TY 2021 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/1099-NEC)	(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			3,388,660	0	96,514
(2) BOLTON JEFFREY W...................................................................... DIRECTOR/CAO	40.00 ................. 0.00	X		X			2,077,195	0	34,523
(3) THIELEN MD KENT R...................................................................... DIRECTOR/CHAIR/CEO FL	40.00 ................. 0.00	X	X	X			1,697,812	0	93,686
(4) GRAY MD RICHARD J...................................................................... DIRECTOR/CHAIR/CEO AZ	40.00 ................. 0.00	X	X	X			1,694,419	0	86,298
(5) DEPERI MD ELIZABETH R...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,780,000	0	0
(6) DAHLEN DENNIS E...................................................................... DIRECTOR/VP/FORMER OFFICER	40.00 ................. 0.00	X	X				1,378,621	0	92,038
(7) QUINONES-HINOJOSA MD ALFREDO...................................................................... DIRECTOR	40.00 ................. 0.00	X					1,383,121	0	86,557
(8) PICHELMANN MD MARK A...................................................................... FORMER HIGHEST PAID	0.00 ................. 40.00					X	0	1,357,302	74,826
(9) MURPHY JOSHUA B...................................................................... SECRETARY/ASST SECY	40.00 ................. 0.00		X				1,314,095	0	96,634
(10) HARPER JR MD CHARLES M...................................................................... DIR/FORMER OFFICER/FORMER KEY EMPLOYEE	0.00 ................. 40.00	X	X	X			0	1,356,080	38,339
(11) MEYER MD FREDRIC B...................................................................... DIR/EXEC DEAN OF EDUCATION	40.00 ................. 0.00	X		X			1,341,683	0	48,992
(12) NOTTMEIER MD ERIC W...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,296,533	0	87,574
(13) LYONS MD MARK K...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,275,770	0	97,307
(14) BENDOK MD BERNARD R...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,283,286	0	84,139
(15) CIOTA MD MARK R...................................................................... DIRECTOR	40.00 ................. 0.00	X					796,656	0	536,087
(16) ZIMMERMAN MD RICHARD S...................................................................... DIRECTOR	40.00 ................. 0.00	X					1,290,787	0	41,072
(17) DEEN JR MD HUGH G...................................................................... PHYSICIAN	40.00 ................. 0.00				X		1,268,286	0	38,225

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) GORMAN PAUL A........................................................................ TREASURER	40.00 .......................0.00		X			1,188,403	0	90,128
(19) GORES MD GREGORY J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	1,243,899	29,298
(20) OTLEY MD CLARK C........................................................................ DIRECTOR/PRESIDENT	1.00 .......................40.00	X	X			0	1,051,074	93,056
(21) AMMASH MD NASER M........................................................................ CEO-SSMC	40.00 .......................0.00			X		1,063,579	0	78,459
(22) WILLIAMSON MARY J........................................................................ DIR/SECY/ASST SECY/MCHS CAO	1.00 .......................40.00	X	X			0	1,037,578	79,382
(23) WILLIAMS MD AMY W........................................................................ DIR/VICE CHAIR/EXEC DEAN OF PRACTICE	40.00 .......................0.00	X	X	X		1,030,707	0	82,319
(24) SHARMA MBBS MANISH S........................................................................ DIRECTOR	40.00 .......................0.00	X				956,245	0	78,620
(25) MENKOSKY PAULA E........................................................................ DIR/ASST TREAS/SECY/CAO AZ	40.00 .......................0.00	X	X			940,276	0	85,953
(26) DECKER MBBCH GUSTAV A........................................................................ PRESIDENT INTERNATIONAL	40.00 .......................0.00			X		939,662	0	78,704
(27) FRASER CATHRYN H........................................................................ CHIEF HUMAN RESOURCES OFFICER	40.00 .......................0.00			X		909,002	0	92,772
(28) HALAMKA MD JOHN D........................................................................ PRESIDENT-MAYO CLINIC PLATFORM	40.00 .......................0.00			X		917,010	0	81,036
(29) GILLIGAN SHERRI W........................................................................ CHIEF MARKETING OFFICER	40.00 .......................0.00			X		909,867	0	82,587
(30) SHAH MD VIJAY........................................................................ DIRECTOR	1.00 .......................40.00	X				0	900,838	88,139
(31) NOLTE DO CHARLES P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	890,653	0	76,294
(32) HEBL MD JAMES R........................................................................ DIR/PRES/CHAIR/REG VP-SWMN	1.00 .......................40.00	X	X			0	879,599	76,270
(33) ROSS CHRISTOPHER J........................................................................ CHIEF INFORMATION OFFICER	40.00 .......................0.00			X		875,088	0	80,162
(34) STEWART MD MICHAEL W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	848,999	0	100,795
(35) RIHAL MD CHARANJIT S........................................................................ DIRECTOR	1.00 .......................40.00	X				0	847,888	95,939
(36) MUELLER MD PAUL S........................................................................ DIR/CHAIR/REG VP-SWWI	1.00 .......................40.00	X	X			0	809,143	89,913
(37) ZORN CHRISTINA K........................................................................ DIR/SECY/ASST TREAS/CAO FL	40.00 .......................0.00	X	X			998,035	0	81,965
(38) KHAN RITA G........................................................................ CHIEF DIGITAL OFFICER	40.00 .......................0.00			X		838,469	0	55,132
(39) HELMERS MD RICHARD A........................................................................ DIR/PRESIDENT/CHAIR/REG VP-NWWI	1.00 .......................40.00	X	X			0	854,845	27,151
(40) FONSECA MD RAFAEL........................................................................ DIRECTOR	40.00 .......................0.00	X				798,446	0	82,618
(41) DEVAULT MD KENNETH R........................................................................ DIRECTOR	40.00 .......................0.00	X				784,889	0	95,464
(42) CHONG MD BRIAN W........................................................................ DIRECTOR	40.00 .......................0.00	X				783,856	0	92,401
(43) CROSS III MD WILLIAM W........................................................................ DIRECTOR	1.00 .......................40.00	X				0	792,662	77,739
(44) WALD MD JOHN T........................................................................ DIRECTOR	1.00 .......................40.00	X				0	760,380	99,539
(45) HARA MD AMY K........................................................................ DIRECTOR	40.00 .......................0.00	X				772,177	0	83,287
(46) ORTIZ MD JOSE A........................................................................ DIRECTOR	40.00 .......................0.00	X				760,876	0	88,442
(47) MORICE MD WILLIAM G........................................................................ DIRECTOR	1.00 .......................40.00	X				0	751,613	90,945
(48) MCKINNEY MD J MARK........................................................................ CHAIR-DEPT OF RADIOLOGY	40.00 .......................0.00			X		742,308	0	97,625
(49) TERKONDA MD SARVAM P........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	742,603	0	90,304
(50) COOPER MD LESLIE T........................................................................ DIRECTOR	40.00 .......................0.00	X				742,783	0	88,802
(51) ANDREWS MD PAUL E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			734,644	0	93,018
(52) DOUGLAS MD DAVID D........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	726,594	0	96,963
(53) KENDRICK MD MICHAEL L........................................................................ DIRECTOR	1.00 .......................40.00	X				0	738,477	81,300
(54) PETERSON MD JEFFREY J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	745,059	0	74,184
(55) RADEMACHER MD DANA E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	736,943	0	75,836
(56) PATEL MB TUSHAR C........................................................................ DIRECTOR	40.00 .......................0.00	X				724,746	0	83,860
(57) STONE MD WILLIAM M........................................................................ FORMER OFFICER	40.00 .......................0.00				X	778,083	0	23,550
(58) MOSS MD ADYR A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	697,163	0	99,210
(59) RYAN MICHAEL J........................................................................ CAO-SSMC	40.00 .......................0.00			X		763,067	0	31,697
(60) REDDY MBBS KUNAM S........................................................................ DIV CHR-TRANSPLANT SURGERY	40.00 .......................0.00			X		697,644	0	94,999
(61) TANER MD BURCIN C........................................................................ DIRECTOR	40.00 .......................0.00	X				705,024	0	85,024
(62) LEIBOVICH MD BRADLEY C........................................................................ DIRECTOR	1.00 .......................40.00	X				0	700,131	86,597
(63) HAKAIM MD ALBERT G........................................................................ DIRECTOR	40.00 .......................0.00	X				689,018	0	96,157
(64) LEIGHTON MD JONATHAN A........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	744,811	0	39,894
(65) PEARSON MD SUSAN E........................................................................ FORMER OFFICER	40.00 .......................0.00				X	694,818	0	87,853
(66) THIEL MD DAVID D........................................................................ DIRECTOR	40.00 .......................0.00	X				693,334	0	79,465
(67) HOFFMAN III HARRY N........................................................................ FORMER OFFICER	40.00 .......................0.00				X	751,736	0	20,638
(68) ALBRIGHT JR DO ROBERT C........................................................................ DIRECTOR/CHAIR/REGIONAL VP SEMN	1.00 .......................40.00	X	X			0	676,822	90,412
(69) GLANTZ MD JANEL N........................................................................ PHYSICIAN	40.00 .......................0.00			X		688,927	0	77,973
(70) DOWDY MD SEAN C........................................................................ DIRECTOR	1.00 .......................40.00	X				0	669,062	84,789
(71) BRUCE MD CHARLES J........................................................................ DIRECTOR	40.00 .......................0.00	X				712,848	0	34,362
(72) UY MD JONATHAN J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	653,739	0	80,693
(73) CASLER MD JOHN D........................................................................ DIRECTOR	40.00 .......................0.00	X				627,679	0	90,165
(74) ANIL MD GOKHAN........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			641,141	0	69,946
(75) CIMA MD ROBERT R........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	629,337	80,655
(76) HORST ADAM M........................................................................ DIR/TREASURER	40.00 .......................0.00	X	X			624,019	0	83,337
(77) ROGERS JAMES A........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			611,830	0	88,436
(78) KEENAN MD LAWRENCE R........................................................................ DIRECTOR	1.00 .......................40.00	X				0	613,756	78,886
(79) BAKKUM-GAMEZ MD JAMIE N........................................................................ DIRECTOR	1.00 .......................40.00	X				0	615,918	74,335
(80) ETZIONI MD DAVID A........................................................................ CHAIR-DEPT OF SURGERY	40.00 .......................0.00			X		604,129	0	81,426
(81) CHAPITAL MD ALYSSA B........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			611,348	0	73,928
(82) SADOSTY MD ANNIE T........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	596,286	87,774
(83) FREDERICK RYANNON K........................................................................ DIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X		X		616,181	0	67,712
(84) TRENTMAN MD TERRENCE L........................................................................ PHYSICIAN	40.00 .......................0.00			X		601,727	0	82,025
(85) BROWN MD MICHAEL J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	587,314	85,239
(86) MCLAUGHLIN MD SARAH A........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			623,662	0	47,684
(87) ZIETLOW MD SCOTT P........................................................................ DIRECTOR/CHAIR	1.00 .......................40.00	X	X			0	620,623	36,903
(88) KROSCH MD TARA C........................................................................ VICE CHAIR-CLINICAL PRACTICE	40.00 .......................0.00			X		584,272	0	71,604
(89) LAL MD DEVYANI........................................................................ DIRECTOR	40.00 .......................0.00	X				575,194	0	76,015
(90) FAMUYIDE MBBS ABIMBOLA O........................................................................ DIRECTOR	1.00 .......................40.00	X				0	556,940	84,203
(91) CRAIG MD FIONA E........................................................................ CHAIR-LAB MED & PATH	40.00 .......................0.00			X		555,452	0	83,811
(92) ABEL MD MARTIN D........................................................................ CHAIR-ANESTH & PERIOP MED	40.00 .......................0.00			X		599,866	0	37,657
(93) ODENIGBO MD CELESTINE........................................................................ DIRECTOR	40.00 .......................0.00	X				552,798	0	74,155
(94) FRANCIS JAMES R........................................................................ DIRECTOR/ASST TREASURER	40.00 .......................0.00	X	X			526,219	0	99,268
(95) DRONCA MD ROXANA S........................................................................ DIRECTOR	40.00 .......................0.00	X				542,240	0	82,624
(96) DEGENHARDT MD JEFFRY A........................................................................ PHYSICIAN	40.00 .......................0.00			X		547,960	0	76,771
(97) RIMSZA MD LISA M........................................................................ DIRECTOR	40.00 .......................0.00	X				527,313	0	91,651
(98) NASSAR MD AZIZA........................................................................ CHAIR-LAB MED & PATH	40.00 .......................0.00			X		529,302	0	86,274
(99) JANUS MD JEFFREY R........................................................................ CHAIR-OTORHINOLARYN	40.00 .......................0.00			X		540,440	0	69,728
(100) TAZELAAR MD HENRY D........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	567,925	0	39,291
(101) ZUROB MD ADEL S........................................................................ DIRECTOR	40.00 .......................0.00	X				518,806	0	82,573
(102) KELLEY SHARON M........................................................................ CFO MCHS	40.00 .......................0.00		X			514,550	0	77,773
(103) HELLMICH MD THOMAS R........................................................................ DIRECTOR	1.00 .......................40.00	X				0	499,318	87,516
(104) KIM MD HYUN I........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			491,137	0	95,313
(105) BARTLETT MD BRIAN N........................................................................ VICE CHAIR-CLINICAL PRACTICE	40.00 .......................0.00			X		507,030	0	69,771
(106) KRAHN MD LOIS E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			478,121	0	95,711
(107) LIMPER MD ANDREW H........................................................................ DIRECTOR	1.00 .......................40.00	X				0	529,231	36,465
(108) JOHNSON MD MARGARET M........................................................................ DIRECTOR	40.00 .......................0.00	X				477,511	0	85,884
(109) JOHNSON MD DANIEL J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	468,083	0	90,747
(110) KHOOR MD ANDRAS........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	535,057	0	22,145
(111) URUMOV MD ANDREJ........................................................................ CHAIR-DEPT OF EMERGENCY MED	40.00 .......................0.00			X		475,434	0	71,027
(112) SANTRACH MD PAULA J........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................40.00	X	X			0	523,171	13,316
(113) DEWITT MD JASON J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	465,196	0	70,586
(114) SILVERS MD SCOTT M........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	445,231	0	87,592
(115) OTTE KIMBERLY K........................................................................ ASST SECY	40.00 .......................0.00		X			446,797	0	84,893
(116) GOYAL MANEESH........................................................................ COO-MAYO CLINIC PLATFORM	40.00 .......................0.00			X		449,241	0	82,023
(117) RIGDON ALICE W........................................................................ DIRECTOR/TREASURER/CFO FL	40.00 .......................0.00	X	X			475,926	0	55,010
(118) SHERRILL TODD E........................................................................ DIR/TREAS/ASST TREAS/ASST SECY/FORMER OFFICER	40.00 .......................0.00	X	X			445,698	0	84,761
(119) PORTER MD ALYX B........................................................................ DIRECTOR	40.00 .......................0.00	X				455,801	0	72,888
(120) PECK MD ROBERT C........................................................................ DIRECTOR	40.00 .......................0.00	X				444,873	0	83,184
(121) BUSKIRK MD STEVEN J........................................................................ FORMER OFFICER	40.00 .......................0.00				X	494,294	0	24,620
(122) BUNKERS MD BRIAN E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			427,720	0	89,737
(123) SEINOLA SCOTT A........................................................................ DIR/CEO/PRES/CHIEF EDU OFFICER	40.00 .......................0.00	X	X	X		480,461	0	35,530
(124) SOUSOU MD COSTA H........................................................................ PHYSICIAN	40.00 .......................0.00			X		434,659	0	76,392
(125) DIETER HEIDI L........................................................................ DIRECTOR	1.00 .......................40.00	X				0	449,771	59,666
(126) HICKSON MD LATONYA J........................................................................ DIRECTOR	40.00 .......................0.00	X				427,934	0	80,919
(127) EZENAGU MD LEONARD C........................................................................ DIRECTOR/SECY	40.00 .......................0.00	X	X			411,193	0	86,872
(128) VIRAMONTES ALLISON L........................................................................ DIRECTOR/TREASURER/CFO AZ	40.00 .......................0.00	X	X			422,556	0	73,377
(129) CULLINAN MD SUSAN M........................................................................ DIR/CHAIR/FORMER KEY EMPLOYEE	40.00 .......................0.00	X	X	X		410,748	0	85,071
(130) COSTAKOS MD DENNIS T........................................................................ DIRECTOR	40.00 .......................0.00	X				411,950	0	83,535
(131) FAUBION MD STEPHANIE S........................................................................ DIRECTOR	40.00 .......................0.00	X				415,814	0	75,869
(132) WILLMAN MD CHERYL L........................................................................ DIR/EXEC DIR CANCER PROGRAMS	40.00 .......................0.00	X		X		478,073	0	10,015
(133) SNAZA KARI S........................................................................ CHIEF STRATEGY OFFICER	40.00 .......................0.00			X		477,477	0	8,806
(134) PRESUTTI DO RICHARD J........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	388,088	0	89,321
(135) HORVATH MD PAUL R........................................................................ PHYSICIAN	40.00 .......................0.00			X		404,212	0	72,301
(136) FISHER DO LAURA A........................................................................ DIRECTOR	40.00 .......................0.00	X				420,905	0	53,289
(137) VARKEY MBBS PRATHIBHA........................................................................ DIR/PRESIDENT MCHS	40.00 .......................0.00	X	X	X		451,475	0	21,834
(138) DEXTER MD DONN D........................................................................ PHYSICIAN	40.00 .......................0.00			X		387,756	0	84,399
(139) MESCHIA MD JAMES F........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	379,303	0	81,714
(140) NOE MD KATHERINE H........................................................................ DIRECTOR	40.00 .......................0.00	X				381,573	0	78,516
(141) MORREY MICHAEL A........................................................................ DIR/REG CHAIR-ADMIN SWWI/FORMER OFFICER	1.00 .......................40.00	X	X			0	375,095	82,502
(142) CAVINESS MD JOHN N........................................................................ DIRECTOR	40.00 .......................0.00	X				383,508	0	71,877
(143) HOLTAN DOUGLAS J........................................................................ DIR/FORMER OFFICER	1.00 .......................40.00	X	X			0	408,400	45,537
(144) KRIEN MD JOSEPH S........................................................................ REG CHAIR CLINICAL PRACTICE	40.00 .......................0.00			X		377,442	0	76,380
(145) PIGNOLO MD PHD ROBERT J........................................................................ DIRECTOR/VICE CHAIR	1.00 .......................40.00	X	X			0	360,468	90,442
(146) YUN MD BLENDA........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	372,048	0	78,131
(147) LITCHY MD WILLIAM J........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	393,369	56,118
(148) YOUNG MD TIMOTHY J........................................................................ PHYSICIAN	40.00 .......................0.00			X		363,091	0	84,624
(149) SIMPSON MD HENRY J........................................................................ REG CHAIR CLINICAL PRACTICE	40.00 .......................0.00			X		370,888	0	76,465
(150) HUBERT SHERRY L........................................................................ ASST SECY/FORMER OFFICER	40.00 .......................0.00		X			351,509	0	87,505
(151) HORN MD JENNIFER L........................................................................ DIRECTOR	1.00 .......................40.00	X				0	374,473	64,434
(152) GOSTOUT MD BOBBIE S........................................................................ DIR/VP OPER/PRES MCHS/FORMER OFFICER	40.00 .......................0.00	X	X	X		434,775	0	3,466
(153) WRAY-RAABOLLE MD JASON T........................................................................ DIRECTOR	40.00 .......................0.00	X				352,274	0	82,297
(154) CRANE MD SARAH J........................................................................ DIRECTOR	1.00 .......................40.00	X				0	350,916	80,570
(155) FOSS MD RANDY M........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			353,915	0	71,799
(156) BHAGRA MD SUMIT........................................................................ DIRECTOR	40.00 .......................0.00	X				366,526	0	58,101
(157) LANGBEHN DO JENNIFER M........................................................................ DIRECTOR	40.00 .......................0.00	X				339,857	0	84,531
(158) CHUKWUDELUNZU SR MD FELIX E........................................................................ PHYSICIAN	40.00 .......................0.00			X		334,031	0	90,323
(159) KNUDSON STEVE L........................................................................ DIRECTOR	40.00 .......................0.00	X				397,716	0	24,634
(160) HERRMANN MD MARTIN J........................................................................ DIRECTOR	40.00 .......................0.00	X				332,211	0	85,306
(161) HIRISAVE KRISHNA MD BIPINCHANDRA........................................................................ VICE CHAIR-CLINICAL PRACTICE	40.00 .......................0.00			X		341,526	0	73,787
(162) JELINEK DIANE F........................................................................ DIRECTOR	40.00 .......................0.00	X				352,652	0	62,500
(163) LINDAHL ROGER A........................................................................ FORMER OFFICER	40.00 .......................0.00				X	317,597	0	96,764
(164) MYHRE MD KAREN K........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			328,352	0	78,880
(165) ACKERMAN FRANKLIN K........................................................................ DIR/ASSOCIATE ADMINISTRATOR	40.00 .......................0.00	X		X		318,101	0	88,867
(166) KOWAL DO GERALD K........................................................................ VICE CHAIR-CLINICAL PRACTICE	40.00 .......................0.00			X		317,852	0	89,070
(167) MERFELD MD JOHN........................................................................ PHYSICIAN	40.00 .......................0.00			X		327,527	0	79,357
(168) BRANDT TERRY L........................................................................ DIR/SECY/TREAS/REG CHAIR-ADMIN SWMN	1.00 .......................40.00	X	X			0	377,622	24,382
(169) HORECKI MD RICHARD J........................................................................ PHYSICIAN	40.00 .......................0.00			X		321,033	0	80,692
(170) BAUER MD BRENT A........................................................................ DIRECTOR	1.00 .......................40.00	X				0	310,567	90,809
(171) KORDUCKI MD JANE M........................................................................ PHYSICIAN	40.00 .......................0.00			X		310,390	0	89,663
(172) ROBELIA MD PAUL M........................................................................ DIRECTOR	1.00 .......................40.00	X				0	312,316	86,410
(173) MORRIS MD MARIE E........................................................................ DIRECTOR/CHAIR	40.00 .......................0.00	X	X			312,071	0	85,287
(174) FITZGERALD MD KEVIN........................................................................ DIV CHAIR-SWWI FAMILY MED	40.00 .......................0.00			X		322,894	0	70,617
(175) HOLMES TINA E........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	310,561	0	82,601
(176) GOLDMAN DANIEL S........................................................................ ASST SECY	40.00 .......................0.00		X			305,598	0	85,499
(177) MOLLING DO PAUL E........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			317,017	0	73,233
(178) CRAIG JASON E........................................................................ DIR/VP/SECY/REG CHAIR-ADMIN NWWI	40.00 .......................0.00	X	X			327,866	0	61,472
(179) LENHART MD JILL........................................................................ PHYSICIAN	40.00 .......................0.00			X		303,179	0	82,997
(180) WHITED MD BRIAN L........................................................................ DIRECTOR/PRESIDENT/CHAIR	40.00 .......................0.00	X	X			360,298	168,396	83,718
(181) GREEN MD JEFFREY P........................................................................ FORMER OFFICER	40.00 .......................0.00				X	295,813	0	80,598
(182) MEKALA PRAVEEN........................................................................ TREAS/ASST TREAS/CFO MN	40.00 .......................0.00		X			303,286	0	65,545
(183) GLENN SEAN W........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			294,065	0	72,178
(184) CROCKETT ERIC D........................................................................ DIR/SECY/REG CHAIR ADMIN SEMN	1.00 .......................40.00	X	X			0	284,033	75,083
(185) PAUL TRAVIS C........................................................................ DIR/SECY/TRES/REG CHAIR ADMIN SWMN	1.00 .......................40.00	X	X			0	303,370	53,504
(186) MURPHY MARIALENA........................................................................ DIRECTOR	40.00 .......................0.00	X				271,575	0	79,146
(187) ADLEMAN BREEANN M........................................................................ DIRECTOR/ASST SECY	40.00 .......................0.00	X	X			275,340	0	70,815
(188) ERICKSON ERIC B........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		279,597	0	66,148
(189) NORDRUM CHARLOTTE J........................................................................ FORMER OFFICER	40.00 .......................0.00				X	266,039	0	79,288
(190) POE JOHN D........................................................................ DIRECTOR	1.00 .......................40.00	X				0	275,524	67,614
(191) BERG DAVID W........................................................................ ADMIN - MCHS SEMN	40.00 .......................0.00			X		266,500	0	74,977
(192) LOCKETT KEVIN M........................................................................ FORMER OFFICER	40.00 .......................0.00				X	270,924	0	69,718
(193) SKAAR MD PHILLIP J........................................................................ DIRECTOR/CHAIR	40.00 .......................0.00	X	X			267,825	0	71,366
(194) WHITE PAMELA K........................................................................ CHIEF NURSING OFFICER	40.00 .......................0.00			X		261,637	0	71,986
(195) GALINDEZ JR PETER........................................................................ ASST SECY/FORMER OFFICER	40.00 .......................0.00		X			256,196	0	77,046
(196) LOHKAMP CHRISTIE A........................................................................ FORMER OFFICER	40.00 .......................0.00				X	167,684	0	165,281
(197) HOLTZ MD CAROL P........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	274,443	55,029
(198) GADE CHRIS W........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	313,305	0	8,312
(199) CHO LAWRENCE H........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	275,731	0	44,941
(200) ROTTY BRIAN W........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	238,742	79,968
(201) MELVIN KEVIN B........................................................................ ASST SECY	1.00 .......................40.00		X			0	242,392	75,919
(202) BYRD MD JANE D........................................................................ DIRECTOR/VICE CHAIR	40.00 .......................0.00	X	X			230,228	0	85,991
(203) DEGEN SUSANNE C........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		260,613	0	51,265
(204) PARKS DOUGLAS A........................................................................ FORMER OFFICER	0.00 .......................40.00				X	0	278,222	30,536
(205) GROSS TERA L........................................................................ DIRECTOR	40.00 .......................0.00	X				240,249	0	59,620
(206) THIEMANN KAY M........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00				X	0	265,333	33,132
(207) HANSON VICTORIA M........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		228,263	0	66,900
(208) LEBRASSEUR NATHAN K........................................................................ DIRECTOR	1.00 .......................40.00	X				0	226,280	67,925
(209) HANSEN JULIE S........................................................................ DIRECTOR/TREAS/CFO WI	40.00 .......................0.00	X	X			257,138	0	34,453
(210) FALLER MD ANNETTE........................................................................ PHYSICIAN	40.00 .......................0.00			X		241,358	0	45,753
(211) HOLST TANNER T........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		231,724	0	54,681
(212) BROWN WILLIAM A........................................................................ ASST TREASURER	40.00 .......................0.00		X			256,862	0	26,916
(213) JOHNSON RYAN R........................................................................ DIRECTOR	1.00 .......................40.00	X				0	223,528	57,379
(214) CAPLAN SHERRY M........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		230,696	0	48,857
(215) MATTHIAS MARK A........................................................................ FORMER OFFICER	40.00 .......................0.00				X	211,473	0	67,624
(216) MARTIN DAVID L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	212,130	0	64,521
(217) EBERLE MICHELE R........................................................................ DIR/VICE CHAIR-ADMIN	40.00 .......................0.00	X		X		223,645	0	48,724
(218) DRUCKER PAUL E........................................................................ DIRECTOR/VICE PRESIDENT	1.00 .......................40.00	X	X			0	206,425	63,244
(219) EIDE DEAN B........................................................................ DIR/VICE CHAIR-ADMIN	40.00 .......................0.00	X		X		227,614	0	41,450
(220) DAVIS AMY L........................................................................ FORMER OFFICER	40.00 .......................0.00				X	209,601	0	59,053
(221) COGNETTA-RIEKE CHERISTI M........................................................................ CHIEF NURSING OFFICER	40.00 .......................0.00			X		206,856	0	61,512
(222) CLUNE MD CAROLINE G........................................................................ PHYSICIAN	40.00 .......................0.00			X		228,627	0	36,670
(223) LANZ APRIL D........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		209,192	0	55,139
(224) MEYERS ANN M........................................................................ DIRECTOR	1.00 .......................40.00	X				0	253,639	7,303
(225) JORGENSON BETTY........................................................................ CHIEF NURSING OFFICER	40.00 .......................0.00			X		195,583	0	64,764
(226) MCNEILL STEVEN L........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	240,070	0	18,482
(227) MCCONNELL LISA A........................................................................ DIRECTOR	40.00 .......................0.00	X				205,343	0	51,468
(228) MARTIN-KRAJEWSKI CARIE A........................................................................ VICE CHAIR-ADMINISTRATION	40.00 .......................0.00			X		214,528	0	41,254
(229) DALBELLO JR ALBERT........................................................................ DIRECTOR/SECRETARY	40.00 .......................0.00	X	X			182,631	0	67,638
(230) JANSSEN JAMES J........................................................................ ASST TREASURER	40.00 .......................0.00		X			211,214	0	31,098
(231) LONG AMY K........................................................................ DIRECTOR	40.00 .......................0.00	X				193,395	0	47,200
(232) TING MD HENRY H........................................................................ DIRECTOR	40.00 .......................0.00	X				175,961	0	59,906
(233) DUNN AJANI N........................................................................ DIR/SECY/ASST TREAS/CAO FL	40.00 .......................0.00	X	X			298,793	0	67,374
(234) FLATTUM BETHANIE L........................................................................ TREASURER	40.00 .......................1.00		X			199,521	7,719	56,780
(235) LANZEL TRICIA G........................................................................ DIRECTOR/CHAIR	40.00 .......................0.00	X	X			174,070	0	53,666
(236) RUSTAD CHRISTOPHER D........................................................................ DIR/SECY/TREAS/FORMER OFFICER	1.00 .......................40.00	X	X			0	187,759	31,617
(237) JOHNSON CARLA J........................................................................ ASST SECY	40.00 .......................0.00		X			206,383	0	44,477
(238) MEYER TIA J........................................................................ ADMIN OPERATIONS	40.00 .......................0.00			X		169,144	0	42,846
(239) TRADEWELL MATTHEW W........................................................................ ADMIN OPERATIONS	40.00 .......................0.00			X		164,854	0	46,722
(240) KUEHL MD MARY J........................................................................ DIRECTOR	40.00 .......................0.00	X				150,120	0	59,607
(241) BORTNEM MARK A........................................................................ DIRECTOR/TREAS/CFO WI	40.00 .......................0.00	X	X			193,386	0	9,150
(242) GULDEN CHRISTOPHER R........................................................................ SECY	40.00 .......................0.00		X			166,674	0	34,440
(243) KUJAK-COON HEATHER........................................................................ ADMIN OPERATIONS	40.00 .......................0.00			X		153,218	0	47,182
(244) BROWN MICHAEL E........................................................................ FORMER OFFICER	40.00 .......................0.00				X	135,322	0	52,578
(245) BOYUM LISA L........................................................................ TREASURER	40.00 .......................0.00		X			136,915	0	46,335
(246) FEHMI RASHID A........................................................................ TREASURER	40.00 .......................0.00		X			141,769	0	40,701
(247) EVENSON LAURA K........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	134,210	0	48,241
(248) FENNELL THOMAS J........................................................................ ASST SECY	40.00 .......................0.00		X			139,844	0	41,187
(249) BELILES GREGORY R........................................................................ ASST SECY	40.00 .......................0.00		X			148,136	0	46,941
(250) KRUMM TARA L........................................................................ DIRECTOR/SECY/TREAS	40.00 .......................0.00	X	X			118,230	0	42,610
(251) TIGGELAAR THOMAS H........................................................................ FORMER OFFICER	40.00 .......................0.00				X	112,476	0	67,014
(252) LINDBERG STEVEN J........................................................................ DIR/VP/SECY	40.00 .......................0.00	X	X			66,655	0	53,803
(253) STEVENS MD MARK K........................................................................ FORMER KEY EMPLOYEE	40.00 .......................0.00				X	169,414	0	2
(254) FINNEMAN KILLINGER KAREN A........................................................................ REG CHAIR FAC & SUPP SVCS	40.00 .......................0.00			X		172,859	0	53,650
(255) AAKRE SCOTT........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(256) AKKERMAN ROBIN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(257) ARNTZ SUSAN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(258) BAKER SALLY CHASE........................................................................ DIRECTOR/PRESIDENT	40.00 .......................0.00	X	X			0	0	0
(259) BECKER JOHN........................................................................ DIRECTOR/TREAS/CHAIR	40.00 .......................0.00	X	X			0	0	0
(260) BENTS IAN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(261) BERGERON-BOWE MELISSA........................................................................ DIRECTOR/SECRETARY	40.00 .......................0.00	X	X			0	0	0
(262) BINSFELD MATT........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(263) BOE RUSSELL........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(264) BOHL HEIDI........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(265) BORSHEIM PAUL........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(266) BRANSTAD PAT........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(267) CADMAN BERWYN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(268) CARPENTER MARK........................................................................ DIRECTOR/TREASURER	40.00 .......................0.00	X	X			0	0	0
(269) CHRISTENSEN SISTER GEORGIA........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(270) CLARK DIANE........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(271) COFFEY MARK........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(272) ELSBERND SISTER HELEN........................................................................ DIRECTOR/SECY	40.00 .......................0.00	X	X			0	0	0
(273) FLORES JAZMINE........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(274) GROVE MICHAEL........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(275) GRUBER JOHN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(276) HALOM MARTIN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(277) HERRICK DDS JAMES V........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(278) JACOBSON ROSEMARY........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(279) JOHNSON HOLLY........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(280) KASPER JOHN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(281) LANZER LORI........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(282) LEGARE GREG........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(283) LUCENTE PAOLA........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(284) MAHN DAVID........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(285) MARTIN DOUG........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(286) MASON SHARI........................................................................ DIRECTOR/SECY/TREAS/PRESIDENT	40.00 .......................0.00	X	X			0	0	0
(287) MATHY SCOTT........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(288) MCGRAW COLLEEN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(289) MOUW JEROMY J........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(290) OLIVER TRACY........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(291) OLSON BENJAMIN D........................................................................ DIRECTOR/TREASURER	40.00 .......................0.00	X	X			0	0	0
(292) PATSCHE WANDA........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(293) PERRY MICHAEL........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(294) RETHERFORD KRISTINE S........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(295) RIEBE DANIEL........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(296) SCHAUFENBUEL KIM........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(297) SCHMIDT JAMES........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(298) SCHOENBAUER BRAD........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(299) TRAETOW JUDY........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(300) TYDRICH SISTER JULIE........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(301) WALTER DALE........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(302) WALTER KEVIN........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(303) WERNER MARY JO........................................................................ DIRECTOR	40.00 .......................0.00	X				0	0	0
(304) WILSON MELISSA........................................................................ DIRECTOR/SECY	40.00 .......................0.00	X	X			0	0	0
(305) YOUNG DDS RICHARD B........................................................................ DIRECTOR/VICE PRESIDENT	40.00 .......................0.00	X	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
RIGHT SOURCING INC 2 EXECUTIVE CIRCLE STE 210 IRVINE,CA92614	WORKFORCE SUPPORT SERVICES	170,565,248
DPR CONSTRUCTION 222 N 44TH ST PHOENIX,AZ85034	CONSTRUCTION SERVICES	103,974,785
MCCARTHY BUILDING COMPANIES INC 1341 N ROCK HILL RD ST LOUIS,MO63124	CONSTRUCTION SERVICES	90,350,570
MORRISON MANAGEMENT SPECIALISTS 400 NORTHRIDGE RD STE 600 SANDY SPRINGS,GA30350	FOOD SERVICES	69,933,290
INCENTIVE SERVICES INC 7667 CAHILL RD EDINA,MN55439	MEDICAL & SUPPORT SERVICES	44,549,150
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 1,251

- TIN:

SCHEDULE A
(Form 990)

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

2021

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).)

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 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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

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

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

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

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

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

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) MCHS-SOUTHEAST MINNESOTA REGION	411404075	3	Yes		10,225	90,000

Total 1					10,225	90,000

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

Cat. No. 11285F

Schedule A (Form 990) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	531,689,057	334,410,090	222,673,897	206,236,779	483,384,865	1,778,394,688
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	531,689,057	334,410,090	222,673,897	206,236,779	483,384,865	1,778,394,688
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) ..						75,785,133
6	Public support. Subtract line 5 from line 4.						1,702,609,555

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	531,689,057	334,410,090	222,673,897	206,236,779	483,384,865	1,778,394,688
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	19,317,703	8,186,742	23,447,811	20,219,184	34,277,745	105,449,185
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	621,091	526,062	212,410	3,079,355	1,074,302	5,513,220
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						1,889,357,093

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

3,469,527,148

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 2021 (line 6, column (f) divided by line 11, column (f)) .........

90.120 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

89.780 %

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

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) .

