A COVID-19 SAFE OUTDOOR VENUE AND PROMOTED PRACTICES TO LESSEN ANXIETY AND DECREASE ISOLATION. 45 PARTICIPANTS PICKED UP EDUCATIONAL MATERIAL ON ANXIETY, AND THE SCHOOL CONTACTED US FOR ADDITIONAL INFORMATION.CONTINUED TO PROMOTE MENTAL WELL-BEING ACTIVITIES AND ACCESS TO CARE THROUGH ON-LINE AND PRINTED RESOURCE MATERIALS DISTRIBUTED TO SCHOOLS THROUGHOUT GOODHUE COUNTY.COORDINATED COMMUNITY MEETINGS FOR UNDERSERVED POPULATIONS. THESE MEETINGS WERE WITH HISPANIC OUTREACH AND THE CARE CLINIC (A FREE & INCOME BASED CLINIC) TO SHARE RESOURCES AND EXPLORE OBSTACLES FOR COMMUNITY MEMBERS WHO FOUND BARRIERS IN OBTAINING HEALTH CARE.PROMOTED PARTICIPATION IN A CANCER WEBINAR FOCUSING ON CARE FOR THE CAREGIVER DURING CANCER DIAGNOSIS.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY BEHAVIORS TO PROMOTE DISEASE PREVENTION, THE THREE HOSPITALS: HOSTED A VIRTUAL WELLNESS CAMPAIGN IN NOVEMBER OF 2020. COMMUNITY MEMBERS WERE INVITED THROUGH WELLBEING AT WORK, COUNTY (STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP) PARTNERS AND EDUCATORS TO PARTICIPATE IN THIS FREE WEEKLY WEBINAR WITH SELF-GUIDED PROGRAMMING TO IMPROVE MENTAL WELL-BEING AND EXERCISE. PROGRAMS FOCUSED ON DAILY CHALLENGES AND EXERCISE. 59 PARTICIPANTS FROM THE COUNTY RECEIVED WEEKLY WEBINAR LINKS AND REMINDERS. GRATITUDE JOURNALS AND CALENDARS WITH DAILY ACTIVITIES WERE AVAILABLE AS A FREE DOWNLOAD.PROMOTED FARMERS MARKETS IN THE COMMUNITIES OF CANNON FALLS, LAKE CITY, RED WING AND GOODHUE. THESE MARKETS RECEIVED FUNDING TO BUILD THEIR POWER OF PRODUCE PROGRAMS AND TO ENCOURAGE HEALTHY FOOD CHOICES FOR YOUTH. THE FUNDS WERE USED AS INCENTIVE FOR VEGETABLES AND FRUITS AT THE LOCAL STANDS. FARMERS MARKETS WERE CONDUCTED THROUGH PRE ORDER PICK UP AND SCHEDULED TIMES TO SHOP FOR COVID-19 SAFE SHOPPING IN 2020.PROMOTED THE GOODHUE & WABASHA COUNTY PUBLIC HEALTH FLU VACCINATION. PROMOTION WAS TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY AND COMMUNITY COLLABORATION. FLYERS WERE DISTRIBUTED IN SPANISH TO COUNTY AND COMMUNITY PARTNERS. SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, THE THREE HOSPITALS: HELD PRELIMINARY MEETINGS WITH RECOVERY CORPS TO EVALUATE CURRENT SERVICES IN THE COUNTY AND DETERMINE IF A SITE PARTNER, A RECOVERY NAVIGATOR OR AN OPIOID RESPONSE PROJECT COORDINATOR, WOULD BE APPROPRIATE IN GOODHUE COUNTY. SEVERAL LEADERS ATTENDED A RECOVERY CORPS PRESENTATION AND CONTINUE TO DEVELOP A LOCAL COMMITTEE TO EVALUATE SERVICES AND NEEDS RECOVERY CORPS COULD MEET. SUPPORTED HOPE AND HARBOR HOMELESS SHELTER. IN 2020 THE SHELTER MODIFIED PROGRAMMING TO MEET ADDITIONAL SUBSTANCE MISUSE PROGRAMMING, EDUCATION AND COUNSELING IN A SAFE SUSTAINABLE SHELTER. THE SHELTER CHANGED FROM AN OVERNIGHT SITE TO A 24 HOUR A DAY SITE. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED ACCESS TO CARE, HOUSING AND SOCIO-ECONOMIC FACTORS. THESE NEEDS WILL BE ADDRESSED BY THE THREE HOSPITALS IN A SUPPORTING ROLE AND/OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS.IN ADDITION, THE THREE HOSPITALS WILL CONTINUE TO SUPPORT UNINSURED COMMUNITY MEMBERS IN PARTNERSHIP WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY. THE CARE CLINIC WORKS WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES AT NO CHARGE. SUPPORT PROVIDED TO THE CARE CLINIC INCLUDES BOARD LEADERSHIP AND LIABILITY COVERAGE FOR EMPLOYEES FROM ALL SITES WHO VOLUNTEER. THE CARE CLINIC IS CURRENTLY LOCATED, AT NO CHARGE, IN A MCHS-RED WING FACILITY.COVID-19: IN FEBRUARY OF 2020 THE COVID-19 VIRUS BECAME A PANDEMIC THROUGHOUT THE U.S. AND SOUTHEASTERN MINNESOTA. MAYO CLINIC AND ITS AFFILIATES RESPONDED TO THIS CHALLENGE IN A MULTITUDE OF WAYS TO PROTECT THE HEALTH OF ITS LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL RESPONSE. RESPONSES INCLUDED: RESTRUCTURING PATIENT CARE SERVICES TO ENSURE CAPACITY FOR INTENSIVE CARE FOR COMMUNITY NEEDS. THIS REQUIRED SIGNIFICANT INTERRUPTIONS TO NORMAL OPERATIONS AS NON-EMERGENCY CARE SERVICES WERE DEFERRED TO INCREASE COVID-19 RESPONSE CAPACITY.EXPANDING VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR COMMUNITY AND RURAL PATIENTS.RAPID DEVELOPMENT AND DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC (CONSUMERS, GOVERNMENT, PEER MEDICAL PROVIDERS, ETC.) UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.DEVELOPMENT AND DISSEMINATION OF RAPID COVID-19 TESTING RESOURCES TO STRENGTHEN EFFORTS OF LOCAL PUBLIC HEALTH AND OTHER HEALTH CARE ORGANIZATIONS IN SERVING COMMUNITY NEEDS.REFOCUSED RESEARCH EFFORTS TO BRING GREATER UNDERSTANDING, THERAPIES AND POTENTIAL VACCINE SOLUTIONS FOR THE COVID-19 VIRUS, INCLUDING ANTIBODY TESTING CAPABILITIES, BLOOD PLASMA THERAPIES AND EFFECTIVENESS AND SAFETY OF VARIOUS PHARMACEUTICAL THERAPIES.SHARING KNOWLEDGE AND COLLABORATING BROADLY WITH OTHER ACADEMIC HEALTH CENTERS AND BUSINESSES TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE. EXAMPLES INCLUDE USING AI TO MODEL AND FORECAST HOTSPOTS ACROSS THE U.S., AS WELL AS DEVELOPING TOOLS TO STANDARDIZE CONTACT TRACING AND EXPOSURE MANAGEMENT. THESE SYSTEMS WERE ALSO SHARED WITH PUBLIC HEALTH DEPARTMENTS TO INFORM CHANGING HEALTH SAFETY POLICIES AS THE PANDEMIC HAS EVOLVED LOCALLY.IN ADDITION TO THE COVID-19 ENTERPRISE RESPONSES MENTIONED ABOVE, THE THREE HOSPITALS SHIFTED COMMUNITY ENGAGEMENT EFFORTS AT THE LOCAL LEVEL TO EDUCATING AND COMMUNICATING ABOUT COVID-19. THESE ACTIVITIES INCLUDED THE FOLLOWING:COMMUNITY LIAISON ROLE WITH PUBLIC HEALTH OFFICIALS AND COMMUNITY PARTNERS - COMMUNICATED FREQUENTLY, WEEKLY OR MORE, WITH ESTABLISHED COMMUNICATION NETWORKS TO SHARE ACCURATE AND TIMELY INFORMATION. STAFF SERVED AS A COMMUNITY CONTACT TO SHARE FEEDBACK, QUESTIONS AND CONCERNS WITH THE CLINICAL PRACTICE.MAYO CLINIC HEALTH SYSTEM LEADERSHIP PRESENTATIONS - PLACED MAYO CLINIC HEALTH SYSTEM LEADERS AT KEY COMMUNITY EVENTS (E.G. CHAMBER OF COMMERCE, ECONOMIC DEVELOPMENT) TO ANSWER COMMUNITY QUESTIONS RELATED TO COVID-19. COVID-19 COMMUNITY E-NEWS - SHARED UP-TO-DATE, ACCURATE, RELEVANT INFORMATION WITH MORE THAN 100 KEY COMMUNITY STAKEHOLDERS AND ESTABLISHED NETWORKS, OFTEN SEVERAL TIMES A WEEK, DEPENDING ON THE URGENCY OF THE COMMUNICATION. TARGETED OUTREACH TO PRIORITY POPULATIONS - WORKED WITH COMMUNITY PARTNERS TO COORDINATE EFFORTS TO MEET THE NEEDS OF LOW ENGLISH PROFICIENCY (LEP) POPULATIONS TO PROVIDE EDUCATIONAL RESOURCES IN TRANSLATED LANGUAGES. COVID-19 VIRTUAL COMMUNITY FORUMS - HOSTED A SERIES OF WEBINARS/VIRTUAL Q&A WITH MEDICAL PROFESSIONALS TO PROVIDE ACCURATE INFORMATION ON COVID-19 AND ANSWER QUESTIONS FROM THE COMMUNITY. OVER THE COURSE OF THREE EVENTS, MORE THAN 350 ATTENDED. THESE EFFORTS, COMBINED WITH THE CAPACITY CHALLENGES OF LOCAL NON-PROFITS AND OTHER SECTORS, DELAYED SOME OF THE 2020 COMMUNITY HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) STRATEGIES.
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) 2020

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?87
Name and address		Type of Facility (describe)
1	1 - MAYO CLINIC BUILDING - SCOTTSDALE 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	CLINIC, RESEARCH FACILITY, MEDICAL SCHOOL
2	2 - MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	CLINIC & RESEARCH FACILITY
3	3 - MAYO CLINIC BUILDING - PHOENIX 5881 EAST MAYO BOULEVARD PHOENIX,AZ85054	CANCER CENTER, RADIATION THERAPY, TRANSPLANT
4	4 - MAYO CLINIC DIALYSIS NORTHEAST 3041 STONEHEDGE DRIVE NORTHEAST ROCHESTER,MN55906	HOSPITAL BASED DIALYSIS FACILITY
5	5 - MAYO CLINIC SPECIALTY BUILDING 5779 EAST MAYO BOULEVARD PHOENIX,AZ85054	CLINIC
6	6 - JACOBY BUILDING 14225 ZUMBRO DRIVE JACKSONVILLE,FL32224	CLINIC
7	7 - MAYO CLINIC DIALYSIS CENTER 4658 WORRALL WAY JACKSONVILLE,FL32216	OUTPATIENT DIALYSIS
8	8 - MAYO CLINIC DIALYSIS EAU CLAIRE 3845 LONDON ROAD EAU CLAIRE,WI54701	DIALYSIS
9	9 - MCHS IN OWATONNA 2200 26TH STREET NORTHWEST OWATONNA,MN55060	CLINIC
10	10 - MCHS NW WISCONSIN REGION CLAIREMONT 733 W CLAIREMONT AVENUE EAU CLAIRE,WI54701	CLINIC
11	11 - MANGURIAN BUILDING 4500 MELLISH DRIVE JACKSONVILLE,FL32224	CLINIC
12	12 - MCHS NW WISCONSIN REGION LUTHER CAMPUS 1400 BELLINGER STREET EAU CLAIRE,WI54703	CLINIC
13	13 - GATE PARKWAY PRIMARY CARE CENTER 7826 OZARK DRIVE JACKSONVILLE,FL32256	CLINIC
14	14 - SPORTS MEDICINE BUILDING 63 SOUTH ROCKFORD DRIVE SUITE 130 TEMPE,AZ85281	SPORTS MEDICINE
15	15 - MCHS FRANCISCAN HEALTHCARE ONALASKA 191 THEATER ROAD ONALASKA,WI54650	CLINIC, PHARMACY, DIALYSIS
16	16 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH,IA52101	HOSPITAL BASED DIALYSIS FACILITY
17	17 - BASSO BUILDING 4634 WORRELL WAY JACKSONVILLE,FL32256	SLEEP DISORDER CENTER
18	18 - MAYO CLINIC DIALYSIS MENOMONIE 407 21ST STREET SOUTHEAST MENOMONIE,WI54751	DIALYSIS
19	19 - MCHS IN ALBERT LEAFOUNTAIN CENTERS 404 WEST FOUNTAIN STREET ALBERT LEA,MN56007	CLINIC, PHARMACY, CHEMICAL DEPENDENCY
20	20 - MCHS IN LA CROSSE - ST ANN BUILDING 620 11TH STREET SOUTH LA CROSSE,WI54601	HOSPICE
21	21 - FRANCISCAN FAMILY HEALTH CLINIC 815 TENTH STREET SOUTH LA CROSSE,WI54601	CLINIC
22	22 - MC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE,AZ85260	CLINIC
23	23 - MCHS MANKATO IN EASTRIDGE 101 MARTIN LUTHER KING JR DRIVE MANKATO,MN56001	CLINIC, CHEMICAL DEPENDENCY
24	24 - MAYO CLINIC DIALYSIS WABASHA 1200 5TH GRANT BOULEVARD WEST WABASHA,MN55981	HOSPITAL BASED DIALYSIS FACILITY
25	25 - MCHS FRANCISCAN HEALTHCARE TOMAH 325 BUTTS AVENUE TOMAH,WI54660	CLINIC
26	26 - MCHS IN LA CROSSE (CLINIC) 800 WEST AVENUE SOUTH LA CROSSE,WI54601	CLINIC
27	27 - BEACHES PRIMARY CARE CENTER 742 MARSH LANDING PARKWAY JACKSONVILLE BEACH,FL32250	CLINIC
28	28 - MCHS IN MENOMONIE ORTHOPEDIC & REHAB 2407 STOUT ROAD MENOMONIE,WI54751	REHABILITATION
29	29 - MCHS MANKATO IN NORTHRIDGE 1695 LOR RAY DRIVE NORTH MANKATO,MN56003	CLINIC
30	30 - ST AUGUSTINE PRIMARY CARE 110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE,FL32086	CLINIC
31	31 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN 800 EAST BLACKHAWK AVENUE PRAIRIE DU CHIEN,WI53821	CLINIC
32	32 - MAYO CLINIC FAMILY MED ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE,AZ85308	CLINIC
33	33 - MCHS MANKATO IN MADISON EAST CENTER 1400 MADISON AVENUE SUITE 324A MANKATO,MN56001	CLINIC, HOSPICE
34	34 - MCHS NORTHLAND IN RICE LAKE 331 SOUTH MAIN STREET SUITE H RICE LAKE,WI54868	CLINIC
35	35 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS 611 1ST AVENUE CHIPPEWA FALLS,WI54729	CLINIC
36	36 - MCHS MANKATO IN ST PETER 1900 NORTH SUNRISE DRIVE SUITE 200 ST PETER,MN56082	CLINIC
37	37 - MCHS IN FARIBAULT (OBGYN) DISTRICT ONE HOSPITAL-200 STATE AVENUE FARIBAULT,MN55021	WOMENS HEALTH CLINIC
38	38 - MCHS FRANCISCAN HEALTHCARE HOLMEN 1303 MAIN STREET SOUTH HOLMEN,WI54636	CLINIC, PHARMACY
39	39 - MAYO CLINIC ALBERT LEA HEALTH REACH 1705 SOUTHEAST BROADWAY ALBERT LEA,MN56007	DIALYSIS, HOSPICE, REHABILITATION
40	40 - MCHS IN NEW PRAGUE 212 10TH AVENUE NORTHEAST NEW PRAGUE,MN56071	CLINIC
41	41 - MCHS IN FARIBAULT 300 STATE AVENUE FARIBAULT,MN55021	CLINIC
42	42 - MAYO CLINIC PRIMARY CARE PHOENIX 5701 EAST MAYO BOULEVARD PHOENIX,AZ85054	CLINIC
43	43 - FRANCISCAN PROFESSIONAL BUILDING 212 11TH STREET SOUTH LA CROSSE,WI54601	BEHAVIORAL HEALTH
44	44 - MCHS IN NEW PRAGUE - REHABILITATION 504 6TH AVENUE NORTHWEST NEW PRAGUE,MN56071	REHABILITATION
45	45 - MCHS FRANCISCAN HEALTHCARE ARCADIA 895 SOUTH DETTLOFF DRIVE ARCADIA,WI54612	CLINIC
46	46 - SPARTA EYE CLINIC 400 JEFFERSON AVENUE SPARTA,WI54656	EYE CLINIC
47	47 - MAYO CLINIC PRIMARY CARE SAN TAN 1850 EAST NORTHROP BLVD SUITE 160 CHANDLER,AZ85286	CLINIC
48	48 - MCHS OAKRIDGE IN MONDOVI 700 BUFFALO STREET MONDOVI,WI54755	CLINIC
49	49 - MCHS NEW PRAGUE IN MONTGOMERY 501 4TH STREET NORTHWEST MONTGOMERY,MN56069	CLINIC
50	50 - MCHS MANKATO IN LE SUEUR 625 SOUTH 4TH STREET LE SUEUR,MN56058	CLINIC
51	51 - MCHS FRANCISCAN HEALTHCARE CALEDONIA 701 NORTH SPRAGUE STREET CALEDONIA,MN55921	CLINIC
52	52 - MCHS RED WING IN ZUMBROTA 1350 JEFFERSON DRIVE ZUMBROTA,MN55992	CLINIC
53	53 - MCHS NORTHLAND IN CHETEK 220 DOUGLAS STREET CHETEK,WI54728	CLINIC
54	54 - FRANCISCAN OCCUPATIONAL HEALTH BUILDING 630 10TH STREET LA CROSSE,WI54601	OCCUPATIONAL HEALTH CLINIC
55	55 - MCHS LAKE CITY IN PLAINVIEW 275 1ST STREET SOUTHWEST PLAINVIEW,MN55964	CLINIC
56	56 - FOUNTAIN CENTERS IN FAIRMONT 828 N NORTH AVENUE FAIRMONT,MN56031	CHEMICAL DEPENDENCY
57	57 - MCHS RED WING IN ELLSWORTH 530 WEST CAIRNS STREET ELLSWORTH,WI54011	CLINIC
58	58 - FOUNTAIN CENTERS IN ROCHESTER 4122 18TH AVENUE NW ROCHESTER,MN55901	CHEMICAL DEPENDENCY
59	59 - FOUNTAIN CENTERS IN OWATONNA 134 SOUTHVIEW STREET OWATONNA,MN55060	CHEMICAL DEPENDENCY
60	60 - FOUNTAIN CENTERS IN FARIBAULT 2301 4TH STREET NORTHWEST FARIBAULT,MN55021	CHEMICAL DEPENDENCY
61	61 - MCHS NEW PRAGUE IN BELLE PLAINE 700 WEST PRAIRIE STREET BELLE PLAINE,MN56011	CLINIC
62	62 - MCHS AUSTIN HOSPICEFOUNTAIN CENTERS 101 14TH STREET NORTHWEST AUSTIN,MN55912	HOSPICE, CHEMICAL DEPENDENCY
63	63 - MCHS ALBERT LEA IN WELLS 301 SOUTH BROADWAY WELLS,MN56097	CLINIC
64	64 - MCHS RED CEDAR IN GLENWOOD CITY 219 EAST OAK STREET GLENWOOD CITY,WI54013	CLINIC
65	65 - MCHS ALBERT LEA IN LAKE MILLS 309 SOUTH 10TH AVENUE EAST LAKE MILLS,IA50450	CLINIC
66	66 - MCHS ALBERT LEA IN NEW RICHLAND 318 FIRST STREET SOUTHWEST NEW RICHLAND,MN56072	CLINIC
67	67 - MCHS WASECA IN WATERVILLE 212 EAST LAKE STREET WATERVILLE,MN56096	CLINIC
68	68 - MCHS WASECA IN JANESVILLE 312 NORTH MAIN STREET JANESVILLE,MN56048	CLINIC
69	69 - MCHS-EYE CARE CENTER 2409 STOUT ROAD MENOMONIE,WI54751	OPTOMETRY
70	70 - MCHS EXPRESS CARE IN EAU CLAIRE 2839 MALL DRIVE SUITE 5 EAU CLAIRE,WI54701	EXPRESS CARE
71	71 - MCHS RED CEDAR IN ELMWOOD 236 EAST SPRINGER AVENUE ELMWOOD,WI54740	CLINIC
72	72 - MCHS EXPRESS CARE IN AUSTIN 1307 18TH AVENUE NW AUSTIN,MN55912	EXPRESS CARE
73	73 - MCHS EXPRESS CARE IN ALBERT LEA 2708 BRIDGE AVENUE ALBERT LEA,MN56007	EXPRESS CARE
74	74 - MCHS MANKATO IN LAKE CRYSTAL 200 EAST PRINCE STREET LAKE CRYSTAL,MN56055	CLINIC
75	75 - MCHS IN KENYON 225 HUSETH STREET KENYON,MN55946	CLINIC
76	76 - MCHS FAIRMONT IN SHERBURN 32 NORTH MAIN STREET SHERBURN,MN56171	CLINIC
77	77 - MCHS MANKATO EXPRESS CARE 2010 ADAMS STREET MANKATO,MN56001	EXPRESS CARE
78	78 - MCHS SPRINGFIELD IN LAMBERTON 310 SOUTH MAIN LAMBERTON,MN56152	CLINIC
79	79 - MCHS AUSTIN IN ADAMS 908 WEST MAIN STREET ADAMS,MN55909	CLINIC
80	80 - MCHS FAIRMONT IN ARMSTRONG 412 NORTH 6TH STREET ARMSTRONG,IA50514	CLINIC
81	81 - MCHS AUSTIN IN BLOOMING PRAIRIE 405 EAST MAIN BLOOMING PRAIRIE,MN55917	CLINIC, PHARMACY
82	82 - MCHS ST JAMES IN TRIMONT 437 MAIN STREET EAST TRIMONT,MN56176	CLINIC
83	83 - MCHS FAIRMONT IN TRUMAN 401 NORTH 4TH AVENUE EAST TRUMAN,MN56088	CLINIC
84	84 - MCHS IN LA CROSSE - BELLE SQUARE 232 3RD STREET NORTH SUITE 100 LA CROSSE,WI54601	CLINIC
85	85 - PROFESSIONAL ARTS BUILDING 615 SOUTH 10TH STREET LA CROSSE,WI54601	BEHAVIORAL HEALTH
86	86 - MCHS FRANCISCAN HC LA CRESCENT 524 NORTH ELM STREET LA CRESCENT,MN55947	CLINIC
87	87 - MCHS BLUE EARTH CLINIC 411 SOUTH GROVE STREET SUITE 3 BLUE EARTH,MN56013	PSYCHOLOGY SERVICES