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

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 on 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 on 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) 2021

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

11a

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

11b

A 35% controlled entity of a person described on 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 on 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) 2021

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) 2021

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 2021 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-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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 III: SUPPORT SCHEDULE FOR 509(A)(2)	PART III: SUPPORT SCHEDULE SECTON A. PUBLIC SUPPORT CALENDAR YEAR (C) 2017 LINE 1: 2,488,807 LINE 2: 1,617,722,959 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,620,211,766 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,620,211,766 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 2017 LINE 9: 1,620,211,766 LINE 10A: 14,052,339 LINE 10B: 1,063,806 LINE 10C: 15,116,145 LINE 11: 0 LINE 12: 280,898 LINE 13: 1,635,608,809 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (D) 2018 LINE 1: 1,401,923 LINE 2: 1,762,801,375 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 1,764,203,298 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 1,764,203,298 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2018 LINE 9: 1,764,203,298 LINE 10A: 22,864,636 LINE 10B: 2,338,364 LINE 10C: 25,203,000 LINE 11: 0 LINE 12: 285,943 LINE 13: 1,789,692,241 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2019 LINE 1: 2,202,933 LINE 2: 2,029,169,779 LINE 3: 127,489 LINE 4: 0 LINE 5: 0 LINE 6: 2,031,500,201 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,031,500,201 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2019 LINE 9: 2,031,500,201 LINE 10A: 33,736,144 LINE 10B: 2,398,473 LINE 10C: 36,134,617 LINE 11: 0 LINE 12: 0 LINE 13: 2,067,634,818 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (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 (B) 2021 LINE 1: 2,617,791 LINE 2: 2,328,001,099 LINE 3: 36,687 LINE 4: 0 LINE 5: 0 LINE 6: 2,330,655,577 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE8: 2,330,655,577 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2021 LINE 9: 2,330,655,577 LINE 10A: 19,593,093 LINE 10B: 4,958,499 LINE 10C: 24,551,592 LINE 11: 0 LINE 12: 0 LINE 13: 2,355,207,169 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1: 11,889,292 LINE 2: 9,740,506,876 LINE 3: 195,082 LINE 4: 0 LINE 5: 0 LINE 6: 9,752,591,250 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 9,752,591,250 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 9,752,591,250 LINE 10A: 102,432,687 LINE 10B: 14,059,120, LINE 10C: 116,491,807 LINE 11: 0 LINE 12: 566,841 LINE 13: 9,869,649,898 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2021: 98.81% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2020: 98.87% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2021: 1.18% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2020: 1.12% 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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

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) (2021)

Schedule B (Form 990) (2021) 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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

1,250,677

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

Yes

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

Yes

279,482

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

1,530,159

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 2021, 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 VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2021, 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. 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 2021, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $965,796. 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 2021, 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 VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2021, 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. 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 2021, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $965,796. 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) 2021

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

2021

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) 2021

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	1,223
d	Additions during the year ............................	1d	901
e	Distributions during the year ..........................	1e	1,924
f	Ending balance ................................	1f	200

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 ....	668,818,281	581,677,751	643,594,273	675,799,917	563,023,595
b	Contributions ...	17,295,453	15,205,665	24,924,499	22,664,654	26,381,268
c	Net investment earnings, gains, and losses	160,134,563	88,044,445	78,187,578	15,430,166	112,420,743
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	24,319,740	16,109,580	165,028,599	70,300,464	26,025,689
f	Administrative expenses ....
g	End of year balance ......	821,928,557	668,818,281	581,677,751	643,594,273	675,799,917

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

Board designated or quasi-endowment SchDMd Bullet

38.340 %

Permanent endowment SchDMd Bullet

36.030 %

Term endowment SchDMd Bullet

25.630 %

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 .....	279,592,271		279,592,271
b	Buildings ....	5,016,545,564	2,613,328,189	2,403,217,375
c	Leasehold improvements	15,247,334	8,489,202	6,758,132
d	Equipment ....	2,682,974,290	1,931,179,721	751,794,569
e	Other .....	493,892,931		493,892,931
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,935,255,278

Schedule D (Form 990) 2021

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	1,110,009,722	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,110,009,722

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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				4,666,147,451
(2)ART				420,000
(3)CONTRIBUTED ASSETS PENDING DISPOSAL				1,465,285
(4)GIFT ANNUITIES				130,986,325
(5)OTHER LONG TERM ASSETS				117,721,670
(6)TRUSTS				8,397,963
(7)DEFERRED INCOME TAX ASSET				1,898,020
(8)TECH BASED VENTURES				99,293,132
(9)BOND RELATED INVESTMENTS				124
(10)ASSETS HELD BY TRUSTEES				28,767
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				5,026,358,737

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	226,107
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,953,244,626
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) 2021

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, 2021 AND 2020, 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) 2021

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

2021

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	4	TRAVEL		6,211
	EAST ASIA AND THE PACIFIC	0	1	TRAVEL		14,691
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	41	TRAVEL		413,684
	MIDDLE EAST AND NORTH AFRICA	0	42	TRAVEL		335,284
	NORTH AMERICA	0	4	TRAVEL		6,218
	RUSSIA AND THE NEIGHBORING STATES	0	0	TRAVEL
	SOUTH AMERICA	0	0	TRAVEL
	SOUTH ASIA	0	1	TRAVEL		219
	SUB-SAHARAN AFRICA	0	1	TRAVEL		7,550
	CENTRAL AMERICA AND THE CARIBBEAN	5	5	PROGRAM SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	177,206
	NORTH AMERICA	2	3	PROGRAM SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	203,189
	SOUTH AMERICA	3	3	PROGRAM SERVICES	ARRANGE APPOINTMENTS, TRAVEL, ETC	130,823
	NORTH AMERICA	0	0	PROGRAM SERVICES	PATIENT CARE
	MIDDLE EAST AND NORTH AFRICA	0	4	PROGRAM SERVICES	PATIENT CARE	32,216
	NORTH AMERICA	0	0	PROGRAM SERVICES	CONSULTING
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS		1,057,863
	EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS		14,665,073
		0	0
	CENTRAL AMERICA AND THE CARIBBEAN	0	4	SERVICES PURCHASED	MARKETING	868,139
	EAST ASIA AND THE PACIFIC	0	6	SERVICES PURCHASED	MARKETING	393,482
	EUROPE (INCLUDING ICELAND AND GREENLAND)	0	17	SERVICES PURCHASED	MARKETING	1,834,364
	MIDDLE EAST AND NORTH AFRICA	0	10	SERVICES PURCHASED	MARKETING	806,108
	NORTH AMERICA	0	2	SERVICES PURCHASED	MARKETING	235,835
	SOUTH AMERICA	0	0	SERVICES PURCHASED	MARKETING
3a	Sub-total ....	0	93			776,307
b	Total from continuation sheets to Part I ...	10	55			20,411,848
c	Totals (add lines 3a and 3b)	10	148			21,188,155

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

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
NORTH AMERICA	RESEARCH SUBAWARDS	360,364	CHECK, ELECTRONIC
NORTH AMERICA	RESEARCH SUBAWARDS	48,635	CHECK, ELECTRONIC
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUBAWARDS	28,542	CHECK, ELECTRONIC
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	148,269	CHECK, ELECTRONIC
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	187,142	CHECK, ELECTRONIC
EAST ASIA AND THE PACIFIC	RESEARCH SUBAWARDS	89,851	CHECK, ELECTRONIC
NORTH AMERICA	RESEARCH SUBAWARDS	13,318	CHECK, ELECTRONIC
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUBAWARDS	131,890	CHECK, ELECTRONIC
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUBAWARDS	2,000	CHECK, ELECTRONIC
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUBAWARDS	2,000	CHECK, ELECTRONIC
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUBAWARDS	11,725	CHECK, ELECTRONIC
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUBAWARDS	9,881	CHECK, ELECTRONIC
NORTH AMERICA	RESEARCH SUBAWARDS	14,145	CHECK, ELECTRONIC
NORTH AMERICA	RESEARCH SUBAWARDS	8,930	CHECK, ELECTRONIC
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUBAWARDS	202,801	CHECK, ELECTRONIC
NORTH AMERICA	RESEARCH SUBAWARDS	38,505	CHECK, ELECTRONIC
NORTH AMERICA	RESEARCH SUBAWARDS	26,500	CHECK, ELECTRONIC
SOUTH AMERICA	EDUCATION/TECHNOLOGY	50,000	CHECK, ELECTRONIC

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 .......................	17

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 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) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

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) MAYO CLINIC HEALTH SYSTEM - NORTHWEST WISCONSIN REGION, INC. (EIN: 39-0813418) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO THE CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH FORMS 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 FORMS 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: OGDEN, UT 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. 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

Schedule F (Form 990) 2021

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

2021

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) . . .	36,000,094		36,000,094	0.300 %
b	Medicaid (from Worksheet 3, column a) . . . . .	724,603,492	398,813,025	325,790,467	2.680 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	760,603,586	398,813,025	361,790,561	2.980 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,173,045	1,931	3,171,114	0.030 %
f	Health professions education (from Worksheet 5) . . .	133,882,979	22,581,599	111,301,380	0.910 %
g	Subsidized health services (from Worksheet 6) . . . .	461,138,314	263,295,523	197,842,791	1.630 %
h	Research (from Worksheet 7) .	218,808,544	136,765,211	82,043,333	0.670 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	8,334,790		8,334,790	0.070 %
j	Total. Other Benefits . .	825,337,672	422,644,264	402,693,408	3.310 %
k	Total. Add lines 7d and 7j .	1,585,941,258	821,457,289	764,483,969	6.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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	448,868	448,868	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	149,154	149,154	0 %
7	Community health improvement advocacy
8	Workforce development	191,717	191,717	0 %
9	Other
10	Total	789,739	789,739	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. ......

141,275,134

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).....

1,798,477,032

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

2,094,019,339

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

-295,542,307

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) 2021

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?19Name, 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 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 NORTHWEST WISCONSIN REGION INC 390813418	X	X					X			A
5	MCHS IN MANKATO 1025 MARSH STREET MANKATO,MN56001 WWW.MAYOCLINIC.ORG 00033 MCHS SOUTHWEST 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 SOUTHEAST MINNESOTA REGION 411404075	X	X					X		CLINIC	B
8	MCHS IN FAIRMONT 800 MEDICAL CENTER DRIVE FAIRMONT,MN56031 WWW.MAYOCLINIC.ORG 00359 MCHS IN FAIRMONT 410760836	X	X					X		CLINIC	A
9	MCHS IN RED WING 701 HEWITT BOULEVARD RED WING,MN55066 WWW.MAYOCLINIC.ORG 21423 MCHS SOUTHEAST 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 SOUTHWEST MINNESOTA REGION 411236756	X	X			X		X			A
11	MCHS IN WASECA 501 NORTH STATE STREET WASECA,MN56093 WWW.MAYOCLINIC.ORG 00908 MCHS SOUTHWEST MINNESOTA REGION 411236756	X	X			X		X		CLINIC	A
12	MCHS IN BARRON 1222 EAST WOODLAND BARRON,WI54812 WWW.MAYOCLINIC.ORG 1018 MCHS NORTHWEST WISCONSIN REGION INC 390813418	X	X			X		X		CLINIC	A
13	MCHS IN BLOOMER 1501 THOMPSON STREET BLOOMER,WI54724 WWW.MAYOCLINIC.ORG 1017 MCHS NORTHWEST WISCONSIN REGION INC 390813418	X	X			X		X		CLINIC	A
14	MCHS IN MENOMONIE 2321 STOUT ROAD MENOMONIE,WI54751 WWW.MAYOCLINIC.ORG 1044 MCHS NORTHWEST WISCONSIN REGION INC 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 IN ST JAMES 410797368	X	X			X		X		CLINIC	A
17	MCHS IN OSSEO 13025 8TH STREET OSSEO,WI54758 WWW.MAYOCLINIC.ORG 1003 MCHS NORTHWEST WISCONSIN REGION INC 390813418	X	X			X		X		CLINIC	A
18	MCHS IN LAKE CITY 500 WEST GRANT STREET LAKE CITY,MN55041 WWW.MAYOCLINIC.ORG 20693 MCHS IN LAKE CITY 411906820	X	X			X		X		CLINIC, CARE CENTER	C
19	MCHS IN CANNON FALLS 32021 COUNTY ROAD 24 BOULEVARD CANNON FALLS,MN55009 WWW.MAYOCLINIC.ORG 140 MCHS SOUTHEAST MINNESOTA REGION 411404075	X	X			X		X		CLINIC	C

Schedule H (Form 990) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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) 2021

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 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 DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, 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 100 ATTENDEES PER WEBINAR.PARTNERED WITH VINE FAITH IN ACTION TO HOLD A WEBINAR ABOUT MANAGING YOUR MOOD DURING A PANDEMIC WITH MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST. PROVIDED $13,750 IN FUNDING FOR 5 ATTENDEES TO GO THROUGH STRESS MANAGEMENT AND RESILIENCY TRAIN THE TRAINER PROGRAM TO BRING RESILIENCY TO THEIR ORGANIZATIONS.DISTRIBUTED 125 SOCIAL ISOLATION KITS TO OLDER ADULTS THROUGH PARTNERSHIP WITH VINE FAITH IN ACTION MEALS ON WHEELS.HAD TWO MAYO CLINIC HEALTH SYSTEM STAFF MEMBERS ATTEND THE NEWLY FORMED YOUTH MENTAL HEALTH ACCESS COMMUNITY MEETINGS MADE UP OF MANKATO PUBLIC SCHOOLS, HEALTHCARE, MINNESOTA STATE UNIVERSITY-MANKATO AND MORE.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CREATED A SOUTHWEST MINNESOTA RESILIENCY COHORT OF CERTIFIED RESILIENCY TRAINERS TO SHARE BEST PRACTICES AND COLLABORATE ON NEW INITIATIVES. GROUP MET QUARTERLY IN 2021.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MANKATO:PARTICIPATED IN THE AMERICAN LUNG ASSOCIATION TOBACCO WORKGROUP, STATE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM MEETINGS AND THE NICOLLET COUNTY CHEMICAL WELLNESS ADVOCATE COALITION.HAD TWO MAYO CLINIC HEALTH SYSTEM STAFF MEMBERS ATTEND THE NEWLY FORMED SUBSTANCE USE ADVOCACY MEETING MADE UP OF PUBLIC SAFETY, COMMUNITY BASED ORGANIZATIONS, HEALTHCARE AND COMMUNITY MEMBERS.HOSTED CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA PROGRAMMING EVENT IN NOVEMBER TO SHOW THE IMPACT OF SMOKING AND VAPING ON LUNGS THROUGH AN INTERACTIVE LUNG DISPLAY AND MORE.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MANKATO:CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. OVER 250 PARTICIPATED FROM THE MANKATO AREA.HOSTED WELLNESS WEEK WITH MANKATO AREA PUBLIC SCHOOLS AND ST. PETER PUBLIC SCHOOLS IMPACTING OVER 4,500 CHILDREN TO ENCOURAGE HEALTHY HABITS.PROVIDED A COMMUNITY GARDEN AT EASTRIDGE CLINIC AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS. PATIENTS ALSO HAD ACCESS TO REFRIGERATOR WITH HARVESTED PRODUCE.PROVIDED MAYO MILE INDOOR WALKING ROUTE AT RIVER HILLS MALL. MAYO MILE AT MAYO CLINIC HEALTH SYSTEM EVENT CENTER IS ALSO IN PLACE BUT REMAINED CLOSED TO THE PUBLIC DUE TO COVID-19.HIRED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.PROVIDED $200,000 FINANCIAL SUPPORT AND OVER $17,347 OF 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, BABY PLAY AND HEALTHY HABITS ALL SUMMER LONG.PROVIDED $200,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, YMCA AND FEEDING OUR COMMUNITIES PARTNERS.SPEARHEADED THE DEVELOPMENT OF THE MANKATO AREA HEALTHY COMMUNITY PARTNERSHIP - A COMMUNITY COLLABORATIVE FOCUSED ON IMPROVING HEALTH EQUITY AND HEALTH OUTCOMES WITHIN OUR COMMUNITY. THE GROUP MEETS MONTHLY.INTEGRATED A 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, WORKED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.PARTNERED WITH LOCAL BUSINESS TO PROVIDE TWO ACCESS TO CARE PRESENTATIONS IN SPANISH TO INFORM THEIR EMPLOYEES ABOUT OPTIONS TO ACCESS HEALTHCARE.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MAYO CLINIC HEALTH SYSTEM MANKATO-BASED PAIN PSYCHOLOGIST.HOSTED HPV CANCER PREVENTION WEBINAR IN CONJUNCTION WITH OTHER MAYO CLINIC HEALTH SYSTEM SITES AND MINNESOTA STATE UNIVERSITY-MANKATO COLLEGE OF ALLIED HEALTH AND NURSING.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: DURING 2021, MCHS-MANKATO CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-MANKATO INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, 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: CONDUCTED THREE-PART RESILIENCY WEBINAR SERIES IN PARTNERSHIP WITH REGIONAL CHAMBER OF COMMERCE & BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED WELL-BEING KITS TO 70 OLDER ADULTS THROUGH PARTNERSHIP WITH LAKEVIEW HEALTH CARE SERVICES SENIOR LIVING TO PROVIDE WELL-BEING ACTIVITIES AND RESOURCES DURING THE ISOLATION OF THE COVID-19 PANDEMIC. CONDUCTED THREE SPEAKING OF HEALTH RADIO PROGRAMS FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING INTEGRATED BEHAVIORAL HEALTH, 11 TIPS FOR ANXIETY DISORDER AND HOW TO KNOW IF YOUR CHILD IS GETTING ENOUGH SLEEP.DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA.HAD TWO STAFF PARTICIPATE AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES MENTAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES (ACES). HAD A STAFF MEMBER ON THE MARTIN COUNTY RESILIENCY IMITATIVE TEAM WHICH IDENTIFIES OPPORTUNITIES AND TAKES ACTION ON SCHOOL AGE MENTAL HEALTH. CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-FAIRMONT:CONDUCTED A SPEAKING OF HEALTH RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING THE DANGERS OF VAPING.PROVIDED 150 FOAM CORE POSTERS (ENGLISH AND SPANISH) TO AREA SCHOOLS AND BUSINESSES DISCUSSING DANGERS OF VAPING. SPONSORED AND DESIGNED A FULL-PAGE MAGAZINE PIECE - DON'T BE FOOLED! VAPING IS BAD FOR YOUR BODY - FOR THE MARTIN COUNTY SUBSTANCE ABUSE PREVENTION COALITION YOUTH CONNECTIONS MAGAZINE REACHING 2,000 HOUSEHOLDS. PARTNERED WITH MARTIN COUNTY YOUTH COALITION TO PROVIDE EDUCATION ON FACTS ABOUT VAPING AND E-CIGARETTES FOR THE SCHOOL LUNCH HOME MEALS DISTRIBUTED DURING THE COVID-19 PANDEMIC. HAD TWO STAFF AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES SUBSTANCE ABUSE. HAD ONE STAFF REPRESENT MCHS-FAIRMONT ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES POINT OF SALE TOBACCO SALES AND SMOKING IN MULTI-UNIT HOUSING. ONE STAFF MEMBER SERVES ON THE MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION COALITION AND MARTIN COUNTY YOUTH COALITION WHICH ADDRESSES SUBSTANCE ABUSE AND PROVIDES POSITIVE OPPORTUNITIES FOR YOUTH. CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-FAIRMONT:CONDUCTED THREE SPEAKING OF HEALTH RADIO PROGRAMS FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING MAMMOGRAMS, EYE CARE, VACCINATIONS, WALKING FOR FITNESS, MAINTAINING A HEALTHY WEIGHT, IMPORTANCE OF A PRIMARY CARE PROVIDER AND FOOT HEALTH. CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.PROVIDED INFORMATION FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT DISCUSSING WAYS FOR SENIORS TO REMAIN ACTIVE THIS WINTER.CONDUCTED FOCUS GROUPS AND A COMMUNITY SURVEY IN THE FAIRMONT SERVICE AREA TO GATHER FEEDBACK FROM THE COMMUNITY REGARDING EXPERIENCES AND OPINIONS RELATED TO RURAL HEALTH CARE SERVICES AND ACCESSIBILITY.PARTICIPATED AS A PARTNER AND STAKEHOLDER TO BUILD THE FAIRMONT AREA COMMUNITY CENTER WHICH WILL BRING HEALTHY LIVING WITHIN REACH TO ALL PEOPLE. MAYO CLINIC HEALTH SYSTEM DONATED THE LAND VALUED AT APPROXIMATELY $250,000 AND PLEDGED $500,000. PROVIDED OVER 800 MARTIN COUNTY FAIR GUESTS INFORMATION ABOUT THE ROAD TO BETTER HEALTH AND CONDUCTED COMPLIMENTARY BLOOD PRESSURE SCREENINGS. CONDUCTED COMPLIMENTARY BLOOD PRESSURE SCREENINGS AND COVID-19 VACCINATIONS IN THE NEW MOBILE HEALTH CLINIC IN AREA COMMUNITIES TO PROVIDE CARE WHERE PATIENTS NEED IT. DESIGNED AND CONSTRUCTED A COMMUNITY GARDEN AT MCHS-FAIRMONT WHICH WILL LAUNCH IN 2022. THE GARDEN IS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO PATIENTS. PROVIDED INDOOR WALKING ROUTES AT FIVE LAKES CENTER IN FAIRMONT. HIRED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.HAD TWO STAFF AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES CHRONIC DISEASE, ACCESS TO CARE AND DENTAL HEALTH. HAD ONE STAFF REPRESENT MCHS-FAIRMONT ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES HEALTHY EATING IN COMMUNITIES, ACTIVE COMMUNITIES AND WORKSITE WELLNESS. PARTNERED WITH HEAVEN'S TABLE FOOD SHELF IN FAIRMONT TO PROVIDE FUNDING AND EXPERTISE TO DEVELOP THE TAKE AND MAKE PILOT PROGRAM TO PROVIDE 300 FOOD SHELF RECIPIENTS WITH A DELICIOUS MEAL EACH MONTH THAT IS HIGH IN NUTRITIONAL VALUE AND INTRODUCES THEM TO A NEW RECIPE AND PREPARATION TECHNIQUE. PROVIDED OVER $19,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS FAIRMONT FARMERS MARKET, YOUTH FIRST CELEBRATING FAMILIES, KIDS WANT TO HAVE FUN AND KINSHIP MARTIN COUNTY. INTEGRATED A 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, WORKED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.PROVIDED FUNDING TO APPLE TREE DENTAL TO SUPPORT ACCESS TO DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE RESIDENTS. PROVIDED MAYO CLINIC EXPERTS TO SUPPORT MARTIN COUNTY BABY CAFE WHICH PROVIDES EDUCATION AND SUPPORT FOR BREASTFEEDING MOTHERS. HAD ONE STAFF MEMBER SERVE ON THE FAIRMONT AREA COMMUNITY CENTER FOUNDATION BOARD.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: DURING 2021, MCHS-FAIRMONT CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-FAIRMONT INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, 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: HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED 60 SOCIAL ISOLATION KITS TO OLDER ADULTS THROUGH PARTNERSHIP WITH LE SUEUR COUNTY PUBLIC HEALTH.PROVIDED $5,000 IN GRANTS TO DUCK CUP MEMORIAL FUND TO PROVIDE MENTAL HEALTH AND RESILIENCY PROGRAMS IN SCHOOLS.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:PARTICIPATED IN A COMMUNITY EVENT TO PROVIDE EDUCATION AND SHOW THE IMPACT OF SMOKING AND VAPING ON LUNGS THROUGH AN INTERACTIVE INFLATABLE LUNG.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-NEW PRAGUE:PROVIDED $2,000 IN GRANTS TO NEW PRAGUE ROTARY FOUNDATION TO START COMMUNITY GARDEN TO PROMOTE HEALTHY EATING.PROVIDED $4,500 SPONSORSHIP TO SUPPORT NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE VIRTUAL EVENT. ADDITIONAL HEALTH EXPERTISE AND SUPPORT PLAN WAS SIDELINED DUE TO COVID-19.CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HOSTED WELLNESS WEEK WITH NEW PRAGUE AREA SCHOOLS IMPACTING 590 STUDENTS TO ENCOURAGE HEALTHY HABITS.HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HAD COMMUNITY HEALTH WORKERS OFFER SUPPORT AS NEEDED TO ADDRESS CHRONIC HEALTH CONDITIONS.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: DURING 2021, MCHS-NEW PRAGUE CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-NEW PRAGUE INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, 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:HELD THREE-PART RESILIENCY WEBINAR SERIES FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED 62 SOCIAL ISOLATION KITS TO OLDER ADULTS THROUGH PARTNERSHIP WITH LUTHERAN SOCIAL SERVICES OF MINNESOTA MEALS ON WHEELS.PROVIDED $1,150 IN GRANTS TO BIG BROTHERS BIG SISTERS OF SOUTHERN MINNESOTA AND INFANTS REMEMBERED IN SILENCE TO SUPPORT MENTAL WELL-BEING SERVICES.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS- WASECA:IN CONJUNCTION WITH OTHER MAYO CLINIC HEALTH SYSTEM 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:PROVIDED $500 IN GRANTS TO WASECA PUBLIC SCHOOLS TO SUPPORT HEALTH AND WELLNESS EDUCATION AND PROGRAMS.CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HOSTED WELLNESS WEEK WITH WASECA AREA SCHOOLS IMPACTING 650 STUDENTS TO ENCOURAGE HEALTHY HABITS.HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HAD COMMUNITY HEALTH WORKERS OFFER SUPPORT AS NEEDED TO ADDRESS CHRONIC HEALTH CONDITIONS.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: DURING 2021, MCHS-WASECA CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-WASECA INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 DISEASEWITH THE COVID-19 PANDEMIC CONTINUING DURING 2021, TREATMENT, VACCINATIONS, EDUCATION AND COMMUNICATIONS RELATED TO COVID-19 OFTEN TOOK PRIORITY OVER THE ABOVE IDENTIFIED NEEDS. MANY ACTIVITIES THAT SUPPORTED THE ABOVE NEEDS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY.IN 2021, 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:CONDUCTED THREE-PART RESILIENCY WEBINAR SERIES IN PARTNERSHIP WITH REGIONAL CHAMBER OF COMMERCE & BUSINESSES, AVERAGING OVER 100 ATTENDEES PER WEBINAR.DISTRIBUTED WELL-BEING KITS TO 40 OLDER ADULTS THROUGH PARTNERSHIP WITH MEALS ON WHEELS DESIGNED TO PROVIDE WELL-BEING ACTIVITIES AND RESOURCES DURING THE ISOLATION OF THE COVID-19 PANDEMIC. CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. SPONSORED AND DESIGNED A FULL-PAGE MAGAZINE PIECE - USE YOUR IMAGINATION - FOR THE KIDS CREATIVE MAGAZINE REACHING 2,000 HOUSEHOLDS IN WATONWAN AND MARTIN COUNTY.HAD ONE STAFF AS A MEMBER OF THE WATONWAN COUNTY MENTAL HEALTH COALITION WHICH ADDRESSES MENTAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES (ACES). CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. DISTRIBUTED A 6-PART WEEKLY MENTAL HEALTH & THE HOLIDAYS Q&A SERIES WRITTEN BY A MAYO CLINIC HEALTH SYSTEM PSYCHOLOGIST THAT RECEIVED LOCAL AND NATIONAL MEDIA COVERAGE.HAD A STAFF PERSON AS A MEMBER OF THE WATONWAN COUNTY CHILDREN'S CABINET.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-ST. JAMES:PROVIDED 75 FOAM CORE POSTERS (ENGLISH AND SPANISH) TO AREA SCHOOLS AND BUSINESSES DISCUSSING DANGERS OF VAPING. HAD ONE STAFF REPRESENT MCHS-ST. JAMES ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES POINT OF SALE TOBACCO SALES AND SMOKING IN MULTI-UNIT HOUSING. PROVIDED INFORMATION PACKETS AT THE CARE FAIRS HELD IN ST. JAMES, MADELIA AND BUTTERFIELD-ODIN SCHOOLS WHICH ADDRESSED USING YOUR IMAGINATION AND RAISING RESILIENT CHILDREN. CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-ST. JAMES:CONDUCTED FALL INTO WELL-BEING VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. CONDUCTED KNOW YOUR NUMBERS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON HEART HEALTH.HIRED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.HAD ONE STAFF REPRESENT MCHS-ST. JAMES ON THE MARTIN, FAIRBAULT, AND WATONWAN COUNTY COMMUNITY LEADERSHIP TEAM WHICH ADDRESSES HEALTHY EATING IN COMMUNITIES, ACTIVE COMMUNITIES AND WORKSITE WELLNESS. PROVIDED OVER $7,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS. INTEGRATED A 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, WORKED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. PROVIDED NUMEROUS WEEKLY HEALTH AND WELLNESS BLOG POSTS (HOMETOWN HEALTH BLOG) ON MAYOCLINICHEALTHSYSTEM.ORG. HOSTED STARTING THE YEAR OUT RIGHT WITH HEALTHY EATING WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED YOGA THERAPY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED COPING WITH CHRONIC PAIN WEBINAR WITH MANKATO-BASED PAIN PSYCHOLOGIST.HAD TWO STAFF MEMBERS SERVE ON THE WATONWAN COUNTY PUBLIC HEALTH ADVISORY COMMITTEE. HAD TWO STAFF MEMBERS SERVE ON UNITING CULTURES / UNIENDO CULTURAS WORKING TO UNITE PEOPLE AND COMMUNITIES BY REMOVING BARRIERS THROUGH SHARING, LEARNING, COLLABORATION AND ACTION.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: DURING 2021, MCHS-ST. JAMES CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-ST. JAMES INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 2021, 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:BARED FEET - $800 (PROGRAMMING FOR AFTER SCHOOL ON PEACE)BIG BROTHERS AND BIG SISTERS - $1,000 (PROGRAMMING)CHIPPEWA VALLEY COUNCIL - BOY SCOUTS OF AMERICA - $2,000 (PROGRAMMING AND REGISTRATION ASSISTANCE)FAMILY RESOURCE CENTER - $3,000 (PROGRAMMING)FIERCE FREEDOM - $5,000 (TOOLS AND EDUCATION TO FIGHT HUMAN TRAFFICKING)HEARTS IN HARMONY - $3,500 (PROGRAMMING)NATIONAL ALLIANCE ON MENTAL ILLNESS CHIPPEWA VALLEY - $2,000 (PROGRAMMING)UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRAIL)UNIVERSITY OF WISCONSIN SYSTEM - WISCONSIN INSTITUTE FOR PUBLIC POLICY AND SERVICE - $2,500 (SPONSORSHIP)YMCA OF THE CHIPPEWA VALLEY $3,000 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY - $15,000 (PROGRAMMING)EAU CLAIRE COMMUNITY FOUNDATION - $100,000 (L.E. PHILLIPS PUBLIC LIBRARY)LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. - $20,000 (PROGRAMMING)PABLO CENTER AT THE CONFLUENCE - $8,000 (PROGRAMMING FOR YOUTH)FAMILY PROMISE OF CHIPPEWA VALLEY - $5,000 (HOUSING)EAU CLAIRE AREA SCHOOL DISTRICT - $5,000 (CLOTHING FOR THOSE IN NEED)THE VILLAGE PROJECT, INC. - $25,000 (PROGRAMMING)ALTOONA MIDDLE SCHOOL - $1,000 (AFTER SCHOOL PROGRAM)REGIS CATHOLIC SCHOOLS - $3,500 (SECOND STEP ELEMENTARY CLASSROOM KITS)EAU CLAIRE AREA SCHOOL DISTRICT - $5,000 (SOCIAL AND EMOTIONAL LEARNING)NORTH HIGH SCHOOL - $1,500 (EQUESTRIAN THERAPY)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.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 IMPROVED MENTAL WELL-BEING. CHIPPEWA VALLEY FREE CLINIC - PROVIDED FUNDING AND RESOURCES TO SUPPORT THE OPERATION OF THE FREE CLINIC TO THE UNDERSERVED. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS.PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE MENTAL WELLNESS:CHIPPEWA VALLEY FREE CLINIC (VOLUNTEERS)CHIPPEWA VALLEY TECHNICAL COLLEGE (COMMITTEE MEMBER)EAU CLAIRE CHAMBER OF COMMERCE (COMMITTEE MEMBER) EAU CLAIRE HEALTHY COMMUNITIES (MENTAL ACTION TEAM MEMBERSHIP)HOMELESSNESS STRATEGIC PLANNING (MEMBERSHIP)HOMETOWN HEROES OUTDOORS (VOLUNTEER) 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)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 BRAIN TEAM - $1,000 (SPONSOR OF BRAIN CONFERENCE)HOPE GOSPEL MISSION - $2,000 (HARVEST FOR HOPE FUNDRAISER)ALTOONA MIDDLE SCHOOL AND HIGH SCHOOL - $4,000 (VAPING FOCUS GROUPS AND PUBLIC SERVICE ANNOUNCEMENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS TO PROMOTE EDUCATION/ADVOCACY FOR SUBSTANCE ABUSE: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)ALLIANCE FOR SUBSTANCE MISUSE PREVENTION 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:ALZHEIMER'S ASSOCIATION - $1,500 (WALK)AMERICAN CANCER SOCIETY ($1,000) PROGRAMMINGAMERICAN HEART ASSOCIATION - $5,000 (PROGRAMMING) BEAVER CREEK RESERVE - $500 (PROGRAMMING)BIKE CHIPPEWA VALLEY - $2,800 (IMPLEMENT BIKE SIGNS FOR TRAILS)CHIPPEWA VALLEY MUSEUM - $1,000 (IMPLEMENT COVID GUIDELINES)FEED MY PEOPLE INC. - $5,000 (CRISIS OUTREACH PROGRAM)HOPE GOSPEL MISSION - $2000 (FOOD SECURITY)UNITED WAY OF GREATER CHIPPEWA VALLEY - $2,500 (PROGRAMMING)WISCONSIN FARM TECHNOLOGY DAYS - $5,000 (SPONSORSHIP FOR HANDWASHING STATIONS)THE REACH FOUNDATION - $500 (ANNUAL GALA FOR WHEELS AND MEALS CAMPAIGN)EPILEPSY FOUNDATION OF WISCONSIN - $1,000 (WALK)L.E. PHILLIPS MEMORIAL PUBLIC LIBRARY - $1,000 (STORY WALK)THE WELLNESS SHACK - $4,000 (OPERATIONAL SUPPORT)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:THE COMMUNITY TABLE - $10,000 (FOOD SECURITY)NORTHSTAR MIDDLE SCHOOL - $2,000 (NORTHSTAR EDIBLE CLASSROOM)SAM DAVEY ELEMENTARY SCHOOL - $4,000 (PLAYGROUND IMPROVEMENT)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY. BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY COMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS (18 EMAILS SENT)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)CHIPPEWA VALLEY TECHNICAL COLLEGE (BOARD MEMBER)CHIPPEWA VALLEY YMCA (BOARD MEMBER AND VOLUNTEER)CITY OF EAU CLAIRE ($75,000 TOWARD SUPPORT OF REGIONAL AMBULANCE SERVICE)EAU CLAIRE COUNTY AGING AND DISABILITY RESOURCE CENTER (VOLUNTEER AND PRESENTATIONS)EAU CLAIRE HEALTH DEPARTMENT (COMMITTEE DEPARTMENT)EAU CLAIRE HEALTHY COMMUNITIES CHRONIC DISEASE PREVENTION ACTION TEAM (COMMITTEE MEMBER)ISLAMIC SOCIETY OF NORTHERN WISCONSIN (BOARD MEMBER AND VOLUNTEER)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: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.
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 2021, 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 AREA COMMUNITY CENTER - $680 (ANNUAL RENEWAL - PROGRAMMING)BARRON PUBLIC LIBRARY - $1,500 (PROGRAMMING)BARRON SENIOR CENTER (CITY OF BARRON) - $1,500 (PROGRAMMING)BENJAMIN'S HOUSE EMERGENCY SHELTER - $3,000 (PROGRAMMING)BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (PROGRAMMING)FORREST RUN FOUNDATION - $1,000 (SUPPORT FOR CANCER RESEARCH)NATIONAL ALLIANCE ON MENTAL ILLNESS BARRON COUNTY - $2,000 (PROGRAMMING)RICE LAKE PUBLIC LIBRARY - $1,500 (PROGRAMMING)UNITED WAY OF RICE LAKE - $1,000 (PROGRAMMING)WITC FOUNDATION - RICE LAKE $500 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:THE SALVATION ARMY OF BARRON COUNTY - $25,000 (PROGRAMMING)BENJAMIN'S HOUSE EMERGENCY SHELTER - $10,000 (PROGRAMMING)RIVER MIDDLE SCHOOL - $5,000 (POSITIVE BEHAVIOR REWARDS PROGRAMMING)CAMERON ELEMENTARY SCHOOL - $5,000 (BOOK VENDING MACHINE PROGRAMMING)CHETEK-WEYERHAEUSER AREA SCHOOL DISTRICT - $5,000 (SOCIAL/EMOTIONAL IMPROVEMENT)TURTLE LAKE MIDDLE AND HIGH SCHOOL - $3,000 (EVERYONE HAS A HOME)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.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 IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. 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)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 COUNTY RESTORATIVE JUSTICE PROGRAMS - $10,000 (BEHAVIOR INTERVENTION PROGRAMMING)PARTNERED WITH SCHOOL DISTRICT OF TURTLE LAKE - WELLNESS COMMITTEE (VOLUNTEER) TO PREVENT SUBSTANCE ABUSE.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:AMERICAN RED CROSS - $2,000 (HEROES BREAKFAST PROGRAMMING)BARRON CHAMBER OF COMMERCE - $1,000 (ANNUAL FALL FEST CELEBRATION CHILDREN'S GAMES)BARRON COUNTY DAIRY PROMOTERS, INC. - $400 (HANDWASHING STATIONS)BARRON COUNTY DEVELOPMENT SERVICES - $1,500 (SUSTAINABLE WATER SOURCE FOR COMMUNITY GARDEN)BEAVER CREEK RESERVE - $500 (PROGRAMMING)HUNT HILL - $1,200 (PROGRAMMING)PRAIRIE FARM LIONS CLUB - $600 (HANDWASHING STATIONS)VILLAGE OF RIDGELAND-RIDGELAND FAIR - $300 (HANDWASHING STATIONS)ALZHEIMER'S ASSOCIATION - $1,500 (WALK SPONSORSHIP)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:RUBY'S PANTRY - CAMERON - $10,000 (INCREASED FOOD SECURITY)TURTLE LAKE SCHOOL - $4,000 (BACKPACK PROGRAM AND FREE SWIM/GYM AND FREE SNACKS)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITYCOMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS (18 EMAILS SENT)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 DRIVESBARRON COUNTY HEALTH DEPARTMENT - COUNTY HEALTH COALITION MEMBERHEALTHCARE EMERGENCY READINESS COALITION - MEMBER (COVID 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: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.
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 2021, 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 THE FOLLOWING ORGANIZATIONS:BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN - $1,000 (PROGRAMMING)HOPE 4 U - $200 (SUICIDE WALK)LUKE 3:11 PROJECT - $1,000 (WINTER CLOTHING, BLANKETS, TOILETRIES FOR LOW INCOME)THE HEARTBEAT CENTER FOR WRITING, LITERACY AND THE ARTS, INC. - $1,000 (MUSIC IN THE PARK)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:OSSEO-FAIRCHILD ELEMENTARY SCHOOL - $25,000 (AFTER SCHOOL PROGRAM)WESTERN DAIRYLAND EOC, INC. - $10,000 (HOMELESSNESS PROGRAMMING)ELEVA STRUM ELEMENTARY SCHOOL - $4,500 (HEALTHY MINDS AND BODIES)ANTHONY ACRES CHARTER SCHOOL - $3,000 (OUTDOOR CLASSROOM AND EDUCATION PROGRAM)OSSEO FAIRCHILD SCHOOL DISTRICT - $5,000 (FAMILY AND COMMUNITY MENTAL HEALTH AWARENESS EVENTS)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.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 IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. 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 MONDOVI HIGH SCHOOL - $2,500 (M-CORE PROGRAMMING FOR AT RISK YOUTH).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-OSSEO:PROVIDED MONETARY SUPPORT TO THE FOLLOWING ORGANIZATIONS:AGING & DISABILITY RESOURCE CENTER - $2,000 (HOME MEALS, MEMORY CARE AND BOOK CLUB)AMERICAN CANCER SOCIETY - $1,000 (PROGRAMMING)BEAVER CREEK RESERVE - $500 (PROGRAMMING)GRANTED $12,558 TO BUFFALO COUNTY SHERIFF'S DEPARTMENT FOR AN AED IN SUPPORT OF THE RURAL COMMUNITY.PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS- DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY (11 CLASSES WERE HELD WITH AN AVERAGE OF 6 PEOPLE ATTENDING AT EACH SESSION). BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY (6 CLASSES WERE HELD WITH AN AVERAGE OF 6 PEOPLE ATTENDING AT EACH SESSION). VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. COMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS. (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN RED CROSS (BOARD MEMBERS)AMERICAN CANCER SOCIETY (VOLUNTEER)AMERICAN HEART ASSOCIATION BIG BROTHER BIG SISTER (VOLUNTEER)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: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.
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 2021, 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:BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN - $1,000 (PROGRAMMING)D.R. MOON MEMORIAL LIBRARY/STANLEY PUBLIC LIBRARY - $4,000 (EXPAND PROGRAM)G.E. BLESKACEK FAMILY MEMORIAL LIBRARY - $1,500 (EDUCATION YOUTH ENRICHMENT)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:FAMILY SUPPORT CENTER/RIVER SOURCE FAMILY CENTER - $15,000 (EDUCATION YOUTH ENRICHMENT)L.E. PHILLIPS CAREER DEVELOPMENT CENTER - $10,000 (HOMELESSNESS)BLOOMER ELEMENTARY MIDDLE AND HIGH SCHOOLS - $5,000 (MENTAL HEALTH ACADEMY)CADOTT ELEMENTARY SCHOOL - $1,000 (ACCEPTANCE AND COMPOSURE)CARDINAL COMMUNITY LEARNING CENTER - $2,500 (PROGRAMMING)HILLCREST ELEMENTARY - $5,000 (PEACE PATH, SENSORY PATH FOR ACTIVITY)COLFAX SCHOOL DISTRICT - $3,500 (CONNECTING STUDENTS TO SUPPORT SYSTEMS)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.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 IMPROVED MENTAL WELL-BEING.CHIPPEWA VALLEY FREE CLINIC - PROVIDED FUNDING AND RESOURCES TO SUPPORT THE OPERATION OF THE FREE CLINIC TO THE UNDERSERVED. PROVIDED SUBJECT MATTER BLOGS ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. SERVED AS AN ACTIVE PARTNER IN THE MENTAL HEALTH MATTER COALITION WITH EFFORT AIMED AT INCREASING EDUCATION ABOUT ADVERSE CHILDHOOD EXPERIENCES IN THE COMMUNITY AND BUILDING RESILIENCE IN LOCAL SCHOOLS. 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 - $9,000 (FINANCIAL SUPPORT OF STRENGTHENING FAMILIES PROGRAM TO HELP FAMILIES DEAL WITH ISSUES LIKE SUBSTANCE ABUSE AND ALCOHOL MISUSE). PARTNERED WITH THE FOLLOWING ORGANIZATIONS:CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP - THROUGH THE VOICES IN PREVENTION ACTION TEAM, MCHS-BLOOMERCONTRIBUTED TO IMPROVE COPING MECHANISMS AMONG AREA YOUTH. ACTION TEAM EFFORTS INCLUDED OUTREACH TO AREA SCHOOLS ABOUT VAPING PREVENTION EDUCATION. 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:BEAVER CREEK RESERVE - $500 (PROGRAMMING)BLOOMER CHAMBER OF COMMERCE - $300 (BLOOMER ROPE JUMP)BLOOMER AREA AQUATIC AND RECREATION CENTER - $1,000 (SWIM WITH TIM PROGRAM)BLOOMER CHAMBER OF COMMERCE - $1,000 - (HANDWASHING STATIONS)CHIPPEWA FALLS YMCA - $3,000 - (STRONG KIDS MEMBERSHIP SPONSOR)UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $1,000 (BORN LEARNING TRIALS)UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $2,500 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $5,000 (JIM FALLS ELEMENTARY PLAYGROUND)CORNELL SCHOOL DISTRICT - $5,000 (TENNIS/PICKLEBALL, BADMINTON, VOLLEYBALL COURTS)LAKE HOLCOMBE SCHOOL DISTRICT - $5,000 (GREENHOUSE/HYDROPONIC MANAGEMENT)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY COMMUNITY COMMUNICATION - COVID UPDATES AND OTHER HEALTH RELATED TOPICS (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN RED CROSS (BOARD MEMBERS)BLOOMER CHAMBER OF COMMERCE (BOARD MEMBER)CHIPPEWA VALLEY FREE CLINIC (VOLUNTEER)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: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.
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 2021, 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:AGING & DISABILITY RESOURCE CENTER OF DUNN COUNTY - $2,000 (PROGRAMMING)BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN - $1,000 (PROGRAM)COMMUNITY FOUNDATION OF DUNN COUNTY - $5,000 (PROGRAMMING)DUNN COUNTY CHAPTER OF SLEEP IN HEAVENLY PEACE - $2,500 (PROGRAMMING)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:MENOMONIE MIDDLE SCHOOL - $5,000 (MENTOR PARTNERSHIP)STEPPING STONES OF DUNN COUNTY - $10,000 (SHELTER PROGRAM)CENTER FOR INDEPENDENT LIVING WESTERN WISCONSIN - $15,000 (VOLUNTEER DRIVER PROGRAM)GLENWOOD CITY PUBLIC LIBRARY - $10,000 (ACCESS TO TELEHEALTH)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. PRESENTATIONS AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS.COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.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 IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER ON A VARIETY OF BLOG TOPICS FOCUSING ON COMMUNITY ASSESSED HEALTH NEEDS TO COMMUNITY MEMBERS THROUGH WEB ACCESS AND NEWSLETTERS. REACH OUT AND READ - CHILDHOOD LITERACY PROGRAM 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 MENOMONIE POLICE DEPARTMENT - $200 FOR NATIONAL NIGHT OUT.PROVIDED GRANT SUPPORT TO THE MENOMONIE POLICE DEPARTMENT - $20,000 FOR PROJECT HOPE WHICH WORKS WITH YOUTH.PARTNERED WITH THE FOLLOWING ORGANIZATIONS:DUNN COUNTY PARTNERSHIP FOR YOUTH (COMMITTEE MEMBER)DUNN COUNTY COVID 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:BEAVER CREEK RESERVE - $500 (PROGRAMMING)BOYCEVILLE/VILLAGE OF BOYCEVILLE - $250 (HANDWASHING STATIONS)DUNN COUNTY FAIR - $960 (HANDWASHING)MENOMONIE AREA SENIOR CENTER - $2,000 (PROGRAMMING)MENOMONIE PUBLIC LIBRARY - $5,000 (PROGRAMMING)ST. CROIX COUNTY FAIR, INC. - $1,000 (HANDWASHING STATIONS)STEPPING STONES OF DUNN COUNTY - $3,000 (GARDEN TOUR)STOUT UNIVERSITY FOUNDATION - $1,000 (HELPING HAND FOOD PANTRY)TOWN OF SAND CREEK - $2,000 (RIVERSIDE PARK PLAYGROUND PROJECT)MENOMONIE LIONS CLUB - $500 (MAINTAINING PARK AND NATURE TRAILS)PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS:SPRING VALLEY AREA FIRE DEPARTMENT - $6,692 (AED'S)STEPPING STONES - $10,000 (FARMERS FEED PROGRAM)BOYCEVILLE MIDDLE SCHOOL - $1,000 (BOYCEVILLE COMMUNITY NIGHT - SCREENAGERS NEXT CHAPTER)TIFFANY CREEK ELEMENTARY - $1,000 (WELLNESS WALK IMPROVEMENTS)TIFFANY CREEK ELEMENTARY - $1,000 (WEDNESDAY WELLNESS WALKING PROGRAM)ELK MOUND SCHOOL DISTRICT - $5,000 (SENSORY PATH AND CHILL ZONE)ELMWOOD ELEMENTARY SCHOOL - $5,000 (ELEMENTARY PLAYGROUND)PROVIDED THE FOLLOWING PROGRAMMING AND EDUCATION ACTIVITIES:CHRONIC DISEASE WEBINARS - DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDE: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. PRESENTATIONS WERE AVAILABLE TO VIEW ON YOUTUBE FOLLOWING THE LIVE WEBINARS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. VACCINATIONS - PROMOTE COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. MYELOMA SUPPORT GROUP - OPEN TO THE COMMUNITY BREAST CANCER SUPPORT GROUP - OPEN TO THE COMMUNITY COMMUNITY COMMUNICATION - COVID UPDATES (18 EMAILS SENT)PARTNERED WITH THE FOLLOWING ORGANIZATIONS:AMERICAN HEART ASSOCIATION (TEACHING OF PALS) 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)FRIENDS OF MENOMONIE RECREATION, INC. (CANOE/KAYAK LAUNCH PROJECT)STEPPING STONES OF DUNN COUNTY - (KEY SUPPORTER, BOARD MEMBER AND VOLUNTEER). THIS PROGRAM HELPS WITH ACCESS TO HEALTHY, AFFORDABLE FOOD WHICH CONTRIBUTES TO 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 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: WITH THE COVID-19 PANDEMIC LINGERING AS A CRISIS IN 2021, EDUCATION AND COMMUNICATION ABOUT COVID-19 SAFETY MEASURES, INCLUDING VACCINATION, OFTEN TOOK PRIORITY OVER CHNA EFFORTS. MANY ACTIVITIES THAT SUPPORTED CHNA PRIORITY AREAS WERE HELD VIRTUALLY OR CANCELLED TO SUPPORT COMMUNITY SAFETY CONSIDERING COVID-19 POSITIVITY.
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 2021, 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:FIND HELP COMMUNICATION - HOSTED VIRTUAL INFORMATIONAL SESSIONS FOR COMMUNITY ORGANIZATIONS ON HOW TO CLAIM THEIR SOCIAL SERVICE PROFILE WITHIN THE FIND HELP PLATFORM AND OUTLINED HOW FIND HELP WILL BE USED TO FACILITATE THE HANDOFF OF THE PATIENT TO COMMUNITY RESOURCES. INFLUENZA COMMUNICATION - COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE VACCINE AND HOW TO OBTAIN A VACCINATION. COVID-19 COMMUNICATION - COMMUNICATED INFORMATION TO COMMUNITY ON COVID-19 SYMPTOMS, SAFETY PRECAUTIONS, INFECTION RATE UPDATES, THE IMPORTANCE OF TESTING AND VACCINATION AND THE ROLE OF THE COMMUNITY IN HELPING STOP THE SPREAD. 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.COVID-19 PRESENTATIONS - SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FREQUENTLY ASKED QUESTIONS ON COVID-19 FROM COMMUNITY MEMBERS AT LOCAL SERVICE ORGANIZATIONS. MOWER COUNTY EMERGENCY OPERATIONS COMMITTEE - MET WITH REPRESENTATIVES FROM MOWER COUNTY AND THE CITY OF AUSTIN TO REVIEW AND ASSESS COVID-19 SITUATION, DISCUSS ANY EMERGENCY RESOURCES NEEDED AND BRIEF OFFICIALS ON HOSPITAL/CLINIC STATUS.MOWER COUNTY BROADBAND COALITION - SERVED ON THE INITIAL STEERING COMMITTEE TO APPLY FOR AND RECEIVE GRANT FUNDING TO SUPPORT LOCAL BROADBAND - A KEY RESOURCE NEEDED TO IMPLEMENT VIRTUAL CARE VISITS.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS:FALL INTO WELLNESS VIRTUAL PROGRAM - DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HIGHLIGHTED SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PERSONALLY SPEAKING PROGRAM THEME WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE TO EDUCATE WOMEN ON THE IMPORTANCE OF PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND THE STRENGTH OF RESILIENCY WHEN FACED WITH A MEDICAL DIAGNOSIS. 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. CANCER WEBINAR - OFFERED FREE EDUCATION FOR CANCER PATIENTS AND CAREGIVERS ON HOW DIET AND HUMOR CAN AFFECT THE CANCER JOURNEY. HOMETOWN HEALTH BLOGS - PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS EDUCATIONAL ACCESS THROUGH WEB AND NEWSLETTERS. COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS PRIORITY AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. COMMUNITY RESILIENCY COMMITTEE - SERVED WITH A COLLABORATIVE GROUP OF LOCAL LEADERS TO ADDRESS THE MENTAL WELL-BEING OF THE COMMUNITY. THE GROUP IS CHARGED WITH ENSURING MENTAL HEALTH NEEDS AND SERVICES ARE AVAILABLE AND DELIVERED TO AREA RESIDENTS.COMMUNITY HEALTH CARE COLLABORATIVE - ATTENDED MONTHLY MEETINGS OF COMMUNITY STAKEHOLDERS REPRESENTING LOCAL AGENCIES. THE COMMUNITY PARTNERS COLLABORATE TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. SENIOR HEALTH CARE COLLABORATIVE WORKGROUP - WORKED WITH A SUBGROUP OF THE COMMUNITY HEALTH CARE COLLABORATIVE TO DISCUSS AREA SENIOR NEEDS. AREA ORGANIZATIONS COLLABORATE FOR THE PURPOSE OF MAKING RESOURCES AVAILABLE TO AID IN IMPROVING PHYSICAL AND MENTAL WELL-BEING, AND SAFETY OF AREA SENIORS. MOWER REFRESHED HEALTH EQUITY MEETINGS - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS UNIQUELY POSITIONED WITH MULTICULTURAL AUDIENCES IN MOWER COUNTY AND WHO REPRESENT THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY. MEETINGS WOULD FREQUENTLY FEATURE A MAYO PROVIDER TO GIVE INSIGHT BACK TO ATTENDEES.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.MENTAL WELL-BEING SPEAKER - PROVIDED A MAYO CLINIC MENTAL HEALTH SUBJECT MATTER EXPERT TO DELIVER A VIRTUAL TALK/TRAINING FOR SMART TRANSPORTATION EMPLOYEES. MOWER REFRESHED E-NEWSLETTER - DELIVERED AN ELECTRONIC NEWSLETTER TO A MOWER COUNTY DISTRIBUTION LIST THAT ADDRESSED COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY AREAS. REACH OUT AND READ - COORDINATED WITH PRIMARY CARE AND THE LOCAL ROTARY CLUB TO FACILITATE THE DONATION OF BOOKS WHICH ARE GIVEN AWAY TO PEDIATRIC PATIENTS AT THE CLINIC.CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY LIVING TO PROMOTE DISEASE PREVENTION, MCHS-AL/AUS IMPLEMENTED THE FOLLOWING EFFORTS:CHRONIC DISEASE WEBINARS - DISTRIBUTED A SERIES OF WEBINARS FEATURING SUBJECT MATTER EXPERTS THAT WERE DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. HOMETOWN HEALTH BLOGS- PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS EDUCATIONAL ACCESS THROUGH WEB AND NEWSLETTERS. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION - FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. BLUE ZONES/SHIP LEADERSHIP TEAM - ENGAGED IN A COMMUNITY WELL-BEING IMPROVEMENT INITIATIVE GROUP TO ENSURE THERE ARE HEALTHY CHOICES FOR EVERYONE IN THE COMMUNITY. THE FOCUS IS TO IMPROVE WELL-BEING FOR THEMSELVES AND THEIR NEIGHBORS. TOGETHER, THEY WORK ON LOWERING RATES OF OBESITY, SMOKING AND CHRONIC DISEASES TO CREATE A HEALTHIER, HAPPIER PLACE TO LIVE, WORK, AND PLAY. FREEBORN COUNTY FAIR - EDUCATED THE COMMUNITY WITH HEALTHY LIFESTYLE SUGGESTIONS TO PREVENT CHRONIC DISEASE. MATERIALS FOR MY ROAD TO BETTER HEALTH CONTAINED SIX CATEGORIES - MOVE, EAT WELL, SLEEP, MAINTAIN, RELAX, AND DISCOVER. WORKSITE WELLNESS - WORKED WITH THIS COMMUNITY COMMITTEE TO IDENTIFY SOLUTIONS FOR WORKSITES TO INSPIRE EMPLOYEES. THE COLLABORATIVE SHARES KNOWLEDGE TO BE HEALTHIER, HAPPIER, AND MORE PRODUCTIVE BY PROVIDING A BI-MONTHLY NEWSLETTER INCLUDING MENTAL WELL-BEING INITIATIVE, HEALTH INFORMATION, EDUCATIONAL PROGRAMS, EVENTS, AND OTHER RESOURCES.MOWER REFRESHED HEALTH EQUITY MEETINGS - HOSTED BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS UNIQUELY POSITIONED WITH MULTICULTURAL AUDIENCES IN MOWER COUNTY AND WHO REPRESENT THOSE WHO HAVE DIFFICULTY NAVIGATING HEALTH CARE RESOURCES, EITHER DUE TO LANGUAGE BARRIERS OR LOW HEALTH CARE LITERACY. MEETING FREQUENTLY FEATURES A MAYO CLINIC HEALTH SYSTEM PROVIDER TO GIVE INSIGHT BACK TO ATTENDEES. 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. 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.