Schedule H (Form 990) 2020

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 AGB 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 6A:	IN 2020, SOME, BUT NOT ALL, OF THE SUBORDINATES PRODUCED AN ANNUAL REPORT FOR THE COMMUNITY, WHICH WAS MADE AVAILABLE TO THE PUBLIC ON THE WEB.
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: $39,298,976.
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 $ 176,876,776.
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 9 AND 12 OF MAYO CLINIC'S 2020 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 $739,524,000.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 70 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 - ROCHESTER 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 MAYO CLINIC HOSPITAL - ROCHESTER 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, 2019, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 158,293, OF WHICH AN ESTIMATED 24.40% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 15.90% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $76,951 WITH APPROXIMATELY 6.7% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC ARIZONA (MCA) IS LOCATED IN THE GREATER PHOENIX METROPOLITAN AREA. MCA'S OUTPATIENT CLINIC IS IN THE NORTHEAST QUADRANT OF SCOTTSDALE, ARIZONA. MCA'S 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, 2019, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,485,414, OF WHICH AN ESTIMATED 23.50% WAS UNDER THE AGE OF 18 AND 15.50% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $64,468 WITH APPROXIMATELY 12.20% OF THE POPULATION BELOW THE POVERTY LEVEL.MAYO CLINIC 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, 2019, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,222,427, OF WHICH AN ESTIMATED 22.05% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.55% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $69,030 WITH APPROXIMATELY 9.95% OF THE POPULATION BELOW THE POVERTY LEVEL. MCHS-ALBERT LEA AND AUSTIN, MCHS-CANNON FALLS, MCHS-LAKE CITY, AND MCHS-RED WING ARE LOCATED IN THE SOUTHEAST REGION OF MINNESOTA. MCHS-ALBERT LEA AND AUSTIN PRIMARILY SERVE THE COMMUNITIES WITHIN THE ADJACENT COUNTIES OF MOWER, FREEBORN, STEELE AND RICE, WHEREAS MCHS-CANNON FALLS, LAKE CITY, AND 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, 2019, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 173,964, OF WHICH AN ESTIMATED 23.30% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.78% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $60,353 WITH APPROXIMATELY 8.90% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 67,967, OF WHICH AN ESTIMATED 22.85% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 21.35% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $66,013 WITH APPROXIMATELY 7.75% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-MANKATO, MCHS-FAIRMONT, MCHS-SPRINGFIELD, MCHS-WASECA, MCHS-ST. JAMES AND 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, 2019, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 354,027, OF WHICH AN ESTIMATED 23.00% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.05% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $65,351 WITH APPROXIMATELY 9.16% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-EAU CLAIRE, MCHS-RED CEDAR, MCHS-OAKRIDGE, MCHS-CHIPPEWA VALLEY AND MCHS-NORTHLAND 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, 2019, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 289,565, OF WHICH AN ESTIMATED 21.62% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 18.34% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $57,850 WITH APPROXIMATELY 9.78% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-FRANCISCAN MEDICAL CENTER, INC. (LA CROSSE AND SPARTA) SERVES THE RESIDENTS OF LA CROSSE, MONROE AND CRAWFORD COUNTIES IN WISCONSIN AND HOUSTON COUNTY IN MINNESOTA. THE CITY OF LA CROSSE REPRESENTS A SMALL URBAN AREA AND THE BALANCE OF THE SERVICE AREA IS EITHER RURAL OR SMALL TOWNS. DEMOGRAPHICS: BASED ON U.S. CENSUS BUREAU QUICK FACTS AS OF JULY 1, 2019, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 199,000, OF WHICH AN ESTIMATED 21.68% WAS UNDER THE AGE OF 18 AND 20.10% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2015 TO 2019 WAS $57,112 WITH APPROXIMATELY 10.53% 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 1.3 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) 2020

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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.
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Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2020

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)	1,291,764,341	SUPPORT CHARITABLE PROGRAMS
(2) ARIZONA STATE UNIVERSITY PO BOX 875812 TEMPE,AZ85287	86-0196696	STATE OF AZ	1,294,759	SUPPORT RESEARCH PROGRAM
(3) THE MEDICAL UNIVERSITY OF SOUTH CAROLINA 179 ASHLEY AVE CHARLESTON,SC29425	57-6000722	STATE OF SC	1,188,624	SUPPORT RESEARCH PROGRAM
(4) REGENTS OF THE UNIVERSITY OF MINNESOTA 1300 S 2ND ST STE 206 MINNEAPOLIS,MN55454	41-6007513	STATE OF MN	782,297	SUPPORT RESEARCH PROGRAM
(5) SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE 10901 NORTH TORREY PINES ROAD LA JOLLA,CA92037	51-0197108	501(C)(3)	773,623	SUPPORT CHARITABLE PROGRAMS
(6) ST JUDE CHILDREN'S RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS,TN38105	62-0646012	501(C)(3)	521,367	SUPPORT CHARITABLE PROGRAMS
(7) UNIVERSITY OF MARYLAND 620 W LEXINGTON STREET BALTIMORE,MD21201	52-6002033	STATE OF MD	478,334	SUPPORT RESEARCH PROGRAM
(8) BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA 151 PREM S PAUL RESEARCH CENTER LINCOLN,NE68583	47-0049123	STATE OF NE	457,717	SUPPORT RESEARCH PROGRAM
(9) JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD NO N4327B BALTIMORE,MD21211	52-0595110	501(C)(3)	404,520	SUPPORT CHARITABLE PROGRAMS
(10) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET SUITE 305 PHILADELPHIA,PA191046284	23-1352685	501(C)(3)	336,520	SUPPORT CHARITABLE PROGRAMS
(11) THE JACKSON LABORATORY 600 MAIN STREET BAR HARBOR,ME04609	01-0211513	501(C)(3)	316,750	SUPPORT CHARITABLE PROGRAMS
(12) UNIVERSITY OF CALIFORNIA LOS ANGELES 10889 WILSHIRE BOULEVARD STE 700 LOS ANGELES,CA90095	95-6006143	STATE OF CA	298,727	SUPPORT RESEARCH PROGRAM
(13) DUKE UNIVERSITY 324 BLACKWELL ST WASHIN BLDG NO 850 DURHAM,NC27701	56-0532129	501(C)(3)	271,653	SUPPORT CHARITABLE PROGRAMS
(14) MESO SCALE DIAGNOSTICS LLC 1601 RESEARCH BLVD ROCKVILLE,MD20850	52-1974952	-	254,401	SUPPORT RESEARCH PROGRAM
(15) TERASAKI FAMILY FOUNDATION 1018 WESTWOOD BLVD LOS ANGELES,CA90024	95-4249502	501(C)(3)	248,344	SUPPORT CHARITABLE PURPOSE
(16) MCHS--SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN,MN55912	41-1404075	501(C)(3)	241,997	SUPPORT CHARITABLE PROGRAMS
(17) UNIVERSITY OF CALIFORNIA IRVINE 160 ALDRICH HALL IRVINE,CA92697	95-2226406	STATE OF CA	238,138	SUPPORT RESEARCH PROGRAM
(18) THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 615 WEST 131ST STREET MC 8741 NEW YORK,NY10027	13-5598093	501(C)(3)	210,142	SUPPORT CHARITABLE PROGRAMS
(19) TRUSTEES OF DARTMOUTH COLLEGE 7 LEBANON STREET SUITE 302 6015 HANOVER,NH03755	02-0222111	501(C)(3)	208,979	SUPPORT CHARITABLE PROGRAMS
(20) ARIZONA BOARD OF REGENTS UNIVERSITY OF ARIZONA 888 NORTH EUCLID AVENUE ROOM 510 TUCSON,AZ85719	74-2652689	STATE OF AZ	203,206	SUPPORT RESEARCH PROGRAM
(21) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 SOUTH PROSPECT STREET BURLINGTON,VT05405	03-0179440	STATE OF VT	183,045	SUPPORT RESEARCH PROGRAM
(22) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 7703 FLOYD CURL DR SAN ANTONIO,TX782293900	74-1586031	STATE OF TX	177,792	SUPPORT RESEARCH PROGRAM
(23) CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BOULEVARD LOS ANGELES,CA90048	95-1644600	501(C)(3)	166,399	SUPPORT CHARITABLE PROGRAMS
(24) WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 1300 YORK AVENUE NEW YORK,NY10065	13-1623978	-	164,573	SUPPORT RESEARCH PROGRAM
(25) BAPTIST HEALTHCARE SYSTEM INC 2701 EASTPOINT PARKWAY LOUISVILLE,KY40223	61-0444707	501(C)(3)	135,051	SUPPORT CHARITABLE PROGRAMS
(26) THE CLEVELAND CLINIC FOUNDATION 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE,OH44131	34-0714585	501(C)(3)	131,698	SUPPORT CHARITABLE PROGRAMS
(27) KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA 15L OAKLAND,CA94612	94-1105628	501(C)(3)	131,438	SUPPORT CHARITABLE PROGRAMS
(28) OREGON HEALTH & SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND,OR97239	93-1176109	STATE OF OR	126,179	SUPPORT RESEARCH PROGRAM
(29) EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR 3101 ATLANTA,GA30322	58-0566256	501(C)(3)	121,197	SUPPORT CHARITABLE PROGRAMS
(30) GREATER MANKATO AREA UNITED WAY INC 127 S 2ND ST NO 190 MANKATO,MN56001	41-6008819	501(C)(3)	120,000	SUPPORT CHARITABLE PROGRAMS
(31) THE GENERAL HOSPITAL CORPORATION 399 REVOLUTION DRIVE NO 645 SOMERVILLE,MA02145	04-2697983	501(C)(3)	115,208	SUPPORT CHARITABLE PROGRAMS
(32) GREAT RIVERS UNITED WAY INC 1855 EAST MAIN STREET ONALASKA,WI54650	39-0848188	501(C)(3)	114,750	SUPPORT CHARITABLE PROGRAMS
(33) PRESIDENT AND FELLOWS OF HARVARD COLLEGE 1033 MASSACHUSETTS AVE 3RD FL CAMBRIDGE,MA02138	04-2103580	501(C)(3)	108,601	SUPPORT CHARITABLE PROGRAMS
(34) NEW YORK UNIVERSITY 105 E 17TH STREET 2ND FLOOR NEW YORK,NY10003	13-5562309	501(C)(3)	99,948	SUPPORT CHARITABLE PURPOSE
(35) NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION INC 4150 CLEMENT STREET 151NC SAN FRANCISCO,CA94121	94-3084159	501(C)(3)	92,385	SUPPORT CHARITABLE PROGRAMS
(36) BANNER HEALTH 2901 N CENTRAL AVE SUITE 160 PHOENIX,AZ85012	45-0233470	501(C)(3)	91,298	SUPPORT CHARITABLE PROGRAMS
(37) FORSYTH MEMORIAL HOSPITAL INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM,NC27103	56-0928089	501(C)(3)	90,931	SUPPORT CHARITABLE PROGRAMS
(38) MEDVANTX INC 9276 SCRANTON ROAD SUITE 100 SAN DIEGO,CA92121	33-0888232	-	89,600	SUPPORT RESEARCH PROGRAM
(39) SAGE BIONETWORKS 2901 THIRD AVE STE 330 SEATTLE,WA98121	26-4489946	501(C)(3)	88,351	SUPPORT CHARITABLE PROGRAMS
(40) UNIVERSITY OF WASHINGTON 4333 BROOKLYN AVE NE SEATTLE,WA98195	91-6001537	STATE OF WA	75,508	SUPPORT RESEARCH PROGRAM
(41) EAU CLAIRE COMMUNITY FOUNDATION 306 SOUTH BARSTOW ST NO 104 EAU CLAIRE,WI54701	39-1891064	501(C)(3)	75,250	SUPPORT CHARITABLE PROGRAMS
(42) OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HIGHWAY BH 546 NEW ORLEANS,LA70121	72-0502505	501(C)(3)	72,535	SUPPORT CHARITABLE PROGRAMS
(43) DIGNITY HEALTH 185 BERRY STREET SUITE 300 SAN FRANCISCO,CA94107	94-1196203	501(C)(3)	71,723	SUPPORT CHARITABLE PROGRAMS
(44) INTERVENT INTERNATIONAL LLC 340 EISENHOWER DR SAVANNAH,GA31406	45-2954871	-	68,826	SUPPORT RESEARCH PROGRAM
(45) MERCY HOSPITALS EAST COMMUNITIES 615 S NEW BALLAS ROAD ST LOUIS,MO63141	43-0653493	501(C)(3)	62,325	SUPPORT CHARITABLE PROGRAMS
(46) UNIVERSITY OF ALABAMA AT BIRMINGHAM 701 S 20TH ST BIRMINGHAM,AL35294	63-6005396	STATE OF AL	59,451	SUPPORT RESEARCH PROGRAM
(47) ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE NO 600 GAITHERSBURG,MD20878	52-1532556	501(C)(3)	59,250	SUPPORT CHARITABLE PROGRAMS
(48) THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N 5TH STREET SUITE 600 PHOENIX,AZ85004	75-3065445	501(C)(3)	54,425	SUPPORT CHARITABLE PROGRAMS
(49) UNIVERSITY OF PITTSBURGH 116 ATWOOD STREET SUITE 201 PITTSBURGH,PA15260	25-0965591	501(C)(3)	51,770	SUPPORT CHARITABLE PROGRAMS
(50) METRO KNOXVILLE HMA LLC 4000 MERIDIAN BLVD FRANKLIN,TN37067	45-2535623	-	51,204	SUPPORT RESEARCH PROGRAM
(51) THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE,RI02906	05-0258905	501(C)(3)	48,846	SUPPORT CHARITABLE PROGRAMS
(52) PRAIRIE EDUCATION AND RESEARCH COOPERATIVE 800 E CARPENTER STREET 62 SPRINGFIELD,IL62769	37-1157915	501(C)(3)	48,604	SUPPORT CHARITABLE PROGRAMS
(53) FIRST COAST CARDIOVASCULAR INSTITUTE PA 7011 AC SKINNER PARKWAY JACKSONVILLE,FL32256	47-0854466	-	48,070	SUPPORT RESEARCH PROGRAM
(54) YALE UNIVERSITY PO BOX 208239 NEW HAVEN,CT06520	06-0646973	501(C)(3)	47,460	SUPPORT CHARITABLE PROGRAMS
(55) OHIO HEALTH RESEARCH INSTITUTE 3545 OLENTANGY RIVER ROAD STE 300 COLUMBUS,OH43214	31-6059784	501(C)(3)	46,655	SUPPORT RESEARCH PROGRAM
(56) THE UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY,IA52242	42-6004813	STATE OF IA	46,199	SUPPORT RESEARCH PROGRAM
(57) LIFE LINE SCREENING OF AMERICA 6150 OAK TREE BLVD SUITE 200 INDEPENDENCE,OH44131	34-1839775	-	44,500	SUPPORT RESEARCH PROGRAM
(58) UNIVERSITY OF FLORIDA 207 GRINTER HALL GAINESVILLE,FL32611	59-6002052	STATE OF FL	43,337	SUPPORT RESEARCH PROGRAM
(59) ARIZONA VETERANS RESEARCH AND EDUCATION FOUNDATION 650 EAST INDIAN SCHOOL ROAD PHOENIX,AZ85012	86-0907729	501(C)(3)	40,467	SUPPORT CHARITABLE PROGRAMS
(60) DEACONESS SPECIALTY PHYSICIANS INC 600 MARY STREET EVANSVILLE,IN47747	82-4503095	501(C)(3)	39,140	SUPPORT CHARITABLE PROGRAMS
(61) AMERICAN LIVER FOUNDATION 39 BROADWAY SUITE 2700 NEW YORK,NY10006	36-2883000	501(C)(3)	38,960	SUPPORT CHARITABLE PROGRAMS
(62) WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BLVD WINSTON SALEM,NC27157	22-3849199	501(C)(3)	38,575	SUPPORT CHARITABLE PROGRAMS
(63) STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC 736 CAMBRIDGE ST BRIGHTON,MA021352907	27-2473667	-	38,340	SUPPORT RESEARCH PROGRAM
(64) MAINEHEALTH 22 BRAMHALL STREET PORTLAND,ME04102	01-0238552	501(C)(3)	38,310	SUPPORT CHARITABLE PROGRAMS
(65) BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY INC 1005 OXFORD AVENUE EAU CLAIRE,WI54703	39-2032491	501(C)(3)	35,550	SUPPORT CHARITABLE PROGRAMS
(66) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVENUE CLEVELAND,OH441067006	34-1018992	501(C)(3)	34,455	SUPPORT CHARITABLE PROGRAMS
(67) THE PENNSYLVANIA STATE UNIVERSITY 500 UNIVERSITY DRIVE PO BOX 850 HERSHEY,PA17033	24-6000376	STATE OF PA	33,198	SUPPORT RESEARCH PROGRAM
(68) BOARD OF TRUSTEES OF THE MINNESOTA STATE COLLEGES AND UNIVERSITIES 30 EAST 7TH STREET ST PAUL,MN55101	41-1687554	STATE OF MN	32,500	SUPPORT RESEARCH PROGRAM
(69) BW CARDIOLOGY LLC 3980 COLONNADE PKWY BIRMINGHAM,AL352432382	45-2697154	-	32,415	SUPPORT RESEARCH PROGRAM
(70) PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC 409 SOUTH SECOND STREET HARRISBURG,PA17104	32-0321362	-	30,505	SUPPORT RESEARCH PROGRAM
(71) VETERANS EDUCATION AND RESEARCH ASSOCIATION OF MICHIGAN 2215 FULLER ROAD ANN ARBOR,MI48105	38-3060217	501(C)(3)	30,470	SUPPORT CHARITABLE PROGRAMS
(72) CLEVELAND VA MEDICAL RESEARCH AND EDUCATION FOUNDATION 10701 EAST BOULEVARD CLEVELAND,OH44106	34-1710663	501(C)(3)	30,250	SUPPORT CHARITABLE PROGRAMS
(73) SAINT ANDREW'S LIGHTHOUSE INC 4599 WORRALL WAY JACKSONVILLE,FL32224	31-1489868	501(C)(3)	30,000	SUPPORT CHARITABLE PROGRAMS
(74) UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 WEST MARKHAM 812 LITTLE ROCK,AR72201	71-6046242	STATE OF AR	29,239	SUPPORT RESEARCH PROGRAM
(75) INOVA HEALTH CARE SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042	54-0620889	501(C)(3)	28,914	SUPPORT CHARITABLE PROGRAMS
(76) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DRIVE TAMPA,FL33612	59-2451713	501(C)(3)	28,866	SUPPORT CHARITABLE PROGRAMS
(77) NORTH CENTRAL CARDIAC RESEARCH INSTITUTE LTD 4520 W 69TH ST SIOUX FALLS,SD571088148	46-0445351	-	28,780	SUPPORT RESEARCH PROGRAM
(78) VASCULAR SURGERY ASSOCIATES PC 1075 GOLDEN VALLEY DR BETTENDORF,IA52722	38-2237803	-	27,485	SUPPORT RESEARCH PROGRAM
(79) ELMWOOD AREA AMBULANCE SERVICE INC BOX 234 223 N WOODWORTH ST ELMWOOD,WI54740	39-1442689	501(C)(4)	27,000	SUPPORT EXEMPT PURPOSE
(80) THE OHIO STATE UNIVERSITY 1960 KENNY RD COLUMBUS,OH43210	31-6025986	STATE OF OH	26,930	SUPPORT RESEARCH PROGRAM
(81) THE MARFAN FOUNDATION INC 22 MANHASSET AVENUE PORT WASHINGTON,NY11050	52-1265361	501(C)(3)	25,875	SUPPORT CHARITABLE PROGRAMS
(82) CHIPPEWA VALLEY HEALTH CLINIC INC (DBA) CHIPPEWA VALLEY FREE CLINIC 1030 OAKRIDGE DR EAU CLAIRE,WI54701	39-1840231	501(C)(3)	25,400	SUPPORT CHARITABLE PROGRAMS
(83) UNITED WAY OF MOWER COUNTY INC PO BOX 605 AUSTIN,MN55912	41-0831896	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(84) UNITED WAY OF FREEBORN COUNTY INC PO BOX 686 ALBERT LEA,MN56007	41-0956396	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(85) NATIONAL VITALITY CENTER INC 2580 BRIDGE AVE ALBERT LEA,MN56007	45-4540205	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(86) AUSTIN COMMUNITY GROWTH VENTURES 329 NORTH MAIN STREET SUITE 106L AUSTIN,MN55912	47-5042107	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(87) UNITED WAY OF NORTHEAST FLORIDA INC 40 EAST ADAMS STREET NO 200 JACKSONVILLE,FL32202	59-0637825	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(88) HELP IN HEALING HOME FOUNDATION INC 5811 E MAYO BLVD PHOENIX,AZ85054	86-0936101	501(C)(3)	25,000	SUPPORT CHARITABLE PROGRAMS
(89) SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE SUITE 550 LANSING,MI48912	38-3075242	501(C)(3)	23,995	SUPPORT CHARITABLE PROGRAMS
(90) THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA 1001 N EMMET STREET CHARLOTTESVILLE,VA22903	54-6001796	STATE OF VA	23,860	SUPPORT RESEARCH PROGRAM
(91) NC HEART AND VASCULAR RESEARCH LLC 4414 LAKE BOONE TRL STE 409 RALEIGH,NC27607	56-2001346	-	23,560	SUPPORT RESEARCH PROGRAM
(92) VANDERBILT UNIVERSITY PMB 406310 2301 VANDERBILT PLACE NASHVILLE,TN37240	62-0476822	501(C)(3)	23,319	SUPPORT CHARITABLE PROGRAMS
(93) UNIVERSITY OF NORTH FLORIDA 1 UNF DRIVE JACKSONVILLE,FL32224	59-2976169	STATE OF FL	23,250	SUPPORT RESEARCH PROGRAM
(94) OPEN DOOR HEALTH CENTER 309 HOLLY LANE MANKATO,MN56001	41-1461726	501(C)(3)	22,500	SUPPORT CHARITABLE PROGRAMS
(95) VHS HARLINGEN HOSPITAL COMPANY LLC 14201 DALLAS PKWY DALLAS,TX752542916	45-2662980	-	22,135	SUPPORT RESEARCH PROGRAM
(96) HARTFORD HOSPITAL 80 SEYMOUR STREET PO BOX 5037 HARTFORD,CT06102	06-0646668	501(C)(3)	21,610	SUPPORT CHARITABLE PROGRAMS
(97) MANKATO AREA FOUNDATION 212 E WALNUT ST NO 1 MANKATO,MN56001	41-0011094	501(C)(3)	21,000	SUPPORT CHARITABLE PROGRAMS
(98) MINNEAPOLIS CLINIC OF NEUROLOGY LTD 4225 GOLDEN VALLEY ROAD GOLDEN VALLEY,MN55422	41-0999094	-	21,000	SUPPORT RESEARCH PROGRAM
(99) HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE INC 6720A ROCKLEDGE DRIVE 100 BETHESDA,MD20817	52-1317896	501(C)(3)	20,870	SUPPORT CHARITABLE PROGRAMS
(100) ASCENSION SETON 1345 PHILOMENA STREET AUSTIN,TX78723	74-1109643	501(C)(3)	20,760	SUPPORT CHARITABLE PROGRAMS
(101) REGENTS OF THE UNIVERSITY OF MICHIGAN 503 THOMPSON ST ANN ARBOR,MI48109	38-6006309	STATE OF MI	20,649	SUPPORT RESEARCH PROGRAM
(102) SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH 1660 SOUTH COLUMBIAN WAY NO S-151F SEATTLE,WA98108	91-1452438	501(C)(3)	20,220	SUPPORT CHARITABLE PROGRAMS
(103) SOUTHERN ILLINOIS HOSPITAL SERVICES PO BOX 3988 CARBONDALE,IL62902	37-0618939	501(C)(3)	20,005	SUPPORT CHARITABLE PROGRAMS
(104) CHILDRENS MUSEUM OF SOUTHERN MINNESOTA 224 LAMM STREET MANKATO,MN56001	20-4351801	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(105) AUSTIN ASPIRES INC 301 MAIN STREET AUSTIN,MN55912	46-5424422	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(106) DIOCESAN COUNCIL FOR THE SOCIETY OF ST VINCENT DE PAUL DIOCESE PHOENIX PO BOX 13600 PHOENIX,AZ85002	86-0096789	501(C)(3)	20,000	SUPPORT CHARITABLE PROGRAMS
(107) HUNTSVILLE CARDIOVASCULAR CLINIC PA 4601 WHITESBURG DRIVE SUITE 201 PHILADELPHIA,PA00000	63-1211664	-	19,885	SUPPORT RESEARCH PROGRAM
(108) UNIVERSITY OF UTAH 201 PRESIDENTS CIRCLE RM 411 SALT LAKE CITY,UT84112	87-6000525	STATE OF UT	19,244	SUPPORT RESEARCH PROGRAM
(109) WILLIAM BEAUMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD,MI48033	38-1459362	501(C)(3)	18,990	SUPPORT CHARITABLE PROGRAMS
(110) YOUNG MEN'S CHRISTIAN ASSOCIATION OF ALBERT LEA MINNESOTA INC 2021 WEST MAIN ST ALBERT LEA,MN56007	41-1000679	501(C)(3)	18,644	SUPPORT CHARITABLE PROGRAMS
(111) THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY,NY12201	14-1368361	501(C)(3)	18,555	SUPPORT CHARITABLE PROGRAMS
(112) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK,NY10029	13-6171197	501(C)(3)	17,700	SUPPORT CHARITABLE PROGRAMS
(113) PORT CITY OPERATING COMPANY LLC 3400 DATA DRIVE RANCHO CORDOVA,CA95670	46-5322209	501(C)(3)	17,700	SUPPORT CHARITABLE PROGRAMS
(114) HENRY FORD HEALTH SYSTEM ONE FORD PLACE-5F DETROIT,MI48202	38-1357020	501(C)(3)	17,650	SUPPORT CHARITABLE PROGRAMS
(115) INDEPENDENT SCHOOL DISTRICT 77 PO BOX 8741 MANKATO,MN56002	41-6000310	CITY OF MANKATO	17,500	SUPPORT RESEARCH PROGRAM
(116) LA CROSSE PUBLIC EDUCATION FOUNDATION INC PO BOX 1811 LA CROSSE,WI54602	39-1610700	501(C)(3)	17,410	SUPPORT CHARITABLE PROGRAMS
(117) BOYS AND GIRLS CLUBS OF BARRON COUNTY INC PO BOX 734 426 N WILSON AVE RICE LAKE,WI54868	39-2025211	501(C)(3)	17,200	SUPPORT CHARITABLE PROGRAMS
(118) BIOMEDICAL RESEARCH FOUNDATION 4300 WEST 7TH STREET LITTLE ROCK,AR72205	71-0675830	501(C)(3)	17,110	SUPPORT CHARITABLE PROGRAMS
(119) MISSION CARDIOVASCULAR RESEARCH INSTITUTE 2333 MOWRY AVE STE 300 FREMONT,CA945381626	27-1276137	-	16,680	SUPPORT RESEARCH PROGRAM
(120) CITY OF EAU CLAIRE 720 2ND AVE EAU CLAIRE,WI54703	39-6005436	CITY OF EAU CLAIRE	16,500	SUPPORT RESEARCH PROGRAM
(121) UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS UGB203 LOS ANGELES,CA90089	95-1642394	501(C)(3)	16,301	SUPPORT CHARITABLE PROGRAMS
(122) RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE,RI02903	05-0258954	501(C)(3)	16,064	SUPPORT CHARITABLE PROGRAMS
(123) UNITED WAY OF STEELE COUNTY 1850 AUSTIN RD SUITE 103 OWATONNA,MN55060	23-7366680	501(C)(3)	16,000	SUPPORT CHARITABLE PROGRAMS
(124) DOYLESTOWN HOSPITAL 595 WEST STATE STREET DOYLESTOWN,PA18901	23-1352174	501(C)(3)	15,805	SUPPORT CHARITABLE PROGRAMS
(125) LA CROSSE SYMPHONY ORCHESTRA INC 201 MAIN STREET SUITE 230 LA CROSSE,WI54601	39-1024330	501(C)(3)	15,650	SUPPORT CHARITABLE PROGRAMS
(126) GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE,WI54601	39-1028657	501(C)(3)	15,135	SUPPORT CHARITABLE PROGRAMS
(127) MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	86-0800150	501(C)(3)	15,085	SUPPORT CHARITABLE PROGRAMS
(128) THE PARENTING PLACE INC 1500 GREEN BAY STREET LA CROSSE,WI54601	39-1676842	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(129) INDEPENDENT SCHOOL DISTRICT 761 515 W BRIDGE STREET OWATONNA,MN55060	41-6004063	STATE OF MN	15,000	SUPPORT RESEARCH PROGRAM
(130) MUSEUM OF SCIENCE AND HISTORY OF JACKSONVILLE INC 1025 MUSEUM CIRCLE JACKSONVILLE,FL32207	59-0651090	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(131) VOLUNTEERS IN MEDICINE JACKSONVILLE INC 41 EAST DUVAL STREET JACKSONVILLE,FL32202	75-3002172	501(C)(3)	15,000	SUPPORT CHARITABLE PROGRAMS
(132) FRANCISCAN ALLIANCE INC 1515 DRAGOON TRAIL MISHAWAKA,IN46544	35-0913537	501(C)(3)	14,840	SUPPORT CHARITABLE PURPOSE
(133) VETERANS HEALTH FOUNDATION UNIVERSITY DRIVE C BLDG 30 PITTSBURGH,PA15240	25-1666090	501(C)(3)	14,795	SUPPORT CHARITABLE PROGRAMS
(134) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF MANKATO 127 S 2ND ST STE 200 MANKATO,MN56001	41-0711619	501(C)(3)	14,500	SUPPORT CHARITABLE PROGRAMS
(135) UNIVERSITY OF WISCONSIN-MILWAUKEE 3203 N DOWNER AVENUE MILWAUKEE,WI53211	39-1805963	STATE OF WI	14,450	SUPPORT RESEARCH PROGRAM
(136) THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY 485 BROADWAY MAIL CODE 8838 REDWOOD CITY,CA94063	94-1156365	501(C)(3)	14,305	SUPPORT CHARITABLE PROGRAMS
(137) NORTHWESTERN UNIVERSITY 633 CLARK ST EVANSTON,IL60208	36-2167817	501(C)(3)	13,910	SUPPORT CHARITABLE PROGRAMS
(138) MERCY HEALTH 1701 MERCY HEALTH PLACE CINCINNATI,OH45237	34-4428250	501(C)(3)	13,735	SUPPORT CHARITABLE PURPOSE
(139) UPMC HAMOT 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	25-0965387	501(C)(3)	13,480	SUPPORT CHARITABLE PROGRAMS
(140) PROVIDENCE HEALTH & SERVICES WASHINGTON 101 WEST 8TH AVE SPOKANE,WA99220	36-4640211	501(C)(3)	13,215	SUPPORT RESEARCH PROGRAM
(141) BALTIMORE RESEARCH AND EDUCATION FOUNDATION INC 10 N GREEN ST BALTIMORE,MD21201	52-1705976	501(C)(3)	12,750	SUPPORT CHARITABLE PROGRAMS
(142) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW NO 400 ATLANTA,GA30303	13-1788491	501(C)(3)	12,625	SUPPORT CHARITABLE PROGRAMS
(143) WELLMONT CARDIOLOGY SERVICES 1021 W OAKLAND AVENUE SUITE 103 JOHNSON CITY,TN37604	26-3557623	501(C)(3)	12,530	SUPPORT CHARITABLE PROGRAMS
(144) LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM INC 1300 BADGER STREET OFFICE 3065 LA CROSSE,WI54601	39-1804725	501(C)(3)	12,500	SUPPORT CHARITABLE PROGRAMS
(145) THE UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER 1515 HOLCOMBE BOULEVARD HOUSTON,TX77030	74-6001118	STATE OF TX	12,381	SUPPORT RESEARCH PROGRAM
(146) THE SALVATION ARMY 5550 PRAIRIE STONE PARKWAY HOFFMAN ESTATES,IL60192	36-2167910	501(C)(3)	12,200	SUPPORT CHARITABLE PROGRAMS
(147) VETERANS RESEARCH AND EDUCATION FOUNDATION OF ST LOUIS 501 N GRAND BLVD SUITE 300 SAINT LOUIS,MO63103	43-1624664	501(C)(3)	12,140	SUPPORT CHARITABLE PROGRAMS
(148) SWEDISH HEALTH SERVICES 1801 LIND AVE SW RENTON,WA98057	91-0433740	501(C)(3)	11,630	SUPPORT CHARITABLE PROGRAMS
(149) UNIVERSITY OF CALIFORNIA SAN FRANCISCO 220 MONTGOMERY ST FL 5 SAN FRANCISCO,CA94104	94-6036493	STATE OF CA	11,405	SUPPORT RESEARCH PROGRAM
(150) INTERMOUNTAIN HEALTH CARE INC 36 S STATE STREET SUITE 2200 SALT LAKE CITY,UT84111	87-0269232	501(C)(3)	11,380	SUPPORT CHARITABLE PROGRAMS
(151) THE METHODIST HOSPITAL RESEARCH INSTITUTE 6565 FANNIN ST HOUSTON,TX77030	87-0721923	501(C)(3)	11,090	SUPPORT CHARITABLE PURPOSE
(152) UNIVERSITY OF WISCONSIN - EAU CLAIRE FOUNDATION INC 105 GARFIELD AVENUE EAU CLAIRE,WI54701	39-0972350	501(C)(3)	11,000	SUPPORT CHARITABLE PROGRAMS
(153) MORTON PLANT MEASE HEALTH CARE INC 300 PINELLAS ST CLEARWATER,FL33756	59-2374556	501(C)(3)	10,925	SUPPORT CHARITABLE PROGRAMS
(154) ARIZONA ALZHEIMERS RESEARCH CENTER INC 4745 NORTH 7TH STREET PHOENIX,AZ85014	81-0594797	501(C)(3)	10,888	SUPPORT CHARITABLE PROGRAMS
(155) HENNEPIN HEALTHCARE RESEARCH INSTITUTE 701 PARK AVENUE MINNEAPOLIS,MN55415	41-1677920	501(C)(3)	10,705	SUPPORT CHARITABLE PROGRAMS
(156) THE LEUKEMIA & LYMPHOMA SOCIETY INC 3 INTERNATIONAL DRIVE RYE BROOK,NY10573	13-5644916	501(C)(3)	10,300	SUPPORT CHARITABLE PROGRAMS
(157) COMPREHENSIVE ADVANCED LIFE SUPPORT PROGRAM 2600 FERNBROOK LN N NO 104 PLYMOUTH,MN55447	20-1240867	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(158) HEALTHFINDERS COLLABORATIVE INC PO BOX 731 NORTHFIELD,MN55057	20-1805262	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(159) APPLE TREE DENTAL 2442 MOUNDS VIEW BLVD MOUNDS VIEW,MN55112	36-3411437	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(160) LA CROSSE COMMUNITY FOUNDATION 401 MAIN STREET RM/STE 205 LA CROSSE,WI54601	39-6037996	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(161) THE YOUNG MENS CHRISTIAN ASSOC OF MANKA MANKATO INC 1401 SOUTH RIVERFRONT DRIVE MANKATO,MN56001	41-0739108	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(162) OWATONNA SOCCER ASSOCIATION PO BOX 169 OWATONNA,MN55060	41-1908332	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(163) INDEPENDENT SCHOOL DISTRICT 840 500 3RD AVE S ST JAMES,MN56081	41-6004625	STATE OF MN	10,000	SUPPORT RESEARCH PROGRAM
(164) THE SAINT PAUL FOUNDATION 101 FIFTH STREET EAST SUITE 2400 SAINT PAUL,MN55101	41-6031510	501(C)(3)	10,000	SUPPORT CHARITABLE PROGRAMS
(165) CROHN'S & COLITIS FOUNDATION INC 733 THIRD AVENUE SUITE 510 NEW YORK,NY10017	13-6193105	501(C)(3)	9,775	SUPPORT CHARITABLE PROGRAMS
(166) BAPTIST HEALTH AMBULATORY SERVICES INC 1660 PRUDENTIAL DR 203 JACKSONVILLE,FL32207	59-3410739	501(C)(3)	9,385	SUPPORT CHARITABLE PROGRAMS
(167) BAPTIST CLINICAL RESEARCH INSTITUTE INC 350 N HUMPHREYS BLVD MEMPHIS,TN38120	45-3032246	501(C)(3)	9,290	SUPPORT CHARITABLE PROGRAMS
(168) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE 3901 RAINBOW BLVD MAILSTOP 1039 KANSAS CITY,KS66160	48-1108830	501(C)(3)	9,015	SUPPORT CHARITABLE PROGRAMS
(169) GOOD SAMARITAN HEALTH CENTERS INC 268 HERBERT STREET ST AUGUSTINE,FL32084	52-2125419	501(C)(3)	9,000	SUPPORT CHARITABLE PROGRAMS
(170) OVERLAKE HOSPITAL MEDICAL CENTER 1035 116TH AVENUE NE BELLEVUE,WA98004	91-0652651	501(C)(3)	8,445	SUPPORT CHARITABLE PROGRAMS
(171) LYERLY BAPTIST INC 3563 PHILIPS HWY BLDG A SUITE 101 JACKSONVILLE,FL32207	03-0571183	-	8,180	SUPPORT RESEARCH PROGRAM
(172) PROVIDENCE HEALTH & SERVICES OREGON 1235 NE 47TH AVE STE 299 PORTLAND,OR97213	93-0386929	501(C)(3)	8,130	SUPPORT RESEARCH PROGRAM
(173) LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN,PA18103	23-1689692	501(C)(3)	8,038	SUPPORT CHARITABLE PROGRAMS
(174) PACE CENTER FOR GIRLS INC 6745 PHILIPS INDUSTRIAL BLVD JACKSONVILLE,FL32256	59-2414492	501(C)(3)	8,000	SUPPORT CHARITABLE PROGRAMS
(175) UNIVERSITY OF CINCINNATI 2600 CLIFTON AVE CINCINNATI,OH45220	31-6000989	STATE OF OH	7,780	SUPPORT RESEARCH PROGRAM
(176) THE TOLEDO HOSPITAL 100 MADISON AVE TOLEDO,OH43604	34-4428256	501(C)(3)	7,690	SUPPORT CHARITABLE PROGRAMS
(177) UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES,FL33124	59-0624458	501(C)(3)	7,550	SUPPORT CHARITABLE PROGRAMS
(178) FEEDING OUR COMMUNITIES PARTNERS 2120 HOWARD DR WEST NORTH MANKATO,MN56003	27-2374187	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(179) GIFT OF LIFE INC 705 2ND STREET SW ROCHESTER,MN55902	41-1495845	501(C)(3)	7,500	SUPPORT CHARITABLE PROGRAMS
(180) CARDIAC AND VASCULAR RESEARCH CENTER OF NORTHERN MICHIGAN 560 W MITCHELL ST STE 500 PETOSKEY,MI49770	38-3576853	-	7,380	SUPPORT RESEARCH PROGRAM
(181) HMH HOSPITALS CORPORATION 1350 CAMPUS PARKWAY NEPTUNE,NJ07753	22-1487576	501(C)(3)	7,280	SUPPORT CHARITABLE PROGRAMS
(182) UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL 103 SOUTH BUILDING CAMPUS BOX 9100 CHAPEL HILL,NC27599	56-6001393	STATE OF NC	7,270	SUPPORT RESEARCH PROGRAM
(183) BAPTIST HOSPITAL OF MIAMI INC 8900 NORTH KENDALL DRIVE MIAMI,FL33176	59-0910342	501(C)(3)	7,210	SUPPORT CHARITABLE PROGRAMS
(184) WOMEN'S FUND OF GREATER LA CROSSE PO BOX 654 LA CROSSE,WI54602	27-2394065	501(C)(3)	7,000	SUPPORT CHARITABLE PROGRAMS
(185) EAU CLAIRE AREA CHAMBER OF COMMERCE 101 N FARWELL STREET SUITE 101 EAU CLAIRE,WI54703	39-0255585	501(C)(6)	6,939	SUPPORT EXEMPT PURPOSE
(186) NATIONAL KIDNEY FOUNDATION OF ARIZONA 360 E CORONADO RD NO 180 PHOENIX,AZ85004	86-6052343	501(C)(3)	6,650	SUPPORT CHARITABLE PROGRAMS
(187) LA CROSSE COUNTY 300 4TH ST N 2ND FLOOR LA CROSSE,WI54601	39-6005709	CTY OF LA CROSSE	6,500	SUPPORT RESEARCH PROGRAM
(188) BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE BOSTON,MA02215	04-2103881	501(C)(3)	6,435	SUPPORT CHARITABLE PROGRAMS
(189) ECONFINA CARDIOLOGY GROUP PA 625 W BALDWIN ROAD PANAMA CITY,FL32405	59-2005970	-	6,332	SUPPORT RESEARCH PROGRAM
(190) ST FRANCIS HOSPITAL 100 PORT WASHINGTON BLVD ROSLYN,NY11576	11-2050523	501(C)(3)	6,275	SUPPORT CHARITABLE PROGRAMS
(191) GENERATION W INC 2320 3RD STREET STE 5 JACKSONVILLE BEACH,FL32250	46-4832199	501(C)(3)	6,250	SUPPORT CHARITABLE PROGRAMS
(192) MINIMALLY INVASIVE PROCEDURE SPECIALISTS PLLC 8671 S QUEBEC ST STE 200 HIGHLANDS RANCH,CO80130	81-2783079	-	6,175	SUPPORT RESEARCH PROGRAM
(193) UNIVERSITY OF NORTH DAKOTA 264 CENTENNIAL DR GRAND FORKS,ND58202	45-6002491	STATE OF ND	6,085	SUPPORT RESEARCH PROGRAM
(194) CAMP SWEET LIFE ADVENTURES INC 26486 SIOUX TRAIL MADISON LAKE,MN56063	27-3206536	501(C)(3)	6,000	SUPPORT CHARITABLE PROGRAMS
(195) MINNESOTA STATE COLLEGE SOUTHEAST FOUNDATION 1250 HOMER ROAD WINONA,MN55987	41-1540247	501(C)(3)	6,000	SUPPORT CHARITABLE PROGRAMS
(196) CITY OF NORTH MANKATO 1001 BELGRADE AVENUE NORTH MANKATO,MN56003	41-6005423	CITY OF N. MANKATO	6,000	SUPPORT RESEARCH PROGRAM
(197) THE JONES FAMILY FOUNDATION 101 FIFTH STREET EAST SUITE 2400 SAINT PAUL,MN55101	45-3069865	501(C)(3)	6,000	SUPPORT CHARITABLE PROGRAMS
(198) DUVAL COUNTY MEDICAL SOCIETY 4150 BELFORT RD 551538 JACKSONVILLE,FL32216	59-0613659	501(C)(6)	6,000	SUPPORT EXEMPT PURPOSE
(199) SCHOOL DISTRICT OF LA CROSSE 807 EAST AVENUE SOUTH LA CROSSE,WI54601	39-6002841	STATE OF WI	5,875	SUPPORT RESEARCH PROGRAM
(200) PALO ALTO VETERANS INSTITUTE FOR RESEARCH 3801 MIRANDA AVENUE PALO ALTO,CA94304	77-0207331	501(C)(3)	5,660	SUPPORT CHARITABLE PROGRAMS
(201) UNIVERSITY OF PITTSBURGH PHYSICIANS 600 GRANT STREET 58TH FL PITTSBURGH,PA15219	23-2919472	501(C)(3)	5,630	SUPPORT CHARITABLE PROGRAMS
(202) PROJECT 1590 INC PO BOX 705 FAIRMONT,MN56031	81-5410023	501(C)(3)	5,600	SUPPORT CHARITABLE PROGRAMS
(203) MANKATO NORTH MANKATO YOUTH FOOTBALL PO BOX 311 MANKATO,MN56002	41-1315900	501(C)(3)	5,550	SUPPORT CHARITABLE PROGRAMS
(204) ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC 225 N MICHIGAN AVE 17TH FLOOR CHICAGO,IL60601	13-3039601	501(C)(3)	5,500	SUPPORT CHARITABLE PROGRAMS
(205) UNIVERSITY OF WISCONSIN-MADISON 21 N PARK STREET SUITE 6401 MADISON,WI53715	39-6006492	STATE OF WI	5,490	SUPPORT RESEARCH PROGRAM
(206) COULEECAP INC 201 MELBY STREET WESTBY,WI54667	39-1077614	501(C)(3)	5,200	SUPPORT CHARITABLE PROGRAMS
(207) UNIVERSITY OF CHICAGO 6054 S DREXEL AVENUE CHICAGO,IL60637	36-2177139	501(C)(3)	5,170	SUPPORT CHARITABLE PROGRAMS
(208) GENESIS HEALTH INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE,FL32216	59-2249370	501(C)(3)	5,120	SUPPORT CHARITABLE PROGRAMS
(209) THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE,WI53226	39-0806261	501(C)(3)	5,015	SUPPORT CHARITABLE PROGRAMS