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 2021, 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 MENTAL HEALTH EXPERTISE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, MAYOCLINIC.COM, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.OFFERED FOUR ONE-HOUR PRESENTATIONS AT NO COST TO HELP AREA PARENTS, TEACHERS AND SENIORS WITH A RANGE OF TOPICS, INCLUDING: POSITIVE PARENTING SKILLS, PARENTING KIDS WITH ADHD AND DISRUPTIVE BEHAVIORS, JOYFUL LIVING, AND REVITALIZING RESILIENCE. PRESENTERS INCLUDED A CHILD AND ADOLESCENT CLINICAL THERAPIST, CHILD AND ADOLESCENT PSYCHOLOGIST, ADULT PSYCHOLOGIST, AND PEDIATRICIAN.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, HOSPITAL REPRESENTATIVES WERE 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, COULEECAP SOAR PROGRAM, LA CROSSE MENTAL HEALTH COALITION COMMUNITY CONVERSATION, YMCA COMMUNITY OF CARE MOBILE APP, LA CROSSE COMMUNITY THEATER NEXT TO NORMAL PRODUCTION, MINI DONUT SUICIDE AWARENESS HALF MARATHON, NAMI, SCHOOL DISTRICT OF HOLMEN MENTAL HEALTH EVALUATIONS AND THERAPIST SESSIONS, AND THE SCHOOL DISTRICT OF LA CROSSE MENTAL HEALTH SERVICES.SUPPLIED 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 2021. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.FURNISHED 70 "SUNSHINE KITS" TO INDIVIDUALS WHO USE MOBILE MEALS SERVICES. THE KITS INCLUDED MENTAL HEALTH RESOURCE BROCHURES AND WELLNESS ACTIVITIES.BESTOWED APPROXIMATELY $100,000 IN CHARITY CARE FOR PATIENTS NEEDING OUTPATIENT MENTAL HEALTH CARE 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 SUBSTANCE ABUSE EXPERTISE AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, MAYOCLINIC.COM, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, HOSPITAL REPRESENTATIVES ENGAGED IN COMMUNITY COLLABORATIONS ADDRESSING DRUG AND ALCOHOL USE/MISUSE. EXAMPLES INCLUDE COULEE RECOVERY CENTER 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 RECOVERY CENTER (PREVENTION/RECOVERY), NEXT STEPS FOR CHANGE PEER SUPPORT GROUP, AND ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN. 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 2021. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.IN COLLABORATION WITH HAMILTON COMMUNITY SCHOOL, THE HOSPITAL PROVIDED 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 SUPPLY SPACE ON ITS CAMPUS FOR THE COULEE RECOVERY CENTER, CHARGING RENT OF $1/YEAR. THE COULEE RECOVERY CENTER PROVIDES ADDICTION PREVENTION AND RECOVERY SERVICES.THE HOSPITAL'S OPIOID STEWARDSHIP COMMITTEE HOSTED SIX EDUCATION SESSIONS ON RESPONSIBLE OPIOID PRESCRIBING FOR PROVIDERS. MORE THAN 170 PROVIDERS ATTENDED, AND THE RECORDED SESSION WAS MADE AVAILABLE TO ALL PRESCRIBING PROVIDERS. 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 AT NO COST VIA BROCHURES, HANDOUTS, HOMETOWN HEALTH BLOG, SOCIAL MEDIA POSTS, MAYOCLINIC.COM, COMMUNITY PRESENTATIONS AND MEDIA INTERVIEWS.TO THE EXTENT POSSIBLE DURING THE COVID-19 PANDEMIC, HOSPITAL REPRESENTATIVES 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, GATEWAY AREA BOY SCOUTS, CHILEDA, NEW HORIZONS 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, SAFE FAMILIES FOR CHILDREN (GENERATIONS, INC), AND WISCORPS SCHOLARSHIP FUND.PROVIDED FINANCIAL SUPPORT FOR MUSCLES IN MOTION, A PROGRAM OF THE PARENTING PLACE. THIS FREE PARENT/GUARDIAN/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, THE HOSPITAL PROVIDED FINANCIAL SUPPORT AND IN-KIND DONATIONS. FINANCIAL SUPPORT WAS PROVIDED FOR THE PURCHASE OF COVID-19 CLASSROOM SANITIZING AND SCHOOL 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 2021. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE:IN 2021 THE HOSPITAL ADOPTED EQUITY, INCLUSION AND DIVERSITY AS AN ORGANIZATIONAL PRIORITY AND DISTRIBUTED $139,000 OF FUNDS TOWARDS COMMUNITY PROGRAMS WORKING TO ADDRESS THE NEEDS OF HISTORICALLY MARGINALIZED GROUPS SUCH AS: RACIAL/CULTURAL MINORITIES, VETERANS, SENIOR CITIZENS, COGNITIVELY OR PHYSICALLY IMPAIRED INDIVIDUALS, LGBTQI, RURAL RESIDENTS, AND PERSONS LIVING IN POVERTY. 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: DURING 2021, MCHS-LA CROSSE CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-LACROSSE INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICE.
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 2021, 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.FINANCIAL SUPPORT WAS PROVIDED FOR NEXT STEPS FOR CHANGE, A NON-PROFIT THAT BUILDS COMMUNITY-BASED SUPPORT TEAMS TO CONNECT WITH MEMBERS OF THE COMMUNITY WHO SUFFER FROM SUBSTANCE USE DISORDERS USING PEER SUPPORT. THROUGH SHARED UNDERSTANDING, RESPECT AND MUTUAL EMPOWERMENT, PEER SUPPORT WORKERS HELP PEOPLE BECOME AND STAY ENGAGED IN THE RECOVERY PROCESS AND REDUCE THE LIKELIHOOD OF RELAPSE. DUE TO ITS SUCCESS, NEXT STEPS FOR CHANGE HAS EXPANDED FROM MONROE COUNTY TO VERNON AND LA CROSSE COUNTIES. HOSTED SIX SESSIONS ON RESPONSIBLE OPIOID PRESCRIBING FOR 176 PARTICIPANTS IN SOUTHWEST WISCONSIN. MAYO CLINIC'S OPIOID STEWARDSHIP COMMITTEE RECORDED THE SESSIONS AND MADE AVAILABLE FOR OPIOID PRESCRIBING PROVIDERS TO WATCH. THE HOSPITAL PROMOTED DRUG TAKE BACK DAYS IN APRIL AND OCTOBER, SHARING LOCATIONS FOR UNUSED DRUG DROP-OFF WITH COMMUNITY MEMBERS AND STAFF.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. PROVIDED FUNDING TO THE TOMAH AND SPARTA SCHOOL DISTRICT FOR THEIR INTEGRATED MENTAL HEALTH PROGRAMS FOR STUDENTS. THESE FUNDS HELPED STUDENTS WHO HAVE POOR INSURANCE, NON-PROVIDER ALLOWED INSURANCE, OR WHO ARE UNINSURED, TO RECEIVE NEEDED PRIVATE MENTAL HEALTH COUNSELING/THERAPY. THE PROGRAM ALSO ALLOWS MENTAL HEALTH PROVIDERS TO ATTEND IEP, BEHAVIORAL AND OTHER DISTRICT MEETINGS AS NEEDED FOR STUDENTS WHO RECEIVE MENTAL HEALTH SERVICES. ALLOWING THE PROFESSIONALS TO ATTEND MEETINGS ALLOWS FOR WRAP-AROUND SERVICES AND ENSURES A COLLABORATIVE, INTEGRATED APPROACH BETWEEN SCHOOL AND COMMUNITY PROVIDERS.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 MONROE COUNTY FOOD PANTRIES INCLUDING NEIGHBOR FOR NEIGHBOR, THE BREAD BASKET, AND COULEECAP. FUNDING PROVIDED TO THE SENIOR NUTRITION PROGRAM THROUGH MONROE COUNTY MADE HEALTHY FOOD AVAILABLE FOR SENIORS WITH CHRONIC DISEASES. THE HOSPITAL ALSO SUPPORTED THE SPARTA AREA SCHOOL DISTRICT'S WEEKEND BACKPACK PROGRAM WHICH PROVIDES APPROXIMATELY 400 FOOD BAGS MONTHLY FOR FOOD INSECURE STUDENTS AND FAMILIES.INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE: TO INCREASE AWARENESS AND ADDRESS THE NEEDS OF MARGINALIZED GROUPS, MCHS-SPARTA:ADOPTED EQUITY, INCLUSION AND DIVERSITY AS AN ORGANIZATIONAL PRIORITY AND DISTRIBUTED $32,000 OF FUNDS TOWARDS COMMUNITY PROGRAMS WORKING TO ADDRESS THE NEEDS OF HISTORICALLY MARGINALIZED GROUPS SUCH AS: MILITARY VETERANS, SENIOR CITIZENS, COGNITIVELY OR PHYSICALLY IMPAIRED INDIVIDUALS, RURAL RESIDENTS, AND PERSONS LIVING IN POVERTY.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED LACK OF LIVABLE WAGE JOBS AND INCREASING WRAP-AROUND SUPPORTS THROUGHOUT THE LIFESPAN. 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: DURING 2021, MCHS-SPARTA CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCHS-SPARTA INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.WORKED WITH LOCAL COUNTY PUBLIC HEALTH, COMMUNITY HEALTH AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE COVID-19 EDUCATION IN ENGLISH AND SPANISH.
PART V, SECTION B	FACILITY REPORTING GROUP E
FACILITY REPORTING GROUP E CONSISTS OF:	- FACILITY 1: MAYO CLINIC HOSPITAL 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 2021, 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:CONTINUED TO PROVIDE CARE TO PATIENTS FROM COMMUNITY FEDERALLY QUALIFIED HEALTH CENTERS IN MARICOPA COUNTY THAT HAVE SIGNIFICANT NEED FOR COMPLEX, COMPREHENSIVE CLINICAL CARE. MCA'S PARTNERSHIP WITH MOUNTAIN PARK HEALTH CENTER (MPHC) CONTINUES TO BE AN ACCESS POINT FOR REFERRED PATIENTS FROM MPHC. EACH YEAR FOR THE PAST 12 YEARS MCA HAS CONTINUED TO TREAT UP TO 12 PATIENTS DIAGNOSED WITH BREAST CANCER. MCA CHARITY CARE PROVIDES BIOPSY, BREAST CANCER SURGERY, RADIOLOGIC, CHEMO-THERAPEUTIC, SURGICAL RECONSTRUCTION, AND FOLLOW UP APPOINTMENT WITH PATIENTS THAT REQUIRED A GREATER LEVEL OF CARE THAT THEIR PRIMARY CARE TEAM AT MPHC ARE NOT ABLE TO PROVIDE.CREATED AN E-CONSULTATION PLATFORM FOR MPHC PHYSICIANS. MPHC PHYSICIANS THAT REQUIRE CONSULTATION FOR SCREENING/UNDERSTANDING CANCER LABS RESULTS, OR CANCER PATIENT MAINTENANCE OF CARE ARE PROVIDED AT NO COST TO THE CLINICAL STAFF OF MPHC.MAINTAINS A STRONG PARTNERSHIP WITH MPHC BY PROVIDING RADIOLOGIC MAMMOGRAPHY SERVICES TO MPHC ONSITE. MCA FELLOWSHIP STAFF, WITH OVERSIGHT, PROVIDE ONSITE MAMMOGRAPHY SERVICES AND CONSULTATION OF RESULTS TO PATIENTS.SPONSORED PARTNERSHIP IN UNDERSERVED COMMUNITIES TO BUILD POP-UP COVID 19 VACCINATION SITES. TWO SUCH POP-UP SITES WERE BUILT AT FIRST INSTITUTIONAL BAPTIST CHURCH OVER FOUR WEEKENDS IN PARTNERSHIP WITH MCA, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE THREE CONTIGUOUS MAJORITY AFRICAN AMERICAN CHURCHES IN A 7-BLOCK AREA OF THE MOST HESITANT AND VACCINATION NON-COMPLIANT ZIP CODES IN MARICOPA COUNTY. SPONSORED A SECOND POP-UP VACCINATION SITE IN CONJUNCTION WITH THE FORT MCDOWELL INDIAN RESERVATION'S WASSAJIA CLINIC IMPACTING THE VERY SAME ZIP CODES THAT WERE HESITANT AND NON-COMPLIANT AT THE SAME PERCENTAGES OF OTHER AREAS IN MARICOPA COUNTY. SPONSORED A THIRD COVID 19 POP-UP VACCINATION SITE IN PARTNERSHIP WITH MAYO CLINIC HOSPITAL, CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS, AND THE MARICOPA COUNTY BRANCH OF THE NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE TARGETING TRADITIONAL COLLEGE AGED STUDENT POPULATIONS, BUT NOT NECESSARILY ENROLLED IN SCHOOL. THIS WAS AS A RESULT OF THE LIMITED ACCESS TO VACCINATIONS OF THAT AGE COHORT UNTIL MUCH LATER IN THE PANDEMIC.IN AN AIM TO INCREASE COVID 19 VACCINATION EDUCATION, TRUST AND COMPLIANCE, SEVERAL PUBLIC COVID 19 TOWN HALLS WERE SPONSORED BY MCA. TOWN HALLS TARGETED: PERSONS OF AFRICAN DESCENT, HISPANIC/LATIN COMMUNITY, NON-PARTICIPATING ZIP CODES, PHYSICIANS THAT TAKE CARE OF VULNERABLE POPULATIONS, CANCER SURVIVORS AND THOSE WITH OTHER CO-MORBIDITIES. THE NUMBER OF VIEWERS FOR THOSE TOWN HALLS ARE GREATER THAN 2M.CONTINUED TO PROVIDE CANCER CARE TO PATIENTS FROM ADELANTE HEALTHCARE. ADELANTE PATIENTS DIAGNOSED WITH BREAST AND OVARIAN CANCER HAVE BEEN TREATED AT MCA. IN THE MOST RECENT 12 MONTHS, 12 ADDITIONAL ADELANTE PATIENTS HAVE BEEN TREATED AT NO COST AS A RESULT OF THE COMMITMENT TO PATIENTS IN THE COMMUNITY THAT NEED OUR CARE BUT LACK ACCESS.CREATED AT NEW CLINICAL PARTNERSHIP WITH ADELANTE FOR MCA TRAINEES AND PHYSICIAN STAFF TO PROVIDE GASTROENTEROLOGY FIT TEST TO THEIR PATIENT BASE. THOSE PATIENTS WITH POSITIVE RESULTS ARE REFERRED TO MCA FOR A COLONOSCOPY FOLLOW-UP VISIT. THOSE ADELANTE PATIENTS THAT ARE DIAGNOSED WITH A GASTROENTEROLOGY CANCER GO TO MCA FOR CHARITY CARE CANCER TREATMENT. MCA PROVIDES TRANSPORTATION TO AND FROM APPOINTMENTS.MCA PHYSICIANS PROVIDED CANCER CLINICAL CARE TO PATIENTS AT THE PHOENIX INDIAN MEDICAL CENTER EVERY WEEK, AND WHEN NECESSARY, TRANSFER PATIENTS WITH GREATER COMPLEX CARE NEEDS TO MCA.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:PROVIDED FINANCIAL SUPPORT TO PROVIDE A FULL TIME COORDINATOR TO THE COALITION OF BLACKS AGAINST BREAST CANCER FOR COORDINATION AND MANAGEMENT OF COMMUNITY OF FAITH OUTREACH FOR BREAST CANCER EDUCATION AND AWARENESS OF THE SIGNIFICANT HEALTH OUTCOMES DIFFERENCES OF BREAST CANCER IN BLACK COMMUNITIES.PROVIDED BREAST CANCER CARE TO PATIENTS REFERRED TO MAYO CLINIC HOSPITAL FROM FEDERALLY QUALIFIED CLINIC'S THAT MEET CHARITY CARE GUIDELINES AND ARE TREATED AT NO COST FOR BIOPSY, SURGERY, CHEMOTHERAPY, RADIOTHERAPY, AND RECONSTRUCTIVE SURGERY. PROVIDED CHARITY CARE TO QUALIFIED PATIENTS FROM FEDERALLY QUALITY HEALTH CENTERS FOR OVARIAN AND GI CANCERS. 5 PATIENTS HAVE BEEN TREATED FOR THESE CANCERS IN THE LAST 12 MONTHS.SOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS): TO SUPPORT COMMUNITY-BASED ORGANIZATIONS WORKING IN THE HOMELESSNESS/HOUSING SPACE, MCA:ALIGNED ITSELF WITH SEVERAL COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE HOPE AND HEALING TO INDIVIDUALS WHO FIND THEMSELVES WITHOUT HOMES AND OTHER SOCIAL UNMET NEEDS THAT ACCOMPANY THOSE THAT ARE UNSHELTERED. PROVIDED $210K TO SEVERAL COMMUNITY FACING ORGANIZATIONS AS WELL AS IN KIND CONTRIBUTIONS IN MARICOPA COUNTY. SUCH ORGANIZATIONS INCLUDED: SALVATION ARMY, CHICANO'S POR LA CAUSA, ST. VINCENT DE PAUL, TANNER COMMUNITY DEVELOPMENT CORPORATION, THE GREATER PHOENIX URBAN LEAGUE, ONE N TEN, CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS, AND THE SALT RIVER PIMA INDIAN RESERVATION'S RIVER PEOPLE'S CLINIC. PARTNERED WITH A GROUP OF MEDICAL STUDENTS AT THREE MEDICAL SCHOOLS WITHIN MARICOPA COUNTY, TO PROVIDE ADDITIONAL PATIENT PROTECTION EQUIPMENT TO NOT FOR PROFIT ORGANIZATIONS ACROSS MARICOPA COUNTY. MORE THAN A MILLION PIECES OF PPE HAVE BEEN COLLECTED, DISTRIBUTED, OR STORED FOR DISTRIBUTION. (INCLUSIVE OF BUT NOT LIMITED TO N95 & KN95 MASKS, MEDICAL GOWNS, MEDICAL FACIAL PROTECTION, RUBBER GLOVES, ETC.)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: DURING 2021, MCA CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCA INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 2021, MCF TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:OBESITY, NUTRITION, AND PHYSICAL ACTIVITY: TO PROVIDE EXPERTISE AND SUPPORT TO INSPIRE AWARENESS FOR HEALTHY HABITS AMONG COMMUNITY RESIDENTS, MCF:CONTINUED ITS WELLNESS RX EFFORTS. WELLNESS RX IS A COMMUNITY DRIVEN HEALTH AND WELLNESS INITIATIVE HOSTED BY A MCF TEAM MONTHLY. MCF PARTNERED WITH THE FOLLOWING THREE LOCATIONS ON A ROTATING MONTHLY SCHEDULE: JACKSONVILLE UNIVERSITY, TERRY PARKER HIGH, AND WOODLAND ACRES ELEMENTARY. THE INITIATIVE STARTED IN JANUARY 2021, AND TO DATE HAS SERVED OVER 900 FAMILIES AND DISTRIBUTED OVER 80,000 POUNDS OF FOOD.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 OUTREACH FOCUS GROUPS TO UNDERSTAND NEEDS AND HEALTH EDUCATION IN THE COMMUNITY. IN ADDITION TO THE FOCUS GROUPS MCF HOSTED A FOOD DRIVE WITHIN THE HISPANIC COMMUNITIES.PARTNERED WITH LOCAL HISPANIC FAITH-BASED GROUPS TO BRING HEALTH AND WELLNESS INFORMATION TO THEIR COMMUNITY MEMBERS INCLUDING A NEARBY MOBILE HOME PARK WITH A LARGE SPANISH SPEAKING POPULATION. MCF OFFICE OF COMMUNITY RELATIONS, EMPLOYEE RESOURCE GROUP, COMMUNITY PARTNERS AND CENTER FOR HEALTH EQUITY ASSISTED WITH WELLNESS SCREENINGS, FOOD DISTRIBUTION, COVID-19 VACCINATION SURVEYS AND BROUGHT VOLUNTEER CLINICIANS TO ANSWER QUESTIONS ABOUT VACCINE HESITANCY AND TO VACCINATE COMMUNITY MEMBERS THAT HAD NOT YET RECEIVED THEIR COVID VACCINES. 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.CONTINUED TO EXECUTE CANCER BREAKTHROUGHS: A TOWN HALL SERIES WHICH CONTINUES TO BE VIRTUAL DUE TO PANDEMIC. IN ADDITION TO PROVIDING THIS TOWN HALL LOCALLY HERE IN FLORIDA WE ENGAGED A SITE WIDE INITIATIVE, BRINGING THIS PROGRAM TO COMMUNITY MEMBERS ACROSS ALL OUR SITES AND REGIONS. 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) AND COMMUNITY BENEFIT ORGANIZATIONS. TOPICS FOR THESE TOWN HALLS IN 2021 WERE BASED OFF COMMUNITY MEMBER'S FEEDBACK ON WHAT THEY WOULD LIKE TO HAVE ACCESS TO, AS WELL AS DATA IN THE CHNA. TOPICS IN 2021 INCLUDED SKIN CANCER, BREAST CANCER AND PROSTATE CANCER. TOPICS COVERED IN THE SERIES FOCUSED ON UP-TO-DATE INFORMATION THROUGHOUT THE CANCER CONTINUUM FROM CANCER ETIOLOGY TO CANCER SURVIVORSHIP. ATTENDANCE VARIED BUT HAVE COLLECTIVELY HAD OVER 14,000 VIEWS ON FACEBOOK AND OVER 200 PARTICIPANTS ON THE VIRTUAL PLATFORM. IN 2022, OUR PLAN IS TO HOST CANCER TOWN HALLS ACROSS THE ENTERPRISE ONCE A MONTH. SUPPORTED UNDERINSURED AND UNINSURED CANCER PATIENTS THROUGH A GRANT TO THE IN THE PINK PROGRAM. THROUGH THIS GRANT A TOTAL OF 74 INDIVIDUAL CANCER PATIENTS WERE PROVIDED WITH THE FOLLOWING ITEMS. 74 PATIENTS RECEIVED ITEMS IN ONE OR MORE OF THE FOLLOWING CATEGORIES: MASTECTOMY BRAS, MASTECTOMY PROSTHESIS, POST-SURGICAL GARMENTS, COMPRESSION GARMENTS AND WIGS. TOTAL ITEMS PROVIDED WERE 213.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 135 MAYO STAFF HOURS (95 OF WHICH WERE FOR CARDIO CARE DURING MCF'S CARDIOLOGY WEEKLY CLINIC).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. SERVICES RESULTED IN 150 STAFF HOURS AND 190 PATIENTS SEEN.MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINIC'S STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING IN 60 STAFF HOURS AND 113 PATIENTS SEEN. MCF PROVIDED HUNDREDS OF PPE ITEMS TO SUPPORT COVID19 EFFORTS FOR THE COMMUNITY AND THEIR CLIENTS SUCH AS MASKS, GOWNS, FACE SHIELD & COVID TESTING SWABS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY AND UROLOGICAL SURGERIES. AGAPE FAMILY HEALTH: THERE CONTINUES TO BE EVIDENCE THAT COVID-19 CONTINUES TO DISPROPORTIONATELY AFFECT CERTAIN RACIAL AND ETHNIC GROUPS AND AGAPE CONTINUES TO SERVE AS A PRIMARY PROVIDER FOR HEALTHCARE IN OUR COMMUNITY FOR PRIMARILY UNINSURED, UNDERSERVED, AND UNDERREPRESENTED POPULATIONS. MCF GAVE A $200,000 GRANT TO AGAPE FAMILY HEALTH TO PROVIDE SUPPORT FOR COVID-19 TESTING EFFORTS. BY PROVIDING THIS GRANT, THIS ALLOWED AGAPE TO CONTINUE ITS EFFORTS IN SUPPORTING COMMUNITY MEMBERS THROUGH COVID-19 AND ADDRESS OTHER HEALTH NEEDS.LUTHERAN SOCIAL SERVICES: MCF GRANTED LUTHERAN SOCIAL SERVICES OF NORTHEAST FLORIDA WITH $15,000 TO SUPPORT THE ARRIVAL OF AFGHAN REFUGEES INTO JACKSONVILLE. THIS GRANT WILL SUPPORT THE IMMEDIATE NEEDS THAT HOUSING AND PLACEMENT PRESENT WHEN THERE IS LITTLE NOTICE ON THE ARRIVAL. IT IS ANTICIPATED THAT THIS FUNDING WOULD PROVIDE TEMPORARY HOUSING FOR APPROXIMATELY 40 AFGHAN FAMILIES.HART FELT MINISTRIES: MCF PROVIDED A GRANT TO HART FELT MINISTRIES TRANSPORTATION PROGRAM TO PROVIDE TRANSPORTATION TO UNDERSERVED COMMUNITY MEMBERS 70 AND OLDER AT NO COST TO THE CLIENTS. IN ADDITION TO PROVIDING TRANSPORTATION, THE PROGRAM IMPROVED ACCESS TO MEDICAL CARE AND TO GROCERIES, PROVIDED COMPANIONSHIP (THEREFORE IMPROVING MENTAL, EMOTIONAL AND PHYSICAL HEALTH) THROUGH A DEDICATED DRIVER, AND HELPED OLDER PERSONS AGE IN PLACE BY PROVIDING A VITAL SERVICE TO SENIORS WHO CANNOT DRIVE THEMSELVES AND MIGHT OTHERWISE BE FORCED INTO ASSISTED LIVING PREMATURELY. THROUGH MCF'S FUNDING HART FELT MINISTRIES REACHED 122 CLIENTS, AN AVERAGE OF 38 CLIENTS WERE DRIVEN MONTHLY AND 14,960 MILES WERE DRIVEN.HERE TOMORROW: MCF GRANTED HERE TOMORROW WITH FUNDING TO SUPPORT THEIR REAL PEOPLE HELPING REAL PEOPLE PROGRAM, WHICH SUPPORT IMMEDIATE OUTPATIENT THERAPY SERVICES WITHOUT THE WAIT FOR INSURANCE VERIFICATION. MENTAL HEALTH RESOURCE CENTER: THROUGH AN EMPLOYEE VOTES SEASON OF GRATITUDE CAMPAIGN, MENTAL HEALTH RESOURCE CENTER RECEIVED $20,000 TO SUPPORT AND PROVIDE UNDERSERVED, UNDERINSURED AND UNDERREPRESENTED COMMUNITY MEMBERS WITH MENTAL HEALTH SERVICES.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: DURING 2021, MCF CONTINUED TO RESPOND TO THE COVID-19 PANDEMIC WITHIN ITS COMMUNITY. EFFORTS UNDERTAKEN BY MCF INCLUDED: CONTINUED DISSEMINATION OF PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.CONTINUED USE OF VIRTUAL CARE CAPABILITIES TO ADVANCE HOME CARE AND TREATMENT TO SAFELY IMPROVE ACCESS FOR PATIENTS.SHARED KNOWLEDGE AND COLLABORATED WITH PUBLIC HEALTH OFFICIALS AND LOCAL BUSINESS TO EXPAND UNDERSTANDING AND RESOURCES TO ADDRESS AND CONTAIN THE DISEASE.
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 2021 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:SUPPLIED FINANCIAL AND IN-KIND SUPPORT TO OPEN AND RUN THE NEW SOUTHEAST REGIONAL CRISIS CENTER (SERCC) TO SERVE REGIONAL RESIDENTS WITH MENTAL HEALTH CRISES. IN 2021 MAYO CLINIC CONTRIBUTED MORE THAN $700,000 IN OPERATING FUNDING TO SERCC.PROVIDED SALARY AND ADMINISTRATIVE SUPPORT TO OLMSTED COUNTY COMMUNITY SERVICES PSYCHIATRIST TO SERVE LOCAL QUALIFYING RESIDENTS.CONTRIBUTED MORE THAN $194,000 IN SUPPORT TO LOCAL NON-PROFIT ORGANIZATIONS TO SUSTAIN AND STRENGTHEN THEIR ABILITY TO SERVE MENTAL HEALTH NEEDS AMONG LOCAL RESIDENTS. CONTRIBUTIONS INCLUDED THE NATIONAL ASSOCIATION ON MENTAL ILLNESS (NAMI) IN ROCHESTER TO EXPAND PEER SUPPORT SERVICES FOR LOCAL RESIDENTS, ALONG WITH CAPITAL SUPPORT TO POSS-ABILITIES OF SE MINNESOTA TO RENOVATE FACILITIES TO IMPROVE AND SAFEGUARD DAYTIME ENRICHMENT PROGRAMMING FOR ADULTS WITH DISABILITIES. MAYO CLINIC'S EMERGENCY DEPARTMENT PAID FOR FIVE ROCHESTER POLICE OFFICERS TO BE PRESENT 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.PARTNERED WITH COMMUNITY LEADERS AND CLINICS TO ENGAGE LOCAL RESIDENTS IN CONVERSATIONS ON MENTAL HEALTH. VOCES Y VISIONES (VOICES AND VISIONS - A PLATFORM DEDICATED TO THE HISPANIC/LATIN COMMUNITY) DISCUSSED TRAUMA AND RECOVERY. THE HEALTHY BODY, HEALTHY MINDS SERIES FEATURED A DISCUSSION ON SEX, GENDER, AND MENTAL HEALTH. MAYO CLINIC ALSO COLLABORATED WITH THE VILLAGE COMMUNITY GARDEN TO HOLD OPEN-AIR DISCUSSIONS ON MENTAL HEALTH, RESILIENCY, AND RESEARCH ON MOOD DISORDERS. THESE EFFORTS REACHED MORE THAN 1,700 COMMUNITY MEMBERS.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 MORE THAN $350,000 IN MONETARY SUPPORT TO COMMUNITY-BASED ORGANIZATIONS FOR OUTREACH PROGRAMS ASSISTING PEOPLE LIVING WITH FINANCIAL STRESS. THESE CONTRIBUTIONS STRENGTHENED LOCAL RESOURCES FOR SHELTER AND AFFORDABLE HOUSING, TUTORING/MENTORING, JOB TRAINING, AND FOOD INSECURITY. IN 2021 MAYO CLINIC PROVIDED ADDITIONAL FINANCIAL SUPPORT TO ORGANIZATIONS SPECIFICALLY TO PROMOTE COVID-19 SAFETY AWARENESS AND VACCINATION CLINICS TO UNDERSERVED POPULATIONS OTHERWISE LIMITED TO ACCESS BY FINANCIAL STRESS. SERVED AS A CO-FOUNDER AND FUNDER OF THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION. IN 2021 MAYO CLINIC RECOMMITTED TO THE ALLIANCE WITH AN ADDITIONAL CONTRIBUTION OF $5 MILLION. PROVIDED MEDICAL DIRECTION AND STAFFING TO SALVATION ARMY GOOD SAMARITAN HEALTH AND DENTAL CLINICS THAT SERVE UNDER AND UN-INSURED PATIENTS IN OLMSTED COUNTY. THESE COMMUNITY PROGRAMS ALSO PRODUCE MANY PATIENT REFERRALS TO MAYO CLINIC FOR SPECIALITY CARE FOR WHICH MAYO PROVIDES CHARITABLE CARE. 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 PUBLIC-SCHOOL STUDENTS. DONATED FUNDING (OVER $350K), MENTORSHIP, AND STAFF PLANNING TIME TO LOCAL EDUCATION PROGRAMS SUCH AS BRIDGES TO HEALTHCARE AND MAYO CLINIC INVEST FOR SUCCESS SCHOLARS PROGRAM FOR STUDENTS FROM DIVERSE BACKGROUNDS TO ATTAIN EDUCATIONAL AND TRAINING FOR CAREERS IN HEALTH CARE. AS PART OF ITS PEDIATRIC AND ADULT REFUGEE PROGRAMS, PROVIDED FREE HEALTH CARE SERVICES FOR REFUGEES.IMPLEMENTED A NEW ELECTRONIC SOCIAL DETERMINANTS OF HEALTH PATIENT REFERRAL SYSTEM AND PAID FOR ADDITIONAL COMMUNITY HEALTH CARE WORKERS TO COUNSEL PATIENTS IDENTIFIED WITH SOCIAL BARRIERS TO HEALTH AND REFER THEM TO APPROPRIATE COMMUNITY RESOURCES. DEDICATED SERVICE HOURS OF AMBULANCE/PARAMEDIC PERSONNEL TO ASSIST HOMELESS ADULTS IN RECEIVING HEALTH CARE COUNSELING AND REFERRAL ASSISTANCE. IN 2021 THIS PROGRAM WAS EXPANDED TO HELP RESPOND TO COVID-19 COMMUNITY OUTREACH.OFFERED FREE TRANSPORTATION VOUCHERS TO EMERGENCY DEPARTMENT OUTPATIENTS WHO HAVE FINANCIAL NEED. 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 COUNSELING AND REFERRAL SUPPORT TO HELP STABILIZE PATIENTS TO ENABLE LONG-TERM RECOVERY. DISTRIBUTED HEALTH INFORMATION ABOUT SUBSTANCE USE ACROSS ITS WEBSITES AND SOCIAL MEDIA PLATFORMS THROUGHOUT 2021 TO PROMOTE AWARENESS AND HELP DIRECT AUDIENCES TO AVAILABLE RESOURCES. HOSTED A MEDIA CONFERENCE WITH LOCAL EXPERTS TO BRING PUBLIC ATTENTION TO THE RISE IN OPIOID ABUSE DURING THE COVID PANDEMIC, DRAWING CONSIDERABLE REGIONAL MEDIA COVERAGE. THIS EFFORT ALSO ENCOURAGED THE PUBLIC TO DROP OFF UNUSED PRESCRIPTIONS TO SHERIFF'S SECURE LOCATION FOR SAFE DISPOSAL.THROUGH ITS SCHOOL OF CONTINUOUS MEDICAL PROFESSIONAL DEVELOPMENT, MAYO CLINIC EXPANDED ITS EDUCATIONAL OFFERINGS TO MEDICAL PROFESSIONALS ACROSS THE U.S. ON THE TOPIC OF OPIOIDS AND HOW TO IDENTIFY, PREVENT AND RESPOND TO OPIOID ABUSE. PARTNERED WITH COMMUNITY LEADERS AND CLINICS TO INFORM AUDIENCES ABOUT ADDICTION. VOCES Y VISIONES (VOICES AND VISIONS - A PLATFORM DEDICATED TO THE HISPANIC/LATIN COMMUNITY) DISCUSSED ADDICTION AND THOSE AFFECTED BY IT. IN COLLABORATION WITH THE VILLAGE COMMUNITY GARDEN, MAYO CLINIC HELD CONVERSATIONS ON ADDICTION AND COMMUNITY RESOURCES. THESE EFFORTS REACHED OVER 1,450 COMMUNITY MEMBERS.IN ADDITION TO THE ABOVE, MAYO CLINIC 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. COVID-19: IN 2021 THE COVID-19 VIRUS REMAINED A PANDEMIC IN OLMSTED COUNTY, SLOWING MAYO CLINIC AND THE SURROUNDING COMMUNITY'S ABILITY TO ADDRESS PRE-EXISTING CHNA PRIORITIES TO FOCUS ON EMERGENT PANDEMIC PREVENTION AND CARE NEEDS.DURING 2021, MAYO CLINIC AND OLMSTED COUNTY PUBLIC HEALTH RE-SURVEYED THE LOCAL COMMUNITY TO ASSESS THE PANDEMIC'S IMPACT ON PRE-EXISTING HEALTH PRIORITIES AND LEARNED THAT THE PANDEMIC HAD SIGNIFICANTLY INTENSIFIED THESE ISSUES LOCALLY. THIS DATA VALIDATED MAYO CLINIC AND OTHER LOCAL HEALTH PLANNING ENTITIES TO CONTINUE TO FOCUS THEIR COMBINED EFFORTS ON COVID-19 RESPONSE TO HELP ADDRESS ALL HEALTH PRIORITY AREAS, INCLUDING FINANCIAL STRESS, MENTAL HEALTH, AND SUBSTANCE USE.MAYO CLINIC'S RESPONSE TO COVID-19 HAS SIGNIFICANTLY CONTRIBUTED TO THE HEALTH OF LOCAL AND REGIONAL COMMUNITIES AS WELL AS CONTRIBUTING TO THE NATIONAL AND GLOBAL HEALTH. 2021 HIGHLIGHTS INCLUDE:- CONDUCTING COVID-19-RELATED RESEARCH AND SHARED FINDINGS BROADLY TO ADVANCE PREVENTION, DIAGNOSIS, AND THERAPIES TO TREAT THE COVID-19 VIRUS.- EXPANDING VIRTUAL CARE CAPABILITIES FOR HOME CARE AND TREATMENT TO SAFELY IMPROVE INPATIENT ACCESS FOR COMMUNITY AND RURAL PATIENTS.- RAPIDLY DEVELOPING AND DISSEMINATING PUBLIC AND CONSUMER INFORMATION ABOUT THE COVID-19 VIRUS TO HELP THE PUBLIC UNDERSTAND THE RISKS AND TAKE ACTIONS TO PREVENT AND/OR CARE FOR THE INFECTION.- WORKING WITH LOCAL COUNTY PUBLIC HEALTH, COMMUNITY HEALTH AND OTHER COMMUNITY-BASED ORGANIZATIONS TO PROVIDE COVID-19 EDUCATION AND VACCINE CLINICS. IN 2021 THESE EFFORTS VACCINATED MORE THAN 1,000 RESIDENTS WITH LIMITED ENGLISH PROFICIENCY (LEP) AND OTHER BARRIERS TO COVID-19 AWARENESS AND VACCINE ACCESS.
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 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 20D:	MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.
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 20D:	MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.
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 18: MCHS IN LAKE CITY, - FACILITY 19: 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 CONDUCTING THE STRATEGIES OUTLINED IN THEIR JOINT IMPLEMENTATION PLAN IS TO WORK COLLECTIVELY AND COLLIGATIVELY IN IMPLEMENTING THOSE STRATEGIES. AS SUCH, THE THREE HOSPITALS IN 2021 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: DISTRIBUTED MATERIALS FOR THE FALL INTO WELLNESS VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM, DELIVERED IN A POINTS-BASED, FRIENDLY MONTH-LONG COMPETITION, HELPED HIGHLIGHT SMALL, SIMPLE CHANGES TO MANAGE STRESS, EAT NUTRITIONALLY BALANCED FOODS AND GET REGULAR PHYSICAL ACTIVITY. HOSTED A WOMEN & WELL-BEING WEBINAR - DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE PERSONALLY SPEAKING PROGRAM THEME WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE TO EDUCATE WOMEN OF THE IMPORTANCE OF PREVENTIVE CARE IN A COVID-19 ENVIRONMENT AND THE STRENGTH OF RESILIENCY WHEN FACED WITH A MEDICAL DIAGNOSIS. INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN DISCOVER GRATITUDE, WHICH IS A FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR IMPROVED MENTAL WELL-BEING. PROVIDED SUBJECT MATTER EXPERTS, DIGITAL AND PRINT RESOURCES FOR PRESENTATION ON RESILIENCY AND COPING FOR ALL CANNON FALLS SCHOOL EMPLOYEES. SERVED AS A COLLABORATIVE GROUP WITH GOODHUE COUNTY CONVENERS TO IMPROVE MENTAL HEALTH SERVICES IN GOODHUE COUNTY. PROJECTS INCLUDE MAKE IT OK, CIVILITY COMMITTEE TO REDUCE ISOLATION, RESOURCES LISTING AND FORUMS FOR AREA PROVIDERS AND COMMUNITY. PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF BLOG TOPICS FOCUSING ON CHNA AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS EDUCATIONAL ACCESS THROUGH WEB AND NEWSLETTERS. FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.CHRONIC DISEASE PREVENTION: TO EDUCATED THE COMMUNITY ON HEALTHY BEHAVIORS TO PROMOTE DISEASE PREVENTION, THE THREE HOSPITALS: PROVIDED ACCESS TO VACCINE AND SPACE FOR THE CARE CLINIC COVID VACCINATION PROGRAM IN ADDITION TO SPACE TO SUPPORT MENTAL HEALTH, DENTAL HEALTH AND MEDICAL SERVICES FOR UNINSURED/UNDERINSURED COMMUNITY MEMBERS.COMMUNICATED INFORMATION TO A VARIETY OF COMMUNITY GROUPS ON INFLUENZA SYMPTOMS, THE IMPORTANCE OF THE INFLUENZA VACCINE AND HOW TO OBTAIN AN INFLUENZA VACCINATION. SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FREQUENTLY ASKED QUESTIONS ON COVID-19 THROUGH VIRTUAL WEBINARS WITH COMMUNITY/CIVIC ORGANIZATIONS.EDUCATED THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION USING WEBINARS. THE TOPICS OF THE THREE WEBINARS INCLUDED: HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT AND YOGA TO RELIEVE PAIN AND STRESS. DELIVERED AN ELECTRONIC NEWSLETTER TO A CANNON FALLS DISTRIBUTION LISTS THAT ADDRESSED TIPS AND TRICKS TO STAYING HEALTHY DURING COVID AND COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY AREAS. SUPPORTED THE FARMERS MARKET AND THE POWER OF PRODUCE PROGRAMS TO ENCOURAGE HEALTHY FOOD CHOICES FOR AT RISK YOUTH. COUPONS WERE DISTRIBUTED IN WEEKEND BACKPACKS AND SUMMER SCHOOL LUNCHES.PROMOTED GOODHUE AND WABASHA COUNTY PUBLIC HEALTH FLU AND COVID VACCINATION TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATION. PROMOTION WAS DONE IN SPANISH AND ENGLISH.FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS. SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, THE THREE HOSPITALS: ORGANIZED AND HOSTED ONGOING COMMUNITY MEETINGS WITH RECOVERY CORPS TO ASSESS READINESS FOR A RECOVERY NAVIGATOR OR RESPONSE PROJECT COORDINATOR. AT THIS TIME, A SUITABLE PARTNER WAS NOT LOCATED FOR THE PROGRAM. SUPPORTED THE HOPE AND HARBOR HOMELESS SHELTER- A 24 HOUR AND OVERNIGHT HOMELESS PROJECT. SUBSTANCE ABUSE PROGRAMMING WAS ADDED TO THE PROGRAM IN 2021 WITH THE FINANCIAL SUPPORT PROVIDED.FACILITATED GRANT INVITATIONS AND REVIEW FOR THOSE COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING THE COMMUNITY HEALTH NEEDS ASSESSED AREAS. ACTIVITY INCLUDED GRANT REVIEW AND APPROVALS AND FOLLOW-UP WITH THE ORGANIZATIONS.DISTRIBUTED EDUCATIONAL MATERIALS TO CHILDREN AND ADULTS ON RESILIENCE AND SUBSTANCE PREVENTION DURING CANNON FALLS FIRST THURSDAYS.PROVIDED RESOURCES FOR HISPANIC OUTREACH TO EXPAND THEIR PROGRAM TO MEET LOCAL 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 RESIDENTS. THE CARE CLINIC WORKS WITH THOSE WHO ARE LIVING IN POVERTY AND ARE NOT INSURED BY PROVIDING MEDICAL AND MENTAL HEALTH SERVICES AT NO CHARGE AND DENTAL HEALTH SERVICES AT A MINIMAL CHARGE. SUPPORT INCLUDES BOARD LEADERSHIP, LIABILITY COVERAGE FOR EMPLOYEES WHO VOLUNTEER, FACILITIES, AND MINIMAL LAB/RADIOLOGY SERVICES TO ASSIST IN DIAGNOSIS. 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.COVID-19: IN ADDITION TO THE MAYO CLINIC ENTERPRISE RESPONSES, THE THREE HOSPITALS ALSO FOCUSED ON EDUCATING AND COMMUNICATING LOCALLY ABOUT COVID-19, INCLUDING:ATTENDANCE AT COUNTY EMERGENCY OPERATIONS CENTER MEETINGS WHICH COORDINATE AND COMMUNICATE WITH PUBLIC HEALTH OFFICIALS AND COMMUNITY PARTNERS AT EMERGENCY OPERATION CENTER MEETINGS, SOUTHEAST MINNESOTA DISASTER HEALTH CARE COALITION MEETINGS, AND COMMUNITY MEETINGS. COMMUNITY ENGAGEMENT STAFF RELAYED COMMUNITY QUESTIONS AND CONCERNS TO THE CLINICAL PRACTICE TO HELP IMPROVE SERVICE IN THE COMMUNITY.SENDING 19 SPECIALLY DESIGNED COMMUNITY E-NEWSLETTERS WITH COVID INFORMATION TO A MAILING LIST OF MORE THAN 600 COMMUNITY STAKEHOLDERS.WORKING WITH COMMUNITY PARTNERS TO COORDINATE EFFORTS TO MEET THE NEEDS OF LOW ENGLISH PROFICIENCY POPULATIONS TO PROVIDE EDUCATIONAL RESOURCES IN A VARIETY OF LANGUAGES, SPECIFICALLY SPANISH, SOMALI, KAREN, AND KAYAH. THE TEAM INITIATED A CAMPAIGN TO INCREASE VACCINE ADOPTION - THE GET IT CAMPAIGN - WHICH INCLUDED DIGITAL MESSAGES, SIGNAGE, ADVERTISEMENTS AND A GUEST COMMENTARY IN LOCAL PAPERS.ORGANIZING A NUMBER OF VIRTUAL COMMUNITY FORUMS FEATURING MAYO CLINIC EXPERTS TO PROVIDE ACCURATE AND TIMELY INFORMATION ON COVID AND ANSWER QUESTIONS FROM THE COMMUNITY. OVER THE COURSE OF THREE SUCH WEBINARS, MORE THAN 350 PEOPLE ATTENDED LIVE AND MORE WATCHED THE RECORDINGS. PRESENTING TO COMMUNITY GROUPS. MAYO CLINIC HEALTH SYSTEM LEADERS AND SUBJECT MATTER EXPERTS ALSO ATTENDED KEY COMMUNITY EVENTS (CHAMBER OF COMMERCE, SERVICE CLUBS, ECONOMIC DEVELOPMENT MEETINGS, SCHOOL BOARD MEETINGS, LONG TERM CARE FACILITIES, EMPLOYER SESSIONS) TO ANSWER COMMUNITY QUESTIONS RELATED TO COVID.PUBLISHING GUEST COMMENTARIES IN LOCAL NEWSPAPERS TO SHARE PERSPECTIVES OF LOCAL PROVIDERS WITH THE GENERAL PUBLIC.PROMOTING SCHOOL VACCINATIONS BY WORKING WITH LOCAL PUBLIC HEALTH AND LOCAL SCHOOL SYSTEMS TO SEND TEAMS TO VACCINATE AGES 16-18 AND, RIGHT BEFORE THE 2020-2021 SCHOOL YEAR ENDED, TO VACCINATE STUDENTS AGED 12 AND OLDER.
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 20D:	MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.
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 20D:	MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.
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 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 20D:	MAYO CLINIC DOES NOT ASSUME PATIENT INCOME. MAYO SUPPORTS FINANCIAL ASSISTANCE FOR PATIENTS EXPRESSING A NEED AND HAS A LONG HISTORY OF IDENTIFYING BOTH PRE-SERVICE AND POST SERVICE FINANCIAL ASSISTANCE. MAYO HEAVILY PROMOTES FINANCIAL ASSISTANCE ON OUR WEBSITE, AUTHORIZATION FORMS, MONTHLY STATEMENTS AND LETTERS. IN ADDITION, FINANCIAL ASSISTANCE IS PROMOTED WHEN ACCOUNTS ARE PLACED WITH A COLLECTION AGENCY. MAYO PROACTIVELY PROVIDES FINANCIAL COUNSELING FOR UNINSURED AND UNDERINSURED PATIENTS PRIOR TO SERVICES BEING PROVIDED AS WELL AS POST CARE. MAYO CLINIC PROVIDES ON-LINE ESTIMATES IN ADDITION TO MANUAL ESTIMATES TO BETTER INFORM PATIENTS OF THEIR OUT OF POCKET EXPENSES. IN ADDITION, MAYO AND VENDOR PARTNERS ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID APPLICATIONS AND ASSIST WITH IDENTIFYING OTHER FUNDING RESOURCES WHERE APPROPRIATE.
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) 2021