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

185

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) 2020

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
(1) SCHOLARSHIPS	575	3,605,078
(2) MEDICAL STUDENT STIPENDS	278	689,772
(3) RESEARCH GRANT SUBAWARDS	28	82,093
(4) CHARITABLE SUPPORT OF INDIVIDUALS	253	301,355
(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. 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. 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. 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) 2020

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
Graphic Arrow

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

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

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) 2020

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/PRES/FORMER OFFICER	(i) (ii)	2,073,968 ------------- 0	0 ------------- 0	564,402 ------------- 0	70,062 ------------- 0	33,630 ------------- 0	2,742,062 ------------- 0	0 ------------- 0
2GOSTOUT MD BOBBIE S DIR/VICE CHAIR/VP OPS/INTERIM REG VP	(i) (ii)	1,460,297 ------------- 0	0 ------------- 0	413,011 ------------- 0	74,116 ------------- 0	31,746 ------------- 0	1,979,170 ------------- 0	0 ------------- 0
3BOLTON JEFFREY W DIRECTOR/CAO	(i) (ii)	1,290,136 ------------- 0	0 ------------- 0	308,856 ------------- 0	68,638 ------------- 0	25,568 ------------- 0	1,693,198 ------------- 0	0 ------------- 0
4HARPER JR MD CHARLES M DIR/FORMER OFFICER/FORMER KEY	(i) (ii)	0 ------------- 1,054,104	0 ------------- 0	0 ------------- 419,415	0 ------------- 11,400	0 ------------- 25,024	0 ------------- 1,509,943	0 ------------- 0
5THIELEN MD KENT R DIR/CEO/CHAIR/VP OPERATIONS	(i) (ii)	1,097,068 ------------- 0	0 ------------- 0	286,128 ------------- 0	67,082 ------------- 0	32,119 ------------- 0	1,482,397 ------------- 0	0 ------------- 0
6QUINONES-HINOJOSA MD ALFREDO DIRECTOR	(i) (ii)	1,223,331 ------------- 0	0 ------------- 0	114,786 ------------- 0	58,465 ------------- 0	32,330 ------------- 0	1,428,912 ------------- 0	0 ------------- 0
7GRAY MD RICHARD J DIRECTOR/VP OPERATIONS	(i) (ii)	1,098,098 ------------- 0	0 ------------- 0	228,999 ------------- 0	54,746 ------------- 0	29,117 ------------- 0	1,410,960 ------------- 0	0 ------------- 0
8DAHLEN DENNIS E DIRECTOR/VP/TREASURER	(i) (ii)	1,097,066 ------------- 0	0 ------------- 0	165,357 ------------- 0	75,459 ------------- 0	32,109 ------------- 0	1,369,991 ------------- 0	0 ------------- 0
9MEYER MD FREDRIC B DIR/PHYSICIAN	(i) (ii)	1,056,875 ------------- 0	0 ------------- 0	253,792 ------------- 0	11,400 ------------- 0	38,681 ------------- 0	1,360,748 ------------- 0	0 ------------- 0
10PICHELMANN MD MARK A FORMER HIGHEST PAID	(i) (ii)	0 ------------- 1,126,634	0 ------------- 0	0 ------------- 141,661	0 ------------- 50,586	0 ------------- 29,052	0 ------------- 1,347,933	0 ------------- 0
11BENDOK MD BERNARD R PHYSICIAN	(i) (ii)	1,149,522 ------------- 0	0 ------------- 0	107,564 ------------- 0	55,990 ------------- 0	30,941 ------------- 0	1,344,017 ------------- 0	0 ------------- 0
12WIECHMANN MD ROBERT J PHYSICIAN	(i) (ii)	1,104,809 ------------- 0	0 ------------- 0	151,216 ------------- 0	64,980 ------------- 0	19,077 ------------- 0	1,340,082 ------------- 0	0 ------------- 0
13NOTTMEIER MD ERIC W PHYSICIAN	(i) (ii)	1,106,348 ------------- 0	0 ------------- 0	144,154 ------------- 0	54,115 ------------- 0	30,757 ------------- 0	1,335,374 ------------- 0	0 ------------- 0
14LYONS MD MARK K PHYSICIAN	(i) (ii)	1,008,830 ------------- 0	0 ------------- 0	239,582 ------------- 0	46,764 ------------- 0	30,552 ------------- 0	1,325,728 ------------- 0	0 ------------- 0
15ZIMMERMAN MD RICHARD S DIRECTOR	(i) (ii)	1,022,522 ------------- 0	0 ------------- 0	250,201 ------------- 0	8,550 ------------- 0	27,284 ------------- 0	1,308,557 ------------- 0	0 ------------- 0
16DEEN JR MD HUGH G PHYSICIAN	(i) (ii)	993,638 ------------- 0	0 ------------- 0	230,525 ------------- 0	11,400 ------------- 0	24,421 ------------- 0	1,259,984 ------------- 0	0 ------------- 0
17MURPHY JOSHUA B SECY/ASST SECY	(i) (ii)	945,339 ------------- 0	0 ------------- 0	213,134 ------------- 0	60,682 ------------- 0	33,279 ------------- 0	1,252,434 ------------- 0	0 ------------- 0
18HOFFMAN III HARRY N TREASURER	(i) (ii)	724,052 ------------- 0	316,503 ------------- 0	159,570 ------------- 0	8,550 ------------- 0	25,028 ------------- 0	1,233,703 ------------- 0	0 ------------- 0
19GORES MD GREGORY J DIRECTOR	(i) (ii)	0 ------------- 954,158	0 ------------- 0	0 ------------- 227,921	0 ------------- 11,400	0 ------------- 27,026	0 ------------- 1,220,505	0 ------------- 0
20GORMAN PAUL A CHIEF INVESTMENT OFFICER	(i) (ii)	645,687 ------------- 0	273,361 ------------- 0	120,858 ------------- 0	72,125 ------------- 0	31,196 ------------- 0	1,143,227 ------------- 0	0 ------------- 0
21OTLEY MD CLARK C DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 828,005	0 ------------- 0	0 ------------- 189,843	0 ------------- 65,860	0 ------------- 33,461	0 ------------- 1,117,169	0 ------------- 0
22WILLIAMSON MARY J DIR/SECY/ASST SECY/CAO MCHS	(i) (ii)	0 ------------- 791,971	0 ------------- 0	0 ------------- 171,681	0 ------------- 64,217	0 ------------- 35,669	0 ------------- 1,063,538	0 ------------- 0
23SHARMA MBBS MANISH S DIRECTOR	(i) (ii)	894,911 ------------- 0	0 ------------- 0	73,435 ------------- 0	51,961 ------------- 0	27,782 ------------- 0	1,048,089 ------------- 0	0 ------------- 0
24CIOTA MD MARK R DIRECTOR	(i) (ii)	819,378 ------------- 0	0 ------------- 0	98,968 ------------- 0	62,835 ------------- 0	24,819 ------------- 0	1,006,000 ------------- 0	0 ------------- 0
25MENKOSKY PAULA E DIR/SECY/ASST TREAS	(i) (ii)	730,088 ------------- 0	0 ------------- 0	152,316 ------------- 0	71,095 ------------- 0	29,473 ------------- 0	982,972 ------------- 0	0 ------------- 0
26FRASER CATHRYN H CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	771,076 ------------- 0	0 ------------- 0	76,279 ------------- 0	65,712 ------------- 0	29,615 ------------- 0	942,682 ------------- 0	0 ------------- 0
27WILLIAMS MD AMY W DIR/VICE CHAIR/PHYSICIAN	(i) (ii)	738,039 ------------- 0	0 ------------- 0	107,011 ------------- 0	76,823 ------------- 0	7,484 ------------- 0	929,357 ------------- 0	0 ------------- 0
28HALAMKA MD JOHN D PRES-MAYO CLINIC PLATFORM	(i) (ii)	762,373 ------------- 0	50,000 ------------- 0	32,779 ------------- 0	55,991 ------------- 0	22,517 ------------- 0	923,660 ------------- 0	0 ------------- 0
29STEWART MD MICHAEL W FORMER KEY EMPLOYEE	(i) (ii)	687,037 ------------- 0	0 ------------- 0	130,724 ------------- 0	71,638 ------------- 0	23,458 ------------- 0	912,857 ------------- 0	0 ------------- 0
30DECKER MBBCH GUSTAV A PRESIDENT INTERNATIONAL	(i) (ii)	773,818 ------------- 0	0 ------------- 0	69,103 ------------- 0	38,178 ------------- 0	31,060 ------------- 0	912,159 ------------- 0	0 ------------- 0
31ROSS CHRISTOPHER J CHIEF INFORMATION OFFICER	(i) (ii)	733,284 ------------- 0	0 ------------- 0	91,936 ------------- 0	63,255 ------------- 0	21,677 ------------- 0	910,152 ------------- 0	0 ------------- 0
32HEBL MD JAMES R DIR/PRES/CHAIR/REG VP-SWMN	(i) (ii)	0 ------------- 698,923	0 ------------- 0	0 ------------- 124,231	0 ------------- 56,693	0 ------------- 29,375	0 ------------- 909,222	0 ------------- 0
33RADEMACHER MD DANA E FORMER KEY EMPLOYEE	(i) (ii)	678,125 ------------- 0	0 ------------- 0	135,043 ------------- 0	64,293 ------------- 0	25,612 ------------- 0	903,073 ------------- 0	0 ------------- 0
34ORTIZ MD JOSE A DIRECTOR	(i) (ii)	710,967 ------------- 0	0 ------------- 0	81,136 ------------- 0	63,611 ------------- 0	43,663 ------------- 0	899,377 ------------- 0	0 ------------- 0
35GILLIGAN SHERRI W CHIEF MARKETING OFFICER	(i) (ii)	760,276 ------------- 0	0 ------------- 0	57,621 ------------- 0	58,549 ------------- 0	21,985 ------------- 0	898,431 ------------- 0	0 ------------- 0
36RIHAL MD CHARANJIT S DIRECTOR	(i) (ii)	0 ------------- 622,075	0 ------------- 0	0 ------------- 170,876	0 ------------- 72,299	0 ------------- 29,551	0 ------------- 894,801	0 ------------- 0
37NOLTE DO CHARLES P FORMER KEY EMPLOYEE	(i) (ii)	707,554 ------------- 0	0 ------------- 0	104,107 ------------- 0	56,919 ------------- 0	23,760 ------------- 0	892,340 ------------- 0	0 ------------- 0
38ZORN CHRISTINA K DIR/SECY/ASST TREAS	(i) (ii)	693,557 ------------- 0	0 ------------- 0	104,419 ------------- 0	51,370 ------------- 0	30,263 ------------- 0	879,609 ------------- 0	0 ------------- 0
39CHONG MD BRIAN W DIRECTOR	(i) (ii)	648,621 ------------- 0	0 ------------- 0	122,204 ------------- 0	62,590 ------------- 0	33,571 ------------- 0	866,986 ------------- 0	0 ------------- 0
40FONSECA MD RAFAEL DIRECTOR	(i) (ii)	607,238 ------------- 0	0 ------------- 0	153,594 ------------- 0	62,590 ------------- 0	32,273 ------------- 0	855,695 ------------- 0	0 ------------- 0
41WALD MD JOHN T DIRECTOR	(i) (ii)	0 ------------- 636,321	0 ------------- 0	0 ------------- 115,552	0 ------------- 71,472	0 ------------- 30,664	0 ------------- 854,009	0 ------------- 0
42DEVAULT MD KENNETH R DIRECTOR	(i) (ii)	627,401 ------------- 0	0 ------------- 0	144,136 ------------- 0	39,213 ------------- 0	30,707 ------------- 0	841,457 ------------- 0	0 ------------- 0
43HARA MD AMY K DIRECTOR	(i) (ii)	653,960 ------------- 0	0 ------------- 0	95,910 ------------- 0	56,531 ------------- 0	33,358 ------------- 0	839,759 ------------- 0	0 ------------- 0
44HELMERS MD RICHARD A DIR/CHAIR/PRES/REG VP-NWWI	(i) (ii)	0 ------------- 677,790	0 ------------- 0	0 ------------- 123,715	0 ------------- 10,299	0 ------------- 26,156	0 ------------- 837,960	0 ------------- 0
45MUELLER MD PAUL S DIR/CHAIR/REG VP-SWWI	(i) (ii)	0 ------------- 631,986	0 ------------- 0	0 ------------- 103,843	0 ------------- 67,925	0 ------------- 27,502	0 ------------- 831,256	0 ------------- 0
46ANDREWS MD PAUL E DIRECTOR/VICE CHAIR	(i) (ii)	598,587 ------------- 0	0 ------------- 0	124,454 ------------- 0	77,648 ------------- 0	26,883 ------------- 0	827,572 ------------- 0	0 ------------- 0
47COOPER MD LESLIE T DIRECTOR	(i) (ii)	595,863 ------------- 0	0 ------------- 0	131,999 ------------- 0	64,547 ------------- 0	30,627 ------------- 0	823,036 ------------- 0	0 ------------- 0
48MCKINNEY MD J MARK PHYSICIAN	(i) (ii)	655,171 ------------- 0	0 ------------- 0	71,260 ------------- 0	61,087 ------------- 0	31,896 ------------- 0	819,414 ------------- 0	0 ------------- 0
49PETERSON MD JEFFREY J FORMER KEY EMPLOYEE	(i) (ii)	644,703 ------------- 0	0 ------------- 0	90,843 ------------- 0	49,543 ------------- 0	33,315 ------------- 0	818,404 ------------- 0	0 ------------- 0
50TERKONDA MD SARVAM P FORMER KEY EMPLOYEE	(i) (ii)	607,286 ------------- 0	0 ------------- 0	106,956 ------------- 0	61,138 ------------- 0	31,074 ------------- 0	806,454 ------------- 0	0 ------------- 0
51STONE MD WILLIAM M FORMER OFFICER	(i) (ii)	601,788 ------------- 0	0 ------------- 0	166,882 ------------- 0	11,419 ------------- 0	19,644 ------------- 0	799,733 ------------- 0	0 ------------- 0
52PATEL MB TUSHAR C DIRECTOR	(i) (ii)	642,658 ------------- 0	0 ------------- 0	69,124 ------------- 0	59,377 ------------- 0	28,541 ------------- 0	799,700 ------------- 0	0 ------------- 0
53CROSS III MD WILLIAM W DIRECTOR	(i) (ii)	0 ------------- 451,133	0 ------------- 0	0 ------------- 259,242	0 ------------- 51,765	0 ------------- 29,402	0 ------------- 791,542	0 ------------- 0
54DOUGLAS MD DAVID D FORMER KEY EMPLOYEE	(i) (ii)	593,846 ------------- 0	0 ------------- 0	117,549 ------------- 0	46,334 ------------- 0	31,962 ------------- 0	789,691 ------------- 0	0 ------------- 0
55PEARSON MD SUSAN E FORMER OFFICER	(i) (ii)	626,549 ------------- 0	0 ------------- 0	69,837 ------------- 0	66,503 ------------- 0	26,698 ------------- 0	789,587 ------------- 0	0 ------------- 0
56HAKAIM MD ALBERT G DIRECTOR	(i) (ii)	586,163 ------------- 0	0 ------------- 0	101,067 ------------- 0	69,683 ------------- 0	23,143 ------------- 0	780,056 ------------- 0	0 ------------- 0
57MOSS MD ADYR A PHYSICIAN	(i) (ii)	585,125 ------------- 0	0 ------------- 0	99,012 ------------- 0	63,710 ------------- 0	32,142 ------------- 0	779,989 ------------- 0	0 ------------- 0
58SADOSTY MD ANNIE T DIR/CHAIR/REG VP-SEMN/FORMER OFFICER	(i) (ii)	0 ------------- 548,283	0 ------------- 0	0 ------------- 139,352	0 ------------- 61,515	0 ------------- 28,970	0 ------------- 778,120	0 ------------- 0
59TANER MD BURCIN C DIRECTOR	(i) (ii)	610,995 ------------- 0	0 ------------- 0	82,020 ------------- 0	53,062 ------------- 0	29,100 ------------- 0	775,177 ------------- 0	0 ------------- 0
60LEIGHTON MD JONATHAN A PHYSICIAN	(i) (ii)	595,546 ------------- 0	0 ------------- 0	136,915 ------------- 0	8,550 ------------- 0	30,273 ------------- 0	771,284 ------------- 0	0 ------------- 0
61BUSKIRK MD STEVEN J DIRECTOR/VICE CHAIR	(i) (ii)	599,731 ------------- 0	0 ------------- 0	113,325 ------------- 0	11,400 ------------- 0	25,796 ------------- 0	750,252 ------------- 0	0 ------------- 0
62TING MD HENRY H DIRECTOR	(i) (ii)	586,163 ------------- 0	0 ------------- 0	74,929 ------------- 0	58,776 ------------- 0	22,910 ------------- 0	742,778 ------------- 0	0 ------------- 0
63LEIBOVICH MD BRADLEY C DIRECTOR	(i) (ii)	0 ------------- 557,937	0 ------------- 0	0 ------------- 95,334	0 ------------- 56,189	0 ------------- 28,946	0 ------------- 738,406	0 ------------- 0
64KENDRICK MD MICHAEL L DIRECTOR	(i) (ii)	0 ------------- 582,080	0 ------------- 0	0 ------------- 70,373	0 ------------- 56,241	0 ------------- 28,996	0 ------------- 737,690	0 ------------- 0
65UY MD JONATHAN J FORMER KEY EMPLOYEE	(i) (ii)	548,483 ------------- 0	0 ------------- 0	101,551 ------------- 0	52,838 ------------- 0	27,689 ------------- 0	730,561 ------------- 0	0 ------------- 0
66MORICE MD WILLIAM G DIRECTOR	(i) (ii)	0 ------------- 540,522	0 ------------- 0	0 ------------- 96,444	0 ------------- 59,636	0 ------------- 28,904	0 ------------- 725,506	0 ------------- 0
67ANIL MD GOKHAN DIRECTOR/VICE CHAIR	(i) (ii)	587,944 ------------- 0	0 ------------- 0	51,756 ------------- 0	48,786 ------------- 0	30,450 ------------- 0	718,936 ------------- 0	0 ------------- 0
68DOWDY MD SEAN C DIRECTOR	(i) (ii)	0 ------------- 554,787	0 ------------- 0	0 ------------- 74,363	0 ------------- 52,659	0 ------------- 30,920	0 ------------- 712,729	0 ------------- 0
69CASLER MD JOHN D DIRECTOR	(i) (ii)	515,557 ------------- 0	0 ------------- 0	98,373 ------------- 0	68,451 ------------- 0	22,742 ------------- 0	705,123 ------------- 0	0 ------------- 0
70CIMA MD ROBERT R DIRECTOR/CHAIR	(i) (ii)	0 ------------- 528,591	0 ------------- 0	0 ------------- 85,788	0 ------------- 55,579	0 ------------- 28,079	0 ------------- 698,037	0 ------------- 0
71JOHNSON MD DANIEL J FORMER KEY EMPLOYEE	(i) (ii)	488,464 ------------- 0	0 ------------- 0	99,350 ------------- 0	71,676 ------------- 0	28,715 ------------- 0	688,205 ------------- 0	0 ------------- 0
72WHITED MD BRIAN L DIRECTOR/CHAIR	(i) (ii)	0 ------------- 533,469	0 ------------- 0	0 ------------- 67,163	0 ------------- 63,252	0 ------------- 23,750	0 ------------- 687,634	0 ------------- 0
73BRUCE MD CHARLES J DIRECTOR	(i) (ii)	543,098 ------------- 0	0 ------------- 0	97,976 ------------- 0	6,959 ------------- 0	34,516 ------------- 0	682,549 ------------- 0	0 ------------- 0
74TRENTMAN MD TERRENCE L PHYSICIAN	(i) (ii)	495,379 ------------- 0	0 ------------- 0	88,569 ------------- 0	66,984 ------------- 0	29,838 ------------- 0	680,770 ------------- 0	0 ------------- 0
75BAKKUM-GAMEZ MD JAMIE N DIRECTOR	(i) (ii)	0 ------------- 554,007	0 ------------- 0	0 ------------- 49,119	0 ------------- 53,778	0 ------------- 21,166	0 ------------- 678,070	0 ------------- 0
76THIEL MD DAVID D DIRECTOR	(i) (ii)	553,129 ------------- 0	0 ------------- 0	48,165 ------------- 0	47,118 ------------- 0	28,910 ------------- 0	677,322 ------------- 0	0 ------------- 0
77CHAPITAL MD ALYSSA B DIRECTOR	(i) (ii)	530,951 ------------- 0	0 ------------- 0	63,551 ------------- 0	56,321 ------------- 0	22,180 ------------- 0	673,003 ------------- 0	0 ------------- 0
78KEENAN MD LAWRENCE R DIRECTOR	(i) (ii)	0 ------------- 513,750	0 ------------- 0	0 ------------- 73,302	0 ------------- 50,153	0 ------------- 31,783	0 ------------- 668,988	0 ------------- 0
79ETZIONI MD DAVID A PHYSICIAN	(i) (ii)	536,301 ------------- 0	0 ------------- 0	48,837 ------------- 0	53,936 ------------- 0	29,026 ------------- 0	668,100 ------------- 0	0 ------------- 0
80MUELLER MD JEFF T FORMER KEY EMPLOYEE	(i) (ii)	489,432 ------------- 0	0 ------------- 0	85,637 ------------- 0	63,011 ------------- 0	22,945 ------------- 0	661,025 ------------- 0	0 ------------- 0
81BROWN MD MICHAEL J DIRECTOR	(i) (ii)	0 ------------- 482,753	0 ------------- 0	0 ------------- 84,281	0 ------------- 56,477	0 ------------- 31,445	0 ------------- 654,956	0 ------------- 0
82ZIETLOW MD SCOTT P DIRECTOR/CHAIR	(i) (ii)	0 ------------- 515,994	0 ------------- 0	0 ------------- 92,433	0 ------------- 9,430	0 ------------- 26,162	0 ------------- 644,019	0 ------------- 0
83BARTLETT MD BRIAN N PHYSICIAN	(i) (ii)	536,011 ------------- 0	0 ------------- 0	25,186 ------------- 0	48,119 ------------- 0	29,646 ------------- 0	638,962 ------------- 0	0 ------------- 0
84MCLAUGHLIN MD SARAH A DIRECTOR	(i) (ii)	538,843 ------------- 0	0 ------------- 0	45,995 ------------- 0	47,104 ------------- 0	6,878 ------------- 0	638,820 ------------- 0	0 ------------- 0
85ROGERS JAMES A DIRECTOR/ASST SECY	(i) (ii)	474,690 ------------- 0	0 ------------- 0	73,387 ------------- 0	57,991 ------------- 0	28,675 ------------- 0	634,743 ------------- 0	0 ------------- 0
86PASCUAL MD JORGE M DIRECTOR	(i) (ii)	456,553 ------------- 0	0 ------------- 0	62,917 ------------- 0	66,427 ------------- 0	31,281 ------------- 0	617,178 ------------- 0	0 ------------- 0
87RYAN MICHAEL J FORMER KEY EMPLOYEE	(i) (ii)	459,702 ------------- 0	0 ------------- 0	114,043 ------------- 0	8,207 ------------- 0	28,622 ------------- 0	610,574 ------------- 0	0 ------------- 0
88NASSAR MD AZIZA PHYSICIAN	(i) (ii)	472,534 ------------- 0	0 ------------- 0	51,592 ------------- 0	54,626 ------------- 0	31,644 ------------- 0	610,396 ------------- 0	0 ------------- 0
89DRONCA MD ROXANA S DIRECTOR	(i) (ii)	490,088 ------------- 0	0 ------------- 0	30,714 ------------- 0	52,791 ------------- 0	31,598 ------------- 0	605,191 ------------- 0	0 ------------- 0
90KHOOR MD ANDRAS FORMER KEY EMPLOYEE	(i) (ii)	444,071 ------------- 0	0 ------------- 0	85,242 ------------- 0	63,182 ------------- 0	11,370 ------------- 0	603,865 ------------- 0	0 ------------- 0
91FREDERICK RYANNON K DIR/FORMER KEY EMPLOYEE	(i) (ii)	490,489 ------------- 0	0 ------------- 0	40,744 ------------- 0	43,505 ------------- 0	27,470 ------------- 0	602,208 ------------- 0	0 ------------- 0
92FRANCIS JAMES R DIRECTOR/ASST TREASURER	(i) (ii)	445,382 ------------- 0	0 ------------- 0	55,872 ------------- 0	68,446 ------------- 0	30,522 ------------- 0	600,222 ------------- 0	0 ------------- 0
93TAZELAAR MD HENRY D PHYSICIAN	(i) (ii)	478,782 ------------- 0	0 ------------- 0	83,824 ------------- 0	10,088 ------------- 0	25,567 ------------- 0	598,261 ------------- 0	0 ------------- 0
94KROSCH MD TARA C PHYSICIAN	(i) (ii)	500,775 ------------- 0	0 ------------- 0	18,286 ------------- 0	51,177 ------------- 0	23,776 ------------- 0	594,014 ------------- 0	0 ------------- 0
95ABENSTEIN MD JOHN P DIRECTOR	(i) (ii)	0 ------------- 483,713	0 ------------- 0	0 ------------- 72,203	0 ------------- 10,246	0 ------------- 25,551	0 ------------- 591,713	0 ------------- 0
96KRAHN MD LOIS E DIRECTOR/VICE CHAIR	(i) (ii)	409,375 ------------- 0	0 ------------- 0	72,280 ------------- 0	73,888 ------------- 0	32,117 ------------- 0	587,660 ------------- 0	0 ------------- 0
97HELLMICH MD THOMAS R DIRECTOR/CHAIR	(i) (ii)	0 ------------- 446,021	0 ------------- 0	0 ------------- 35,825	0 ------------- 66,460	0 ------------- 23,627	0 ------------- 571,933	0 ------------- 0
98KIM MD HYUN I DIRECTOR/VICE CHAIR	(i) (ii)	425,456 ------------- 0	0 ------------- 0	54,009 ------------- 0	61,488 ------------- 0	29,466 ------------- 0	570,419 ------------- 0	0 ------------- 0
99CHO LAWRENCE H COO - INTERNATIONAL	(i) (ii)	501,385 ------------- 0	0 ------------- 0	19,427 ------------- 0	47,478 ------------- 0	1,582 ------------- 0	569,872 ------------- 0	0 ------------- 0
100JOHNSON MD MARGARET M DIRECTOR	(i) (ii)	412,086 ------------- 0	0 ------------- 0	58,744 ------------- 0	68,690 ------------- 0	22,623 ------------- 0	562,143 ------------- 0	0 ------------- 0
101LIMPER MD ANDREW H DIRECTOR	(i) (ii)	0 ------------- 446,286	0 ------------- 0	0 ------------- 76,362	0 ------------- 10,436	0 ------------- 27,655	0 ------------- 560,739	0 ------------- 0
102ALBRIGHT JR DO ROBERT C REGIONAL VP SEMN	(i) (ii)	0 ------------- 404,942	0 ------------- 15,000	0 ------------- 45,735	0 ------------- 62,347	0 ------------- 28,442	0 ------------- 556,466	0 ------------- 0
103CULLINAN MD SUSAN M DIR/CHAIR/FORMER KEY EMPLOYEE	(i) (ii)	428,172 ------------- 0	0 ------------- 0	27,873 ------------- 0	63,190 ------------- 0	36,666 ------------- 0	555,901 ------------- 0	0 ------------- 0
104GOYAL MD DEEPI G DIRECTOR	(i) (ii)	0 ------------- 429,802	0 ------------- 0	0 ------------- 55,579	0 ------------- 59,799	0 ------------- 6,549	0 ------------- 551,729	0 ------------- 0
105DEWITT MD JASON J FORMER KEY EMPLOYEE	(i) (ii)	459,937 ------------- 0	0 ------------- 0	18,292 ------------- 0	50,437 ------------- 0	22,999 ------------- 0	551,665 ------------- 0	0 ------------- 0
106KELLEY SHARON M CFO MCHS	(i) (ii)	435,960 ------------- 0	0 ------------- 0	25,275 ------------- 0	56,605 ------------- 0	21,359 ------------- 0	539,199 ------------- 0	0 ------------- 0
107SANTRACH MD PAULA J DIRECTOR/VICE CHAIR	(i) (ii)	0 ------------- 427,426	0 ------------- 0	0 ------------- 89,492	0 ------------- 6,672	0 ------------- 11,655	0 ------------- 535,245	0 ------------- 0
108NARR MD BRADLY J DIRECTOR	(i) (ii)	0 ------------- 385,845	0 ------------- 0	0 ------------- 112,236	0 ------------- 8,568	0 ------------- 25,357	0 ------------- 532,006	0 ------------- 0
109BUNKERS MD BRIAN E DIRECTOR/VICE CHAIR	(i) (ii)	409,612 ------------- 0	0 ------------- 0	29,052 ------------- 0	63,098 ------------- 0	28,790 ------------- 0	530,552 ------------- 0	0 ------------- 0
110PECK MD ROBERT C DIRECTOR	(i) (ii)	404,898 ------------- 0	0 ------------- 0	29,697 ------------- 0	65,604 ------------- 0	19,780 ------------- 0	519,979 ------------- 0	0 ------------- 0
111MCNEILL STEVEN L CHIEF PLANNING OFFICER	(i) (ii)	418,100 ------------- 0	0 ------------- 0	60,152 ------------- 0	9,358 ------------- 0	27,969 ------------- 0	515,579 ------------- 0	0 ------------- 0
112SILVERS MD SCOTT M PHYSICIAN	(i) (ii)	383,262 ------------- 0	0 ------------- 0	43,849 ------------- 0	51,117 ------------- 0	36,143 ------------- 0	514,371 ------------- 0	0 ------------- 0
113RIGDON ALICE W DIRECTOR/TREASURER	(i) (ii)	417,201 ------------- 0	50,000 ------------- 0	22,288 ------------- 0	5,096 ------------- 0	10,801 ------------- 0	505,386 ------------- 0	0 ------------- 0
114COSTAKOS MD DENNIS T DIRECTOR	(i) (ii)	374,287 ------------- 0	0 ------------- 0	36,473 ------------- 0	67,134 ------------- 0	18,408 ------------- 0	496,302 ------------- 0	0 ------------- 0
115MCALPINE MD DAVID A DIRECTOR	(i) (ii)	387,898 ------------- 0	0 ------------- 0	38,878 ------------- 0	43,982 ------------- 0	24,218 ------------- 0	494,976 ------------- 0	0 ------------- 0
116HORST ADAM M DIRECTOR	(i) (ii)	363,030 ------------- 0	50,000 ------------- 0	46,686 ------------- 0	1,667 ------------- 0	22,904 ------------- 0	484,287 ------------- 0	0 ------------- 0
117SOUSOU MD COSTA H PHYSICIAN	(i) (ii)	366,479 ------------- 0	0 ------------- 0	23,297 ------------- 0	62,305 ------------- 0	31,311 ------------- 0	483,392 ------------- 0	0 ------------- 0
118HORVATH MD PAUL R PHYSICIAN	(i) (ii)	382,667 ------------- 0	0 ------------- 0	13,110 ------------- 0	49,220 ------------- 0	37,637 ------------- 0	482,634 ------------- 0	0 ------------- 0
119URUMOV MD ANDREJ PHYSICIAN	(i) (ii)	397,623 ------------- 0	0 ------------- 0	12,895 ------------- 0	51,190 ------------- 0	20,913 ------------- 0	482,621 ------------- 0	0 ------------- 0