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?79
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 - MCHS NWWI REGION LUTHER CAMPUS 1400 BELLINGER STREET EAU CLAIRE,WI54703	CLINIC
5	5 - MAYO CLINIC SPECIALTY BUILDING 5779 EAST MAYO BOULEVARD PHOENIX,AZ85054	CLINIC
6	6 - JACOBY BUILDING 14225 ZUMBRO DRIVE JACKSONVILLE,FL32224	RADIOCHEMISTRY
7	7 - MANGURIAN BUILDING 4500 MELLISH DRIVE JACKSONVILLE,FL32224	CLINIC
8	8 - SPORTS MEDICINE BUILDING 63 SOUTH ROCKFORD DRIVE SUITE 130 TEMPE,AZ85281	SPORTS MEDICINE
9	9 - MAYO CLINIC DIALYSIS NORTHEAST 3041 STONEHEDGE DRIVE NORTHEAST ROCHESTER,MN55906	HOSPITAL BASED DIALYSIS FACILITY
10	10 - MAYO CLINIC DIALYSIS CENTER 4658 WORRALL WAY JACKSONVILLE,FL32216	OUTPATIENT DIALYSIS
11	11 - MAYO CLINIC DIALYSIS EAU CLAIRE 3845 LONDON ROAD EAU CLAIRE,WI54701	DIALYSIS
12	12 - MCHS IN OWATONNA 2200 26TH STREET NORTHWEST OWATONNA,MN55060	CLINIC
13	13 - GATE PARKWAY PRIMARY CARE CENTER 7826 OZARK DRIVE JACKSONVILLE,FL32256	CLINIC
14	14 - MCHS NWWI REGION CLAIREMONT CAMPUS 733 W CLAIREMONT AVENUE EAU CLAIRE,WI54701	CLINIC
15	15 - MCHS FRANCISCAN HEALTHCARE ONALASKA 191 THEATER ROAD ONALASKA,WI54650	CLINIC, PHARMACY, DIALYSIS
16	16 - BASSO BUILDING 4634 WORRELL WAY JACKSONVILLE,FL32256	SLEEP DISORDER CENTER
17	17 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH,IA52101	HOSPITAL BASED DIALYSIS FACILITY
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 - FRANCISCAN FAMILY HEALTH CLINIC 815 TENTH STREET SOUTH LA CROSSE,WI54601	CLINIC
21	21 - MCHS IN LA CROSSE - ST ANN BUILDING 620 11TH STREET SOUTH LA CROSSE,WI54601	HOSPICE
22	22 - MCHS MANKATO IN EASTRIDGE 101 MARTIN LUTHER KING JR DRIVE MANKATO,MN56001	CLINIC, CHEMICAL DEPENDENCY
23	23 - CANCER CENTER AT ST VICENTES 1 SHIRCLIFF WAY JACKSONVILLE,FL32204	CANCER CENTER
24	24 - MCHS FRANCISCAN HEALTHCARE TOMAH 325 BUTTS AVENUE TOMAH,WI54660	CLINIC
25	25 - MAYO CLINIC DIALYSIS WABASHA 1200 5TH GRANT BOULEVARD WEST WABASHA,MN55981	HOSPITAL BASED DIALYSIS FACILITY
26	26 - MCHS IN MENOMONIE ORTHO & REHAB 2407 STOUT ROAD MENOMONIE,WI54751	REHABILITATION
27	27 - MCHS MANKATO IN MADISON EAST CENTER 1400 MADISON AVENUE SUITE 324A MANKATO,MN56001	CLINIC, HOSPICE
28	28 - MC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE,AZ85260	CLINIC
29	29 - BEACHES PRIMARY CARE CENTER 742 MARSH LANDING PARKWAY JACKSONVILLE BEACH,FL32250	CLINIC
30	30 - HOSPICE OF NORTH FLORIDA 4715 WORRAL WAY JACKSONVILLE,FL32224	HOSPICE
31	31 - MCHS IN LA CROSSE (CLINIC) 800 WEST AVENUE SOUTH LA CROSSE,WI54601	CLINIC
32	32 - MCHS FRANCISCAN HEALTHCARE HOLMEN 1303 MAIN STREET SOUTH HOLMEN,WI54636	CLINIC, PHARMACY
33	33 - MCHS MANKATO IN NORTHRIDGE 1695 LOR RAY DRIVE NORTH MANKATO,MN56003	CLINIC
34	34 - MCHS IN NEW PRAGUE 212 10TH AVENUE NORTHEAST NEW PRAGUE,MN56071	CLINIC
35	35 - ST AUGUSTINE PRIMARY CARE 110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE,FL32086	CLINIC
36	36 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN 800 EAST BLACKHAWK AVENUE PRAIRIE DU CHIEN,WI53821	CLINIC
37	37 - MCHS NORTHLAND IN RICE LAKE 331 SOUTH MAIN STREET SUITE H RICE LAKE,WI54868	CLINIC
38	38 - MCHS MANKATO IN ST PETER 1900 NORTH SUNRISE DRIVE SUITE 200 ST PETER,MN56082	CLINIC
39	39 - MCHS IN NEW PRAGUE - REHABILITATION 504 6TH AVENUE NORTHWEST NEW PRAGUE,MN56071	REHABILITATION
40	40 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS 611 1ST AVENUE CHIPPEWA FALLS,WI54729	CLINIC
41	41 - MAYO CLINIC FAMILY MED ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE,AZ85308	CLINIC
42	42 - MCHS IN FARIBAULT (OBGYN) DISTRICT ONE HOSPITAL-200 STATE AVENUE FARIBAULT,MN55021	WOMENS HEALTH CLINIC
43	43 - MCHS IN FARIBAULT 300 STATE AVENUE FARIBAULT,MN55021	CLINIC
44	44 - SPARTA EYE CLINIC 400 JEFFERSON AVENUE SPARTA,WI54656	EYE CLINIC
45	45 - MAYO CLINIC ALBERT LEA HEALTH REACH 1705 SOUTHEAST BROADWAY ALBERT LEA,MN56007	DIALYSIS, HOSPICE, REHABILITATION
46	46 - FRANCISCAN PROFESSIONAL BUILDING 212 11TH STREET SOUTH LA CROSSE,WI54601	BEHAVIORAL HEALTH
47	47 - MAYO CLINIC PRIMARY CARE PHOENIX 5701 EAST MAYO BOULEVARD PHOENIX,AZ85054	CLINIC
48	48 - MAYO CLINIC PRIMARY CARE SAN TAN 1850 EAST NORTHROP BLVD SUITE 160 CHANDLER,AZ85286	CLINIC
49	49 - MCHS FRANCISCAN HEALTHCARE ARCADIA 895 SOUTH DETTLOFF DRIVE ARCADIA,WI54612	CLINIC
50	50 - MCHS NEW PRAGUE IN MONTGOMERY 501 4TH STREET NORTHWEST MONTGOMERY,MN56069	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 OAKRIDGE IN MONDOVI 700 BUFFALO STREET MONDOVI,WI54755	CLINIC
54	54 - MCHS MANKATO IN LE SUEUR 625 SOUTH 4TH STREET LE SUEUR,MN56058	CLINIC
55	55 - MCHS LAKE CITY IN PLAINVIEW 275 1ST STREET SOUTHWEST PLAINVIEW,MN55964	CLINIC
56	56 - MCHS RED WING IN ELLSWORTH 530 WEST CAIRNS STREET ELLSWORTH,WI54011	CLINIC
57	57 - MCHS NORTHLAND IN CHETEK 220 DOUGLAS STREET CHETEK,WI54728	CLINIC
58	58 - MCHS RED CEDAR IN GLENWOOD CITY 219 EAST OAK STREET GLENWOOD CITY,WI54013	CLINIC
59	59 - MCHS ALBERT LEA IN LAKE MILLS 309 SOUTH 10TH AVENUE EAST LAKE MILLS,IA50450	CLINIC
60	60 - FOUNTAIN CENTERS IN FAIRMONT 828 N NORTH AVENUE FAIRMONT,MN56031	CHEMICAL DEPENDENCY
61	61 - MCHS ALBERT LEA IN NEW RICHLAND 318 FIRST STREET SOUTHWEST NEW RICHLAND,MN56072	CLINIC
62	62 - MCHS WASECA IN WATERVILLE 212 EAST LAKE STREET WATERVILLE,MN56096	CLINIC
63	63 - FOUNTAIN CENTERS IN FARIBAULT 2301 4TH STREET NORTHWEST FARIBAULT,MN55021	CHEMICAL DEPENDENCY
64	64 - MCHS ALBERT LEA IN WELLS 301 SOUTH BROADWAY WELLS,MN56097	CLINIC
65	65 - MCHS NEW PRAGUE IN BELLE PLAINE 700 WEST PRAIRIE STREET BELLE PLAINE,MN56011	CLINIC
66	66 - MCHS AUSTIN HOSPICEFOUNTAIN CENTERS 101 14TH STREET NORTHWEST AUSTIN,MN55912	HOSPICE, CHEMICAL DEPENDENCY
67	67 - MCHS WASECA IN JANESVILLE 312 NORTH MAIN STREET JANESVILLE,MN56048	CLINIC
68	68 - FOUNTAIN CENTERS IN ROCHESTER 4122 18TH AVENUE NW ROCHESTER,MN55901	CHEMICAL DEPENDENCY
69	69 - FOUNTAIN CENTERS IN OWATONNA 134 SOUTHVIEW STREET OWATONNA,MN55060	CHEMICAL DEPENDENCY
70	70 - MCHS EXPRESS CARE IN AUSTIN 1307 18TH AVENUE NW AUSTIN,MN55912	EXPRESS CARE
71	71 - MCHS RED CEDAR IN ELMWOOD 236 EAST SPRINGER AVENUE ELMWOOD,WI54740	CLINIC
72	72 - MCHS EXPRESS CARE IN ALBERT LEA 2708 BRIDGE AVENUE ALBERT LEA,MN56007	EXPRESS CARE
73	73 - MCHS MOBILE HEALTH CLINIC-SHERBURN 21 EAST 1ST STREET SHERBURN,MN56171	MOBILE HEALTH CLINIC
74	74 - MCHS AUSTIN IN ADAMS 908 WEST MAIN STREET ADAMS,MN55909	CLINIC
75	75 - MCHS MOBILE HEALTH CLINIC-BLOOMING PRAIR 4TH STREET SE BLOOMING PRAIRIE,MN55917	MOBILE HEALTH CLINIC
76	76 - MCHS MOBILE HEALTH CLINIC-KENYON 806 2ND STREET KENYON,MN55946	MOBILE HEALTH CLINIC
77	77 - MCHS-EYE CARE CENTER 2409 STOUT ROAD MENOMONIE,WI54751	OPTOMETRY
78	78 - MCHS IN LA CROSSE - BELLE SQUARE 232 3RD STREET NORTH SUITE 100 LA CROSSE,WI54601	CLINIC
79	79 - PROFESSIONAL ARTS BUILDING 615 SOUTH 10TH STREET LA CROSSE,WI54601	BEHAVIORAL HEALTH