120OTTE KIMBERLY K ASST SECY	(i) (ii)	357,098 ------------- 0	0 ------------- 0	36,888 ------------- 0	58,137 ------------- 0	28,316 ------------- 0	480,439 ------------- 0	0 ------------- 0
121PRESUTTI DO RICHARD J FORMER KEY EMPLOYEE	(i) (ii)	306,678 ------------- 0	0 ------------- 0	79,616 ------------- 0	61,251 ------------- 0	30,292 ------------- 0	477,837 ------------- 0	0 ------------- 0
122SEINOLA SCOTT A DIR/CEO/PRES/CHAIR/DIV CHAIR	(i) (ii)	391,194 ------------- 0	0 ------------- 0	53,960 ------------- 0	9,812 ------------- 0	22,628 ------------- 0	477,594 ------------- 0	0 ------------- 0
123FAUBION MD STEPHANIE S DIRECTOR	(i) (ii)	234,364 ------------- 113,161	0 ------------- 0	44,100 ------------- 6,602	1,934 ------------- 61,759	6,751 ------------- 4,699	287,149 ------------- 186,221	0 ------------- 0
124DEXTER MD DONN D PHYSICIAN	(i) (ii)	360,307 ------------- 0	0 ------------- 0	23,523 ------------- 0	63,364 ------------- 0	24,412 ------------- 0	471,606 ------------- 0	0 ------------- 0
125MESCHIA MD JAMES F FORMER KEY EMPLOYEE	(i) (ii)	344,342 ------------- 0	0 ------------- 0	27,392 ------------- 0	61,699 ------------- 0	29,558 ------------- 0	462,991 ------------- 0	0 ------------- 0
126YOUNG MD TIMOTHY J PHYSICIAN	(i) (ii)	342,264 ------------- 0	0 ------------- 0	13,994 ------------- 0	56,373 ------------- 0	43,047 ------------- 0	455,678 ------------- 0	0 ------------- 0
127KRIEN MD JOSEPH S PHYSICIAN	(i) (ii)	344,007 ------------- 0	0 ------------- 0	26,245 ------------- 0	56,619 ------------- 0	27,358 ------------- 0	454,229 ------------- 0	0 ------------- 0
128MORREY MICHAEL A DIR/REG CHAIR-ADMIN SWWI/FORMER OFFI	(i) (ii)	0 ------------- 340,711	0 ------------- 0	0 ------------- 26,435	0 ------------- 57,433	0 ------------- 29,302	0 ------------- 453,881	0 ------------- 0
129NOE MD KATHERINE H DIRECTOR	(i) (ii)	350,195 ------------- 0	0 ------------- 0	18,314 ------------- 0	55,952 ------------- 0	26,602 ------------- 0	451,063 ------------- 0	0 ------------- 0
130EZENAGU MD LEONARD C DIRECTOR/SECY	(i) (ii)	338,742 ------------- 0	0 ------------- 0	21,818 ------------- 0	63,910 ------------- 0	25,628 ------------- 0	450,098 ------------- 0	0 ------------- 0
131LITCHY MD WILLIAM J FORMER OFFICER	(i) (ii)	0 ------------- 328,940	0 ------------- 0	0 ------------- 65,780	0 ------------- 29,293	0 ------------- 25,059	0 ------------- 449,072	0 ------------- 0
132SHERRILL TODD E TREAS/FORMER OFFICER	(i) (ii)	338,454 ------------- 0	0 ------------- 0	14,142 ------------- 0	72,811 ------------- 0	22,625 ------------- 0	448,032 ------------- 0	0 ------------- 0
133PIGNOLO MD PHD ROBERT J DIRECTOR/VICE CHAIR	(i) (ii)	0 ------------- 336,743	0 ------------- 0	0 ------------- 13,310	0 ------------- 62,238	0 ------------- 30,950	0 ------------- 443,241	0 ------------- 0
134CRANE MD SARAH J DIRECTOR	(i) (ii)	0 ------------- 337,177	0 ------------- 0	0 ------------- 20,284	0 ------------- 51,493	0 ------------- 26,579	0 ------------- 435,533	0 ------------- 0
135YUN MD BLENDA PHYSICIAN	(i) (ii)	345,600 ------------- 0	0 ------------- 0	9,556 ------------- 0	52,280 ------------- 0	28,061 ------------- 0	435,497 ------------- 0	0 ------------- 0
136HOLTAN DOUGLAS J DIRECTOR	(i) (ii)	0 ------------- 362,578	0 ------------- 0	0 ------------- 34,616	0 ------------- 203	0 ------------- 31,109	0 ------------- 428,506	0 ------------- 0
137KNUDSON STEVE L DIRECTOR	(i) (ii)	355,408 ------------- 0	0 ------------- 0	31,695 ------------- 0	8,098 ------------- 0	23,986 ------------- 0	419,187 ------------- 0	0 ------------- 0
138CHUKWUDELUNZU SR MD FELIX E PHYSICIAN	(i) (ii)	313,787 ------------- 0	0 ------------- 0	13,727 ------------- 0	65,251 ------------- 0	25,941 ------------- 0	418,706 ------------- 0	0 ------------- 0
139SIMPSON MD HENRY J PHYSICIAN	(i) (ii)	322,119 ------------- 0	0 ------------- 0	15,936 ------------- 0	63,445 ------------- 0	16,924 ------------- 0	418,424 ------------- 0	0 ------------- 0
140HIRISAVE KRISHNA MD BIPINCHANDRA PHYSICIAN	(i) (ii)	327,530 ------------- 0	0 ------------- 0	8,745 ------------- 0	48,805 ------------- 0	30,541 ------------- 0	415,621 ------------- 0	0 ------------- 0
141WEBER JOAN A DIRECTOR	(i) (ii)	155,030 ------------- 0	0 ------------- 0	246,175 ------------- 0	4,532 ------------- 0	9,308 ------------- 0	415,045 ------------- 0	0 ------------- 0
142CAVINESS MD JOHN N DIRECTOR	(i) (ii)	347,030 ------------- 0	0 ------------- 0	29,478 ------------- 0	5,959 ------------- 0	31,885 ------------- 0	414,352 ------------- 0	0 ------------- 0
143GADE CHRIS W CHIEF PUBLIC AFFAIRS OFFICER	(i) (ii)	340,990 ------------- 0	0 ------------- 0	34,520 ------------- 0	9,526 ------------- 0	27,770 ------------- 0	412,806 ------------- 0	0 ------------- 0
144FOSS MD RANDY M DIRECTOR/VICE CHAIR	(i) (ii)	326,998 ------------- 0	0 ------------- 0	8,131 ------------- 0	42,296 ------------- 0	34,294 ------------- 0	411,719 ------------- 0	0 ------------- 0
145HERRMANN MD MARTIN J DIRECTOR	(i) (ii)	310,358 ------------- 0	0 ------------- 0	13,899 ------------- 0	57,231 ------------- 0	28,244 ------------- 0	409,732 ------------- 0	0 ------------- 0
146LANGBEHN DO JENNIFER M DIRECTOR	(i) (ii)	312,440 ------------- 0	0 ------------- 0	10,616 ------------- 0	59,004 ------------- 0	26,946 ------------- 0	409,006 ------------- 0	0 ------------- 0
147DIETER HEIDI L DIRECTOR	(i) (ii)	0 ------------- 332,576	0 ------------- 0	0 ------------- 12,982	0 ------------- 51,277	0 ------------- 10,436	0 ------------- 407,271	0 ------------- 0
148AGERTER MD DAVID C FORMER OFFICER	(i) (ii)	0 ------------- 288,539	0 ------------- 0	0 ------------- 86,526	0 ------------- 8,625	0 ------------- 22,379	0 ------------- 406,069	0 ------------- 0
149MERFELD MD JOHN PHYSICIAN	(i) (ii)	306,603 ------------- 0	0 ------------- 0	15,161 ------------- 0	54,303 ------------- 0	28,247 ------------- 0	404,314 ------------- 0	0 ------------- 0
150CONNOLLY TERESA L DIRECTOR	(i) (ii)	224,595 ------------- 85,813	0 ------------- 0	5,288 ------------- 307	61,952 ------------- 1,884	15,770 ------------- 6,503	307,605 ------------- 94,507	0 ------------- 0
151HUBERT SHERRY L ASST SECY	(i) (ii)	289,640 ------------- 0	0 ------------- 0	11,326 ------------- 0	68,877 ------------- 0	30,816 ------------- 0	400,659 ------------- 0	0 ------------- 0
152BRANDT TERRY L DIR/SECY/REG CHAIR-ADMIN SWMN	(i) (ii)	0 ------------- 342,691	0 ------------- 0	0 ------------- 27,515	0 ------------- 7,859	0 ------------- 22,402	0 ------------- 400,467	0 ------------- 0
153MYHRE MD KAREN K DIRECTOR/VICE CHAIR	(i) (ii)	300,593 ------------- 0	0 ------------- 0	7,764 ------------- 0	53,314 ------------- 0	38,246 ------------- 0	399,917 ------------- 0	0 ------------- 0
154HORECKI MD RICHARD J PHYSICIAN	(i) (ii)	302,865 ------------- 0	0 ------------- 0	12,376 ------------- 0	62,932 ------------- 0	20,877 ------------- 0	399,050 ------------- 0	0 ------------- 0
155KOWAL DO GERALD K PHYSICIAN	(i) (ii)	300,067 ------------- 0	0 ------------- 0	11,417 ------------- 0	67,097 ------------- 0	20,416 ------------- 0	398,997 ------------- 0	0 ------------- 0
156KORDUCKI MD JANE M PHYSICIAN	(i) (ii)	288,989 ------------- 0	0 ------------- 0	12,753 ------------- 0	67,146 ------------- 0	28,068 ------------- 0	396,956 ------------- 0	0 ------------- 0
157ACKERMAN FRANKLIN K DIR/ASSOCIATE ADMIN	(i) (ii)	296,210 ------------- 0	0 ------------- 0	12,768 ------------- 0	58,813 ------------- 0	28,095 ------------- 0	395,886 ------------- 0	0 ------------- 0
158MORRIS MD MARIE E DIRECTOR/CHAIR	(i) (ii)	292,481 ------------- 0	0 ------------- 0	14,112 ------------- 0	65,222 ------------- 0	23,729 ------------- 0	395,544 ------------- 0	0 ------------- 0
159VIRAMONTES ALLISON L DIRECTOR/TREASURER	(i) (ii)	283,399 ------------- 0	50,000 ------------- 0	42,824 ------------- 0	0 ------------- 0	19,238 ------------- 0	395,461 ------------- 0	0 ------------- 0
160POWELL III MD RALPH DIRECTOR	(i) (ii)	298,739 ------------- 0	0 ------------- 0	17,514 ------------- 0	47,827 ------------- 0	30,437 ------------- 0	394,517 ------------- 0	0 ------------- 0
161FITZGERALD MD KEVIN PHYSICIAN	(i) (ii)	301,193 ------------- 0	0 ------------- 0	13,319 ------------- 0	54,634 ------------- 0	25,147 ------------- 0	394,293 ------------- 0	0 ------------- 0
162MATHEWS HILARY G FORMER OFFICER	(i) (ii)	0 ------------- 328,197	0 ------------- 0	0 ------------- 26,124	0 ------------- 8,035	0 ------------- 29,910	0 ------------- 392,266	0 ------------- 0
163STEVENS MD MARK K FORMER KEY EMPLOYEE	(i) (ii)	168,223 ------------- 0	0 ------------- 0	150,246 ------------- 0	0 ------------- 0	4 ------------- 0	318,473 ------------- 0	73,500 ------------- 0
164MOLLING DO PAUL E DIR/VICE CHAIR/VP MCHS - FMC	(i) (ii)	297,675 ------------- 0	0 ------------- 0	11,667 ------------- 0	51,965 ------------- 0	28,847 ------------- 0	390,154 ------------- 0	0 ------------- 0
165BLAIR MD DAVID FORMER OFFICER	(i) (ii)	286,739 ------------- 0	0 ------------- 0	5,800 ------------- 0	56,750 ------------- 0	40,436 ------------- 0	389,725 ------------- 0	0 ------------- 0
166LINDAHL ROGER A DIR/ASST SECY/ASST TREAS	(i) (ii)	280,600 ------------- 0	0 ------------- 0	16,480 ------------- 0	65,965 ------------- 0	24,667 ------------- 0	387,712 ------------- 0	0 ------------- 0
167LENHART MD JILL PHYSICIAN	(i) (ii)	278,931 ------------- 0	0 ------------- 0	10,037 ------------- 0	59,962 ------------- 0	36,044 ------------- 0	384,974 ------------- 0	0 ------------- 0
168ROBELIA MD PAUL M DIRECTOR	(i) (ii)	0 ------------- 288,679	0 ------------- 0	0 ------------- 9,005	0 ------------- 54,159	0 ------------- 30,499	0 ------------- 382,342	0 ------------- 0
169GREEN MD JEFFREY P FORMER OFFICER	(i) (ii)	285,249 ------------- 0	0 ------------- 0	7,772 ------------- 0	57,534 ------------- 0	30,640 ------------- 0	381,195 ------------- 0	0 ------------- 0
170HOLMES TINA E CHIEF OF STAFF	(i) (ii)	288,952 ------------- 0	0 ------------- 0	11,454 ------------- 0	47,855 ------------- 0	30,982 ------------- 0	379,243 ------------- 0	0 ------------- 0
171GOYAL MANEESH COO-MAYO CLINIC PLATFORM	(i) (ii)	328,128 ------------- 0	0 ------------- 0	5,834 ------------- 0	14,764 ------------- 0	29,099 ------------- 0	377,825 ------------- 0	0 ------------- 0
172CRAIG JASON E REGIONAL CHAIR-ADMIN NWWI	(i) (ii)	300,620 ------------- 0	0 ------------- 0	5,052 ------------- 0	41,598 ------------- 0	23,045 ------------- 0	370,315 ------------- 0	0 ------------- 0
173MEYERS ANN M DIR/FORMER OFFICER	(i) (ii)	0 ------------- 316,132	0 ------------- 0	0 ------------- 18,606	0 ------------- 8,082	0 ------------- 23,221	0 ------------- 366,041	0 ------------- 0
174GOLDMAN DANIEL S ASST SECY	(i) (ii)	270,832 ------------- 0	0 ------------- 0	16,293 ------------- 0	49,198 ------------- 0	28,062 ------------- 0	364,385 ------------- 0	0 ------------- 0
175LOCKETT KEVIN M DIRECTOR/TREASURER	(i) (ii)	264,216 ------------- 0	0 ------------- 0	5,322 ------------- 0	60,513 ------------- 0	28,913 ------------- 0	358,964 ------------- 0	0 ------------- 0
176MONEY MD SAMUEL R FORMER KEY EMPLOYEE	(i) (ii)	188,394 ------------- 0	0 ------------- 0	96,956 ------------- 0	63,805 ------------- 0	8,370 ------------- 0	357,525 ------------- 0	0 ------------- 0
177JELINEK DIANE F DIRECTOR	(i) (ii)	312,923 ------------- 0	0 ------------- 0	28,523 ------------- 0	4,169 ------------- 0	10,442 ------------- 0	356,057 ------------- 0	0 ------------- 0
178SKAAR MD PHILLIP J DIRECTOR	(i) (ii)	262,588 ------------- 0	0 ------------- 0	4,260 ------------- 0	49,997 ------------- 0	38,118 ------------- 0	354,963 ------------- 0	0 ------------- 0
179NORBY MARK L FORMER KEY EMPLOYEE	(i) (ii)	276,445 ------------- 0	0 ------------- 0	5,221 ------------- 0	52,512 ------------- 0	13,393 ------------- 0	347,571 ------------- 0	0 ------------- 0
180BERG DAVID W ADMIN - MCHS SEMN	(i) (ii)	256,735 ------------- 0	0 ------------- 0	9,715 ------------- 0	58,336 ------------- 0	21,105 ------------- 0	345,891 ------------- 0	0 ------------- 0
181MEKALA PRAVEEN TREAS/ASST TREAS/CFO MN	(i) (ii)	231,922 ------------- 57,692	15,000 ------------- 0	19,670 ------------- 0	2,400 ------------- 0	17,776 ------------- 0	286,768 ------------- 57,692	0 ------------- 0
182CROCKETT ERIC D DIR/SECY/REG CHAIR-ADMIN SEMN	(i) (ii)	0 ------------- 260,766	0 ------------- 0	0 ------------- 5,064	0 ------------- 48,244	0 ------------- 29,027	0 ------------- 343,101	0 ------------- 0
183GLENN SEAN W DIRECTOR/ASST SECY	(i) (ii)	258,951 ------------- 0	0 ------------- 0	5,413 ------------- 0	49,131 ------------- 0	29,021 ------------- 0	342,516 ------------- 0	0 ------------- 0
184POE JOHN D DIRECTOR	(i) (ii)	0 ------------- 261,254	0 ------------- 0	0 ------------- 5,320	0 ------------- 53,718	0 ------------- 20,919	0 ------------- 341,211	0 ------------- 0
185ADLEMAN BREEANN M DIRECTOR/ASST SECY	(i) (ii)	255,945 ------------- 0	0 ------------- 0	5,105 ------------- 0	45,947 ------------- 0	33,229 ------------- 0	340,226 ------------- 0	0 ------------- 0
186WHITE PAMELA K CHIEF NURSING OFFICER	(i) (ii)	243,933 ------------- 0	0 ------------- 0	9,317 ------------- 0	63,954 ------------- 0	22,256 ------------- 0	339,460 ------------- 0	0 ------------- 0
187THIEMANN KAY M FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 265,284	0 ------------- 0	0 ------------- 36,418	0 ------------- 5,701	0 ------------- 30,335	0 ------------- 337,738	0 ------------- 0
188TIGGELAAR THOMAS H FORMER OFFICER	(i) (ii)	256,946 ------------- 0	0 ------------- 0	5,936 ------------- 0	63,027 ------------- 0	10,347 ------------- 0	336,256 ------------- 0	0 ------------- 0
189LINDBERG STEVEN J DIR/VICE PRES/SECY/FORMER OFFICER	(i) (ii)	250,133 ------------- 0	0 ------------- 0	9,666 ------------- 0	54,308 ------------- 0	21,915 ------------- 0	336,022 ------------- 0	0 ------------- 0
190MURPHY MARIALENA ASSOC ADMIN	(i) (ii)	258,699 ------------- 0	0 ------------- 0	4,899 ------------- 0	47,447 ------------- 0	24,846 ------------- 0	335,891 ------------- 0	0 ------------- 0
191DILLON KEVIN R FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 251,760	0 ------------- 0	0 ------------- 5,857	0 ------------- 56,395	0 ------------- 20,901	0 ------------- 334,913	0 ------------- 0
192NORDRUM CHARLOTTE J FORMER OFFICER	(i) (ii)	246,987 ------------- 0	0 ------------- 0	4,765 ------------- 0	54,039 ------------- 0	28,833 ------------- 0	334,624 ------------- 0	0 ------------- 0
193GROSS TERA L DIRECTOR	(i) (ii)	218,822 ------------- 0	8,000 ------------- 0	58,332 ------------- 0	24,804 ------------- 0	23,711 ------------- 0	333,669 ------------- 0	0 ------------- 0
194HOLTZ MD CAROL P FORMER OFFICER	(i) (ii)	0 ------------- 262,272	0 ------------- 0	0 ------------- 6,209	0 ------------- 53,150	0 ------------- 6,013	0 ------------- 327,644	0 ------------- 0
195GALINDEZ JR PETER ASST SECY/FORMER OFFICER	(i) (ii)	237,340 ------------- 0	0 ------------- 0	4,326 ------------- 0	50,697 ------------- 0	27,924 ------------- 0	320,287 ------------- 0	0 ------------- 0
196GRENISEN MD MARGARET M PHYSICIAN	(i) (ii)	225,655 ------------- 0	0 ------------- 0	12,726 ------------- 0	56,580 ------------- 0	23,746 ------------- 0	318,707 ------------- 0	0 ------------- 0
197GABRIELSON SHARON R FORMER OFFICER	(i) (ii)	178,878 ------------- 0	0 ------------- 0	64,123 ------------- 0	61,721 ------------- 0	13,498 ------------- 0	318,220 ------------- 0	0 ------------- 0
198HANSEN JULIE S DIRECTOR/TREASURER/CFO WI	(i) (ii)	275,706 ------------- 0	0 ------------- 0	5,521 ------------- 0	7,203 ------------- 0	28,476 ------------- 0	316,906 ------------- 0	0 ------------- 0
199THORESON SCOTT D DIR/FORMER KEY EMPLOYEE	(i) (ii)	77,804 ------------- 0	0 ------------- 0	182,952 ------------- 0	46,552 ------------- 0	9,036 ------------- 0	316,344 ------------- 0	0 ------------- 0
200DEGEN SUSANNE C FORMER KEY EMPLOYEE	(i) (ii)	237,545 ------------- 0	0 ------------- 0	13,638 ------------- 0	50,415 ------------- 0	14,361 ------------- 0	315,959 ------------- 0	0 ------------- 0
201ROTTY BRIAN W FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 234,568	0 ------------- 0	0 ------------- 4,770	0 ------------- 39,101	0 ------------- 27,901	0 ------------- 306,340	0 ------------- 0
202PARKS DOUGLAS A FORMER OFFICER	(i) (ii)	0 ------------- 263,951	0 ------------- 0	0 ------------- 6,701	0 ------------- 4,736	0 ------------- 30,224	0 ------------- 305,612	0 ------------- 0
203MELVIN KEVIN B ASST SECY	(i) (ii)	0 ------------- 221,873	0 ------------- 0	0 ------------- 5,488	0 ------------- 43,744	0 ------------- 33,813	0 ------------- 304,918	0 ------------- 0
204BYRD MD JANE D DIRECTOR/VICE CHAIR	(i) (ii)	212,460 ------------- 0	0 ------------- 0	5,235 ------------- 0	60,140 ------------- 0	26,738 ------------- 0	304,573 ------------- 0	0 ------------- 0
205BROWN MICHAEL E FORMER OFFICER	(i) (ii)	215,293 ------------- 0	0 ------------- 0	15,373 ------------- 0	56,776 ------------- 0	10,149 ------------- 0	297,591 ------------- 0	0 ------------- 0
206TRAUB MD STEPHEN J FORMER KEY EMPLOYEE	(i) (ii)	199,159 ------------- 0	0 ------------- 0	23,339 ------------- 0	53,092 ------------- 0	15,720 ------------- 0	291,310 ------------- 0	0 ------------- 0
207HANSON VICTORIA M VICE CHAIR-ADMINISTRATION	(i) (ii)	218,579 ------------- 0	0 ------------- 0	4,558 ------------- 0	41,489 ------------- 0	24,849 ------------- 0	289,475 ------------- 0	0 ------------- 0
208LEBRASSEUR NATHAN K DIRECTOR	(i) (ii)	0 ------------- 214,518	0 ------------- 0	0 ------------- 3,646	0 ------------- 38,426	0 ------------- 27,859	0 ------------- 284,449	0 ------------- 0
209CAPLAN SHERRY M VICE CHAIR-ADMINISTRATION	(i) (ii)	220,762 ------------- 0	0 ------------- 0	4,584 ------------- 0	30,258 ------------- 0	20,159 ------------- 0	275,763 ------------- 0	0 ------------- 0
210FALLER MD ANNETTE PHYSICIAN	(i) (ii)	222,751 ------------- 0	0 ------------- 0	3,872 ------------- 0	47,964 ------------- 0	712 ------------- 0	275,299 ------------- 0	0 ------------- 0
211BROWN WILLIAM A ASST TREASURER	(i) (ii)	236,808 ------------- 0	0 ------------- 0	7,753 ------------- 0	5,118 ------------- 0	24,788 ------------- 0	274,467 ------------- 0	0 ------------- 0
212JOHNSON RYAN R DIRECTOR	(i) (ii)	0 ------------- 212,350	0 ------------- 0	0 ------------- 4,155	0 ------------- 28,196	0 ------------- 27,852	0 ------------- 272,553	0 ------------- 0
213GUDGELL STEPHEN F TREASURER/SECY	(i) (ii)	0 ------------- 236,062	0 ------------- 0	0 ------------- 6,166	0 ------------- 6,076	0 ------------- 23,271	0 ------------- 271,575	0 ------------- 0
214COGNETTA-RIEKE CHERISTI M CHIEF NURSING OFFICER	(i) (ii)	123,135 ------------- 76,053	0 ------------- 0	18,651 ------------- 258	479 ------------- 27,332	14,740 ------------- 10,522	157,005 ------------- 114,165	0 ------------- 0
215MARTIN DAVID L FORMER KEY EMPLOYEE	(i) (ii)	204,021 ------------- 0	0 ------------- 0	3,759 ------------- 0	40,125 ------------- 0	22,624 ------------- 0	270,529 ------------- 0	0 ------------- 0
216HANSEN GAYLE B FORMER KEY EMPLOYEE	(i) (ii)	160,790 ------------- 0	0 ------------- 0	33,526 ------------- 0	61,459 ------------- 0	14,115 ------------- 0	269,890 ------------- 0	0 ------------- 0
217DAVIS AMY L SECRETARY	(i) (ii)	199,345 ------------- 0	0 ------------- 0	3,658 ------------- 0	36,424 ------------- 0	28,658 ------------- 0	268,085 ------------- 0	0 ------------- 0
218EBERLE MICHELE R FORMER KEY EMPLOYEE	(i) (ii)	211,605 ------------- 0	0 ------------- 0	4,845 ------------- 0	40,168 ------------- 0	11,014 ------------- 0	267,632 ------------- 0	0 ------------- 0
219EIDE DEAN B DIR/FORMER KEY EMPLOYEE	(i) (ii)	215,774 ------------- 0	0 ------------- 0	5,038 ------------- 0	41,928 ------------- 0	3,681 ------------- 0	266,421 ------------- 0	0 ------------- 0
220SLEGH KERI A FORMER KEY EMPLOYEE	(i) (ii)	191,185 ------------- 0	0 ------------- 0	3,992 ------------- 0	40,219 ------------- 0	29,298 ------------- 0	264,694 ------------- 0	0 ------------- 0
221JOHNSON CARLA J ASST SECY	(i) (ii)	183,869 ------------- 0	25,000 ------------- 0	3,886 ------------- 0	33,348 ------------- 0	18,465 ------------- 0	264,568 ------------- 0	0 ------------- 0
222MATTHIAS MARK A FORMER OFFICER	(i) (ii)	173,484 ------------- 0	0 ------------- 0	4,058 ------------- 0	61,201 ------------- 0	21,228 ------------- 0	259,971 ------------- 0	0 ------------- 0
223FROISLAND JEFFREY R DIR/TREAS/FORMER OFFICER	(i) (ii)	218,339 ------------- 0	0 ------------- 0	18,410 ------------- 0	8,295 ------------- 0	12,450 ------------- 0	257,494 ------------- 0	0 ------------- 0
224SANDGREN KENT A DIRECTOR	(i) (ii)	0 ------------- 220,891	0 ------------- 0	0 ------------- 6,667	0 ------------- 5,657	0 ------------- 22,020	0 ------------- 255,235	0 ------------- 0
225DRUCKER PAUL E DIRECTOR/VICE PRESIDENT	(i) (ii)	0 ------------- 173,074	0 ------------- 0	0 ------------- 11,258	0 ------------- 33,445	0 ------------- 31,098	0 ------------- 248,875	0 ------------- 0
226MCCONNELL LISA A DIRECTOR	(i) (ii)	187,854 ------------- 0	0 ------------- 0	5,853 ------------- 0	27,083 ------------- 0	23,103 ------------- 0	243,893 ------------- 0	0 ------------- 0
227DALBELLO JR ALBERT DIRECTOR/SECRETARY	(i) (ii)	0 ------------- 174,232	0 ------------- 0	0 ------------- 4,772	0 ------------- 35,551	0 ------------- 27,733	0 ------------- 242,288	0 ------------- 0
228LOHKAMP CHRISTIE A ASST TREASURER	(i) (ii)	183,789 ------------- 0	0 ------------- 0	15,649 ------------- 0	1,109 ------------- 0	40,196 ------------- 0	240,743 ------------- 0	0 ------------- 0
229LONG AMY K DIRECTOR	(i) (ii)	173,859 ------------- 0	0 ------------- 0	3,394 ------------- 0	23,865 ------------- 0	22,707 ------------- 0	223,825 ------------- 0	0 ------------- 0
230ENQUIST MARK A DIR/SECY/TREASURER	(i) (ii)	0 ------------- 190,099	0 ------------- 0	0 ------------- 5,066	0 ------------- 4,889	0 ------------- 21,923	0 ------------- 221,977	0 ------------- 0
231WILKER MD CAROLINE G PHYSICIAN	(i) (ii)	181,826 ------------- 0	0 ------------- 0	3,047 ------------- 0	33,796 ------------- 0	1,649 ------------- 0	220,318 ------------- 0	0 ------------- 0
232LANZ APRIL D VICE CHAIR-ADMINISTRATION	(i) (ii)	166,137 ------------- 0	0 ------------- 0	3,439 ------------- 0	24,769 ------------- 0	25,250 ------------- 0	219,595 ------------- 0	0 ------------- 0
233KUEHL MD MARY J DIRECTOR	(i) (ii)	143,491 ------------- 0	0 ------------- 0	2,887 ------------- 0	36,837 ------------- 0	34,726 ------------- 0	217,941 ------------- 0	0 ------------- 0
234RUSTAD CHRISTOPHER D DIR/SECY/TREASURER	(i) (ii)	0 ------------- 172,698	0 ------------- 0	0 ------------- 4,171	0 ------------- 4,595	0 ------------- 28,711	0 ------------- 210,175	0 ------------- 0
235LANZEL TRICIA G DIRECTOR/CHAIR	(i) (ii)	139,903 ------------- 0	0 ------------- 0	3,602 ------------- 0	23,398 ------------- 0	27,630 ------------- 0	194,533 ------------- 0	0 ------------- 0
236EVENSON LAURA K DIRECTOR	(i) (ii)	144,960 ------------- 0	0 ------------- 0	5,041 ------------- 0	10,010 ------------- 0	29,182 ------------- 0	189,193 ------------- 0	0 ------------- 0
237JOHNSON KIRBY A FORMER KEY EMPLOYEE	(i) (ii)	94,892 ------------- 0	0 ------------- 0	55,659 ------------- 0	23,330 ------------- 0	13,378 ------------- 0	187,259 ------------- 0	0 ------------- 0
238NESSE MD ROBERT E FORMER KEY EMPLOYEE	(i) (ii)	25,529 ------------- 0	0 ------------- 0	149,164 ------------- 0	1,032 ------------- 0	0 ------------- 0	175,725 ------------- 0	0 ------------- 0
239FENNELL THOMAS J ASST SECY	(i) (ii)	121,602 ------------- 0	0 ------------- 0	13,172 ------------- 0	21,615 ------------- 0	16,554 ------------- 0	172,943 ------------- 0	0 ------------- 0
240FEHMI RASHID A TREASURER	(i) (ii)	116,171 ------------- 0	0 ------------- 0	14,305 ------------- 0	14,117 ------------- 0	17,965 ------------- 0	162,558 ------------- 0	0 ------------- 0
241KRUMM TARA L DIRECTOR	(i) (ii)	110,167 ------------- 0	0 ------------- 0	8,345 ------------- 0	18,207 ------------- 0	24,651 ------------- 0	161,370 ------------- 0	0 ------------- 0
242FISCHER DEBORAH R FORMER KEY EMPLOYEE	(i) (ii)	62,821 ------------- 0	0 ------------- 0	41,583 ------------- 0	2,803 ------------- 0	8,529 ------------- 0	115,736 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