Schedule H (Form 990) 2021

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:	DURING THE YEAR, 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: $108,143,056.
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 $ 141,275,134.
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 10 AND 13 OF MAYO CLINIC'S 2021 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 $1,248,470,000.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 APPROXIMATELY 50 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, 2021, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 163,436, 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 2016 TO 2020 WAS $80,403 WITH APPROXIMATELY 6.4% 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, 2021, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,496,588, 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 2016 TO 2020 WAS $67,799 WITH APPROXIMATELY 11.60% 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, 2021, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,292,401 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 2016 TO 2020 WAS $70,286 WITH APPROXIMATELY 11.65% 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, 2021, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 175,518, OF WHICH AN ESTIMATED 22.87% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.93% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $60,202 WITH APPROXIMATELY 9.03% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 69,477, OF WHICH AN ESTIMATED 21.85% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 21.35% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $68,620 WITH APPROXIMATELY 6.65% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-MANKATO, MCHS-FAIRMONT, 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, 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, 2021, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 335,771, OF WHICH AN ESTIMATED 23.17% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.59% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $68,146 WITH APPROXIMATELY 8.06% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-EAU CLAIRE, MCHS-MENOMONIE, MCHS-OSSEO, MCHS-BLOOMER AND MCHS-BARRON 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, 2021, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 296,307, 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 2016 TO 2020 WAS $59,053 WITH APPROXIMATELY 9.32% OF THE POPULATION BELOW THE POVERTY LEVEL.MCHS-FRANCISCAN MEDICAL CENTER, INC. (LA CROSSE AND SPARTA) SERVES THE RESIDENTS OF LA CROSSE AND MONROE COUNTIES IN WISCONSIN. TO A LESSER EXTENT, THE SERVICE AREA WOULD EXTEND INTO PORTIONS OF ADJACENT COUNTIES IN SOUTHWESTERN WISCONSIN AND SOUTHEASTERN 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, 2020, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 166,626, OF WHICH AN ESTIMATED 22.40% WAS UNDER THE AGE OF 18 AND 17.20% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2016 TO 2020 WAS $60,451 WITH APPROXIMATELY 10.25% 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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2021

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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) MAYO CLINIC 200 FIRST STREET SW ROCHESTER,MN55905	41-6011702	501(C)(3)	1,547,647,833	0			SUPPORT CHARITABLE PROGRAMS
(2) MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE,FL32224	59-3337028	501(C)(3)	150,154,152	0			SUPPORT CHARITABLE PROGRAMS
(3) ROCHESTER AREA FOUNDATION 12 ELTON HILLS DRIVE NW ROCHESTER,MN55901	41-6017740	501(C)(3)	5,000,000	0			SUPPORT CHARITABLE PROGRAMS
(4) INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW RENTON,WA98057	91-2003593	501(C)(3)	1,174,327	0			SUPPORT CHARITABLE PURPOSE
(5) 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)	1,050,017	0			SUPPORT CHARITABLE PROGRAMS
(6) ARIZONA STATE UNIVERSITY PO BOX 875812 TEMPE,AZ85287	86-0196696	STATE OF AZ	885,616	0			SUPPORT RESEARCH PROGRAM
(7) JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD NO N4327B BALTIMORE,MD21211	52-0595110	501(C)(3)	872,864	0			SUPPORT CHARITABLE PROGRAMS
(8) TERASAKI FAMILY FOUNDATION 1018 WESTWOOD BLVD LOS ANGELES,CA90024	95-4249502	501(C)(3)	761,030	0			SUPPORT CHARITABLE PURPOSE
(9) REGENTS OF THE UNIVERSITY OF MINNESOTA 1300 S 2ND ST STE 206 MINNEAPOLIS,MN55454	41-6007513	STATE OF MN	657,574	0			SUPPORT RESEARCH PROGRAM
(10) UNIVERSITY OF FLORIDA 207 GRINTER HALL GAINESVILLE,FL32611	59-6002052	STATE OF FL	651,480	0			SUPPORT RESEARCH PROGRAM
(11) THE MEDICAL UNIVERSITY OF SOUTH CAROLINA 179 ASHLEY AVE CHARLESTON,SC29425	57-6000722	STATE OF SC	631,160	0			SUPPORT RESEARCH PROGRAM
(12) BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA 151 PREM S PAUL RESEARCH CENTER LINCOLN,NE68583	47-0049123	STATE OF NE	538,598	0			SUPPORT RESEARCH PROGRAM
(13) SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE 10901 NORTH TORREY PINES ROAD LA JOLLA,CA92037	51-0197108	501(C)(3)	513,969	0			SUPPORT CHARITABLE PROGRAMS
(14) EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR 3101 ATLANTA,GA30322	58-0566256	501(C)(3)	455,709	0			SUPPORT CHARITABLE PROGRAMS
(15) THE GENERAL HOSPITAL CORPORATION 399 REVOLUTION DRIVE NO 645 SOMERVILLE,MA02145	04-2697983	501(C)(3)	430,025	0			SUPPORT CHARITABLE PROGRAMS
(16) ST JUDE CHILDREN'S RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS,TN38105	62-0646012	501(C)(3)	405,478	0			SUPPORT CHARITABLE PROGRAMS
(17) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 7703 FLOYD CURL DR SAN ANTONIO,TX782293900	74-1586031	STATE OF TX	404,176	0			SUPPORT RESEARCH PROGRAM
(18) UNIVERSITY OF MARYLAND 620 W LEXINGTON STREET BALTIMORE,MD21201	52-6002033	STATE OF MD	353,888	0			SUPPORT RESEARCH PROGRAM
(19) UNIVERSITY OF CALIFORNIA IRVINE 160 ALDRICH HALL IRVINE,CA92697	95-2226406	STATE OF CA	324,595	0			SUPPORT RESEARCH PROGRAM
(20) THE JACKSON LABORATORY 600 MAIN STREET BAR HARBOR,ME04609	01-0211513	501(C)(3)	316,750	0			SUPPORT CHARITABLE PROGRAMS
(21) ARIZONA BOARD OF REGENTS UNIVERSITY OF ARIZONA 888 NORTH EUCLID AVENUE ROOM 510 TUCSON,AZ85719	74-2652689	STATE OF AZ	281,866	0			SUPPORT RESEARCH PROGRAM
(22) GEORGIA TECH RESEARCH CORPORATION 926 DALNEY STREET NW ATLANTA,GA303320415	58-0603146	501(C)(3)	264,115	0			SUPPORT CHARITABLE PROGRAMS
(23) UNIVERSITY OF CALIFORNIA LOS ANGELES 10889 WILSHIRE BOULEVARD STE 700 LOS ANGELES,CA90095	95-6006143	STATE OF CA	262,108	0			SUPPORT RESEARCH PROGRAM
(24) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	257,775	0			SUPPORT CHARITABLE PROGRAMS
(25) AGAPE COMMUNITY HEALTH CENTER INC 120 KING STREET JACKSONVILLE,FL32204	16-1660966	501(C)(3)	200,000	0			SUPPORT CHARITABLE PURPOSE
(26) THE TRANSLATIONAL GENOMICS RESEARCH INSTITUTE 445 N 5TH STREET SUITE 600 PHOENIX,AZ85004	75-3065445	501(C)(3)	195,720	0			SUPPORT CHARITABLE PROGRAMS
(27) DIGNITY HEALTH 185 BERRY STREET SUITE 300 SAN FRANCISCO,CA94107	94-1196203	501(C)(3)	182,379	0			SUPPORT CHARITABLE PROGRAMS
(28) BAPTIST HEALTHCARE SYSTEM INC 2701 EASTPOINT PARKWAY LOUISVILLE,KY40223	61-0444707	501(C)(3)	148,561	0			SUPPORT CHARITABLE PROGRAMS
(29) UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 SOUTH PROSPECT STREET BURLINGTON,VT05405	03-0179440	STATE OF VT	142,846	0			SUPPORT RESEARCH PROGRAM
(30) UNIVERSITY OF ALABAMA AT BIRMINGHAM 701 S 20TH ST BIRMINGHAM,AL35294	63-6005396	STATE OF AL	126,757	0			SUPPORT RESEARCH PROGRAM
(31) KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA 15L OAKLAND,CA94612	94-1105628	501(C)(3)	116,062	0			SUPPORT CHARITABLE PROGRAMS
(32) FORSYTH MEMORIAL HOSPITAL INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM,NC27103	56-0928089	501(C)(3)	103,044	0			SUPPORT CHARITABLE PROGRAMS
(33) EAU CLAIRE COMMUNITY FOUNDATION 306 SOUTH BARSTOW ST NO 104 EAU CLAIRE,WI54701	39-1891064	501(C)(3)	101,000	0			SUPPORT CHARITABLE PROGRAMS
(34) MCHS--SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN,MN55912	41-1404075	501(C)(3)	100,225	0			SUPPORT CHARITABLE PROGRAMS
(35) OREGON HEALTH & SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND,OR97239	93-1176109	STATE OF OR	97,664	0			SUPPORT RESEARCH PROGRAM
(36) WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 1300 YORK AVENUE NEW YORK,NY10065	13-1623978	501(C)(3)	97,125	0			SUPPORT CHARITABLE PURPOSE
(37) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER,MN55905	41-1506440	501(C)(3)	96,678	0			SUPPORT CHARITABLE PROGRAMS
(38) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1450 EAST DUARTE ROAD DUARTE,CA91010	95-3432210	501(C)(3)	96,645	0			SUPPORT CHARITABLE PROGRAMS
(39) UNIVERSITY OF NORTH DAKOTA 264 CENTENNIAL DR GRAND FORKS,ND58202	45-6002491	STATE OF ND	93,915	0			SUPPORT RESEARCH PROGRAM
(40) THE CLEVELAND CLINIC FOUNDATION 6801 BRECKSVILLE RD RK1-85 INDEPENDENCE,OH44131	34-0714585	501(C)(3)	87,732	0			SUPPORT CHARITABLE PROGRAMS
(41) THE MIRIAM HOSPITAL 164 SUMMIT AVENUE PROVIDENCE,RI02906	05-0258905	501(C)(3)	87,650	0			SUPPORT CHARITABLE PROGRAMS
(42) NIMML INSTITUTE INC 1800 KRAFT DRIVE SUITE 212 BLACKSBURG,VA24060	84-2520149	501(C)(3)	84,000	0			SUPPORT CHARITABLE PURPOSE
(43) RXC AQUISITION COMPANY DBA RX CROSSROADS BY MCKESSON 10101 WOODLOCH FOREST THE WOODLANDS,TX773801975	20-3113620	-	80,590	0			SUPPORT RESEARCH PROGRAM
(44) ARIZONA VETERANS RESEARCH AND EDUCATION FOUNDATION 650 EAST INDIAN SCHOOL ROAD PHOENIX,AZ85012	86-0907729	501(C)(3)	76,575	0			SUPPORT CHARITABLE PROGRAMS
(45) INTERVENT INTERNATIONAL LLC 340 EISENHOWER DR SAVANNAH,GA31406	45-2954871	-	71,985	0			SUPPORT RESEARCH PROGRAM
(46) SAGE BIONETWORKS 2901 THIRD AVE STE 330 SEATTLE,WA98121	26-4489946	501(C)(3)	69,227	0			SUPPORT CHARITABLE PROGRAMS
(47) OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HIGHWAY BH 546 NEW ORLEANS,LA70121	72-0502505	501(C)(3)	65,310	0			SUPPORT CHARITABLE PROGRAMS
(48) CHILDREN'S HOSPITAL CORPORATION 300 LONGWOOD AVENUE BOSTON,MA02115	04-2774441	501(C)(3)	63,888	0			SUPPORT CHARITABLE PROGRAMS
(49) VANDERBILT UNIVERSITY PMB 406310 2301 VANDERBILT PLACE NASHVILLE,TN37240	62-0476822	501(C)(3)	57,194	0			SUPPORT CHARITABLE PROGRAMS
(50) NORTH CENTRAL CARDIAC RESEARCH INSTITUTE LTD 4520 W 69TH ST SIOUX FALLS,SD571088148	46-0445351	-	53,790	0			SUPPORT RESEARCH PROGRAM
(51) THE UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER 1515 HOLCOMBE BOULEVARD HOUSTON,TX77030	74-6001118	STATE OF TX	51,609	0			SUPPORT RESEARCH PROGRAM
(52) TMC HEALTHCARE 5301 E GRANT ROAD TUCSON,AZ85712	20-2218975	501(C)(3)	51,500	0			SUPPORT CHARITABLE PURPOSE
(53) AUSTIN COMMUNITY GROWTH VENTURES 329 NORTH MAIN STREET SUITE 106L AUSTIN,MN55912	47-5042107	501(C)(3)	50,000	0			SUPPORT CHARITABLE PROGRAMS
(54) WASHINGTON UNIVERSITY 700 ROSEDALE AVENUE CB 1034 SAINT LOUIS,MO63112	43-0653611	501(C)(3)	48,722	0			SUPPORT CHARITABLE PROGRAMS
(55) CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVENUE CLEVELAND,OH441067006	34-1018992	501(C)(3)	43,860	0			SUPPORT CHARITABLE PROGRAMS
(56) THE SALVATION ARMY 5550 PRAIRIE STONE PARKWAY HOFFMAN ESTATES,IL60192	36-2167910	501(C)(3)	43,000	0			SUPPORT CHARITABLE PROGRAMS
(57) THE UNIVERSITY OF IOWA 105 JESSUP HALL IOWA CITY,IA52242	42-6004813	STATE OF IA	42,179	0			SUPPORT RESEARCH PROGRAM
(58) MISSION CARDIOVASCULAR RESEARCH INSTITUTE 2333 MOWRY AVE STE 300 FREMONT,CA945381626	27-1276137	-	41,790	0			SUPPORT RESEARCH PROGRAM
(59) DEACONESS SPECIALTY PHYSICIANS INC 600 MARY STREET EVANSVILLE,IN47747	82-4503095	501(C)(3)	41,400	0			SUPPORT CHARITABLE PROGRAMS
(60) CHIPPEWA VALLEY HEALTH CLINIC INC (DBA) CHIPPEWA VALLEY FREE CLINIC 1030 OAKRIDGE DR EAU CLAIRE,WI54701	39-1840231	501(C)(3)	40,000	0			SUPPORT CHARITABLE PROGRAMS
(61) CLEVELAND VA MEDICAL RESEARCH AND EDUCATION FOUNDATION 10701 EAST BOULEVARD CLEVELAND,OH44106	34-1710663	501(C)(3)	39,590	0			SUPPORT CHARITABLE PROGRAMS
(62) YALE UNIVERSITY PO BOX 208239 NEW HAVEN,CT06520	06-0646973	501(C)(3)	39,450	0			SUPPORT CHARITABLE PROGRAMS
(63) BW CARDIOLOGY LLC 3980 COLONNADE PKWY BIRMINGHAM,AL352432382	45-2697154	-	38,760	0			SUPPORT RESEARCH PROGRAM
(64) NANOHYBRIDS INC 3913 TODD LANE STE 310 AUSTIN,TX78744	26-4508755	-	37,232	0			SUPPORT RESEARCH PROGRAM
(65) MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE,AZ85259	86-0800150	501(C)(3)	36,860	0			SUPPORT CHARITABLE PROGRAMS
(66) UNIVERSITY OF PITTSBURGH 116 ATWOOD STREET SUITE 201 PITTSBURGH,PA15260	25-0965591	501(C)(3)	34,810	0			SUPPORT CHARITABLE PROGRAMS
(67) WAYNE STATE UNIVERSITY 5057 WOODWARD 13TH FLOOR DETROIT,MI48202	38-6028429	STATE OF MI	34,192	0			SUPPORT RESEARCH PROGRAM
(68) VITERBO UNIVERSITY 900 VITERBO DRIVE LA CROSSE,WI54601	39-0978445	501(C)(3)	33,500	0			SUPPORT CHARITABLE PURPOSE
(69) FIRST COAST CARDIOVASCULAR INSTITUTE PA 7011 AC SKINNER PARKWAY JACKSONVILLE,FL32256	47-0854466	-	33,200	0			SUPPORT RESEARCH PROGRAM
(70) ADVENTIST HEALTHCARE INC 820 WEST DIAMOND AVE NO 600 GAITHERSBURG,MD20878	52-1532556	501(C)(3)	33,000	0			SUPPORT CHARITABLE PROGRAMS
(71) VETERANS EDUCATION AND RESEARCH ASSOCIATION OF MICHIGAN 2215 FULLER ROAD ANN ARBOR,MI48105	38-3060217	501(C)(3)	32,920	0			SUPPORT CHARITABLE PROGRAMS
(72) REGENTS OF THE UNIVERSITY OF MICHIGAN 503 THOMPSON ST ANN ARBOR,MI48109	38-6006309	STATE OF MI	31,922	0			SUPPORT RESEARCH PROGRAM
(73) MAINEHEALTH 22 BRAMHALL STREET PORTLAND,ME04102	01-0238552	501(C)(3)	31,415	0			SUPPORT CHARITABLE PROGRAMS
(74) TRUSTEES OF DARTMOUTH COLLEGE 7 LEBANON STREET SUITE 302 6015 HANOVER,NH03755	02-0222111	501(C)(3)	30,957	0			SUPPORT CHARITABLE PROGRAMS
(75) METRO KNOXVILLE HMA LLC 4000 MERIDIAN BLVD FRANKLIN,TN37067	45-2535623	-	30,550	0			SUPPORT RESEARCH PROGRAM
(76) UNIVERSITY OF WASHINGTON 4333 BROOKLYN AVE NE SEATTLE,WA98195	91-6001537	STATE OF WA	30,509	0			SUPPORT RESEARCH PROGRAM
(77) SOUTHERN ILLINOIS HOSPITAL SERVICES PO BOX 3988 CARBONDALE,IL62902	37-0618939	501(C)(3)	30,385	0			SUPPORT CHARITABLE PROGRAMS
(78) INOVA HEALTH CARE SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042	54-0620889	501(C)(3)	30,375	0			SUPPORT CHARITABLE PROGRAMS
(79) OSSEO FAIRCHILD SCHOOL DISTRICT 50851 EAST ST OSSEO,WI54758	39-6008002	STATE OF WI	30,000	0			SUPPORT EXEMPT PURPOSE
(80) CIRCLE THE CITY 300 WEST CLARENDON AVE SUITE 200 PHOENIX,AZ85013	26-2420730	501(C)(3)	30,000	0			SUPPORT CHARITABLE PURPOSE
(81) JACKSONVILLE SYMPHONY ASSOCIATION INC 300 WATER STREET JACKSONVILLE,FL32202	59-6002520	501(C)(3)	30,000	0			SUPPORT CHARITABLE PURPOSE
(82) MANKATO AREA FOUNDATION 212 E WALNUT ST NO 1 MANKATO,MN56001	41-0011094	501(C)(3)	29,000	0			SUPPORT CHARITABLE PROGRAMS
(83) VASCULAR SURGERY ASSOCIATES PC 1075 GOLDEN VALLEY DR BETTENDORF,IA52722	38-2237803	-	28,275	0			SUPPORT RESEARCH PROGRAM
(84) NC HEART AND VASCULAR RESEARCH LLC 4414 LAKE BOONE TRL STE 409 RALEIGH,NC27607	56-2001346	-	27,705	0			SUPPORT RESEARCH PROGRAM
(85) GREAT RIVERS UNITED WAY INC 1855 EAST MAIN STREET ONALASKA,WI54650	39-0848188	501(C)(3)	27,500	0			SUPPORT CHARITABLE PROGRAMS
(86) BAPTIST HEALTH AMBULATORY SERVICES INC 1660 PRUDENTIAL DR 203 JACKSONVILLE,FL32207	59-3410739	501(C)(3)	27,455	0			SUPPORT CHARITABLE PROGRAMS
(87) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW NO 400 ATLANTA,GA30303	13-1788491	501(C)(3)	27,350	0			SUPPORT CHARITABLE PROGRAMS
(88) PRAIRIE EDUCATION AND RESEARCH COOPERATIVE 800 E CARPENTER STREET 62 SPRINGFIELD,IL62769	37-1157915	501(C)(3)	25,645	0			SUPPORT CHARITABLE PROGRAMS
(89) GREATER MANKATO AREA UNITED WAY INC 127 S 2ND ST NO 190 MANKATO,MN56001	41-6008819	501(C)(3)	25,500	0			SUPPORT CHARITABLE PROGRAMS
(90) CITY OF MENOMONIE 800 WILSON AVE MENOMONIE,WI54751	39-6005528	CITY OF MENOMONIE	25,200	0			SUPPORT EXEMPT PURPOSE
(91) UNITED WAY OF FREEBORN COUNTY INC PO BOX 686 ALBERT LEA,MN56007	41-0956396	501(C)(3)	25,000	0			SUPPORT CHARITABLE PROGRAMS
(92) UNITED WAY OF MOWER COUNTY INC PO BOX 605 AUSTIN,MN55912	41-0831896	501(C)(3)	25,000	0			SUPPORT CHARITABLE PROGRAMS
(93) 1IN10 INC 1101 N CENTRAL AVE NO 202 PHOENIX,AZ85004	86-0728990	501(C)(3)	25,000	0			SUPPORT CHARITABLE PURPOSE
(94) BIG BROTHERS BIG SISTERS OF NORTHEAST FLORIDA INC 40 EAST ADAMS STREET NO 220 JACKSONVILLE,FL32202	59-0683256	501(C)(3)	25,000	0			SUPPORT CHARITABLE PURPOSE
(95) THE VILLAGE PROJECT INC 3667 TAMARACK LN EAU CLAIRE,WI54701	85-4083611	501(C)(3)	25,000	0			SUPPORT CHARITABLE PURPOSE
(96) SCHOOL DISTRICT OF LA CROSSE 807 EAST AVENUE SOUTH LA CROSSE,WI54601	39-6002841	STATE OF WI	25,000	0			SUPPORT EXEMPT PURPOSE
(97) UNIVERSITY OF PITTSBURGH PHYSICIANS 600 GRANT STREET 58TH FL PITTSBURGH,PA15219	23-2919472	501(C)(3)	24,850	0			SUPPORT CHARITABLE PROGRAMS
(98) HARTFORD HOSPITAL 80 SEYMOUR STREET PO BOX 5037 HARTFORD,CT06102	06-0646668	501(C)(3)	23,045	0			SUPPORT CHARITABLE PROGRAMS
(99) STEPPING STONES OF DUNN COUNTY INC 1602 STOUT RD MENOMONIE,WI54751	39-1608607	501(C)(3)	23,000	0			SUPPORT CHARITABLE PURPOSE
(100) RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE,RI02903	05-0258954	501(C)(3)	22,862	0			SUPPORT CHARITABLE PROGRAMS
(101) THE PENNSYLVANIA STATE UNIVERSITY 500 UNIVERSITY DRIVE PO BOX 850 HERSHEY,PA17033	24-6000376	STATE OF PA	22,560	0			SUPPORT RESEARCH PROGRAM
(102) MERCY HOSPITALS EAST COMMUNITIES 615 S NEW BALLAS ROAD ST LOUIS,MO63141	43-0653493	501(C)(3)	22,280	0			SUPPORT CHARITABLE PROGRAMS
(103) REGIONAL FOOD BANK OF NORTHEAST FLORIDA INC 1116 EDGEWOOD AVE N JACKSONVILLE,FL32254	46-5014769	501(C)(3)	22,000	0			SUPPORT CHARITABLE PURPOSE
(104) CHIPPEWA AREA MENTOR PROGRAM 750 TROPICANA BLVD CHIPPEWA FALLS,WI54729	39-6008493	501(C)(3)	21,500	0			SUPPORT CHARITABLE PURPOSE
(105) AMERICAN LIVER FOUNDATION 39 BROADWAY SUITE 2700 NEW YORK,NY10006	36-2883000	501(C)(3)	21,400	0			SUPPORT CHARITABLE PROGRAMS
(106) HUNTSVILLE CARDIOVASCULAR CLINIC PA 4601 WHITESBURG DRIVE SUITE 201 PHILADELPHIA,PA00000	63-1211664	-	21,000	0			SUPPORT RESEARCH PROGRAM
(107) BOARD OF TRUSTEES OF THE MINNESOTA STATE COLLEGES AND UNIVERSITIES 30 EAST 7TH STREET ST PAUL,MN55101	41-1687554	STATE OF MN	21,000	0			SUPPORT RESEARCH PROGRAM
(108) THE OHIO STATE UNIVERSITY 1960 KENNY RD COLUMBUS,OH43210	31-6025986	STATE OF OH	20,825	0			SUPPORT RESEARCH PROGRAM
(109) HENRY FORD HEALTH SYSTEM ONE FORD PLACE-5F DETROIT,MI48202	38-1357020	501(C)(3)	20,795	0			SUPPORT CHARITABLE PROGRAMS
(110) GREATER LA CROSSE AREA CHAMBER OF COMMERCE 601 7TH STREET N LA CROSSE,WI54601	39-0414500	501(C)(6)	20,150	0			SUPPORT EXEMPT PURPOSE
(111) NATIONAL VITALITY CENTER INC 2580 BRIDGE AVE ALBERT LEA,MN56007	45-4540205	501(C)(3)	20,000	0			SUPPORT CHARITABLE PROGRAMS
(112) MISSION HOUSE INC 800 SHETTER AVENUE JACKSONVILLE BEACH,FL32250	59-3376704	501(C)(3)	20,000	0			SUPPORT CHARITABLE PURPOSE
(113) CHICANOS POR LA CAUSA INC 1112 E BUCKEYE RD PHOENIX,AZ85034	86-0227210	501(C)(3)	20,000	0			SUPPORT CHARITABLE PURPOSE
(114) MENTAL HEALTH RESOURCE CENTER INC PO BOX 19249 JACKSONVILLE,FL32245	59-1905344	501(C)(3)	20,000	0			SUPPORT CHARITABLE PURPOSE
(115) LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN INC 6737 W WASHINGTON STREET NO 2275 WEST ALLIS,WI53214	39-0816846	501(C)(3)	20,000	0			SUPPORT CHARITABLE PURPOSE
(116) AUSTIN ASPIRES INC 301 MAIN STREET AUSTIN,MN55912	46-5424422	501(C)(3)	20,000	0			SUPPORT CHARITABLE PROGRAMS
(117) CHILDRENS MUSEUM OF SOUTHERN MINNESOTA 224 LAMM STREET MANKATO,MN56001	20-4351801	501(C)(3)	20,000	0			SUPPORT CHARITABLE PROGRAMS
(118) OHIO HEALTH RESEARCH INSTITUTE 3545 OLENTANGY RIVER ROAD STE 300 COLUMBUS,OH43214	31-6059784	501(C)(3)	19,980	0			SUPPORT RESEARCH PROGRAM
(119) BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER,WI54724	39-1450617	501(C)(3)	19,727	0			SUPPORT CHARITABLE PROGRAMS
(120) INDEPENDENT SCHOOL DISTRICT 761 515 W BRIDGE STREET OWATONNA,MN55060	41-6004063	STATE OF MN	19,500	0			SUPPORT EXEMPT PURPOSE
(121) ROCKFORD HEALTH PHYSICIANS 2300 N ROCKTON AVE ROCKFORD,IL61103	36-3907436	501(C)(3)	19,430	0			SUPPORT CHARITABLE PURPOSE
(122) UNITED WAY OF STEELE COUNTY 1850 AUSTIN RD SUITE 103 OWATONNA,MN55060	23-7366680	501(C)(3)	19,000	0			SUPPORT CHARITABLE PROGRAMS
(123) UPMC HAMOT 600 GRANT STREET 58TH FLOOR PITTSBURGH,PA15219	25-0965387	501(C)(3)	18,785	0			SUPPORT CHARITABLE PROGRAMS
(124) MERCY HEALTH 1701 MERCY HEALTH PLACE CINCINNATI,OH45237	34-4428250	501(C)(3)	18,300	0			SUPPORT CHARITABLE PURPOSE
(125) THE METHODIST HOSPITAL RESEARCH INSTITUTE 6565 FANNIN ST HOUSTON,TX77030	87-0721923	501(C)(3)	18,230	0			SUPPORT CHARITABLE PURPOSE
(126) ASCENSION SETON 1345 PHILOMENA STREET AUSTIN,TX78723	74-1109643	501(C)(3)	17,665	0			SUPPORT CHARITABLE PROGRAMS
(127) THE LEUKEMIA & LYMPHOMA SOCIETY INC 3 INTERNATIONAL DRIVE RYE BROOK,NY10573	13-5644916	501(C)(3)	17,650	0			SUPPORT CHARITABLE PROGRAMS
(128) UNIVERSITY OF CALIFORNIA SAN DIEGO 9500 GILMAN DRIVE LA JOLLA,CA92093	95-6006144	STATE OF CA	17,500	0			SUPPORT RESEARCH PROGRAM
(129) EAU CLAIRE AREA SCHOOL DISTRICT 500 MAIN ST EAU CLAIRE,WI54701	39-6001817	STATE OF WI	17,500	0			SUPPORT EXEMPT PURPOSE
(130) YOUNG MEN'S CHRISTIAN ASSOCIATION OF ALBERT LEA MINNESOTA INC 2021 WEST MAIN ST ALBERT LEA,MN56007	41-1000679	501(C)(3)	17,500	0			SUPPORT CHARITABLE PROGRAMS
(131) SAINT ANDREW'S LIGHTHOUSE INC 4599 WORRALL WAY JACKSONVILLE,FL32224	31-1489868	501(C)(3)	17,500	0			SUPPORT CHARITABLE PROGRAMS
(132) HEALTHFINDERS COLLABORATIVE INC PO BOX 731 NORTHFIELD,MN55057	20-1805262	501(C)(3)	17,000	0			SUPPORT CHARITABLE PROGRAMS
(133) VHS HARLINGEN HOSPITAL COMPANY LLC 14201 DALLAS PKWY DALLAS,TX752542916	45-2662980	-	16,515	0			SUPPORT RESEARCH PROGRAM
(134) UNIVERSITY OF WISCONSIN-MILWAUKEE 3203 N DOWNER AVENUE MILWAUKEE,WI53211	39-1805963	STATE OF WI	16,500	0			SUPPORT RESEARCH PROGRAM
(135) THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY,NY12201	14-1368361	501(C)(3)	16,324	0			SUPPORT CHARITABLE PROGRAMS
(136) UNIVERSITY OF NORTH FLORIDA 1 UNF DRIVE JACKSONVILLE,FL32224	59-2976169	STATE OF FL	16,000	0			SUPPORT RESEARCH PROGRAM
(137) NORTHWESTERN UNIVERSITY 633 CLARK ST EVANSTON,IL60208	36-2167817	501(C)(3)	15,750	0			SUPPORT CHARITABLE PROGRAMS
(138) SPARROW CLINICAL RESEARCH INSTITUTE 1200 E MICHIGAN AVENUE SUITE 550 LANSING,MI48912	38-3075242	501(C)(3)	15,505	0			SUPPORT CHARITABLE PROGRAMS
(139) LA CROSSE SYMPHONY ORCHESTRA INC 201 MAIN STREET SUITE 230 LA CROSSE,WI54601	39-1024330	501(C)(3)	15,237	0			SUPPORT CHARITABLE PROGRAMS
(140) LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE,WI54702	39-1409024	501(C)(3)	15,158	0			SUPPORT CHARITABLE PROGRAMS
(141) GREATER PHOENIX URBAN LEAGUE 1402 S 7TH AVENUE PHOENIX,AZ85007	86-0124189	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(142) THE MARFAN FOUNDATION INC 22 MANHASSET AVENUE PORT WASHINGTON,NY11050	52-1265361	501(C)(3)	15,000	0			SUPPORT CHARITABLE PROGRAMS
(143) UNITED NETWORK FOR ORGAN SHARING 700 N 4TH STREET RICHMOND,VA23219	54-1327878	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(144) 2ND MILE MINISTRIES INC 1650 MARGARET ST STE 302 JACKSONVILLE,FL32204	73-1715604	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(145) LUTHERAN SOCIAL SERVICES OF NORTHEAST FLORIDA INC 4615 PHILIPS HIGHWAY JACKSONVILLE,FL32207	59-1965600	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(146) RETHREADED INC 820 BARNETT STREET JACKSONVILLE,FL32209	45-3036999	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(147) UNITED WAY OF NORTHEAST FLORIDA INC 40 EAST ADAMS STREET NO 200 JACKSONVILLE,FL32202	59-0637825	501(C)(3)	15,000	0			SUPPORT CHARITABLE PROGRAMS
(148) CENTER FOR INDEPENDENT LIVING FOR WESTERN WISCONSIN INC 2920 SCHNEIDER AVENUE EAST MENOMONIE,WI54751	39-1758740	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(149) FAMILY SUPPORT CENTER PO BOX 143 CHIPPEWA FALLS,WI54729	39-1403276	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(150) BOYS & GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY INC 1005 OXFORD AVENUE EAU CLAIRE,WI54703	39-2032491	501(C)(3)	15,000	0			SUPPORT CHARITABLE PROGRAMS
(151) THE PARENTING PLACE INC 1500 GREEN BAY STREET LA CROSSE,WI54601	39-1676842	501(C)(3)	15,000	0			SUPPORT CHARITABLE PROGRAMS
(152) AUSTIN AREA COMMISSION FOR THE ARTS 300 NORTH MAIN STREET AUSTIN,MN55912	41-1650727	501(C)(3)	15,000	0			SUPPORT CHARITABLE PURPOSE
(153) PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC 409 SOUTH SECOND STREET HARRISBURG,PA17104	32-0321362	-	14,860	0			SUPPORT RESEARCH PROGRAM
(154) WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BLVD WINSTON SALEM,NC27157	22-3849199	501(C)(3)	14,785	0			SUPPORT CHARITABLE PROGRAMS
(155) DUKE UNIVERSITY 324 BLACKWELL ST WASHIN BLDG NO 850 DURHAM,NC27701	56-0532129	501(C)(3)	14,600	0			SUPPORT CHARITABLE PROGRAMS
(156) MEDVANTX INC 9276 SCRANTON ROAD SUITE 100 SAN DIEGO,CA92121	33-0888232	-	14,500	0			SUPPORT RESEARCH PROGRAM
(157) BIOMEDICAL RESEARCH FOUNDATION 4300 WEST 7TH STREET LITTLE ROCK,AR72205	71-0675830	501(C)(3)	14,440	0			SUPPORT CHARITABLE PROGRAMS
(158) DUNN COUNTY FIRE CHIEFS ASSOCIATION 2417 WILSON STREET MENOMONIE,WI54751	56-2646664	501(C)(4)	14,201	0			SUPPORT EXEMPT PURPOSE
(159) JACKSONVILLE AREA SEXUAL MINORITY YOUTH NETWORK INC 929 PENINSULAR PLACE JACKSONVILLE,FL32205	59-3284175	501(C)(3)	14,000	0			SUPPORT CHARITABLE PURPOSE
(160) MORTON PLANT MEASE HEALTH CARE INC 300 PINELLAS ST CLEARWATER,FL33756	59-2374556	501(C)(3)	13,540	0			SUPPORT CHARITABLE PROGRAMS
(161) VOLUNTEERS IN MEDICINE JACKSONVILLE INC 41 EAST DUVAL STREET JACKSONVILLE,FL32202	75-3002172	501(C)(3)	13,500	0			SUPPORT CHARITABLE PROGRAMS
(162) STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC 736 CAMBRIDGE ST BRIGHTON,MA021352907	27-2473667	-	13,000	0			SUPPORT RESEARCH PROGRAM
(163) BENJAMIN'S HOUSE EMERGENCY SHELTER INC 1107 HEART ISLAND PARKWAY RICE LAKE,WI54868	27-0407042	501(C)(3)	13,000	0			SUPPORT CHARITABLE PURPOSE
(164) LUTHERAN SOCIAL SERVICE OF MINNESOTA 2485 COMO AVENUE ST PAUL,MN55108	41-0872993	501(C)(3)	13,000	0			SUPPORT CHARITABLE PURPOSE
(165) SEATTLE INSTITUTE FOR BIOMEDICAL AND CLINICAL RESEARCH 1660 SOUTH COLUMBIAN WAY NO S-151F SEATTLE,WA98108	91-1452438	501(C)(3)	12,855	0			SUPPORT CHARITABLE PROGRAMS
(166) NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION INC 4150 CLEMENT STREET 151NC SAN FRANCISCO,CA94121	94-3084159	501(C)(3)	12,805	0			SUPPORT CHARITABLE PROGRAMS
(167) BUFFALO COUNTY 407 S 2ND ST ALMA,WI54610	39-6005673	CTY OF BUFFALO	12,558	0			SUPPORT EXEMPT PURPOSE
(168) PACE CENTER FOR GIRLS INC 6745 PHILIPS INDUSTRIAL BLVD JACKSONVILLE,FL32256	59-2414492	501(C)(3)	12,500	0			SUPPORT CHARITABLE PROGRAMS
(169) LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM INC 1300 BADGER STREET OFFICE 3065 LA CROSSE,WI54601	39-1804725	501(C)(3)	12,500	0			SUPPORT CHARITABLE PROGRAMS
(170) BANNER HEALTH 2901 N CENTRAL AVE SUITE 160 PHOENIX,AZ85012	45-0233470	501(C)(3)	12,383	0			SUPPORT CHARITABLE PROGRAMS
(171) BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE BOSTON,MA02215	04-2103881	501(C)(3)	12,380	0			SUPPORT CHARITABLE PROGRAMS
(172) UNIVERSITY OF UTAH 201 PRESIDENTS CIRCLE RM 411 SALT LAKE CITY,UT84112	87-6000525	STATE OF UT	12,357	0			SUPPORT RESEARCH PROGRAM
(173) THE SCRIPPS RESEARCH INSTITUTE 10550 NORTH TORREY PINES ROAD LA JOLLA,CA92037	33-0435954	501(C)(3)	12,219	0			SUPPORT CHARITABLE PROGRAMS
(174) EAU CLAIRE AREA CHAMBER OF COMMERCE 101 N FARWELL STREET SUITE 101 EAU CLAIRE,WI54703	39-0255585	501(C)(6)	12,024	0			SUPPORT EXEMPT PURPOSE
(175) CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BOULEVARD LOS ANGELES,CA90048	95-1644600	501(C)(3)	11,859	0			SUPPORT CHARITABLE PROGRAMS
(176) BAPTIST HOSPITAL OF MIAMI INC 8900 NORTH KENDALL DRIVE MIAMI,FL33176	59-0910342	501(C)(3)	11,710	0			SUPPORT CHARITABLE PROGRAMS
(177) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF MANKATO 127 S 2ND ST STE 200 MANKATO,MN56001	41-0711619	501(C)(3)	11,500	0			SUPPORT CHARITABLE PROGRAMS
(178) CROHN'S & COLITIS FOUNDATION INC 733 THIRD AVENUE SUITE 510 NEW YORK,NY10017	13-6193105	501(C)(3)	11,200	0			SUPPORT CHARITABLE PROGRAMS
(179) HOUSE OF HOPE INC 1618 3RD AVE MANKATO,MN56001	41-0979662	501(C)(3)	11,000	0			SUPPORT CHARITABLE PURPOSE
(180) ARIZONA ALZHEIMERS RESEARCH CENTER INC 4745 NORTH 7TH STREET PHOENIX,AZ85014	81-0594797	501(C)(3)	10,888	0			SUPPORT CHARITABLE PROGRAMS
(181) GUNDERSEN CLINIC LTD 1836 SOUTH AVENUE LA CROSSE,WI54601	39-1028657	501(C)(3)	10,595	0			SUPPORT CHARITABLE PROGRAMS
(182) ST FRANCIS HOSPITAL 100 PORT WASHINGTON BLVD ROSLYN,NY11576	11-2050523	501(C)(3)	10,335	0			SUPPORT CHARITABLE PROGRAMS
(183) UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS UGB203 LOS ANGELES,CA90089	95-1642394	501(C)(3)	10,305	0			SUPPORT CHARITABLE PROGRAMS
(184) UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE 3901 RAINBOW BLVD MAILSTOP 1039 KANSAS CITY,KS66160	48-1108830	501(C)(3)	10,070	0			SUPPORT CHARITABLE PROGRAMS
(185) HOME AND AWAY MINISTRIES 5833 PECAN ST NORTH BRANCH,MN55056	30-0157388	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(186) SPARTA LIONS CLUB 507 E FRANKLIN SPARTA,WI54656	39-6093852	501(C)(4)	10,000	0			SUPPORT EXEMPT PURPOSE
(187) SOUTHERN MINNESOTA INITIATIVE FOUNDATION 525 FLORENCE AVE OWATONNA,MN55060	36-3454285	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(188) AMERICAN NATIONAL RED CROSS 431 18TH STREET NW WASHINGTON,DC200065009	53-0196605	501(C)(3)	10,000	0			SUPPORT CHARITABLE PROGRAMS
(189) SALT RIVER PIMA MARICOPA INDIAN COMMUNITY 10005 E OSBORN RD SCOTTSDALE,AZ85256	86-0143787	STATE OF AZ	10,000	0			SUPPORT EXEMPT PURPOSE
(190) FORT MCDOWELL YAVAPAI NATION PO BOX 17779 FOUNTAIN HILLS,AZ85269	86-0208930	STATE OF AZ	10,000	0			SUPPORT EXEMPT PURPOSE
(191) ELEVATEMED INC 12622 N 56TH PI SCOTTSDALE,AZ85254	83-3557457	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(192) PARADISE VALLEY UNIFIED SCHOOL DISTRICT 15002 N 32ND ST PHOENIX,AZ85032	86-6005162	STATE OF AZ	10,000	0			SUPPORT EXEMPT PURPOSE
(193) THE SALVATION ARMY 180 EAST OCEAN BLVD FL 9 LONG BEACH,CA90802	94-1156347	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(194) TANNER COMMUNITY DEVELOPMENT CORPORATION 700 E JEFFERSON STREET PHOENIX,AZ85034	86-1027651	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(195) WESLEY COMMUNITY CENTER 1300 S 10TH STREET PHOENIX,AZ85034	86-0133770	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(196) ADULT CONGENITAL HEART ASSOCIATION 280 NORTH PROVIDENCE ROAD NO 6 MEDIA,PA19063	04-3447959	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(197) HERE TOMORROW INC 325 7TH AVE N JACKSONVILLE BEACH,FL32250	47-5278523	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(198) IM SULZBACHER CENTER FOR THE HOMLESS INC 611 EAST ADAM STREET JACKSONVILLE,FL32202	59-3229898	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(199) IN THE PINK BOUTIQUE INC 522 NORTH THIRD ST JACKSONVILLE BEACH,FL32250	26-4471182	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(200) PINE CASTLE INC 4911 SPRING PARK ROAD JACKSONVILLE,FL32207	59-0704733	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(201) WE CARE JACKSONVILLE INC 4080 WOODCOCK DRIVE SUITE 130 JACKSONVILLE,FL32207	59-3431724	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(202) CITY OF GLENWOOD CITY 217 W OAK ST GLENWOOD CITY,WI54013	39-6005457	CTY OF GLENWOOD CITY	10,000	0			SUPPORT EXEMPT PURPOSE
(203) GOODWILL INDUSTRIES OF NC WI INC 1800 APPLETON ROAD MENASHA,WI54952	39-1144913	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(204) THE COMMUNITY TABLE INC 320 PUTNAM ST EAU CLAIRE,WI54701	39-1770259	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(205) AMERICAN RED CROSS-NORTHWEST WI CHAPTER 3728 SPOONER AVE ALTOONA,WI54720	39-0837467	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(206) LE PHILLIPS CAREER DEVELOPMENT CENTER I 1515 BALL STREET EAU CLAIRE,WI54702	39-0971649	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(207) WESTERN DAIRYLAND ECONOMIC OPPORTUNITY COUNCIL INC PO BOX 125 INDEPENDENCE,WI54747	39-1076993	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(208) FRIENDS OF THE ELLSWORTH PUBLIC LIBRARY INC 312 W MAIN STREET ELLSWORTH,WI54011	47-5330473	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(209) FAIRMONT AREA COMMUNITY CENTER FOUNDATION PO BOX 243 FAIRMONT,MN56031	87-2722786	501(C)(3)	10,000	0			SUPPORT CHARITABLE PURPOSE
(210) THE YOUNG MENS CHRISTIAN ASSOC OF MANKA MANKATO INC 1401 SOUTH RIVERFRONT DRIVE MANKATO,MN56001	41-0739108	501(C)(3)	10,000	0			SUPPORT CHARITABLE PROGRAMS
(211) OPEN DOOR HEALTH CENTER 309 HOLLY LANE MANKATO,MN56001	41-1461726	501(C)(3)	10,000	0			SUPPORT CHARITABLE PROGRAMS
(212) UNIVERSITY OF CHICAGO 6054 S DREXEL AVENUE CHICAGO,IL60637	36-2177139	501(C)(3)	9,500	0			SUPPORT CHARITABLE PROGRAMS
(213) VETERANS RESEARCH AND EDUCATION FOUNDATION OF ST LOUIS 501 N GRAND BLVD SUITE 300 SAINT LOUIS,MO63103	43-1624664	501(C)(3)	9,500	0			SUPPORT CHARITABLE PROGRAMS
(214) FRANCISCAN SISTERS OF PERPETUAL ADORATION INC 912 MARKET ST LA CROSSE,WI54601	39-0806386	501(C)(3)	9,500	0			SUPPORT CHARITABLE PURPOSE
(215) UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES,FL33124	59-0624458	501(C)(3)	9,075	0			SUPPORT CHARITABLE PROGRAMS
(216) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK,NY10029	13-6171197	501(C)(3)	9,025	0			SUPPORT CHARITABLE PROGRAMS
(217) ECONFINA CARDIOLOGY GROUP PA 625 W BALDWIN ROAD PANAMA CITY,FL32405	59-2005970	-	8,970	0			SUPPORT RESEARCH PROGRAM
(218) GENERATION W INC 2320 3RD STREET STE 5 JACKSONVILLE BEACH,FL32250	46-4832199	501(C)(3)	8,714	0			SUPPORT CHARITABLE PROGRAMS
(219) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DRIVE TAMPA,FL33612	59-2451713	501(C)(3)	8,691	0			SUPPORT CHARITABLE PROGRAMS
(220) CITY OF LA CROSSE 400 LA CROSSE ST LA CROSSE,WI54601	39-6005490	CTY OF LA CROSSE	8,500	0			SUPPORT EXEMPT PURPOSE
(221) EL FUTURO INC 2020 CHAPEL HILL ROAD SUITE 23 DURHAM,NC27707	80-0122334	501(C)(3)	8,389	0			SUPPORT CHARITABLE PURPOSE
(222) VETERANS HEALTH FOUNDATION UNIVERSITY DRIVE C BLDG 30 PITTSBURGH,PA15240	25-1666090	501(C)(3)	8,150	0			SUPPORT CHARITABLE PROGRAMS
(223) ADELANTE HEALTHCARE INC 3033 N CENTRAL AVE STE 145 PHOENIX,AZ85012	86-0377821	501(C)(3)	8,071	0			SUPPORT CHARITABLE PURPOSE
(224) THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA 1001 N EMMET STREET CHARLOTTESVILLE,VA22903	54-6001796	STATE OF VA	8,030	0			SUPPORT RESEARCH PROGRAM
(225) CITY OF EAU CLAIRE 720 2ND AVE EAU CLAIRE,WI54703	39-6005436	CITY OF EAU CLAIRE	8,000	0			SUPPORT RESEARCH PROGRAM
(226) CATHOLIC CHARITIES BUREAU INC 134 EAST CHURCH STREET 2 JACKSONVILLE,FL32202	59-0624375	501(C)(3)	8,000	0			SUPPORT CHARITABLE PURPOSE
(227) CONFLUENCE COUNCIL INC 128 GRAHAM AVE EAU CLAIRE,WI54701	45-5405233	501(C)(3)	8,000	0			SUPPORT CHARITABLE PURPOSE
(228) OVERLAKE HOSPITAL MEDICAL CENTER 1035 116TH AVENUE NE BELLEVUE,WA98004	91-0652651	501(C)(3)	7,800	0			SUPPORT CHARITABLE PROGRAMS
(229) DOYLESTOWN HOSPITAL 595 WEST STATE STREET DOYLESTOWN,PA18901	23-1352174	501(C)(3)	7,600	0			SUPPORT CHARITABLE PROGRAMS
(230) WILLIAM BEAUMONT HOSPITAL 26901 BEAUMONT BLVD SOUTHFIELD,MI48033	38-1459362	501(C)(3)	7,500	0			SUPPORT CHARITABLE PROGRAMS
(231) DONOR NETWORK OF ARIZONA 201 WEST COOLIDGE PHOENIX,AZ85013	86-0707697	501(C)(3)	7,500	0			SUPPORT CHARITABLE PURPOSE
(232) JACKSONVILLE PUBLIC EDUCATION FUND INC 40 E ADAMS ST STE 110 JACKSONVILLE,FL32202	59-2756660	501(C)(3)	7,500	0			SUPPORT CHARITABLE PURPOSE
(233) NEXT STEPS FOR CHANGE INC N5782 LAKE PARK DRIVE ONALASKA,WI54650	85-3050594	501(C)(3)	7,500	0			SUPPORT CHARITABLE PURPOSE
(234) SCHOOL DISTRICT OF ONALASKA 237 2ND AVE S ONALASKA,WI54650	39-1411237	STATE OF WI	7,500	0			SUPPORT EXEMPT PURPOSE
(235) EMERGENCY COMMUNITY HELP ORGANIZATION INC 1014 SOUTH FRONT STREET MANKATO,MN56002	41-1429214	501(C)(3)	7,500	0			SUPPORT CHARITABLE PURPOSE
(236) FEEDING OUR COMMUNITIES PARTNERS 2120 HOWARD DR WEST NORTH MANKATO,MN56003	27-2374187	501(C)(3)	7,500	0			SUPPORT CHARITABLE PROGRAMS
(237) HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA INC 4201 BAYMEADOWS ROAD JACKSONVILLE,FL32217	59-2247189	501(C)(3)	7,426	0			SUPPORT CHARITABLE PURPOSE
(238) CARDIAC AND VASCULAR RESEARCH CENTER OF NORTHERN MICHIGAN 560 W MITCHELL ST STE 500 PETOSKEY,MI49770	38-3576853	-	7,300	0			SUPPORT RESEARCH PROGRAM
(239) COASTAL CAROLINA SURGICAL ASSOCIATES PA 1411 PHYSICIANS DR WILMINGTON,NC28401	56-1637012	-	7,300	0			SUPPORT RESEARCH PROGRAM
(240) VALLEY HEALTH SYSTEM 220 CAMPUS BLVD SUITE 310 WINCHESTER,VA22601	52-1357729	501(C)(3)	7,110	0			SUPPORT CHARITABLE PURPOSE
(241) TURTLE LAKE SCHOOL DISTRICT 205 N OAK ST TURTLE LAKE,WI54889	39-6004848	STATE OF WI	7,000	0			SUPPORT EXEMPT PURPOSE
(242) UNITED WAY OF THE GREATER CHIPPEWA VALLEY INC 3603 N HASTINGS WAY SUITE 200 EAU CLAIRE,WI54703	39-1077901	501(C)(3)	7,000	0			SUPPORT CHARITABLE PURPOSE
(243) SPARTA AREA SCHOOL DISTRICT 900 E MONTGOMERY ST SPARTA,WI54656	39-6004546	STATE OF WI	7,000	0			SUPPORT EXEMPT PURPOSE
(244) WELLMONT CARDIOLOGY SERVICES 1021 W OAKLAND AVENUE SUITE 103 JOHNSON CITY,TN37604	26-3557623	501(C)(3)	6,800	0			SUPPORT CHARITABLE PROGRAMS
(245) LEHIGH VALLEY HOSPITAL 2100 MACK BLVD ALLENTOWN,PA18103	23-1689692	501(C)(3)	6,795	0			SUPPORT CHARITABLE PROGRAMS
(246) SPRING VALLEY AREA EMERGENCY SERVICES CORP 5407 NEWMAN AVE PO BOX 387 SPRING VALLEY,WI54767	90-0929137	501(C)(3)	6,692	0			SUPPORT CHARITABLE PURPOSE
(247) INDEPENDENT SCHOOL DISTRICT 241 211 RICHWAY DRIVE ALBERT LEA,MN56007	41-6001171	STATE OF MN	6,446	0			SUPPORT EXEMPT PURPOSE
(248) ADVENTIST MIDWEST HEALTH 120 NORTH OAK STREET HINSDALE,IL60521	36-2276984	501(C)(3)	6,175	0			SUPPORT CHARITABLE PURPOSE
(249) SEMCAC 204 SOUTH ELM STREET PO BOX 549 RUSHFORD,MN55971	41-0907135	501(C)(3)	6,000	0			SUPPORT CHARITABLE PROGRAMS
(250) BEACHES EMERGENCY ASSISTANCE MINISTRY INC 850 6TH AVE S SUITE 400 JACKSONVILLE BEACH,FL32240	59-2564222	501(C)(3)	6,000	0			SUPPORT CHARITABLE PURPOSE
(251) YOUNG MENS CHRISTIAN ASSOCIATION OF EAU CLAIRE 700 GRAHAM AVE EAU CLAIRE,WI54701	39-0806351	501(C)(3)	6,000	0			SUPPORT CHARITABLE PURPOSE
(252) WOMEN'S FUND OF GREATER LA CROSSE PO BOX 654 LA CROSSE,WI54602	27-2394065	501(C)(3)	6,000	0			SUPPORT CHARITABLE PROGRAMS
(253) GREATER PHOENIX CHAMBER OF COMMERCE 201 N CENTRAL AVE FL 27 PHOENIX,AZ850042715	86-0046963	501(C)(6)	6,000	0			SUPPORT EXEMPT PURPOSE
(254) PROVIDENCE HEALTH & SERVICES WASHINGTON 101 WEST 8TH AVE SPOKANE,WA99220	36-4640211	501(C)(3)	5,520	0			SUPPORT RESEARCH PROGRAM
(255) MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE NE49-3142 CAMBRIDGE,MA02139	04-2103594	501(C)(3)	5,500	0			SUPPORT CHARITABLE PROGRAMS
(256) MONDOVI SCHOOL DISTRICT 337 N JACKSON ST MONDOVI,WI54755	39-6017597	STATE OF WI	5,500	0			SUPPORT EXEMPT PURPOSE
(257) INDEPENDENT SCHOOL DISTRICT 840 500 3RD AVE S ST JAMES,MN56081	41-6004625	STATE OF MN	5,500	0			SUPPORT EXEMPT PURPOSE
(258) TRANSPLANT COMMUNITY ALLIANCE INC PO BOX 36122 PHOENIX,AZ850676122	86-0618929	501(C)(3)	5,425	0			SUPPORT CHARITABLE PURPOSE
(259) MINNEAPOLIS CLINIC OF NEUROLOGY LTD 4225 GOLDEN VALLEY ROAD GOLDEN VALLEY,MN55422	41-0999094	-	5,300	0			SUPPORT RESEARCH PROGRAM
(260) UNIVERSITY OF WISCONSIN-MADISON 21 N PARK STREET SUITE 6401 MADISON,WI53715	39-6006492	STATE OF WI	5,200	0			SUPPORT RESEARCH PROGRAM
(261) INTERMOUNTAIN HEALTH CARE INC 36 S STATE STREET SUITE 2200 SALT LAKE CITY,UT84111	87-0269232	501(C)(3)	5,100	0			SUPPORT CHARITABLE PROGRAMS
(262) AUSTIN PORT AUTHORITY 500 4TH AVE NE AUSTIN,MN559123773	41-6004947	CITY OF AUSTIN MN	0	90,000	FMV	LAND	SUPPORT EXEMPT PURPOSE

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

239

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) 2021

Page 2

Part III

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

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

(1) SCHOLARSHIPS	677	3,534,489
(2) MEDICAL STUDENT STIPENDS	380	1,996,144
(3) RESEARCH GRANT SUBAWARDS	10	36,515
(4) CHARITABLE SUPPORT OF INDIVIDUALS	223	245,701
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

PART I, LINE 2:

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

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2021

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)	2,712,368 ------------- 0	0 ------------- 0	676,292 ------------- 0	58,225 ------------- 0	38,289 ------------- 0	3,485,174 ------------- 0	0 ------------- 0
2BOLTON JEFFREY W DIRECTOR/CAO	(i) (ii)	1,515,983 ------------- 0	0 ------------- 0	561,212 ------------- 0	6,362 ------------- 0	28,161 ------------- 0	2,111,718 ------------- 0	0 ------------- 0
3THIELEN MD KENT R DIRECTOR/CHAIR/CEO FL	(i) (ii)	1,448,823 ------------- 0	0 ------------- 0	248,989 ------------- 0	59,222 ------------- 0	34,464 ------------- 0	1,791,498 ------------- 0	0 ------------- 0
4GRAY MD RICHARD J DIRECTOR/CHAIR/CEO AZ	(i) (ii)	1,446,958 ------------- 0	0 ------------- 0	247,461 ------------- 0	53,384 ------------- 0	32,914 ------------- 0	1,780,717 ------------- 0	0 ------------- 0
5DEPERI MD ELIZABETH R PHYSICIAN	(i) (ii)	0 ------------- 0	0 ------------- 0	1,780,000 ------------- 0	0 ------------- 0	0 ------------- 0	1,780,000 ------------- 0	0 ------------- 0
6DAHLEN DENNIS E DIRECTOR/VP/FORMER OFFICER	(i) (ii)	1,240,330 ------------- 0	0 ------------- 0	138,291 ------------- 0	56,218 ------------- 0	35,820 ------------- 0	1,470,659 ------------- 0	0 ------------- 0
7QUINONES-HINOJOSA MD ALFREDO DIRECTOR	(i) (ii)	1,283,660 ------------- 0	0 ------------- 0	99,461 ------------- 0	52,417 ------------- 0	34,140 ------------- 0	1,469,678 ------------- 0	0 ------------- 0
8PICHELMANN MD MARK A FORMER HIGHEST PAID	(i) (ii)	0 ------------- 1,173,347	0 ------------- 0	0 ------------- 183,955	0 ------------- 43,080	0 ------------- 31,746	0 ------------- 1,432,128	0 ------------- 0
9MURPHY JOSHUA B SECRETARY/ASST SECY	(i) (ii)	1,104,117 ------------- 0	0 ------------- 0	209,978 ------------- 0	58,717 ------------- 0	37,917 ------------- 0	1,410,729 ------------- 0	0 ------------- 0
10HARPER JR MD CHARLES M DIR/FORMER OFFICER/FORMER KEY EMPLOY	(i) (ii)	0 ------------- 950,593	0 ------------- 0	0 ------------- 405,487	0 ------------- 11,600	0 ------------- 26,739	0 ------------- 1,394,419	0 ------------- 0
11MEYER MD FREDRIC B DIR/EXEC DEAN OF EDUCATION	(i) (ii)	1,101,859 ------------- 0	0 ------------- 0	239,824 ------------- 0	11,600 ------------- 0	37,392 ------------- 0	1,390,675 ------------- 0	0 ------------- 0
12NOTTMEIER MD ERIC W PHYSICIAN	(i) (ii)	1,166,032 ------------- 0	0 ------------- 0	130,501 ------------- 0	53,154 ------------- 0	34,420 ------------- 0	1,384,107 ------------- 0	0 ------------- 0
13LYONS MD MARK K PHYSICIAN	(i) (ii)	1,046,429 ------------- 0	0 ------------- 0	229,341 ------------- 0	63,696 ------------- 0	33,611 ------------- 0	1,373,077 ------------- 0	0 ------------- 0
14BENDOK MD BERNARD R PHYSICIAN	(i) (ii)	1,191,440 ------------- 0	0 ------------- 0	91,846 ------------- 0	50,127 ------------- 0	34,012 ------------- 0	1,367,425 ------------- 0	0 ------------- 0
15CIOTA MD MARK R DIRECTOR	(i) (ii)	300,324 ------------- 0	0 ------------- 0	496,332 ------------- 0	56,392 ------------- 0	479,695 ------------- 0	1,332,743 ------------- 0	0 ------------- 0
16ZIMMERMAN MD RICHARD S DIRECTOR	(i) (ii)	1,050,960 ------------- 0	0 ------------- 0	239,827 ------------- 0	11,618 ------------- 0	29,454 ------------- 0	1,331,859 ------------- 0	0 ------------- 0
17DEEN JR MD HUGH G PHYSICIAN	(i) (ii)	1,047,941 ------------- 0	0 ------------- 0	220,345 ------------- 0	11,600 ------------- 0	26,625 ------------- 0	1,306,511 ------------- 0	0 ------------- 0
18GORMAN PAUL A TREASURER	(i) (ii)	786,080 ------------- 0	290,952 ------------- 0	111,371 ------------- 0	57,730 ------------- 0	32,398 ------------- 0	1,278,531 ------------- 0	0 ------------- 0
19GORES MD GREGORY J DIRECTOR	(i) (ii)	0 ------------- 1,033,286	0 ------------- 0	0 ------------- 210,613	0 ------------- 0	0 ------------- 29,298	0 ------------- 1,273,197	0 ------------- 0
20OTLEY MD CLARK C DIRECTOR/PRESIDENT	(i) (ii)	0 ------------- 857,964	0 ------------- 0	0 ------------- 193,110	0 ------------- 57,571	0 ------------- 35,485	0 ------------- 1,144,130	0 ------------- 0
21AMMASH MD NASER M CEO-SSMC	(i) (ii)	692,822 ------------- 0	0 ------------- 0	370,757 ------------- 0	56,242 ------------- 0	22,217 ------------- 0	1,142,038 ------------- 0	0 ------------- 0
22WILLIAMSON MARY J DIR/SECY/ASST SECY/MCHS CAO	(i) (ii)	0 ------------- 884,867	0 ------------- 0	0 ------------- 152,711	0 ------------- 45,153	0 ------------- 34,229	0 ------------- 1,116,960	0 ------------- 0
23WILLIAMS MD AMY W DIR/VICE CHAIR/EXEC DEAN OF PRACTICE	(i) (ii)	890,411 ------------- 0	0 ------------- 0	140,296 ------------- 0	74,379 ------------- 0	7,940 ------------- 0	1,113,026 ------------- 0	0 ------------- 0
24SHARMA MBBS MANISH S DIRECTOR	(i) (ii)	891,356 ------------- 0	0 ------------- 0	64,889 ------------- 0	46,699 ------------- 0	31,921 ------------- 0	1,034,865 ------------- 0	0 ------------- 0
25MENKOSKY PAULA E DIR/ASST TREAS/SECY/CAO AZ	(i) (ii)	804,590 ------------- 0	0 ------------- 0	135,686 ------------- 0	53,474 ------------- 0	32,479 ------------- 0	1,026,229 ------------- 0	0 ------------- 0
26DECKER MBBCH GUSTAV A PRESIDENT INTERNATIONAL	(i) (ii)	856,662 ------------- 0	0 ------------- 0	83,000 ------------- 0	44,289 ------------- 0	34,415 ------------- 0	1,018,366 ------------- 0	0 ------------- 0
27FRASER CATHRYN H CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	827,826 ------------- 0	0 ------------- 0	81,176 ------------- 0	59,067 ------------- 0	33,705 ------------- 0	1,001,774 ------------- 0	0 ------------- 0
28HALAMKA MD JOHN D PRESIDENT-MAYO CLINIC PLATFORM	(i) (ii)	860,910 ------------- 0	0 ------------- 0	56,100 ------------- 0	56,389 ------------- 0	24,647 ------------- 0	998,046 ------------- 0	0 ------------- 0
29GILLIGAN SHERRI W CHIEF MARKETING OFFICER	(i) (ii)	853,930 ------------- 0	0 ------------- 0	55,937 ------------- 0	58,696 ------------- 0	23,891 ------------- 0	992,454 ------------- 0	0 ------------- 0
30SHAH MD VIJAY DIRECTOR	(i) (ii)	0 ------------- 745,958	0 ------------- 0	0 ------------- 154,880	0 ------------- 55,135	0 ------------- 33,004	0 ------------- 988,977	0 ------------- 0
31NOLTE DO CHARLES P FORMER KEY EMPLOYEE	(i) (ii)	766,466 ------------- 0	0 ------------- 0	124,187 ------------- 0	47,750 ------------- 0	28,544 ------------- 0	966,947 ------------- 0	0 ------------- 0
32HEBL MD JAMES R DIR/PRES/CHAIR/REG VP-SWMN	(i) (ii)	0 ------------- 757,507	0 ------------- 0	0 ------------- 122,092	0 ------------- 43,936	0 ------------- 32,334	0 ------------- 955,869	0 ------------- 0
33ROSS CHRISTOPHER J CHIEF INFORMATION OFFICER	(i) (ii)	797,117 ------------- 0	0 ------------- 0	77,971 ------------- 0	57,740 ------------- 0	22,422 ------------- 0	955,250 ------------- 0	0 ------------- 0
34STEWART MD MICHAEL W FORMER KEY EMPLOYEE	(i) (ii)	726,954 ------------- 0	0 ------------- 0	122,045 ------------- 0	75,180 ------------- 0	25,615 ------------- 0	949,794 ------------- 0	0 ------------- 0
35RIHAL MD CHARANJIT S DIRECTOR	(i) (ii)	0 ------------- 681,863	0 ------------- 0	0 ------------- 166,025	0 ------------- 63,426	0 ------------- 32,513	0 ------------- 943,827	0 ------------- 0
36MUELLER MD PAUL S DIR/CHAIR/REG VP-SWWI	(i) (ii)	0 ------------- 705,041	0 ------------- 0	0 ------------- 104,102	0 ------------- 59,621	0 ------------- 30,292	0 ------------- 899,056	0 ------------- 0
37ZORN CHRISTINA K DIR/SECY/ASST TREAS/CAO FL	(i) (ii)	832,853 ------------- 0	30,000 ------------- 0	135,182 ------------- 0	49,370 ------------- 0	32,595 ------------- 0	1,080,000 ------------- 0	0 ------------- 0
38KHAN RITA G CHIEF DIGITAL OFFICER	(i) (ii)	715,331 ------------- 0	100,000 ------------- 0	23,138 ------------- 0	51,810 ------------- 0	3,322 ------------- 0	893,601 ------------- 0	0 ------------- 0
39HELMERS MD RICHARD A DIR/PRESIDENT/CHAIR/REG VP-NWWI	(i) (ii)	0 ------------- 730,570	0 ------------- 0	0 ------------- 124,275	0 ------------- 0	0 ------------- 27,151	0 ------------- 881,996	0 ------------- 0
40FONSECA MD RAFAEL DIRECTOR	(i) (ii)	604,348 ------------- 0	0 ------------- 0	194,098 ------------- 0	47,461 ------------- 0	35,157 ------------- 0	881,064 ------------- 0	0 ------------- 0
41DEVAULT MD KENNETH R DIRECTOR	(i) (ii)	633,075 ------------- 0	0 ------------- 0	151,814 ------------- 0	62,409 ------------- 0	33,055 ------------- 0	880,353 ------------- 0	0 ------------- 0
42CHONG MD BRIAN W DIRECTOR	(i) (ii)	665,177 ------------- 0	0 ------------- 0	118,679 ------------- 0	57,106 ------------- 0	35,295 ------------- 0	876,257 ------------- 0	0 ------------- 0
43CROSS III MD WILLIAM W DIRECTOR	(i) (ii)	0 ------------- 722,827	0 ------------- 0	0 ------------- 69,835	0 ------------- 45,493	0 ------------- 32,246	0 ------------- 870,401	0 ------------- 0
44WALD MD JOHN T DIRECTOR	(i) (ii)	0 ------------- 652,427	0 ------------- 0	0 ------------- 107,953	0 ------------- 65,545	0 ------------- 33,994	0 ------------- 859,919	0 ------------- 0
45HARA MD AMY K DIRECTOR	(i) (ii)	685,557 ------------- 0	0 ------------- 0	86,620 ------------- 0	47,781 ------------- 0	35,506 ------------- 0	855,464 ------------- 0	0 ------------- 0
46ORTIZ MD JOSE A DIRECTOR	(i) (ii)	691,072 ------------- 0	0 ------------- 0	69,804 ------------- 0	57,308 ------------- 0	31,134 ------------- 0	849,318 ------------- 0	0 ------------- 0
47MORICE MD WILLIAM G DIRECTOR	(i) (ii)	0 ------------- 669,432	0 ------------- 0	0 ------------- 82,181	0 ------------- 58,887	0 ------------- 32,058	0 ------------- 842,558	0 ------------- 0
48MCKINNEY MD J MARK CHAIR-DEPT OF RADIOLOGY	(i) (ii)	680,623 ------------- 0	0 ------------- 0	61,685 ------------- 0	62,875 ------------- 0	34,750 ------------- 0	839,933 ------------- 0	0 ------------- 0
49TERKONDA MD SARVAM P FORMER KEY EMPLOYEE	(i) (ii)	642,490 ------------- 0	0 ------------- 0	100,113 ------------- 0	55,590 ------------- 0	34,714 ------------- 0	832,907 ------------- 0	0 ------------- 0
50COOPER MD LESLIE T DIRECTOR	(i) (ii)	619,384 ------------- 0	0 ------------- 0	123,399 ------------- 0	60,679 ------------- 0	28,123 ------------- 0	831,585 ------------- 0	0 ------------- 0
51ANDREWS MD PAUL E DIRECTOR/VICE CHAIR	(i) (ii)	618,557 ------------- 0	0 ------------- 0	116,087 ------------- 0	64,914 ------------- 0	28,104 ------------- 0	827,662 ------------- 0	0 ------------- 0
52DOUGLAS MD DAVID D FORMER KEY EMPLOYEE	(i) (ii)	617,643 ------------- 0	0 ------------- 0	108,951 ------------- 0	63,686 ------------- 0	33,277 ------------- 0	823,557 ------------- 0	0 ------------- 0
53KENDRICK MD MICHAEL L DIRECTOR	(i) (ii)	0 ------------- 637,779	0 ------------- 0	0 ------------- 100,698	0 ------------- 49,330	0 ------------- 31,970	0 ------------- 819,777	0 ------------- 0
54PETERSON MD JEFFREY J FORMER KEY EMPLOYEE	(i) (ii)	661,643 ------------- 0	0 ------------- 0	83,416 ------------- 0	42,160 ------------- 0	32,024 ------------- 0	819,243 ------------- 0	0 ------------- 0
55RADEMACHER MD DANA E FORMER KEY EMPLOYEE	(i) (ii)	619,609 ------------- 0	0 ------------- 0	117,334 ------------- 0	50,647 ------------- 0	25,189 ------------- 0	812,779 ------------- 0	0 ------------- 0
56PATEL MB TUSHAR C DIRECTOR	(i) (ii)	665,935 ------------- 0	0 ------------- 0	58,811 ------------- 0	53,688 ------------- 0	30,172 ------------- 0	808,606 ------------- 0	0 ------------- 0
57STONE MD WILLIAM M FORMER OFFICER	(i) (ii)	623,384 ------------- 0	0 ------------- 0	154,699 ------------- 0	11,605 ------------- 0	11,945 ------------- 0	801,633 ------------- 0	0 ------------- 0
58MOSS MD ADYR A FORMER KEY EMPLOYEE	(i) (ii)	602,746 ------------- 0	0 ------------- 0	94,417 ------------- 0	64,300 ------------- 0	34,910 ------------- 0	796,373 ------------- 0	0 ------------- 0
59RYAN MICHAEL J CAO-SSMC	(i) (ii)	521,598 ------------- 0	0 ------------- 0	241,469 ------------- 0	97 ------------- 0	31,600 ------------- 0	794,764 ------------- 0	0 ------------- 0
60REDDY MBBS KUNAM S DIV CHR-TRANSPLANT SURGERY	(i) (ii)	606,361 ------------- 0	0 ------------- 0	91,283 ------------- 0	63,163 ------------- 0	31,836 ------------- 0	792,643 ------------- 0	0 ------------- 0
61TANER MD BURCIN C DIRECTOR	(i) (ii)	631,361 ------------- 0	0 ------------- 0	73,663 ------------- 0	53,082 ------------- 0	31,942 ------------- 0	790,048 ------------- 0	0 ------------- 0
62LEIBOVICH MD BRADLEY C DIRECTOR	(i) (ii)	0 ------------- 609,073	0 ------------- 0	0 ------------- 91,058	0 ------------- 54,704	0 ------------- 31,893	0 ------------- 786,728	0 ------------- 0
63HAKAIM MD ALBERT G DIRECTOR	(i) (ii)	590,415 ------------- 0	0 ------------- 0	98,603 ------------- 0	70,948 ------------- 0	25,209 ------------- 0	785,175 ------------- 0	0 ------------- 0
64LEIGHTON MD JONATHAN A FORMER KEY EMPLOYEE	(i) (ii)	619,308 ------------- 0	0 ------------- 0	125,503 ------------- 0	11,877 ------------- 0	28,017 ------------- 0	784,705 ------------- 0	0 ------------- 0
65PEARSON MD SUSAN E FORMER OFFICER	(i) (ii)	636,062 ------------- 0	0 ------------- 0	58,756 ------------- 0	61,084 ------------- 0	26,769 ------------- 0	782,671 ------------- 0	0 ------------- 0
66THIEL MD DAVID D DIRECTOR	(i) (ii)	628,304 ------------- 0	0 ------------- 0	65,030 ------------- 0	47,518 ------------- 0	31,947 ------------- 0	772,799 ------------- 0	0 ------------- 0
67HOFFMAN III HARRY N FORMER OFFICER	(i) (ii)	269,390 ------------- 0	315,003 ------------- 0	167,343 ------------- 0	9,292 ------------- 0	11,346 ------------- 0	772,374 ------------- 0	0 ------------- 0
68ALBRIGHT JR DO ROBERT C DIRECTOR/CHAIR/REGIONAL VP SEMN	(i) (ii)	0 ------------- 636,565	0 ------------- 0	0 ------------- 40,257	0 ------------- 58,456	0 ------------- 31,956	0 ------------- 767,234	0 ------------- 0
69GLANTZ MD JANEL N PHYSICIAN	(i) (ii)	610,316 ------------- 0	0 ------------- 0	78,611 ------------- 0	49,216 ------------- 0	28,757 ------------- 0	766,900 ------------- 0	0 ------------- 0
70DOWDY MD SEAN C DIRECTOR	(i) (ii)	0 ------------- 601,808	0 ------------- 0	0 ------------- 67,254	0 ------------- 50,463	0 ------------- 34,326	0 ------------- 753,851	0 ------------- 0
71BRUCE MD CHARLES J DIRECTOR	(i) (ii)	606,518 ------------- 0	0 ------------- 0	106,330 ------------- 0	0 ------------- 0	34,362 ------------- 0	747,210 ------------- 0	0 ------------- 0
72UY MD JONATHAN J FORMER KEY EMPLOYEE	(i) (ii)	562,326 ------------- 0	0 ------------- 0	91,413 ------------- 0	49,981 ------------- 0	30,712 ------------- 0	734,432 ------------- 0	0 ------------- 0
73CASLER MD JOHN D DIRECTOR	(i) (ii)	536,602 ------------- 0	0 ------------- 0	91,077 ------------- 0	66,480 ------------- 0	23,685 ------------- 0	717,844 ------------- 0	0 ------------- 0
74ANIL MD GOKHAN DIRECTOR/VICE CHAIR	(i) (ii)	597,227 ------------- 0	0 ------------- 0	43,914 ------------- 0	40,746 ------------- 0	29,200 ------------- 0	711,087 ------------- 0	0 ------------- 0
75CIMA MD ROBERT R DIRECTOR/CHAIR	(i) (ii)	0 ------------- 548,258	0 ------------- 0	0 ------------- 81,079	0 ------------- 50,852	0 ------------- 29,803	0 ------------- 709,992	0 ------------- 0
76HORST ADAM M DIR/TREASURER	(i) (ii)	576,163 ------------- 0	0 ------------- 0	47,856 ------------- 0	44,556 ------------- 0	38,781 ------------- 0	707,356 ------------- 0	0 ------------- 0
77ROGERS JAMES A DIRECTOR/ASST SECY	(i) (ii)	551,778 ------------- 0	0 ------------- 0	60,052 ------------- 0	56,746 ------------- 0	31,690 ------------- 0	700,266 ------------- 0	0 ------------- 0
78KEENAN MD LAWRENCE R DIRECTOR	(i) (ii)	0 ------------- 532,908	0 ------------- 0	0 ------------- 80,848	0 ------------- 44,254	0 ------------- 34,632	0 ------------- 692,642	0 ------------- 0
79BAKKUM-GAMEZ MD JAMIE N DIRECTOR	(i) (ii)	0 ------------- 574,575	0 ------------- 0	0 ------------- 41,343	0 ------------- 51,226	0 ------------- 23,109	0 ------------- 690,253	0 ------------- 0
80ETZIONI MD DAVID A CHAIR-DEPT OF SURGERY	(i) (ii)	559,304 ------------- 0	0 ------------- 0	44,825 ------------- 0	49,374 ------------- 0	32,052 ------------- 0	685,555 ------------- 0	0 ------------- 0
81CHAPITAL MD ALYSSA B DIRECTOR/VICE CHAIR	(i) (ii)	530,572 ------------- 0	0 ------------- 0	80,776 ------------- 0	50,674 ------------- 0	23,254 ------------- 0	685,276 ------------- 0	0 ------------- 0
82SADOSTY MD ANNIE T FORMER OFFICER	(i) (ii)	0 ------------- 478,886	0 ------------- 0	0 ------------- 117,400	0 ------------- 56,230	0 ------------- 31,544	0 ------------- 684,060	0 ------------- 0
83FREDERICK RYANNON K DIR/FORMER KEY EMPLOYEE	(i) (ii)	540,479 ------------- 0	0 ------------- 0	75,702 ------------- 0	37,321 ------------- 0	30,391 ------------- 0	683,893 ------------- 0	0 ------------- 0
84TRENTMAN MD TERRENCE L PHYSICIAN	(i) (ii)	520,630 ------------- 0	0 ------------- 0	81,097 ------------- 0	54,486 ------------- 0	27,539 ------------- 0	683,752 ------------- 0	0 ------------- 0
85BROWN MD MICHAEL J DIRECTOR	(i) (ii)	0 ------------- 510,765	0 ------------- 10,000	0 ------------- 66,549	0 ------------- 50,908	0 ------------- 34,331	0 ------------- 672,553	0 ------------- 0
86MCLAUGHLIN MD SARAH A DIRECTOR/VICE CHAIR	(i) (ii)	585,228 ------------- 0	0 ------------- 0	38,434 ------------- 0	40,679 ------------- 0	7,005 ------------- 0	671,346 ------------- 0	0 ------------- 0
87ZIETLOW MD SCOTT P DIRECTOR/CHAIR	(i) (ii)	0 ------------- 534,958	0 ------------- 0	0 ------------- 85,665	0 ------------- 11,605	0 ------------- 25,298	0 ------------- 657,526	0 ------------- 0
88KROSCH MD TARA C VICE CHAIR-CLINICAL PRACTICE	(i) (ii)	571,721 ------------- 0	0 ------------- 0	12,551 ------------- 0	44,920 ------------- 0	26,684 ------------- 0	655,876 ------------- 0	0 ------------- 0
89LAL MD DEVYANI DIRECTOR	(i) (ii)	539,053 ------------- 0	0 ------------- 0	36,141 ------------- 0	50,973 ------------- 0	25,042 ------------- 0	651,209 ------------- 0	0 ------------- 0
90FAMUYIDE MBBS ABIMBOLA O DIRECTOR	(i) (ii)	0 ------------- 478,892	0 ------------- 0	0 ------------- 78,048	0 ------------- 59,952	0 ------------- 24,251	0 ------------- 641,143	0 ------------- 0
91CRAIG MD FIONA E CHAIR-LAB MED & PATH	(i) (ii)	519,590 ------------- 0	0 ------------- 0	35,862 ------------- 0	62,015 ------------- 0	21,796 ------------- 0	639,263 ------------- 0	0 ------------- 0
92ABEL MD MARTIN D CHAIR-ANESTH & PERIOP MED	(i) (ii)	519,555 ------------- 0	0 ------------- 0	80,311 ------------- 0	11,600 ------------- 0	26,057 ------------- 0	637,523 ------------- 0	0 ------------- 0
93ODENIGBO MD CELESTINE DIRECTOR	(i) (ii)	522,494 ------------- 0	25,000 ------------- 0	5,304 ------------- 0	46,956 ------------- 0	27,199 ------------- 0	626,953 ------------- 0	0 ------------- 0
94FRANCIS JAMES R DIRECTOR/ASST TREASURER	(i) (ii)	473,471 ------------- 0	0 ------------- 0	52,748 ------------- 0	71,556 ------------- 0	27,712 ------------- 0	625,487 ------------- 0	0 ------------- 0
95DRONCA MD ROXANA S DIRECTOR	(i) (ii)	507,498 ------------- 0	0 ------------- 0	34,742 ------------- 0	48,192 ------------- 0	34,432 ------------- 0	624,864 ------------- 0	0 ------------- 0
96DEGENHARDT MD JEFFRY A PHYSICIAN	(i) (ii)	483,429 ------------- 0	0 ------------- 0	64,531 ------------- 0	49,045 ------------- 0	27,726 ------------- 0	624,731 ------------- 0	0 ------------- 0
97RIMSZA MD LISA M DIRECTOR	(i) (ii)	494,553 ------------- 0	0 ------------- 0	32,760 ------------- 0	62,015 ------------- 0	29,636 ------------- 0	618,964 ------------- 0	0 ------------- 0
98NASSAR MD AZIZA CHAIR-LAB MED & PATH	(i) (ii)	484,655 ------------- 0	0 ------------- 0	44,647 ------------- 0	51,762 ------------- 0	34,512 ------------- 0	615,576 ------------- 0	0 ------------- 0
99JANUS MD JEFFREY R CHAIR-OTORHINOLARYN	(i) (ii)	527,143 ------------- 0	0 ------------- 0	13,297 ------------- 0	38,131 ------------- 0	31,597 ------------- 0	610,168 ------------- 0	0 ------------- 0
100TAZELAAR MD HENRY D FORMER KEY EMPLOYEE	(i) (ii)	480,061 ------------- 0	0 ------------- 0	87,864 ------------- 0	11,600 ------------- 0	27,691 ------------- 0	607,216 ------------- 0	0 ------------- 0
101ZUROB MD ADEL S DIRECTOR	(i) (ii)	487,467 ------------- 0	0 ------------- 0	31,339 ------------- 0	54,688 ------------- 0	27,885 ------------- 0	601,379 ------------- 0	0 ------------- 0
102KELLEY SHARON M CFO MCHS	(i) (ii)	486,270 ------------- 0	0 ------------- 0	28,280 ------------- 0	55,748 ------------- 0	22,025 ------------- 0	592,323 ------------- 0	0 ------------- 0
103HELLMICH MD THOMAS R DIRECTOR	(i) (ii)	0 ------------- 460,591	0 ------------- 0	0 ------------- 38,727	0 ------------- 62,707	0 ------------- 24,809	0 ------------- 586,834	0 ------------- 0
104KIM MD HYUN I DIRECTOR/VICE CHAIR	(i) (ii)	444,761 ------------- 0	0 ------------- 0	46,376 ------------- 0	63,072 ------------- 0	32,241 ------------- 0	586,450 ------------- 0	0 ------------- 0
105BARTLETT MD BRIAN N VICE CHAIR-CLINICAL PRACTICE	(i) (ii)	492,901 ------------- 0	0 ------------- 0	14,129 ------------- 0	42,582 ------------- 0	27,189 ------------- 0	576,801 ------------- 0	0 ------------- 0
106KRAHN MD LOIS E DIRECTOR/VICE CHAIR	(i) (ii)	411,629 ------------- 0	0 ------------- 0	66,492 ------------- 0	63,205 ------------- 0	32,506 ------------- 0	573,832 ------------- 0	0 ------------- 0
107LIMPER MD ANDREW H DIRECTOR	(i) (ii)	0 ------------- 454,233	0 ------------- 0	0 ------------- 74,998	0 ------------- 11,618	0 ------------- 24,847	0 ------------- 565,696	0 ------------- 0
108JOHNSON MD MARGARET M DIRECTOR	(i) (ii)	426,925 ------------- 0	0 ------------- 0	50,586 ------------- 0	61,178 ------------- 0	24,706 ------------- 0	563,395 ------------- 0	0 ------------- 0
109JOHNSON MD DANIEL J FORMER KEY EMPLOYEE	(i) (ii)	375,464 ------------- 0	0 ------------- 0	92,619 ------------- 0	59,568 ------------- 0	31,179 ------------- 0	558,830 ------------- 0	0 ------------- 0
110KHOOR MD ANDRAS FORMER KEY EMPLOYEE	(i) (ii)	456,216 ------------- 0	0 ------------- 0	78,841 ------------- 0	9,234 ------------- 0	12,911 ------------- 0	557,202 ------------- 0	0 ------------- 0
111URUMOV MD ANDREJ CHAIR-DEPT OF EMERGENCY MED	(i) (ii)	461,547 ------------- 0	0 ------------- 0	13,887 ------------- 0	47,501 ------------- 0	23,526 ------------- 0	546,461 ------------- 0	0 ------------- 0
112SANTRACH MD PAULA J DIRECTOR/VICE CHAIR	(i) (ii)	0 ------------- 436,495	0 ------------- 0	0 ------------- 86,676	0 ------------- 0	0 ------------- 13,316	0 ------------- 536,487	0 ------------- 0
113DEWITT MD JASON J FORMER KEY EMPLOYEE	(i) (ii)	454,813 ------------- 0	0 ------------- 0	10,383 ------------- 0	44,994 ------------- 0	25,592 ------------- 0	535,782 ------------- 0	0 ------------- 0
114SILVERS MD SCOTT M FORMER KEY EMPLOYEE	(i) (ii)	398,422 ------------- 0	0 ------------- 0	46,809 ------------- 0	49,334 ------------- 0	38,258 ------------- 0	532,823 ------------- 0	0 ------------- 0
115OTTE KIMBERLY K ASST SECY	(i) (ii)	417,120 ------------- 0	0 ------------- 0	29,677 ------------- 0	53,641 ------------- 0	31,252 ------------- 0	531,690 ------------- 0	0 ------------- 0
116GOYAL MANEESH COO-MAYO CLINIC PLATFORM	(i) (ii)	445,097 ------------- 0	0 ------------- 0	4,144 ------------- 0	50,113 ------------- 0	31,910 ------------- 0	531,264 ------------- 0	0 ------------- 0
117RIGDON ALICE W DIRECTOR/TREASURER/CFO FL	(i) (ii)	466,119 ------------- 0	0 ------------- 0	9,807 ------------- 0	42,480 ------------- 0	12,530 ------------- 0	530,936 ------------- 0	0 ------------- 0
118SHERRILL TODD E DIR/TREAS/ASST TREAS/ASST SECY/FORME	(i) (ii)	432,284 ------------- 0	0 ------------- 0	13,414 ------------- 0	60,198 ------------- 0	24,563 ------------- 0	530,459 ------------- 0	0 ------------- 0
119PORTER MD ALYX B DIRECTOR	(i) (ii)	438,552 ------------- 0	0 ------------- 0	17,249 ------------- 0	43,101 ------------- 0	29,787 ------------- 0	528,689 ------------- 0	0 ------------- 0
120PECK MD ROBERT C DIRECTOR	(i) (ii)	421,525 ------------- 0	0 ------------- 0	23,348 ------------- 0	62,729 ------------- 0	20,455 ------------- 0	528,057 ------------- 0	0 ------------- 0
121BUSKIRK MD STEVEN J FORMER OFFICER	(i) (ii)	387,329 ------------- 0	0 ------------- 0	106,965 ------------- 0	0 ------------- 0	24,620 ------------- 0	518,914 ------------- 0	0 ------------- 0
122BUNKERS MD BRIAN E DIRECTOR/VICE CHAIR	(i) (ii)	403,874 ------------- 0	0 ------------- 0	23,846 ------------- 0	57,905 ------------- 0	31,832 ------------- 0	517,457 ------------- 0	0 ------------- 0
123SEINOLA SCOTT A DIR/CEO/PRES/CHIEF EDU OFFICER	(i) (ii)	436,086 ------------- 0	0 ------------- 0	44,375 ------------- 0	10,800 ------------- 0	24,730 ------------- 0	515,991 ------------- 0	0 ------------- 0
124SOUSOU MD COSTA H PHYSICIAN	(i) (ii)	414,316 ------------- 0	0 ------------- 0	20,343 ------------- 0	57,815 ------------- 0	18,577 ------------- 0	511,051 ------------- 0	0 ------------- 0
125DIETER HEIDI L DIRECTOR	(i) (ii)	0 ------------- 431,968	0 ------------- 0	0 ------------- 17,803	0 ------------- 47,985	0 ------------- 11,681	0 ------------- 509,437	0 ------------- 0
126HICKSON MD LATONYA J DIRECTOR	(i) (ii)	411,984 ------------- 0	0 ------------- 0	15,950 ------------- 0	49,682 ------------- 0	31,237 ------------- 0	508,853 ------------- 0	0 ------------- 0
127EZENAGU MD LEONARD C DIRECTOR/SECY	(i) (ii)	398,308 ------------- 0	0 ------------- 0	12,885 ------------- 0	58,043 ------------- 0	28,829 ------------- 0	498,065 ------------- 0	0 ------------- 0
128VIRAMONTES ALLISON L DIRECTOR/TREASURER/CFO AZ	(i) (ii)	416,146 ------------- 0	0 ------------- 0	6,410 ------------- 0	43,432 ------------- 0	29,945 ------------- 0	495,933 ------------- 0	0 ------------- 0
129CULLINAN MD SUSAN M DIR/CHAIR/FORMER KEY EMPLOYEE	(i) (ii)	385,895 ------------- 0	0 ------------- 0	24,853 ------------- 0	59,266 ------------- 0	25,805 ------------- 0	495,819 ------------- 0	0 ------------- 0
130COSTAKOS MD DENNIS T DIRECTOR	(i) (ii)	381,166 ------------- 0	0 ------------- 0	30,784 ------------- 0	62,844 ------------- 0	20,691 ------------- 0	495,485 ------------- 0	0 ------------- 0
131FAUBION MD STEPHANIE S DIRECTOR	(i) (ii)	393,900 ------------- 0	0 ------------- 0	21,914 ------------- 0	63,336 ------------- 0	12,533 ------------- 0	491,683 ------------- 0	0 ------------- 0
132WILLMAN MD CHERYL L DIR/EXEC DIR CANCER PROGRAMS	(i) (ii)	422,504 ------------- 0	50,000 ------------- 0	5,569 ------------- 0	0 ------------- 0	10,015 ------------- 0	488,088 ------------- 0	0 ------------- 0
133SNAZA KARI S CHIEF STRATEGY OFFICER	(i) (ii)	366,511 ------------- 0	100,000 ------------- 0	10,966 ------------- 0	0 ------------- 0	8,806 ------------- 0	486,283 ------------- 0	0 ------------- 0
134PRESUTTI DO RICHARD J FORMER KEY EMPLOYEE	(i) (ii)	319,763 ------------- 0	0 ------------- 0	68,325 ------------- 0	56,733 ------------- 0	32,588 ------------- 0	477,409 ------------- 0	0 ------------- 0
135HORVATH MD PAUL R PHYSICIAN	(i) (ii)	397,752 ------------- 0	0 ------------- 0	6,460 ------------- 0	44,500 ------------- 0	27,801 ------------- 0	476,513 ------------- 0	0 ------------- 0
136FISHER DO LAURA A DIRECTOR	(i) (ii)	398,356 ------------- 0	0 ------------- 0	22,549 ------------- 0	43,407 ------------- 0	9,882 ------------- 0	474,194 ------------- 0	0 ------------- 0
137VARKEY MBBS PRATHIBHA DIR/PRESIDENT MCHS	(i) (ii)	346,916 ------------- 0	0 ------------- 0	104,559 ------------- 0	4,437 ------------- 0	17,397 ------------- 0	473,309 ------------- 0	0 ------------- 0
138DEXTER MD DONN D PHYSICIAN	(i) (ii)	365,643 ------------- 0	0 ------------- 0	22,113 ------------- 0	57,021 ------------- 0	27,378 ------------- 0	472,155 ------------- 0	0 ------------- 0
139MESCHIA MD JAMES F FORMER KEY EMPLOYEE	(i) (ii)	343,977 ------------- 0	0 ------------- 0	35,326 ------------- 0	49,125 ------------- 0	32,589 ------------- 0	461,017 ------------- 0	0 ------------- 0
140NOE MD KATHERINE H DIRECTOR	(i) (ii)	364,671 ------------- 0	0 ------------- 0	16,902 ------------- 0	49,304 ------------- 0	29,212 ------------- 0	460,089 ------------- 0	0 ------------- 0
141MORREY MICHAEL A DIR/REG CHAIR-ADMIN SWWI/FORMER OFFI	(i) (ii)	0 ------------- 360,387	0 ------------- 0	0 ------------- 14,708	0 ------------- 51,528	0 ------------- 30,974	0 ------------- 457,597	0 ------------- 0
142CAVINESS MD JOHN N DIRECTOR	(i) (ii)	359,161 ------------- 0	0 ------------- 0	24,347 ------------- 0	38,022 ------------- 0	33,855 ------------- 0	455,385 ------------- 0	0 ------------- 0
143HOLTAN DOUGLAS J DIR/FORMER OFFICER	(i) (ii)	0 ------------- 379,523	0 ------------- 0	0 ------------- 28,877	0 ------------- 11,772	0 ------------- 33,765	0 ------------- 453,937	0 ------------- 0
144KRIEN MD JOSEPH S REG CHAIR CLINICAL PRACTICE	(i) (ii)	355,500 ------------- 0	0 ------------- 0	21,942 ------------- 0	46,037 ------------- 0	30,343 ------------- 0	453,822 ------------- 0	0 ------------- 0
145PIGNOLO MD PHD ROBERT J DIRECTOR/VICE CHAIR	(i) (ii)	0 ------------- 348,420	0 ------------- 0	0 ------------- 12,048	0 ------------- 56,874	0 ------------- 33,568	0 ------------- 450,910	0 ------------- 0
146YUN MD BLENDA FORMER KEY EMPLOYEE	(i) (ii)	363,437 ------------- 0	0 ------------- 0	8,611 ------------- 0	47,421 ------------- 0	30,710 ------------- 0	450,179 ------------- 0	0 ------------- 0
147LITCHY MD WILLIAM J FORMER OFFICER	(i) (ii)	0 ------------- 341,891	0 ------------- 0	0 ------------- 51,478	0 ------------- 29,634	0 ------------- 26,484	0 ------------- 449,487	0 ------------- 0
148YOUNG MD TIMOTHY J PHYSICIAN	(i) (ii)	354,934 ------------- 0	0 ------------- 0	8,157 ------------- 0	57,301 ------------- 0	27,323 ------------- 0	447,715 ------------- 0	0 ------------- 0
149SIMPSON MD HENRY J REG CHAIR CLINICAL PRACTICE	(i) (ii)	360,757 ------------- 0	0 ------------- 0	10,131 ------------- 0	58,656 ------------- 0	17,809 ------------- 0	447,353 ------------- 0	0 ------------- 0
150HUBERT SHERRY L ASST SECY/FORMER OFFICER	(i) (ii)	343,973 ------------- 0	0 ------------- 0	7,536 ------------- 0	53,754 ------------- 0	33,751 ------------- 0	439,014 ------------- 0	0 ------------- 0
151HORN MD JENNIFER L DIRECTOR	(i) (ii)	0 ------------- 345,822	0 ------------- 0	0 ------------- 28,651	0 ------------- 53,597	0 ------------- 10,837	0 ------------- 438,907	0 ------------- 0
152GOSTOUT MD BOBBIE S DIR/VP OPER/PRES MCHS/FORMER OFFICER	(i) (ii)	59,560 ------------- 0	0 ------------- 0	375,215 ------------- 0	269 ------------- 0	3,197 ------------- 0	438,241 ------------- 0	0 ------------- 0
153WRAY-RAABOLLE MD JASON T DIRECTOR	(i) (ii)	344,974 ------------- 0	0 ------------- 0	7,300 ------------- 0	50,388 ------------- 0	31,909 ------------- 0	434,571 ------------- 0	0 ------------- 0
154CRANE MD SARAH J DIRECTOR	(i) (ii)	0 ------------- 311,618	0 ------------- 0	0 ------------- 39,298	0 ------------- 51,447	0 ------------- 29,123	0 ------------- 431,486	0 ------------- 0
155FOSS MD RANDY M DIRECTOR/VICE CHAIR	(i) (ii)	350,118 ------------- 0	0 ------------- 0	3,797 ------------- 0	35,838 ------------- 0	35,961 ------------- 0	425,714 ------------- 0	0 ------------- 0
156BHAGRA MD SUMIT DIRECTOR	(i) (ii)	356,684 ------------- 0	0 ------------- 0	9,842 ------------- 0	52,874 ------------- 0	5,227 ------------- 0	424,627 ------------- 0	0 ------------- 0
157LANGBEHN DO JENNIFER M DIRECTOR	(i) (ii)	334,528 ------------- 0	0 ------------- 0	5,329 ------------- 0	54,567 ------------- 0	29,964 ------------- 0	424,388 ------------- 0	0 ------------- 0
158CHUKWUDELUNZU SR MD FELIX E PHYSICIAN	(i) (ii)	325,072 ------------- 0	0 ------------- 0	8,959 ------------- 0	63,093 ------------- 0	27,230 ------------- 0	424,354 ------------- 0	0 ------------- 0
159KNUDSON STEVE L DIRECTOR	(i) (ii)	370,092 ------------- 0	0 ------------- 0	27,624 ------------- 0	0 ------------- 0	24,634 ------------- 0	422,350 ------------- 0	0 ------------- 0
160HERRMANN MD MARTIN J DIRECTOR	(i) (ii)	320,857 ------------- 0	0 ------------- 0	11,354 ------------- 0	54,082 ------------- 0	31,224 ------------- 0	417,517 ------------- 0	0 ------------- 0
161HIRISAVE KRISHNA MD BIPINCHANDRA VICE CHAIR-CLINICAL PRACTICE	(i) (ii)	337,596 ------------- 0	0 ------------- 0	3,930 ------------- 0	43,003 ------------- 0	30,784 ------------- 0	415,313 ------------- 0	0 ------------- 0
162JELINEK DIANE F DIRECTOR	(i) (ii)	326,051 ------------- 0	0 ------------- 0	26,601 ------------- 0	51,095 ------------- 0	11,405 ------------- 0	415,152 ------------- 0	0 ------------- 0
163LINDAHL ROGER A FORMER OFFICER	(i) (ii)	308,251 ------------- 0	0 ------------- 0	9,346 ------------- 0	70,025 ------------- 0	26,739 ------------- 0	414,361 ------------- 0	0 ------------- 0
164MYHRE MD KAREN K DIRECTOR/VICE CHAIR	(i) (ii)	324,731 ------------- 0	0 ------------- 0	3,621 ------------- 0	49,786 ------------- 0	29,094 ------------- 0	407,232 ------------- 0	0 ------------- 0
165ACKERMAN FRANKLIN K DIR/ASSOCIATE ADMINISTRATOR	(i) (ii)	310,742 ------------- 0	0 ------------- 0	7,359 ------------- 0	57,945 ------------- 0	30,922 ------------- 0	406,968 ------------- 0	0 ------------- 0
166KOWAL DO GERALD K VICE CHAIR-CLINICAL PRACTICE	(i) (ii)	311,101 ------------- 0	0 ------------- 0	6,751 ------------- 0	66,480 ------------- 0	22,590 ------------- 0	406,922 ------------- 0	0 ------------- 0
167MERFELD MD JOHN PHYSICIAN	(i) (ii)	318,809 ------------- 0	0 ------------- 0	8,718 ------------- 0	48,460 ------------- 0	30,897 ------------- 0	406,884 ------------- 0	0 ------------- 0
168BRANDT TERRY L DIR/SECY/TREAS/REG CHAIR-ADMIN SWMN	(i) (ii)	0 ------------- 336,122	0 ------------- 0	0 ------------- 41,500	0 ------------- 0	0 ------------- 24,382	0 ------------- 402,004	0 ------------- 0
169HORECKI MD RICHARD J PHYSICIAN	(i) (ii)	313,759 ------------- 0	0 ------------- 0	7,274 ------------- 0	58,043 ------------- 0	22,649 ------------- 0	401,725 ------------- 0	0 ------------- 0
170BAUER MD BRENT A DIRECTOR	(i) (ii)	0 ------------- 301,104	0 ------------- 0	0 ------------- 9,463	0 ------------- 59,897	0 ------------- 30,912	0 ------------- 401,376	0 ------------- 0
171KORDUCKI MD JANE M PHYSICIAN	(i) (ii)	302,847 ------------- 0	0 ------------- 0	7,543 ------------- 0	62,210 ------------- 0	27,453 ------------- 0	400,053 ------------- 0	0 ------------- 0
172ROBELIA MD PAUL M DIRECTOR	(i) (ii)	0 ------------- 306,997	0 ------------- 0	0 ------------- 5,319	0 ------------- 53,481	0 ------------- 32,929	0 ------------- 398,726	0 ------------- 0
173MORRIS MD MARIE E DIRECTOR/CHAIR	(i) (ii)	305,364 ------------- 0	0 ------------- 0	6,707 ------------- 0	62,349 ------------- 0	22,938 ------------- 0	397,358 ------------- 0	0 ------------- 0
174FITZGERALD MD KEVIN DIV CHAIR-SWWI FAMILY MED	(i) (ii)	314,242 ------------- 0	0 ------------- 0	8,652 ------------- 0	43,137 ------------- 0	27,480 ------------- 0	393,511 ------------- 0	0 ------------- 0
175HOLMES TINA E FORMER KEY EMPLOYEE	(i) (ii)	306,780 ------------- 0	0 ------------- 0	3,781 ------------- 0	48,642 ------------- 0	33,959 ------------- 0	393,162 ------------- 0	0 ------------- 0
176GOLDMAN DANIEL S ASST SECY	(i) (ii)	290,687 ------------- 0	0 ------------- 0	14,911 ------------- 0	56,037 ------------- 0	29,462 ------------- 0	391,097 ------------- 0	0 ------------- 0
177MOLLING DO PAUL E DIRECTOR/VICE CHAIR	(i) (ii)	308,365 ------------- 0	0 ------------- 0	8,652 ------------- 0	42,703 ------------- 0	30,530 ------------- 0	390,250 ------------- 0	0 ------------- 0
178CRAIG JASON E DIR/VP/SECY/REG CHAIR-ADMIN NWWI	(i) (ii)	321,942 ------------- 0	0 ------------- 0	5,924 ------------- 0	36,130 ------------- 0	25,342 ------------- 0	389,338 ------------- 0	0 ------------- 0
179LENHART MD JILL PHYSICIAN	(i) (ii)	297,557 ------------- 0	0 ------------- 0	5,622 ------------- 0	55,832 ------------- 0	27,165 ------------- 0	386,176 ------------- 0	0 ------------- 0
180WHITED MD BRIAN L DIRECTOR/PRESIDENT/CHAIR	(i) (ii)	357,101 ------------- 112,993	0 ------------- 0	3,197 ------------- 55,403	0 ------------- 58,379	18,999 ------------- 6,340	379,297 ------------- 233,115	0 ------------- 0
181GREEN MD JEFFREY P FORMER OFFICER	(i) (ii)	291,001 ------------- 0	0 ------------- 0	4,812 ------------- 0	48,300 ------------- 0	32,298 ------------- 0	376,411 ------------- 0	0 ------------- 0
182MEKALA PRAVEEN TREAS/ASST TREAS/CFO MN	(i) (ii)	301,050 ------------- 0	0 ------------- 0	2,236 ------------- 0	40,955 ------------- 0	24,590 ------------- 0	368,831 ------------- 0	0 ------------- 0
183GLENN SEAN W DIRECTOR/ASST SECY	(i) (ii)	292,160 ------------- 0	0 ------------- 0	1,905 ------------- 0	40,322 ------------- 0	31,856 ------------- 0	366,243 ------------- 0	0 ------------- 0
184CROCKETT ERIC D DIR/SECY/REG CHAIR ADMIN SEMN	(i) (ii)	0 ------------- 282,329	0 ------------- 0	0 ------------- 1,704	0 ------------- 43,005	0 ------------- 32,078	0 ------------- 359,116	0 ------------- 0
185PAUL TRAVIS C DIR/SECY/TRES/REG CHAIR ADMIN SWMN	(i) (ii)	0 ------------- 229,407	0 ------------- 0	0 ------------- 73,963	0 ------------- 21,821	0 ------------- 31,683	0 ------------- 356,874	0 ------------- 0
186MURPHY MARIALENA DIRECTOR	(i) (ii)	269,654 ------------- 0	0 ------------- 0	1,921 ------------- 0	52,174 ------------- 0	26,972 ------------- 0	350,721 ------------- 0	0 ------------- 0
187ADLEMAN BREEANN M DIRECTOR/ASST SECY	(i) (ii)	273,655 ------------- 0	0 ------------- 0	1,685 ------------- 0	36,127 ------------- 0	34,688 ------------- 0	346,155 ------------- 0	0 ------------- 0
188ERICKSON ERIC B VICE CHAIR-ADMINISTRATION	(i) (ii)	270,260 ------------- 0	0 ------------- 0	9,337 ------------- 0	56,166 ------------- 0	9,982 ------------- 0	345,745 ------------- 0	0 ------------- 0
189NORDRUM CHARLOTTE J FORMER OFFICER	(i) (ii)	264,690 ------------- 0	0 ------------- 0	1,349 ------------- 0	50,106 ------------- 0	29,182 ------------- 0	345,327 ------------- 0	0 ------------- 0
190POE JOHN D DIRECTOR	(i) (ii)	0 ------------- 273,674	0 ------------- 0	0 ------------- 1,850	0 ------------- 44,775	0 ------------- 22,839	0 ------------- 343,138	0 ------------- 0
191BERG DAVID W ADMIN - MCHS SEMN	(i) (ii)	259,555 ------------- 0	0 ------------- 0	6,945 ------------- 0	51,926 ------------- 0	23,051 ------------- 0	341,477 ------------- 0	0 ------------- 0
192LOCKETT KEVIN M FORMER OFFICER	(i) (ii)	126,474 ------------- 0	0 ------------- 0	144,450 ------------- 0	54,308 ------------- 0	15,410 ------------- 0	340,642 ------------- 0	0 ------------- 0
193SKAAR MD PHILLIP J DIRECTOR/CHAIR	(i) (ii)	266,746 ------------- 0	0 ------------- 0	1,079 ------------- 0	44,659 ------------- 0	26,707 ------------- 0	339,191 ------------- 0	0 ------------- 0
194WHITE PAMELA K CHIEF NURSING OFFICER	(i) (ii)	255,105 ------------- 0	0 ------------- 0	6,532 ------------- 0	47,964 ------------- 0	24,022 ------------- 0	333,623 ------------- 0	0 ------------- 0
195GALINDEZ JR PETER ASST SECY/FORMER OFFICER	(i) (ii)	254,363 ------------- 0	0 ------------- 0	1,833 ------------- 0	46,300 ------------- 0	30,746 ------------- 0	333,242 ------------- 0	0 ------------- 0
196LOHKAMP CHRISTIE A FORMER OFFICER	(i) (ii)	20,762 ------------- 0	0 ------------- 0	146,922 ------------- 0	0 ------------- 0	165,281 ------------- 0	332,965 ------------- 0	0 ------------- 0
197HOLTZ MD CAROL P FORMER OFFICER	(i) (ii)	0 ------------- 272,059	0 ------------- 0	0 ------------- 2,384	0 ------------- 48,988	0 ------------- 6,041	0 ------------- 329,472	0 ------------- 0
198GADE CHRIS W FORMER KEY EMPLOYEE	(i) (ii)	121,539 ------------- 0	0 ------------- 0	191,766 ------------- 0	155 ------------- 0	8,157 ------------- 0	321,617 ------------- 0	0 ------------- 0
199CHO LAWRENCE H FORMER KEY EMPLOYEE	(i) (ii)	17,300 ------------- 0	0 ------------- 0	258,431 ------------- 0	44,871 ------------- 0	70 ------------- 0	320,672 ------------- 0	0 ------------- 0
200ROTTY BRIAN W FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 236,803	0 ------------- 0	0 ------------- 1,939	0 ------------- 49,276	0 ------------- 30,692	0 ------------- 318,710	0 ------------- 0
201MELVIN KEVIN B ASST SECY	(i) (ii)	0 ------------- 240,463	0 ------------- 0	0 ------------- 1,929	0 ------------- 42,184	0 ------------- 33,735	0 ------------- 318,311	0 ------------- 0
202BYRD MD JANE D DIRECTOR/VICE CHAIR	(i) (ii)	227,871 ------------- 0	0 ------------- 0	2,357 ------------- 0	56,298 ------------- 0	29,693 ------------- 0	316,219 ------------- 0	0 ------------- 0
203DEGEN SUSANNE C VICE CHAIR-ADMINISTRATION	(i) (ii)	246,596 ------------- 0	0 ------------- 0	14,017 ------------- 0	39,030 ------------- 0	12,235 ------------- 0	311,878 ------------- 0	0 ------------- 0
204PARKS DOUGLAS A FORMER OFFICER	(i) (ii)	0 ------------- 274,968	0 ------------- 0	0 ------------- 3,254	0 ------------- 49	0 ------------- 30,487	0 ------------- 308,758	0 ------------- 0
205GROSS TERA L DIRECTOR	(i) (ii)	239,212 ------------- 0	0 ------------- 0	1,037 ------------- 0	27,396 ------------- 0	32,224 ------------- 0	299,869 ------------- 0	0 ------------- 0
206THIEMANN KAY M FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 258,040	0 ------------- 0	0 ------------- 7,293	0 ------------- 53	0 ------------- 33,079	0 ------------- 298,465	0 ------------- 0
207HANSON VICTORIA M VICE CHAIR-ADMINISTRATION	(i) (ii)	226,382 ------------- 0	0 ------------- 0	1,881 ------------- 0	38,955 ------------- 0	27,945 ------------- 0	295,163 ------------- 0	0 ------------- 0
208LEBRASSEUR NATHAN K DIRECTOR	(i) (ii)	0 ------------- 223,894	0 ------------- 0	0 ------------- 2,386	0 ------------- 37,251	0 ------------- 30,674	0 ------------- 294,205	0 ------------- 0
209HANSEN JULIE S DIRECTOR/TREAS/CFO WI	(i) (ii)	242,295 ------------- 0	0 ------------- 0	14,843 ------------- 0	9,795 ------------- 0	24,658 ------------- 0	291,591 ------------- 0	0 ------------- 0
210FALLER MD ANNETTE PHYSICIAN	(i) (ii)	240,148 ------------- 0	0 ------------- 0	1,210 ------------- 0	44,993 ------------- 0	760 ------------- 0	287,111 ------------- 0	0 ------------- 0
211HOLST TANNER T VICE CHAIR-ADMINISTRATION	(i) (ii)	221,148 ------------- 0	0 ------------- 0	10,576 ------------- 0	27,333 ------------- 0	27,348 ------------- 0	286,405 ------------- 0	0 ------------- 0
212BROWN WILLIAM A ASST TREASURER	(i) (ii)	252,693 ------------- 0	0 ------------- 0	4,169 ------------- 0	0 ------------- 0	26,916 ------------- 0	283,778 ------------- 0	0 ------------- 0
213JOHNSON RYAN R DIRECTOR	(i) (ii)	0 ------------- 220,176	0 ------------- 0	0 ------------- 3,352	0 ------------- 26,719	0 ------------- 30,660	0 ------------- 280,907	0 ------------- 0
214CAPLAN SHERRY M VICE CHAIR-ADMINISTRATION	(i) (ii)	228,804 ------------- 0	0 ------------- 0	1,892 ------------- 0	26,609 ------------- 0	22,248 ------------- 0	279,553 ------------- 0	0 ------------- 0
215MATTHIAS MARK A FORMER OFFICER	(i) (ii)	209,723 ------------- 0	0 ------------- 0	1,750 ------------- 0	44,082 ------------- 0	23,542 ------------- 0	279,097 ------------- 0	0 ------------- 0
216MARTIN DAVID L FORMER KEY EMPLOYEE	(i) (ii)	210,694 ------------- 0	0 ------------- 0	1,436 ------------- 0	40,391 ------------- 0	24,130 ------------- 0	276,651 ------------- 0	0 ------------- 0
217EBERLE MICHELE R DIR/VICE CHAIR-ADMIN	(i) (ii)	212,971 ------------- 0	0 ------------- 0	10,674 ------------- 0	37,723 ------------- 0	11,001 ------------- 0	272,369 ------------- 0	0 ------------- 0
218DRUCKER PAUL E DIRECTOR/VICE PRESIDENT	(i) (ii)	0 ------------- 179,656	0 ------------- 0	0 ------------- 26,769	0 ------------- 32,639	0 ------------- 30,605	0 ------------- 269,669	0 ------------- 0
219EIDE DEAN B DIR/VICE CHAIR-ADMIN	(i) (ii)	225,166 ------------- 0	0 ------------- 0	2,448 ------------- 0	38,921 ------------- 0	2,529 ------------- 0	269,064 ------------- 0	0 ------------- 0
220DAVIS AMY L FORMER OFFICER	(i) (ii)	208,457 ------------- 0	0 ------------- 0	1,144 ------------- 0	29,305 ------------- 0	29,748 ------------- 0	268,654 ------------- 0	0 ------------- 0
221COGNETTA-RIEKE CHERISTI M CHIEF NURSING OFFICER	(i) (ii)	205,400 ------------- 0	0 ------------- 0	1,456 ------------- 0	31,951 ------------- 0	29,561 ------------- 0	268,368 ------------- 0	0 ------------- 0
222CLUNE MD CAROLINE G PHYSICIAN	(i) (ii)	202,658 ------------- 0	0 ------------- 0	25,969 ------------- 0	34,010 ------------- 0	2,660 ------------- 0	265,297 ------------- 0	0 ------------- 0
223LANZ APRIL D VICE CHAIR-ADMINISTRATION	(i) (ii)	207,417 ------------- 0	0 ------------- 0	1,775 ------------- 0	27,576 ------------- 0	27,563 ------------- 0	264,331 ------------- 0	0 ------------- 0
224MEYERS ANN M DIRECTOR	(i) (ii)	0 ------------- 48,066	0 ------------- 0	0 ------------- 205,573	0 ------------- 2,784	0 ------------- 4,519	0 ------------- 260,942	0 ------------- 0
225JORGENSON BETTY CHIEF NURSING OFFICER	(i) (ii)	150,163 ------------- 0	0 ------------- 0	45,420 ------------- 0	33,290 ------------- 0	31,474 ------------- 0	260,347 ------------- 0	0 ------------- 0
226MCNEILL STEVEN L FORMER KEY EMPLOYEE	(i) (ii)	163,660 ------------- 0	0 ------------- 0	76,410 ------------- 0	7,723 ------------- 0	10,759 ------------- 0	258,552 ------------- 0	0 ------------- 0
227MCCONNELL LISA A DIRECTOR	(i) (ii)	201,722 ------------- 0	0 ------------- 0	3,621 ------------- 0	30,712 ------------- 0	20,756 ------------- 0	256,811 ------------- 0	0 ------------- 0
228MARTIN-KRAJEWSKI CARIE A VICE CHAIR-ADMINISTRATION	(i) (ii)	212,172 ------------- 0	0 ------------- 0	2,356 ------------- 0	30,494 ------------- 0	10,760 ------------- 0	255,782 ------------- 0	0 ------------- 0
229DALBELLO JR ALBERT DIRECTOR/SECRETARY	(i) (ii)	180,026 ------------- 0	0 ------------- 0	2,605 ------------- 0	37,103 ------------- 0	30,535 ------------- 0	250,269 ------------- 0	0 ------------- 0
230JANSSEN JAMES J ASST TREASURER	(i) (ii)	207,408 ------------- 0	0 ------------- 0	3,806 ------------- 0	6,751 ------------- 0	24,347 ------------- 0	242,312 ------------- 0	0 ------------- 0
231LONG AMY K DIRECTOR	(i) (ii)	192,169 ------------- 0	0 ------------- 0	1,226 ------------- 0	21,645 ------------- 0	25,555 ------------- 0	240,595 ------------- 0	0 ------------- 0
232TING MD HENRY H DIRECTOR	(i) (ii)	86,522 ------------- 0	0 ------------- 0	89,439 ------------- 0	56,017 ------------- 0	3,889 ------------- 0	235,867 ------------- 0	0 ------------- 0
233DUNN AJANI N DIR/SECY/ASST TREAS/CAO FL	(i) (ii)	297,720 ------------- 0	0 ------------- 0	1,073 ------------- 0	34,371 ------------- 0	33,003 ------------- 0	366,167 ------------- 0	0 ------------- 0
234FLATTUM BETHANIE L TREASURER	(i) (ii)	198,120 ------------- 7,692	0 ------------- 0	1,401 ------------- 27	0 ------------- 24,966	30,474 ------------- 1,340	229,995 ------------- 34,025	0 ------------- 0
235LANZEL TRICIA G DIRECTOR/CHAIR	(i) (ii)	172,025 ------------- 0	0 ------------- 0	2,045 ------------- 0	22,526 ------------- 0	31,140 ------------- 0	227,736 ------------- 0	0 ------------- 0
236RUSTAD CHRISTOPHER D DIR/SECY/TREAS/FORMER OFFICER	(i) (ii)	0 ------------- 185,789	0 ------------- 0	0 ------------- 1,970	0 ------------- 87	0 ------------- 31,530	0 ------------- 219,376	0 ------------- 0
237JOHNSON CARLA J ASST SECY	(i) (ii)	204,710 ------------- 0	0 ------------- 0	1,673 ------------- 0	24,914 ------------- 0	19,563 ------------- 0	250,860 ------------- 0	0 ------------- 0
238MEYER TIA J ADMIN OPERATIONS	(i) (ii)	162,913 ------------- 0	0 ------------- 0	6,231 ------------- 0	28,855 ------------- 0	13,991 ------------- 0	211,990 ------------- 0	0 ------------- 0
239TRADEWELL MATTHEW W ADMIN OPERATIONS	(i) (ii)	155,426 ------------- 0	0 ------------- 0	9,428 ------------- 0	17,632 ------------- 0	29,090 ------------- 0	211,576 ------------- 0	0 ------------- 0
240KUEHL MD MARY J DIRECTOR	(i) (ii)	148,801 ------------- 0	0 ------------- 0	1,319 ------------- 0	32,896 ------------- 0	26,711 ------------- 0	209,727 ------------- 0	0 ------------- 0
241BORTNEM MARK A DIRECTOR/TREAS/CFO WI	(i) (ii)	95,831 ------------- 0	15,000 ------------- 0	82,555 ------------- 0	0 ------------- 0	9,150 ------------- 0	202,536 ------------- 0	0 ------------- 0
242GULDEN CHRISTOPHER R SECY	(i) (ii)	156,289 ------------- 0	0 ------------- 0	10,385 ------------- 0	18,627 ------------- 0	15,813 ------------- 0	201,114 ------------- 0	0 ------------- 0
243KUJAK-COON HEATHER ADMIN OPERATIONS	(i) (ii)	151,683 ------------- 0	0 ------------- 0	1,535 ------------- 0	19,686 ------------- 0	27,496 ------------- 0	200,400 ------------- 0	0 ------------- 0
244BROWN MICHAEL E FORMER OFFICER	(i) (ii)	123,697 ------------- 0	0 ------------- 0	11,625 ------------- 0	41,497 ------------- 0	11,081 ------------- 0	187,900 ------------- 0	0 ------------- 0
245BOYUM LISA L TREASURER	(i) (ii)	131,640 ------------- 0	0 ------------- 0	5,275 ------------- 0	17,939 ------------- 0	28,396 ------------- 0	183,250 ------------- 0	0 ------------- 0
246FEHMI RASHID A TREASURER	(i) (ii)	130,368 ------------- 0	0 ------------- 0	11,401 ------------- 0	20,770 ------------- 0	19,931 ------------- 0	182,470 ------------- 0	0 ------------- 0
247EVENSON LAURA K FORMER KEY EMPLOYEE	(i) (ii)	132,574 ------------- 0	0 ------------- 0	1,636 ------------- 0	19,368 ------------- 0	28,873 ------------- 0	182,451 ------------- 0	0 ------------- 0
248FENNELL THOMAS J ASST SECY	(i) (ii)	126,065 ------------- 0	0 ------------- 0	13,779 ------------- 0	22,629 ------------- 0	18,558 ------------- 0	181,031 ------------- 0	0 ------------- 0
249BELILES GREGORY R ASST SECY	(i) (ii)	146,974 ------------- 0	0 ------------- 0	1,162 ------------- 0	17,107 ------------- 0	29,834 ------------- 0	195,077 ------------- 0	0 ------------- 0
250KRUMM TARA L DIRECTOR/SECY/TREAS	(i) (ii)	116,897 ------------- 0	0 ------------- 0	1,333 ------------- 0	17,246 ------------- 0	25,364 ------------- 0	160,840 ------------- 0	0 ------------- 0
251TIGGELAAR THOMAS H FORMER OFFICER	(i) (ii)	70,999 ------------- 0	0 ------------- 0	41,477 ------------- 0	59,802 ------------- 0	7,212 ------------- 0	179,490 ------------- 0	97,921 ------------- 0
252STEVENS MD MARK K FORMER KEY EMPLOYEE	(i) (ii)	76,003 ------------- 0	0 ------------- 0	93,411 ------------- 0	0 ------------- 0	2 ------------- 0	169,416 ------------- 0	0 ------------- 0
253FINNEMAN KILLINGER KAREN A REG CHAIR FAC & SUPP SVCS	(i) (ii)	167,467 ------------- 0	0 ------------- 0	5,392 ------------- 0	24,023 ------------- 0	29,627 ------------- 0	226,509 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