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 2020, JEFFREY W. BOLTON, TERESA L. CONNOLLY, DENNIS E. DAHLEN, ROXANA S. DRONCA M.D., GIANRICO FARRUGIA M.D., TINA E. HOLMES, WILLIAM M. STONE M.D. AND HENRY H. TING 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 2020, JEFFREY W. BOLTON, STEVEN J. BUSKIRK, DENNIS E. DAHLEN, GIANRICO FARRUGIA, RICHARD J. GRAY, TINA E. HOLMES AND KENT R. THIELEN RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. REIMBURSEMENT MAY INCLUDE TRAVEL FOR COMPANIONS. IN 2020, ONE OR MORE LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. 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 2020, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. 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. MICHAEL J. RYAN RELOCATED TO ABU DHABI, UAE AS PART OF HIS INTERNATIONAL POSITION AND IS PROVIDED AN ANNUAL STIPEND. THIS AMOUNT WAS TAXABLE TO THE EMPLOYEE AND GROSSED UP. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2020, RYANNON K. FREDERICK AND TERA L. GROSS RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME AND GROSSED UP. SEVEN 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. 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.
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 SEPARATION OF EMPLOYMENT, JOAN A. WEBER RECEIVED SEVERANCE OF $182,873 AND A HEALTH CARE SUPPLEMENT OF $7,176. BOTH AMOUNTS ARE TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). LEGAL FEES WERE PAID TO THE EMPLOYEE'S ATTORNEY AND REPORTED ON A 1099. SHARON R. GABRIELSON RECEIVED SEVERANCE OF $26,338. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). LEGAL FEES WERE PAID TO THE EMPLOYEE'S ATTORNEY AND REPORTED ON A 1099. SCOTT D. THORESON RECEIVED SEVERANCE OF $125,908. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). THIS AMOUNT WAS GROSSED UP FOR FICA TAXES THAT RESULTED FROM BEING PAID BY TWO MAYO ORGANIZATIONS. KIRBY A. JOHNSON RECEIVED SEVERANCE OF $42,677. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINE 4B	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. $60,200 ACKERMAN, FRANKLIN K. $5,607 AGERTER M.D., DAVID C. $30,509 ALBRIGHT JR., D.O., ROBERT C. $34,952 ANDREWS M.D., PAUL E. $96,163 ANIL M.D., GOKHAN $42,688 BAKKUM-GAMEZ, M.D., JAMIE N. $39,181 BARTLETT M.D., BRIAN N. $15,887 BENDOK M.D., BERNARD R. $87,580 BLAIR M.D., DAVID $638 BOLTON, JEFFREY W. $298,130 BRANDT, TERRY L. $19,119 BROWN M.D., MICHAEL J. $63,560 BRUCE M.D., CHARLES J. $85,185 BUNKERS M.D., BRIAN E. $21,136 BUSKIRK M.D., STEVEN J. $95,216 CASLER M.D., JOHN D. $71,818 CAVINESS M.D., JOHN N. $21,596 CHAPITAL M.D., ALYSSA B. $54,166 CHO, LAWRENCE H. $4,269 CHONG M.D., BRIAN W. $104,230 CHUKWUDELUNZU SR., M.D., FELIX E. $6,491 CIMA M.D., ROBERT R. $69,981 CIOTA M.D., MARK R. $83,177 CONNOLLY, TERESA L. $0 COOPER M.D., LESLIE T. $97,499 COSTAKOS M.D., DENNIS T. $28,060 CRAIG, JASON E. $0 CRANE M.D., SARAH J. $9,442 CROSS III M.D., WILLIAM W. $61,245 CULLINAN M.D., SUSAN M. $20,559 DAHLEN, DENNIS E. $123,517 DECKER MBBCH, GUSTAV A. $12,480 DEEN JR., M.D., HUGH G. $200,211 DEVAULT M.D., KENNETH R. $106,535 DEWITT M.D., JASON J. $10,608 DEXTER M.D., DONN D. $13,548 DIETER, HEIDI L. $0 DOUGLAS M.D., DAVID D. $93,935 DOWDY M.D., SEAN C. $61,100 DRONCA M.D., ROXANA S. $22,048 ETZIONI M.D., DAVID A. $37,490 EZENAGU M.D., LEONARD C. $14,277 FARRUGIA M.D., GIANRICO $539,974 FAUBION M.D., STEPHANIE S. $4,673 FITZGERALD M.D., KEVIN $8,124 FONSECA M.D., RAFAEL $81,194 FOSS M.D., RANDY M. $2,771 FRANCIS, JAMES R. $45,768 FRASER, CATHRYN H. $49,950 FREDERICK, RYANNON K. $0 FROISLAND, JEFFREY R. $12,238 GABRIELSON, SHARON R. $9,406 GADE, CHRIS W. $22,229 GILLIGAN, SHERRI W. $31,201 GOLDMAN, DANIEL S. $0 GORES M.D., GREGORY J. $190,038 GORMAN, PAUL A. $98,574 GOSTOUT M.D., BOBBIE S. $331,443 GOYAL M.D., DEEPI G. $43,918 GOYAL, MANEESH $378 GRAY M.D., RICHARD J. $172,924 GREEN M.D., JEFFREY P. $2,874 GRENISEN M.D., MARGARET M. $7,703 HAKAIM M.D., ALBERT G. $87,741 HALAMKA M.D., JOHN D. $0 HARA M.D., AMY K. $84,456 HARPER JR., M.D., CHARLES M. $263,668 HEBL M.D., JAMES R. $112,146 HELLMICH M.D., THOMAS R. $25,955 HELMERS M.D., RICHARD A. $105,840 HERRMANN M.D., MARTIN J. $8,335 HIRISAVE KRISHNA M.D., BIPINCHANDRA $3,176 HOFFMAN III, HARRY N. $130,740 HOLMES, TINA E. $966 HOLTAN, DOUGLAS J. $23,780 HOLTZ M.D., CAROL P. $1,282 HORECKI M.D., RICHARD J. $5,298 HORST, ADAM M. $0 HORVATH M.D., PAUL R. $6,879 HUBERT, SHERRY L. $6,224 JELINEK, DIANE F. $11,454 JOHNSON M.D., DANIEL J. $74,461 JOHNSON M.D., MARGARET M. $42,425 KEENAN M.D., LAWRENCE R. $63,580 KELLEY, SHARON M. $14,791 KENDRICK M.D., MICHAEL L. $53,116 KHOOR M.D., ANDRAS $57,777 KIM M.D., HYUN I. $44,311 KNUDSON, STEVE L. $23,148 KORDUCKI M.D., JANE M. $6,102 KOWAL D.O., GERALD K. $4,763 KRAHN M.D., LOIS E. $43,512 KRIEN M.D., JOSEPH S. $20,569 KROSCH M.D., TARA C. $9,725 LANGBEHN D.O., JENNIFER M. $5,279 LEIBOVICH M.D., BRADLEY C. $81,183 LEIGHTON M.D., JONATHAN A. $100,935 LENHART M.D., JILL $4,448 LIMPER M.D., ANDREW H. $51,912 LINDAHL, ROGER A. $6,944 LITCHY M.D., WILLIAM J. $21,596 LYONS M.D., MARK K. $206,545
PART I, LINE 4B CONTINUED	MATHEWS, HILARY G. $16,455 MCALPINE M.D., DAVID A. $14,651 MCKINNEY M.D., J. MARK $58,001 MCLAUGHLIN M.D., SARAH A. $36,811 MCNEILL, STEVEN L. $45,540 MEKALA, PRAVEEN $0 MENKOSKY, PAULA E. $127,314 MERFELD M.D., JOHN $9,604 MESCHIA M.D., JAMES F. $20,196 MEYER M.D., FREDRIC B. $222,688 MEYERS, ANN M. $11,879 MOLLING D.O., PAUL E. $6,471 MONEY M.D., SAMUEL R. $82,946 MORICE M.D., WILLIAM G. $77,298 MORREY, MICHAEL A. $20,310 MORRIS M.D., MARIE E. $7,662 MOSS M.D., ADYR A. $88,308 MUELLER M.D., JEFF T. $68,600 MUELLER M.D., PAUL S. $91,892 MURPHY, JOSHUA B. $179,399 MYHRE M.D., KAREN K. $3,025 NARR M.D., BRADLY J. $64,466 NASSAR M.D., AZIZA $42,643 NESSE M.D., ROBERT E. $138,743 NOE M.D., KATHERINE H. $12,118 NOLTE D.O., CHARLES P. $92,462 NOTTMEIER M.D., ERIC W. $123,884 ORTIZ M.D., JOSE A. $67,381 OTLEY M.D., CLARK C. $149,944 OTTE, KIMBERLY K. $24,224 PASCUAL M.D., JORGE M. $51,912 PATEL M.B., TUSHAR C. $55,572 PEARSON M.D., SUSAN E. $55,263 PECK M.D., ROBERT C. $20,450 PETERSON M.D., JEFFREY J. $79,311 PICHELMANN M.D., MARK A. $117,186 PIGNOLO M.D., PH.D., ROBERT J. $6,572 POWELL III M.D., RALPH $12,347 PRESUTTI D.O., RICHARD J. $28,729 QUINONES-HINOJOSA M.D., ALFREDO $94,389 RADEMACHER M.D., DANA E. $121,351 RIGDON, ALICE W. $0 RIHAL M.D., CHARANJIT S. $111,499 ROBELIA M.D., PAUL M. $3,611 ROGERS, JAMES A. $55,722 ROSS, CHRISTOPHER J. $65,032 RYAN, MICHAEL J. $50,041 SADOSTY M.D., ANNIE T. $102,350 SANTRACH M.D., PAULA J. $50,200 SEINOLA, SCOTT A. $38,660 SHARMA M.B.B.S., MANISH S. $58,787 SHERRILL, TODD E. $7,362 SILVERS M.D., SCOTT M. $26,848 SIMPSON M.D., HENRY J. $7,463 SMOLDT, CRAIG A. $8,353 SOUSOU M.D., COSTA H. $15,353 STEVENS M.D., MARK K. $96,176 STEWART M.D., MICHAEL W. $114,812 STONE M.D., WILLIAM M. $108,741 TANER M.D., BURCIN C. $71,521 TAZELAAR M.D., HENRY D. $61,058 TERKONDA M.D., SARVAM P. $94,614 THIEL M.D., DAVID D. $38,982 THIELEN M.D., KENT R. $229,602 TING M.D., HENRY H. $63,142 TRAUB M.D., STEPHEN J. $22,927 TRENTMAN M.D., TERRENCE L. $68,384 URUMOV M.D., ANDREJ $5,892 UY M.D., JONATHAN J. $90,908 VIRAMONTES, ALLISON L. $0 WALD M.D., JOHN T. $102,668 WEBER, JOAN A. $23,210 WHITED M.D., BRIAN L. $54,821 WIECHMANN M.D., ROBERT J. $126,281 WILLIAMS M.D., AMY W. $79,766 WILLIAMSON, MARY J. $144,641 YOUNG M.D., TIMOTHY J. $7,797 YUN M.D., BLENDA $3,835 ZIETLOW M.D., SCOTT P. $70,821 ZIMMERMAN M.D., RICHARD S. $212,145 ZORN, CHRISTINA K. $83,531
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: ALBRIGHT JR., D.O., ROBERT C. BENDOK M.D., BERNARD R. BRUCE M.D., CHARLES J. FARRUGIA M.D., GIANRICO FEHMI, RASHID A. GUDGELL, STEPHEN F. MEYER M.D., FREDRIC B. PRESUTTI D.O., RICHARD J. TANER M.D., BURCIN C.
PART II:	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule J (Form 990) 2020

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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

2020

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 2019, 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 2019, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

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
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 ....	0.980 %		0.090 %
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 %		0.240 %
6 Total of lines 4 and 5 .............	0.980 %		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

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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) 2020

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

2020

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) 2020

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 MEGAN R	FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M.	38,038	EMPLOYMENT		No
(2) ANIL STACI M	FAMILY MEMBER OF DIRECTOR/VICE CHAIR ANIL M.D., GOKHAN	16,129	EMPLOYMENT		No
(3) BAYRD MEGAN E	FAMILY MEMBER OF KEY EMPLOYEE HORVATH M.D., PAUL R.	238,609	EMPLOYMENT		No
(4) BODOH MONICA M	FAMILY MEMBER OF KEY EMPLOYEE GRENISEN M.D., MARGARET M.	91,060	EMPLOYMENT		No
(5) BRUCE ALISON J	FAMILY MEMBER OF DIRECTOR BRUCE M.D., CHARLES J.	555,145	EMPLOYMENT		No
(6) BUNKERS MD KARI S	FAMILY MEMBER OF DIRECTOR/VICE CHAIR BUNKERS M.D., BRIAN E.	178,897	EMPLOYMENT		No
(7) CADMAN KATHRYN A	FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	120,759	EMPLOYMENT		No
(8) CADMAN KAYLA M	FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	72,647	EMPLOYMENT		No
(9) CHONG CATHERINE	FAMILY MEMBER OF DIRECTOR CHONG M.D., BRIAN W.	148,555	EMPLOYMENT		No
(10) COOPER JANE H	FAMILY MEMBER OF DIRECTOR COOPER M.D., LESLIE T.	193,070	EMPLOYMENT		No
(11) CRAIG MELINDA G	FAMILY MEMBER OF OFFICER CRAIG, JASON E.	35,396	EMPLOYMENT		No
(12) DILLON CORISSA C	FAMILY MEMBER OF FORMER KEY EMPLOYEE DILLON, KEVIN R.	80,844	EMPLOYMENT		No
(13) ETZIONI MD SHIRI	FAMILY MEMBER OF KEY EMPLOYEE ETZIONI M.D., DAVID A.	114,400	EMPLOYMENT		No
(14) EYTCHESON ALISA S	FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA	219,204	EMPLOYMENT		No
(15) FITZGERALD ROBIN L	FAMILY MEMBER OF KEY EMPLOYEE FITZGERALD M.D., KEVIN	36,788	EMPLOYMENT		No
(16) FLOM MURPHY MELISSA A	FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B.	50,125	EMPLOYMENT		No
(17) GABRIELSON DONALD B	FAMILY MEMBER OF FORMER OFFICER GABRIELSON, SHARON R.	192,365	EMPLOYMENT		No
(18) GADE MARNE J	FAMILY MEMBER OF KEY EMPLOYEE GADE, CHRIS W.	152,721	EMPLOYMENT		No
(19) GALINDEZ BRENDA K	FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER	134,653	EMPLOYMENT		No
(20) GREENFIELD CLAIRE A	FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., DANIEL J.	95,825	EMPLOYMENT		No
(21) GRUBER LISA J	FAMILY MEMBER OF DIRECTOR GRUBER, JOHN	47,032	EMPLOYMENT		No
(22) HOFFMAN WILLIAM E	FAMILY MEMBER OF OFFICER HOFFMAN III, HARRY N.	64,116	EMPLOYMENT		No
(23) KLINE AIMEE R	FAMILY MEMBER OF FORMER OFFICER GABRIELSON, SHARON R.	141,931	EMPLOYMENT		No
(24) KRIEN KAITLYN F	FAMILY MEMBER OF KEY EMPLOYEE KRIEN M.D., JOSEPH S.	21,208	EMPLOYMENT		No
(25) LEGARE JENNIFER A	FAMILY MEMBER OF DIRECTOR LEGARE, GREG	165,619	EMPLOYMENT		No
(26) MOLLING HEATHER M	FAMILY MEMBER OF DIRECTOR/OFFICER MOLLING D.O., PAUL E.	111,639	EMPLOYMENT		No
(27) PHILLIPS MD TODD C	FAMILY MEMBER OF KEY EMPLOYEE FALLER M.D., ANNETTE	349,227	EMPLOYMENT		No
(28) ROBARDS MD CHRISTOPHER B	FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A.	605,190	EMPLOYMENT		No
(29) SCHOTT MARK L	FAMILY MEMBER OF DIRECTOR PATSCHE, WANDA	62,551	EMPLOYMENT		No
(30) TANER MD NILUFER	FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C.	412,487	EMPLOYMENT		No
(31) THIELEN MD JACQUELINE M	FAMILY MEMBER OF DIR/CEO/CHAIR THIELEN M.D., KENT R.	192,337	EMPLOYMENT		No
(32) TRAUB NICOLE A	FAMILY MEMBER OF FORMER KEY EMPLOYEE TRAUB M.D., STEPHEN J.	14,996	EMPLOYMENT		No
(33) WILLIAMS VIVIEN J	FAMILY MEMBER OF KEY EMPLOYEE WILLIAMS M.D., AMY W.	29,520	EMPLOYMENT		No
(34) WOLD DEREK J	FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	64,073	EMPLOYMENT		No
(35) WOLD INGRID Y	FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	63,066	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) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL EQUIPMENT )	X	1	170,586	EXPERTS
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2020)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 25	FOR PURPOSES OF SCHEDULE M, MAYO CLINIC GROUP IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). THE FILING ORGANIZATION TYPICALLY RELIES UPON MAYO CLINIC (ITS PARENT) TO SOLICIT, PROCESS OR SELL CONTRIBUTIONS.

Schedule M (Form 990) (2020)

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

2020

Open to Public
Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Return Reference	Explanation
FORM 990, PART III, LINE 3	ON MARCH 1, 2020 AFTER CAREFUL REVIEW OF PATIENT VOLUMES, ONGOING STAFFING ISSUES AND REGULATORY CONCERNS, MAYO CLINIC HEALTH SYSTEM CLOSED ITS HOSPITAL AND EMERGENCY DEPARTMENT IN SPRINGFIELD MINNESOTA.
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. ALBRIGHT JR., D.O., ROBERT C. ANIL M.D., GOKHAN BAKKUM-GAMEZ, M.D., JAMIE N. BECKER, JOHN BERGERON-BOWE, MELISSA BOLTON, JEFFREY W. BRANDT, TERRY L. BROWN M.D., MICHAEL J. BROWN, WILLIAM A. BRUCE M.D., CHARLES J. BUSKIRK M.D., STEVEN J. BYRD M.D., JANE D. CASLER M.D., JOHN D. CIMA M.D., ROBERT R. CIOTA M.D., MARK R. COGNETTA-RIEKE, CHERISTI M. CONNOLLY, TERESA L. COOPER M.D., LESLIE T. CRAIG, JASON E. CRANE M.D., SARAH J. CROCKETT, ERIC D. CROSS III M.D., WILLIAM W. CULLINAN M.D., SUSAN M. DAHLEN, DENNIS E. DALBELLO JR., ALBERT DAVIS, AMY L. DEVAULT M.D., KENNETH R. DOWDY M.D., SEAN C. DRONCA M.D., ROXANA S. DRUCKER, PAUL E. EIDE, DEAN B. EVENSON, LAURA K. FARRUGIA M.D., GIANRICO FAUBION M.D., STEPHANIE S. FRANCIS, JAMES R. FREDERICK, RYANNON K. FROISLAND, JEFFREY R. GALINDEZ JR., PETER GORES M.D., GREGORY J. GORMAN, PAUL A. GOSTOUT M.D., BOBBIE S. GOYAL M.D., DEEPI G. GRAY M.D., RICHARD J. GROSS, TERA L. 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. HOLTAN, DOUGLAS J. HORST, ADAM M. HUBERT, SHERRY L. JOHNSON M.D., MARGARET M. JOHNSON, CARLA J. JOHNSON, RYAN R. KASPER, JOHN KEENAN M.D., LAWRENCE R. KELLEY, SHARON M. KENDRICK M.D., MICHAEL L. KRAHN M.D., LOIS E. KRUMM, TARA L. KUEHL M.D., MARY J. LEIBOVICH M.D., BRADLEY C. LIMPER M.D., ANDREW H. LINDAHL, ROGER A. LINDBERG, STEVEN J. LOCKETT, KEVIN M. LONG, AMY K. MCALPINE M.D., DAVID A. 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. 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 RIGDON, ALICE W. 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. SKAAR M.D., PHILLIP J. TANER M.D., BURCIN C. THIEL M.D., DAVID D. THIELEN M.D., KENT R. THORESON, SCOTT D. TING M.D., HENRY H. VIRAMONTES, ALLISON L. WALD M.D., JOHN T. WEBER, JOAN A. WHITED M.D., BRIAN L. WILLIAMS M.D., AMY W. WILLIAMSON, MARY J. ZIETLOW M.D., SCOTT P. ZORN, CHRISTINA K. THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR TRUSTEES OF MCHS-FAIRMONT AND HAVE A FAMILY RELATIONSHIP: KASPER, JOHN LARDY, TRACI *********************************************** ADLEMAN, BREEANN M., FROISLAND, JEFFREY R., VIRAMONTES, ALLISON L., 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., 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. BOLTON, JEFFREY W., WILLIAMSON, MARY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., LOHKAMP, CHRISTIE A., GOLDMAN, DANIEL S. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MC ALLIANCE, LTD, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., LOHKAMP, CHRISTIE A., GOLDMAN, DANIEL S. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC (UK), LTD, A RELATED TAXABLE ENTITY. LINDAHL, ROGER A., LOHKAMP, CHRISTIE A., GOLDMAN, DANIEL S. HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC (UK) 2, LTD, 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 4	THE BYLAWS OF BLOOMER LAKEVIEW, INC. WERE AMENDED FEBRUARY 2020 TO CHANGE THEIR FISCAL YEAR-END TO THE LAST DAY OF DECEMBER. THE BYLAWS FOR MCHS-SOUTHWEST MINNESOTA WERE AMENDED MARCH 2020. THE BYLAWS STATE THAT THE BOARD OF DIRECTORS WILL INCLUDE SEVEN COMMUNITY MEMBERS REPRESENTING THE COMMUNITY SERVICE AREAS WITHIN THE REGION SERVED BY MCHS-SOUTHWEST MINNESOTA. DUE TO THE CLOSURE OF THE HOSPITAL IN SPRINGFIELD, MN DURING 2020, THE BYLAWS WERE AMENDED TO ELIMINATE THE COMMUNITY DIRECTOR POSITION FOR SPRINGFIELD, MN AND ADD A COMMUNITY AT-LARGE DIRECTOR FROM ONE OF THE OTHER PRIMARY SERVICE AREAS. IN ADDITION, THE BYLAWS ALLOW COMMUNITY BOARDS FOR CERTAIN SITES/COMMUNITY SERVICE AREAS. SUCH COMMUNITY BOARDS ARE STANDING COMMITTEES OF THE BOARD OF DIRECTORS OF MCHS-SOUTHWEST MINNESOTA. DUE TO THE CLOSURE OF THE HOSPITAL IN SPRINGFIELD, MN DURING 2020, THE BYLAWS WERE AMENDED TO ELIMINATE THE COMMUNITY BOARD FOR SPRINGFIELD, MN.
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBER OF EACH SUBORDINATE IN THE MAYO CLINIC GROUP RETURN IS MAYO CLINIC OR A SUBORDINATE OF MAYO CLINIC. THE ONE EXCEPTION IS BLOOMER LAKEVIEW, INC. WHICH DOES NOT HAVE ANY MEMBERS PER THEIR ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	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 POWER IN AREAS SUCH AS COMPENSATION, CAPITAL, BUDGET, DEBT, AND APPROVAL OF AMENDMENTS TO THE ARTICLES AND BYLAWS. THE ONE EXCEPTION IS BLOOMER LAKEVIEW, INC. WHICH DOES NOT HAVE ANY MEMBERS PER THEIR ARTICLES OF INCORPORATION. IN THE CASE OF BLOOMER LAKEVEIW, INC, SUCH DECISIONS WOULD ULTIMATELY BE SUBJECT TO THE APPROVAL OF MAYO CLINIC HEALTH SYSTEM-NORHTWEST WISCONSIN REGION, INC. WHICH ELECTS THE GOVERNING BODY OF BLOOMER LAKEVIEW, INC.
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 IS PREPARED BY MAYO CORPORATE TAX. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE FINANCIAL REPORTING AND CONSOLIDATION CHAIR, FINANCIAL AND ACCOUNTING SERVICES CHAIR, REVENUE CYCLE CHAIR, CHIEF INVESTMENT OFFICER, CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR EXECUTIVE LEADERSHIP, CONSULTING STAFF 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 CEO AND THE CAO OF MAYO CLINIC AND MAYO CLINIC GROUP WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, CONSULTING STAFF AND SENIOR ADMINISTRATIVE LEADERSHIP FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, CONSULTING STAFF 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:	PENSION-POST RETIREMENT (PER FASB A -12,106,654. LOSS ON UNCOLLECTIBLE PLEDGES -5,500. REFUNDS OF CONTRIBUTIONS -750.
FORM 990, PART XII, LINE 2C, AUDIT PROCESS	THE OVERSIGHT OF THE AUDIT PROCESS OR THE PROCESS FOR SELECTING AN AUDITOR HAS NOT CHANGED.
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) 2020

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

2020

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 AND 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)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
(7)THE HIRSH FAMILY FOUNDATION 108 NORTH MAIN STREET AUSTIN,MN55912 41-1749842	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(8)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) 2020

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	(k) Percentage ownership
(1) FRANKLIN HEATING STATION 200 FIRST STREET SW ROCHESTER,MN55905 41-0264830	UTILITY	MN	MAYO CLINIC	EXCLUDED	-17,028	8,014,731		No			No	15.950 %
(2) LATIGO PETROLEUM LLC PO BOX 14230 ODESSA,TX79768 36-4767494	OIL & GAS EXPLORATION	DE	N/A
(3) MAYO CLINIC HEALTHCARE LLP 15 PORTLAND PLACE LONDON UK	HEALTHCARE	UK	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	(h) Percentage ownership	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) RESOUNDANT INC 421 1ST AVE SW SUITE 204W ROCHESTER,MN55902 46-1661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	MFMER	C	3,494,554	4,965,221	60.000 %	Yes
(9) ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-0506870	AIRPORT MANAGEMENT	MN	N/A	C				Yes
(10) 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
(11) THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER,MN55905 20-8994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C				Yes
(12) MC ALLIANCE LTD 200 FIRST STREET SW ROCHESTER,MN55905 98-1527769	HEALTHCARE AND ADMINISTRATIVE SERVICES	CJ	N/A	C				Yes
(13) MAYO CLINIC UK 2 LTD 3 MORE LONDON RIVERSIDE LONDON UK	INVESTMENT ACTIVITIES	UK	N/A					Yes
(14) CHARITABLE LEAD TRUST	CHARITABLE TRUST	CA	N/A	T				Yes
(15) PERPETUAL TRUST	CHARITABLE TRUST	LA	N/A	T				Yes
(16) PERPETUAL TRUST (2)	CHARITABLE TRUST	MA	N/A	T				Yes
(17) PERPETUAL TRUST	CHARITABLE TRUST	MO	N/A	T				Yes
(18) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	AZ	N/A	T				Yes
(19) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T				Yes
(20) CHARITABLE REMAINDER TRUST (7)	CHARITABLE TRUST	FL	N/A	T				Yes
(21) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MA	N/A	T				Yes
(22) CHARITABLE REMAINDER TRUST (89)	CHARITABLE TRUST	MN	N/A	T				Yes
(23) CHARITABLE REMAINDER TRUST (4)	CHARITABLE TRUST	NC	N/A	T				Yes
(24) CHARITABLE REMAINDER TRUST (2)	CHARITABLE TRUST	NV	N/A	T				Yes
(25) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	TX	N/A	T				Yes
(26) PERPETUAL TRUST	CHARITABLE TRUST	ND	MFMER	T	104,400	1,891,182	90.000 %	Yes
(27) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	MFMER	T		773,716	100.000 %	Yes
(28) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	FL	MFMER	T		960,834	70.000 %	Yes
(29) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	IL	MFMER	T		221,623	100.000 %	Yes
(30) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MI	MFMER	T		2,360,076	100.000 %	Yes
(31) CHARITABLE REMAINDER TRUST (49)	CHARITABLE TRUST	MN	MFMER	T				Yes
(32) CHARITABLE REMAINDER TRUST (6)	CHARITABLE TRUST	MN	MCHS--SOUTHWEST MINNESOTA REGION	T				Yes
(33) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	WI	MCHS--NORTHWEST WISCONSIN REGION INC	T		4,839	100.000 %	Yes

Schedule R (Form 990) 2020

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) ......................

Yes

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) ...................

Yes

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) CHARTERHOUSE INC	P	3,233,666	GAAP
(2) CHARTERHOUSE INC	Q	23,054,934	GAAP
(3) FRANKLIN HEATING STATION	P	883,356	GAAP
(4) FRANKLIN HEATING STATION	Q	44,127,601	GAAP
(5) MAYO CLINIC AMBULANCE	M	999,721	GAAP
(6) MAYO CLINIC AMBULANCE	P	1,516,430	GAAP
(7) MAYO CLINIC AMBULANCE	Q	51,905,541	GAAP
(8) MAYO CLINIC AMBULANCE	S	60,676	GAAP
(9) MAYO CLINIC ARIZONA	P	2,287,789	GAAP
(10) MAYO CLINIC ARIZONA	Q	1,580,383,749	GAAP
(11) MAYO CLINIC ARIZONA	R	3,914,134	GAAP
(12) MAYO CLINIC FLORIDA	L	121,814	GAAP
(13) MAYO CLINIC FLORIDA	M	87,830	GAAP
(14) MAYO CLINIC FLORIDA	P	23,531,738	GAAP
(15) MAYO CLINIC FLORIDA	Q	567,998,872	GAAP
(16) MAYO CLINIC FLORIDA	R	1,015,549	GAAP
(17) MAYO CLINIC FLORIDA	S	33,286,732	GAAP
(18) MAYO CLINIC HOSPITAL - ROCHESTER	L	84,778	GAAP
(19) MAYO CLINIC HOSPITAL - ROCHESTER	M	94,314	GAAP
(20) MAYO CLINIC HOSPITAL - ROCHESTER	P	10,013,306	GAAP
(21) MAYO CLINIC HOSPITAL - ROCHESTER	Q	1,421,485,765	GAAP
(22) MAYO CLINIC HOSPITAL - ROCHESTER	R	20,638,916	GAAP
(23) MAYO CLINIC HOSPITAL - ROCHESTER	S	96,664	GAAP
(24) MAYO CLINIC JACKSONVILLE	P	2,963,332	GAAP
(25) MAYO CLINIC JACKSONVILLE	Q	952,278,077	GAAP
(26) MAYO CLINIC JACKSONVILLE	R	2,033,167	GAAP
(27) MAYO CLINIC UK LTD	Q	25,457,621	GAAP
(28) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	P	6,344,620,985	GAAP
(29) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	Q	15,447,486	GAAP
(30) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	R	166,050	GAAP
(31) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	S	29,624,913	GAAP
(32) MAYO HOLDING COMPANY	Q	1,544,818	GAAP
(33) MCHS-AUSTIN FOUNDATION	C	241,997	GAAP
(34) MCHS-DECORAH CLINIC PHYSICIANS	Q	9,196,503	GAAP
(35) MCHS-FAIRMONT	L	639,160	GAAP
(36) MCHS-FAIRMONT	P	114,229	GAAP
(37) MCHS-FAIRMONT	Q	56,872,429	GAAP
(38) MCHS-FAIRMONT	S	3,704,786	GAAP
(39) MCHS-FRANCISCAN MEDICAL CENTER INC	P	121,134	GAAP
(40) MCHS-FRANCISCAN MEDICAL CENTER INC	Q	356,446,199	GAAP
(41) MCHS-FRANCISCAN MEDICAL CENTER INC	R	433,671	GAAP
(42) MCHS-LAKE CITY	L	346,565	GAAP
(43) MCHS-LAKE CITY	Q	27,995,860	GAAP
(44) MCHS-LAKE CITY	S	1,357,778	GAAP
(45) MCHS-NORTHWEST WISCONSIN REGION INC	L	64,135	GAAP
(46) MCHS-NORTHWEST WISCONSIN REGION INC	M	1,746,494	GAAP
(47) MCHS-NORTHWEST WISCONSIN REGION INC	P	277,460	GAAP
(48) MCHS-NORTHWEST WISCONSIN REGION INC	Q	688,212,439	GAAP
(49) MCHS-NORTHWEST WISCONSIN REGION INC	R	751,349	GAAP
(50) MCHS-PHARMACY & HOME MEDICAL INC	S	157,343	GAAP
(51) MCHS-SOUTHEAST MINNESOTA REGION	L	5,267,267	GAAP
(52) MCHS-SOUTHEAST MINNESOTA REGION	M	216,035	GAAP
(53) MCHS-SOUTHEAST MINNESOTA REGION	P	3,080,696	GAAP
(54) MCHS-SOUTHEAST MINNESOTA REGION	Q	408,718,355	GAAP
(55) MCHS-SOUTHEAST MINNESOTA REGION	R	2,136,668	GAAP
(56) MCHS-SOUTHEAST MINNESOTA REGION	S	205,677	GAAP
(57) MCHS-SOUTHWEST MINNESOTA REGION	M	2,737,628	GAAP
(58) MCHS-SOUTHWEST MINNESOTA REGION	P	1,979,683	GAAP
(59) MCHS-SOUTHWEST MINNESOTA REGION	Q	427,945,192	GAAP
(60) MCHS-SOUTHWEST MINNESOTA REGION	R	331,392	GAAP
(61) MCHS-SOUTHWEST MINNESOTA REGION	S	179,243	GAAP
(62) MCHS-ST JAMES	L	153,266	GAAP
(63) MCHS-ST JAMES	Q	15,853,636	GAAP
(64) MCHS-ST JAMES	S	1,232,594	GAAP
(65) RESOUNDANT INC	L	555,201	GAAP

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

Additional Data

Software ID:
Software Version:

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	203
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	50
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	54,056
6	Total number of volunteers (estimate if necessary) .............	6	3,488
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	57,630,412
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	11,839,919

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	561,850,022	689,209,224
9	Program service revenue (Part VIII, line 2g) .........	9,653,359,875	9,963,475,896
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	114,665,715	67,068,982
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	87,205,363	100,790,508
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	10,417,080,975	10,820,544,610
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,262,842,692	1,312,243,972
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)	4,653,249,190	5,008,846,386
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,702,813
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	4,035,621,709	4,334,021,646
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	9,951,713,591	10,655,112,004
19	Revenue less expenses. Subtract line 18 from line 12.......	465,367,384	165,432,606
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	12,521,559,796	13,950,857,094
21	Total liabilities (Part X, line 26).............	5,476,584,053	6,683,952,020
22	Net assets or fund balances. Subtract line 21 from line 20.....	7,044,975,743	7,266,905,074

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 8,280,795,422 including grants of $ 1,293,575,589 ) (Revenue $ 9,202,351,353 )
	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 17 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, 5 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 4,124 LICENSED BEDS AT YEAR-END. 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 2020 WAS APPROXIMATELY 906,000 PATIENTS. IN ADDITION, HOUSING FOR THE ELDERLY IS PROVIDED THROUGH THE OPERATION OF 6 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 2020, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $297,002,000. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,206,141,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2020 ON A COMBINED BASIS WAS APPROXIMATELY $63,491,000.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 3,488 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 156,013 HOURS OF SERVICE IN 2020, VALUED AT APPROXIMATELY $4,243,554 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES.

4b	(Code: ) (Expenses $ 702,713,310 including grants of $ ) (Revenue $ 702,713,310 )
	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 $ 195,103,569 including grants of $ 14,373,534 ) (Revenue $ 1,705,368 )
	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 $ 114,773,506 including grants of $ 4,294,849 ) (Revenue $ 125,126,478 )
	HEALTH PROFESSIONAL EDUCATIONMAYO CLINIC'S 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 $ 114,773,506 including grants of $ 4,294,849 ) (Revenue $ 125,126,478 )
4e	Total program service expenses9,293,385,807

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	96,102,962	28,909,084	17,084,593

1a	Federated campaigns..		1a	149,331
b	Membership dues..		1b	1,555
c	Fundraising events..		1c
d	Related organizations		1d	451,969,083
e	Government grants (contributions)		1e	192,112,780

f	All other contributions, gifts, grants, and similar amounts not included above		1f	44,976,475

g	Noncash contributions included in lines 1a - 1f:$		1g	170,585

h Total. Add lines 1a-1f.......		689,209,224

		Business Code
2a	NET PATIENT REVENUE	620000	9,133,930,740	9,103,787,461	30,143,279
b	SHARED SERVICES	561000	702,713,310	702,713,310
c	ROYALTY REVENUE	541900	110,948,022	110,948,022
d	EDUCATION REVENUE	611600	14,178,456	14,178,456
e	RESEARCH REVENUE	541700	1,705,368	1,500,274	205,094
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		9,963,475,896

3 Investment income (including dividends, interest, and othersimilar amounts) ......			70,895,429			70,895,429
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	553,329	3,648,643	6a
b	Less: rental expenses	0	205,551	6b
c	Rental income or (loss)	553,329	3,443,092	6c
d	Net rental income or (loss).......			3,996,421		553,329	3,443,092
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	12,666,155	5,319,090	7a
b	Less: cost or other basis and sales expenses	16,969,068	4,842,624	7b
c	Gain or (loss)	-4,302,913	476,466	7c
d	Net gain or (loss).........			-3,826,447			-3,826,447
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	4,535,984
b	Less: cost of goods sold ..		10b	2,252,085
c	Net income or (loss) from sales of inventory..			2,283,899		1,360,296	923,603
Business Code			Miscellaneous Revenue
11a	MISC. REVENUE		900099	53,445,077	43,998,169	9,323,951	122,957
b	CAFETERIA/VENDING		722310	22,123,042	22,123,042
c	MISC. CONSULTING		541610	16,715,080	1,096,381	15,356,959	261,740
d	All other revenue ....			2,226,989	1,203,021	687,504	336,464
e	Total. Add lines 11a–11d ......			94,510,188
12	Total revenue. See instructions.....			10,820,544,610	10,001,548,136	57,630,412	72,156,838

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,306,711,283	1,306,711,283
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	4,678,299	4,678,299
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	854,390	854,390
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	85,864,965	48,356,945	37,484,303	23,717
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	28,525,575	23,642,899	4,882,676
7	Other salaries and wages........	3,609,415,508	3,046,736,876	560,699,488	1,979,144
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	394,871,151	333,896,597	60,795,450	179,104
9	Other employee benefits .......	649,509,361	535,902,314	113,341,237	265,810
10	Payroll taxes ...........	240,659,826	200,752,661	39,793,192	113,973
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	10,510,020	1,168,463	9,341,557
c	Accounting ...........	10,887,274	375,438	10,511,836
d	Lobbying ...........	1,734,122	1,599,397	134,725
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	53,261	12,772	40,489
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	918,298,196	736,184,900	182,109,352	3,944
12	Advertising and promotion ....	7,521,969	998,348	6,523,621
13	Office expenses .......	672,791,272	625,524,754	47,142,509	124,009
14	Information technology ......	97,734,594	15,569,585	82,165,009
15	Royalties ..	35,256,347	271,218	34,985,129
16	Occupancy ...........	133,181,645	79,487,299	53,692,992	1,354
17	Travel ............	13,603,469	11,645,618	1,957,322	529
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,693,858	1,519,097	174,761
20	Interest ...........	78,364,895	75,982,939	2,381,956
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	422,494,913	333,224,778	89,270,135
23	Insurance ...	24,030,288	23,199,924	830,364
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	1,558,142,941	1,558,142,941
b	BAD DEBT EXPENSE	176,876,776	176,865,481	11,295
c	UNRELATED BUSINESS TAX	2,405,116	2,404,898	218
d	MEDICAID SURCHARGE	63,883,750	63,883,750
e	All other expenses	104,556,940	83,791,943	20,753,768	11,229
25	Total functional expenses. Add lines 1 through 24e	10,655,112,004	9,293,385,807	1,359,023,384	2,702,813
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 ........			470,179,317	1	1,499,257,153
2	Savings and temporary cash investments .........			2,422,080	2	2,012,678
3	Pledges and grants receivable, net ......			146,293,208	3	196,246,181
4	Accounts receivable, net .............			1,710,105,310	4	1,452,039,721
5	Loans and other receivables from 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 ...........			200,714,905	7	213,657,344
8	Inventories for sale or use ............			138,266,503	8	177,580,772
9	Prepaid expenses and deferred charges ......			61,188,886	9	71,513,323
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,745,301,709
b	Less: accumulated depreciation	10b	4,288,825,491	3,355,125,516	10c	3,456,476,218
11	Investments—publicly traded securities .			278,781,133	11	343,296,860
12	Investments—other securities. See Part IV, line 11 .....			921,343,460	12	1,018,695,602
13	Investments—program-related. See Part IV, line 11 ..			8,031,775	13	8,031,775
14	Intangible assets ...............			551,894	14	613,334
15	Other assets. See Part IV, line 11 ...........			5,228,555,809	15	5,511,436,133
16	Total assets. Add lines 1 through 15 (must equal line 33)...			12,521,559,796	16	13,950,857,094

17	Accounts payable and accrued expenses .....	1,880,846,278	17	2,339,002,640
18	Grants payable ...		18
19	Deferred revenue .........	36,425,601	19	43,392,083
20	Tax-exempt bond liabilities .........	304,227,899	20	304,296,389
21	Escrow or custodial account liability. Complete Part IV of Schedule D	31,985,385	21	30,957,457
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 ..	12,827,139	23	65,549,556
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	3,210,271,751	25	3,900,753,895
26	Total liabilities. Add lines 17 through 25..	5,476,584,053	26	6,683,952,020

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	6,413,414,380	27	6,476,674,010
28	Net assets with donor restrictions ...........	631,561,363	28	790,231,064
	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 ...........	7,044,975,743	32	7,266,905,074
33	Total liabilities and net assets/fund balances ........	12,521,559,796	33	13,950,857,094

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