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 2021, NASER M. AMMASH M.D., JEFFREY W. BOLTON, GUSTAV A. DECKER MBBCH, GIANRICO FARRUGIA M.D., FREDRIC B. MEYER M.D., TINA E. HOLMES, WILLIAM M. STONE M.D., KENT R. THIELEN M.D., PRATHIBHA VARKEY MBBS, AMY W. WILLIAMS M.D., CHERYL L. WILLMAN M.D., AND CHRISTINA K. ZORN 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. IN ADDITION TO ALL REGULAR TRAVEL APPROVAL AND DOCUMENTATION PROCESSES, BUSINESS/FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY SENIOR LEADERSHIP, 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 AND FOR OTHER BUSINESS RELATED PURPOSES. IN 2021, DENNIS E. DAHLEN, GIANRICO FARRUGIA, RAFAEL FONSECA, RICHARD J. GRAY AND TINA E. HOLMES 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 2021, 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 2021, 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 AND NASER M. AMMASH RELOCATED TO ABU DHABI, UAE AS PART OF THEIR INTERNATIONAL POSITION. THEY ARE PROVIDED AN ANNUAL STIPEND AND HOUSING ALLOWANCE. 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 2021, RYANNON K. FREDERICK AND CHRISTINA K. ZORN RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME AND GROSSED UP. 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 THE SETTLEMENT OF AN EMPLOYMENT DISPUTE, ELIZABETH R. DEPERI RECEIVED PAYMENT OF $1,780,000. THIS AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). LEGAL FEES WERE PAID TO THE EMPLOYEES ATTORNEY AND REPORTED ON A 1099. IN ADDITION, THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT PER A SEPARATION AGREEMENT. THE AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): CHO, LAWRENCE H. $246,873 GADE, CHRIS W. $167,174 LOCKETT, KEVIN M. $143,000 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. CAVINESS M.D., JOHN N. DOWDY M.D., SEAN C. FAMUYIDE M.B.B.S., ABIMBOLA O. FARRUGIA M.D., GIANRICO FAUBION M.D., STEPHANIE S. FEHMI, RASHID A. HARA M.D., AMY K. LAL M.D., DEVYANI MEYER M.D., FREDRIC B. RIHAL M.D., CHARANJIT S. TANER M.D., BURCIN C.
SCH J, 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). ABEL M.D., MARTIN D. $65,938 ACKERMAN, FRANKLIN K. $5,539 ALBRIGHT JR., D.O., ROBERT C. $37,283 AMMASH M.D., NASER M. $110,604 ANDREWS M.D., PAUL E. $95,969 ANIL M.D., GOKHAN $42,293 BAKKUM-GAMEZ, M.D., JAMIE N. $39,095 BARTLETT M.D., BRIAN N. $13,051 BAUER M.D., BRENT A. $4,550 BENDOK M.D., BERNARD R. $88,649 BHAGRA M.D., SUMIT $6,804 BOLTON, JEFFREY W. $282,321 BORTNEM, MARK A. $0 BRANDT, TERRY L. $18,485 BROWN M.D., MICHAEL J. $62,718 BRUCE M.D., CHARLES J. $99,383 BUNKERS M.D., BRIAN E. $20,339 BUSKIRK M.D., STEVEN J. $95,129 CASLER M.D., JOHN D. $71,538 CAVINESS M.D., JOHN N. $20,929 CHAPITAL M.D., ALYSSA B. $53,972 CHO, LAWRENCE H. $11,540 CHONG M.D., BRIAN W. $108,289 CHUKWUDELUNZU SR., M.D., FELIX E. $5,968 CIMA M.D., ROBERT R. $72,802 CIOTA M.D., MARK R. $82,820 CLUNE M.D., CAROLINE G. $0 COOPER M.D., LESLIE T. $97,369 COSTAKOS M.D., DENNIS T. $27,452 CRAIG M.D., FIONA E. $29,513 CRAIG, JASON E. $4,936 CRANE M.D., SARAH J. $13,598 CROSS III M.D., WILLIAM W. $62,122 CULLINAN M.D., SUSAN M. $22,802 DAHLEN, DENNIS E. $127,530 DECKER MBBCH, GUSTAV A. $77,625 DEEN JR., M.D., HUGH G. $204,259 DEGENHARDT M.D., JEFFRY A. $62,101 DEVAULT M.D., KENNETH R. $106,470 DEWITT M.D., JASON J. $9,324 DEXTER M.D., DONN D. $17,065 DIETER, HEIDI L. $15,388 DOUGLAS M.D., DAVID D. $93,870 DOWDY M.D., SEAN C. $60,388 DRONCA M.D., ROXANA S. $32,887 DUNN, AJANI N. $0 ETZIONI M.D., DAVID A. $39,840 EZENAGU M.D., LEONARD C. $9,677 FAMUYIDE M.B.B.S., ABIMBOLA O. $57,071 FARRUGIA M.D., GIANRICO $501,999 FAUBION M.D., STEPHANIE S. $19,266 FISHER D.O., LAURA A. $6,511 FITZGERALD M.D., KEVIN $7,281 FONSECA M.D., RAFAEL $111,719 FOSS M.D., RANDY M. $2,847 FRANCIS, JAMES R. $48,724 FRASER, CATHRYN H. $76,948 FREDERICK, RYANNON K. $42,896 GADE, CHRIS W. $21,619 GILLIGAN, SHERRI W. $51,500 GLANTZ M.D., JANEL N. $76,647 GLENN, SEAN W. $0 GOLDMAN, DANIEL S. $2,520 GORES M.D., GREGORY J. $196,939 GORMAN, PAUL A. $107,872 GOSTOUT M.D., BOBBIE S. $349,763 GOYAL, MANEESH $2,721 GRAY M.D., RICHARD J. $242,622 GREEN M.D., JEFFREY P. $3,051 HAKAIM M.D., ALBERT G. $87,568 HALAMKA M.D., JOHN D. $51,750 HARA M.D., AMY K. $84,471 HARPER JR., M.D., CHARLES M. $255,639 HEBL M.D., JAMES R. $119,791 HELLMICH M.D., THOMAS R. $34,200 HELMERS M.D., RICHARD A. $114,361 HERRMANN M.D., MARTIN J. $9,578 HICKSON M.D., LATONYA J. $14,730 HIRISAVE KRISHNA M.D., BIPINCHANDRA $2,921 HOFFMAN III, HARRY N. $130,201 HOLMES, TINA E. $975 HOLTAN, DOUGLAS J. $26,103 HOLTZ M.D., CAROL P. $881 HORECKI M.D., RICHARD J. $4,349 HORN M.D., JENNIFER L. $9,355 HORST, ADAM M. $10,440 HORVATH M.D., PAUL R. $5,425 HUBERT, SHERRY L. $5,318 JANUS M.D., JEFFREY R. $11,682 JELINEK, DIANE F. $12,179 JOHNSON M.D., DANIEL J. $70,169 JOHNSON M.D., MARGARET M. $40,388 KEENAN M.D., LAWRENCE R. $78,443 KELLEY, SHARON M. $24,207 KENDRICK M.D., MICHAEL L. $88,590 KHAN, RITA G. $20,750 KHOOR M.D., ANDRAS $57,051 KIM M.D., HYUN I. $42,556 KNUDSON, STEVE L. $22,545 KORDUCKI M.D., JANE M. $4,701 KOWAL D.O., GERALD K. $3,843 KRAHN M.D., LOIS E. $43,748 KRIEN M.D., JOSEPH S. $19,951 KROSCH M.D., TARA C. $11,363 LAL M.D., DEVYANI $34,314 LANGBEHN D.O., JENNIFER M. $3,912 LEIBOVICH M.D., BRADLEY C. $80,989 LEIGHTON M.D., JONATHAN A. $96,670 LENHART M.D., JILL $3,846 LIMPER M.D., ANDREW H. $52,148 LINDAHL, ROGER A. $6,214 LITCHY M.D., WILLIAM J. $20,929 LYONS M.D., MARK K. $211,119 MCKINNEY M.D., J. MARK $58,012 MCLAUGHLIN M.D., SARAH A. $36,681 MCNEILL, STEVEN L. $46,976 MEKALA, PRAVEEN $659 MENKOSKY, PAULA E. $131,599 MERFELD M.D., JOHN $7,331 MESCHIA M.D., JAMES F. $19,529 MEYER M.D., FREDRIC B. $223,653 MEYERS, ANN M. $11,188 MOLLING D.O., PAUL E. $7,281 MORICE M.D., WILLIAM G. $76,931 MORREY, MICHAEL A. $13,204 MORRIS M.D., MARIE E. $3,872 MOSS M.D., ADYR A. $88,479 MUELLER M.D., PAUL S. $100,297 MURPHY, JOSHUA B. $205,357 MYHRE M.D., KAREN K. $2,525 NASSAR M.D., AZIZA $42,368 NOE M.D., KATHERINE H. $15,252 NOLTE D.O., CHARLES P. $121,909 NOTTMEIER M.D., ERIC W. $126,404 ODENIGBO M.D., CELESTINE $4,159 ORTIZ M.D., JOSE A. $66,631 OTLEY M.D., CLARK C. $164,567 OTTE, KIMBERLY K. $26,881 PATEL M.B., TUSHAR C. $55,800 PEARSON M.D., SUSAN E. $53,603 PECK M.D., ROBERT C. $19,700 PETERSON M.D., JEFFREY J. $79,326 PICHELMANN M.D., MARK A. $180,947 PIGNOLO M.D., PH.D., ROBERT J. $9,488 PORTER M.D., ALYX B. $15,668 PRESUTTI D.O., RICHARD J. $21,469 QUINONES-HINOJOSA M.D., ALFREDO $96,117 RADEMACHER M.D., DANA E. $114,549 REDDY M.B.B.S., KUNAM S. $85,679 RIGDON, ALICE W. $8,750 RIHAL M.D., CHARANJIT S. $111,369 RIMSZA M.D., LISA M. $28,024 ROBELIA M.D., PAUL M. $3,046 ROGERS, JAMES A. $58,182 ROSS, CHRISTOPHER J. $70,857 RYAN, MICHAEL J. $52,008 SADOSTY M.D., ANNIE T. $84,717 SANTRACH M.D., PAULA J. $49,769 SEINOLA, SCOTT A. $40,628 SHAH M.D., VIJAY $129,107 SHARMA M.B.B.S., MANISH S. $62,949 SHERRILL, TODD E. $11,163 SILVERS M.D., SCOTT M. $35,280 SIMPSON M.D., HENRY J. $6,900 SNAZA, KARI S. $0 SOUSOU M.D., COSTA H. $16,870 STEWART M.D., MICHAEL W. $116,341 STONE M.D., WILLIAM M. $104,368
SCH J, PART I, LINE 4B CONTINUED	TANER M.D., BURCIN C. $71,084 TAZELAAR M.D., HENRY D. $60,691 TERKONDA M.D., SARVAM P. $94,570 THIEL M.D., DAVID D. $58,892 THIELEN M.D., KENT R. $242,622 TING M.D., HENRY H. $63,049 TRENTMAN M.D., TERRENCE L. $67,898 URUMOV M.D., ANDREJ $12,246 UY M.D., JONATHAN J. $88,712 VARKEY M.B.B.S., PRATHIBHA $0 VIRAMONTES, ALLISON L. $4,750 WALD M.D., JOHN T. $102,689 WHITED M.D., BRIAN L. $54,614 WILLIAMS M.D., AMY W. $133,003 WILLIAMSON, MARY J. $149,659 WILLMAN M.D., CHERYL L. $0 WRAY-RAABOLLE M.D., JASON T. $5,858 YOUNG M.D., TIMOTHY J. $6,699 YUN M.D., BLENDA $7,406 ZIETLOW M.D., SCOTT P. $70,562 ZIMMERMAN M.D., RICHARD S. $216,719 ZORN, CHRISTINA K. $90,970 ZUROB M.D., ADEL S. $28,891
PART II:	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

2021

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 2020, 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 2020, 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) 2021

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 ....	1.020 %		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 .........	0.020 %		0.250 %
6 Total of lines 4 and 5 .............	1.040 %		0.340 %
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) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

2021

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) 2021

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 ALYSSA M	FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M.	48,505	EMPLOYMENT		No
(2) ANDERSON MEGAN R	FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M.	30,553	EMPLOYMENT		No
(3) ANIL STACI M	FAMILY MEMBER OF DIRECTOR ANIL M.D., GOKHAN	40,042	EMPLOYMENT		No
(4) BAYRD DO MEGAN E	FAMILY MEMBER OF KEY EMPLOYEE HORVATH M.D., PAUL R.	237,452	EMPLOYMENT		No
(5) BRUCE ALISON J	FAMILY MEMBER OF DIRECTOR BRUCE M.D., CHARLES J.	580,705	EMPLOYMENT		No
(6) CADMAN KATHRYN A	FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	121,921	EMPLOYMENT		No
(7) CADMAN KAYLA M	FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN	84,130	EMPLOYMENT		No
(8) CHONG CATHERINE	FAMILY MEMBER OF DIRECTOR CHONG M.D., BRIAN W.	167,194	EMPLOYMENT		No
(9) COOPER MD JANE H	FAMILY MEMBER OF DIRECTOR COOPER M.D., LESLIE T.	195,002	EMPLOYMENT		No
(10) CRAIG MELINDA G	FAMILY MEMBER OF OFFICER CRAIG, JASON E.	54,514	EMPLOYMENT		No
(11) ETZIONI MD SHIRI	FAMILY MEMBER OF KEY EMPLOYEE ETZIONI M.D., DAVID A.	178,894	EMPLOYMENT		No
(12) FITZGERALD ROBIN L	FAMILY MEMBER OF KEY EMPLOYEE FITZGERALD M.D., KEVIN	62,555	EMPLOYMENT		No
(13) FLOM MURPHY MELISSA A	FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B.	61,167	EMPLOYMENT		No
(14) GADE MARNE J	FAMILY MEMBER OF FORMER KEY EMPLOYEE GADE, CHRIS W.	180,097	EMPLOYMENT		No
(15) GALINDEZ BRENDA K	FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER	141,015	EMPLOYMENT		No
(16) GREENFIELD CLAIRE A	FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., DANIEL J.	94,428	EMPLOYMENT		No
(17) GRUBER LISA J	FAMILY MEMBER OF DIRECTOR GRUBER, JOHN	45,556	EMPLOYMENT		No
(18) HARPER SARAH B	FAMILY MEMBER OF FORMER KEY EMPLOYEE HARPER JR., M.D., CHARLES M.	67,614	EMPLOYMENT		No
(19) HOFFMAN WILLIAM E	FAMILY MEMBER OF FORMER OFFICER HOFFMAN III, HARRY N.	65,256	EMPLOYMENT		No
(20) HUBERT ELIAS J	FAMILY MEMBER OF OFFICER HUBERT, SHERRY L.	10,673	EMPLOYMENT		No
(21) JUSTILIEN VERLINE	FAMILY MEMBER OF OFFICER DUNN, AJANI N.	139,889	EMPLOYMENT		No
(22) LEGARE JENNIFER A	FAMILY MEMBER OF DIRECTOR LEGARE, GREG	166,467	EMPLOYMENT		No
(23) MOLLING HEATHER M	FAMILY MEMBER OF DIRECTOR MOLLING D.O., PAUL E.	105,445	EMPLOYMENT		No
(24) PHILLIPS MD TODD C	FAMILY MEMBER OF KEY EMPLOYEE FALLER M.D., ANNETTE	369,026	EMPLOYMENT		No
(25) ROBARDS MD CHRISTOPHER B	FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A.	630,224	EMPLOYMENT		No
(26) TANER MD NILUFER	FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C.	421,537	EMPLOYMENT		No
(27) THIELEN MD JACQUELINE M	FAMILY MEMBER OF KEY EMPLOYEE THIELEN M.D., KENT R.	229,688	EMPLOYMENT		No
(28) VOSSBERG PAT L	FAMILY MEMBER OF DIRECTOR GROSS, TERA L.	122,783	EMPLOYMENT		No
(29) WILLIAMS MD LINDSY N	FAMILY MEMBER OF KEY EMPLOYEE JANUS M.D., JEFFREY R.	281,923	EMPLOYMENT		No
(30) WOLD DEREK J	FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	75,509	EMPLOYMENT		No
(31) WOLD INGRID Y	FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K.	72,230	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) 2021

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

2021

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 ..	X	1	90,000	BOOK VALUE
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 ( )
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) (2021)

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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

MAYO CLINIC GROUP RETURN

Employer identification number

38-3952644

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS, WHO ARE LISTED IN PART VII AS A CURRENT OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE, HAVE A BUSINESS RELATIONSHIP WITH ONE OR MORE OF THE OTHER INDIVIDUALS HERE LISTED BECAUSE ONE IS EMPLOYED BY A RELATED TAX EXEMPT ORGANIZATION FOR WHICH THE OTHER SERVES AS AN OFFICER, DIRECTOR, OR TRUSTEE. ALBRIGHT JR., D.O., ROBERT C., ANIL M.D., GOKHAN, BAKKUM-GAMEZ, M.D., JAMIE N., BELILES, GREGORY R., BERGERON-BOWE, MELISSA, BHAGRA M.D., SUMIT, BOLTON, JEFFREY W., BORTNEM, MARK A., BRANDT, TERRY L., BROWN M.D., MICHAEL J., BROWN, WILLIAM A., BRUCE M.D., CHARLES J., BYRD M.D., JANE D., CASLER M.D., JOHN D., CIMA M.D., ROBERT R., CIOTA M.D., MARK R., COOPER M.D., LESLIE T., CRAIG, JASON E., CRANE M.D., SARAH J., CROCKETT, ERIC D., CULLINAN M.D., SUSAN M., DAHLEN, DENNIS E., DALBELLO JR., ALBERT, DEVAULT M.D., KENNETH R., DOWDY M.D., SEAN C., DRONCA M.D., ROXANA S., DUNN, AJANI N., EBERLE, MICHELE R., EIDE, DEAN B., FAMUYIDE M.B.B.S., ABIMBOLA O., FARRUGIA M.D., GIANRICO, FAUBION M.D., STEPHANIE S., FISHER D.O., LAURA A., FLATTUM, BETHANIE L., FRANCIS, JAMES R., GALINDEZ JR., PETER, GORES M.D., GREGORY J., GORMAN, PAUL A., GOSTOUT M.D., BOBBIE S., GRAY M.D., RICHARD J., GROSS, TERA L., GULDEN, CHRISTOPHER R., HAKAIM M.D., ALBERT G., HANSEN, JULIE S., HARPER JR., M.D., CHARLES M., HEBL M.D., JAMES R., HELMERS M.D., RICHARD A., HICKSON M.D., LATONYA J., HORST, ADAM M., HUBERT, SHERRY L., JOHNSON M.D., MARGARET M., JOHNSON, CARLA J., JOHNSON, RYAN R., KASPER, JOHN, KELLEY, SHARON M., KENDRICK M.D., MICHAEL L., KRUMM, TARA L., KUEHL M.D., MARY J., LEIBOVICH M.D., BRADLEY C., LIMPER M.D., ANDREW H., LINDBERG, STEVEN J., LONG, AMY K., MCLAUGHLIN M.D., SARAH A., MEKALA, PRAVEEN, MELVIN, KEVIN B., MENKOSKY, PAULA E., MEYER M.D., FREDRIC B., MORICE M.D., WILLIAM G., MORREY, MICHAEL A., MORRIS M.D., MARIE E., MUELLER M.D., PAUL S., MURPHY, JOSHUA B., ODENIGBO M.D., CELESTINE, OTLEY M.D., CLARK C., PATEL M.B., TUSHAR C., PAUL, TRAVIS C., QUINONES-HINOJOSA M.D., ALFREDO, RIGDON, ALICE W., RIHAL M.D., CHARANJIT S., SHAH M.D., VIJAY, SHARMA M.B.B.S., MANISH S., SHERRILL, TODD E., SKAAR M.D., PHILLIP J., TANER M.D., BURCIN C., THIEL M.D., DAVID D., THIELEN M.D., KENT R., TING M.D., HENRY H., VARKEY M.B.B.S., PRATHIBHA, VIRAMONTES, ALLISON L., WHITED M.D., BRIAN L., WILLIAMS M.D., AMY W., WILLIAMSON, MARY J., WILLMAN M.D., CHERYL L., ZORN, CHRISTINA K., THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR TRUSTEES OF MCHS-FRANCISCAN MEDICAL CENTER AND HAVE A BUSINESS RELATIONSHIP: BORSHEIM, PAUL MATHY, SCOTT THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR KEY EMPLOYEES OF MCHS-FRANCISCAN MEDICAL CENTER AND HAVE A FAMILY RELATIONSHIP: MATHY, SCOTT MERFELD M.D., JOHN *********************************************** ADLEMAN, BREEANN M., 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., JANSSEN, JAMES J., SHERRILL, TODD E., HUBERT, SHERRY L., 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., ROGERS, JAMES A., WILLIAMSON, MARY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. JANSSEN, JAMES J., SHERRILL, TODD E., GOLDMAN, DANIEL S., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MC ALLIANCE, LTD, A RELATED TAXABLE ENTITY. JANSSEN, JAMES J., SHERRILL, TODD E., 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. DAHLEN, DENNIS E., GORMAN, PAUL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. SHERRILL, TODD E., GORMAN, PAUL A., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF LATIGO PETROLEUM, 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 FOR MCHS-FRANCISCAN MEDICAL CENTER WERE AMENDED JANUARY 2021 TO UPDATE THE NAMES OF VARIOUS DIRECTORS AND TO CHANGE THE NUMBER OF BOARD MEETINGS TO BE AT LEAST FOUR TIMES PER YEAR. THE BYLAWS FOR MCHS-FRANCISCAN MEDICAL CENTER WERE AMENDED OCTOBER 2021 TO TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES. THE BYLAWS FOR MCHS-NORTHWEST WISCONSIN REGION WERE AMENDED OCTOBER 2021 TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES. THE BYLAWS FOR MCHS-SOUTHEAST MINNESOTA REGION WERE AMENDED OCTOBER 2021 TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES. THE BYLAWS FOR MCHS-SOUTHWEST MINNESOTA REGION WERE AMENDED OCTOBER 2021 TO CHANGE THE TITLE OF "VICE PRESIDENT OF MAYO CLINIC" TO "PRESIDENT OF MAYO CLINIC HEALTH SYSTEM" THROUGHOUT THE DOCUMENT, UPDATE THE NAMES AND TERM EXPIRATION DATES OF THE DIRECTORS, AND AMEND THE EXECUTION OF DOCUMENT CLAUSE TO ELIMINATE THE REQUIREMENT OF TWO OFFICER SIGNATURES ON CERTAIN DOCUMENT TYPES.
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 DIVISION CHAIR-ACCOUNTING, CHAIR-FINANCIAL AND ACCOUNTING SERVICES, CHAIR-REVENUE CYCLE, 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 SEVERAL OTHER OFFICERS AND KEY EMPLOYEES 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 IX, LINE 11G	I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 514,813,923. MANAGEMENT AND GENERAL EXPENSES 24,485,959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 539,299,882. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 419,372,989. MANAGEMENT AND GENERAL EXPENSES 284,850,024. FUNDRAISING EXPENSES 5,207. TOTAL EXPENSES 704,228,220.
FORM 990, PART XI, LINE 9:	PENSION-POST RETIREMENT (PER FASB A 18,545,304.
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) 2021

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

2021

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)HORMEL FOUNDATION 329 N MAIN ST SUITE 102L AUSTIN,MN55912 41-0694716	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(5)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
(6)THE HIRSH FAMILY FOUNDATION 108 NORTH MAIN STREET AUSTIN,MN55912 41-1749842	FUNDRAISING FOUNDATION	MN	501(C)(3)	12-I	N/A		No
(7)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) 2021

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	22			No			No	15.950 %
(2) LATIGO PETROLEUM LLC PO BOX 14230 ODESSA,TX79768 36-4767494	OIL & GAS EXPLORATION	DE	N/A					No			No
(3) MAYO CLINIC HEALTHCARE LLP 15 PORTLAND PLACE LONDON UK	HEALTHCARE	UK	N/A					No			No

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) MAYO CLINIC SUPPORT SERVICES TEXAS 200 FIRST STREET SW ROCHESTER,MN55905 47-1751102	HEALTH SERVICES	TX	N/A	C				Yes
(2) MAYO CLINIC UK LTD 3 MORE LONDON RIVERSIDE LONDON UK	INVESTMENT ACTIVITIES	UK	N/A	C				Yes
(3) MAYO HOLDING COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-1578020	HOLDING COMPANY	MN	N/A	C				Yes
(4) MAYO INSURANCE COMPANY LTD 200 FIRST STREET SW ROCHESTER,MN55905	SELF INSURANCE POOL	CJ	N/A	C				Yes
(5) MCHS-DECORAH CLINIC PHYSICIANS 907 MONTGOMERY STREET DECORAH,IA52101 41-1711329	PATIENT CARE - CLINIC	IA	N/A	C				Yes
(6) RESOUNDANT INC 421 1ST AVE SW SUITE 204W ROCHESTER,MN55902 46-1661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	MFMER	C	3,690,626	5,992,825	60.000 %	Yes
(7) ROCHESTER AIRPORT COMPANY 200 FIRST STREET SW ROCHESTER,MN55905 41-0506870	AIRPORT MANAGEMENT	MN	N/A	C				Yes
(8) 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
(9) THE STABILE BUILDING OWNERS' ASSOCIATION 200 FIRST STREET SW ROCHESTER,MN55905 20-8994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C				Yes
(10) MC ALLIANCE LTD 200 FIRST STREET SW ROCHESTER,MN55905 98-1527769	HEALTHCARE AND ADMINISTRATIVE SERVICES	CJ	N/A	C				Yes
(11) MAYO CLINIC UK 2 LTD 3 MORE LONDON RIVERSIDE LONDON UK	INVESTMENT ACTIVITIES	UK	N/A					Yes
(12) CHARITABLE LEAD TRUST	CHARITABLE TRUST	CA	N/A	T				Yes
(13) PERPETUAL TRUST	CHARITABLE TRUST	LA	N/A	T				Yes
(14) PERPETUAL TRUST (2)	CHARITABLE TRUST	MA	N/A	T				Yes
(15) PERPETUAL TRUST	CHARITABLE TRUST	MO	N/A	T				Yes
(16) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	AZ	N/A	T				Yes
(17) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	N/A	T				Yes
(18) CHARITABLE REMAINDER TRUST (7)	CHARITABLE TRUST	FL	N/A	T				Yes
(19) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MA	N/A	T				Yes
(20) CHARITABLE REMAINDER TRUST (93)	CHARITABLE TRUST	MN	N/A	T				Yes
(21) CHARITABLE REMAINDER TRUST (4)	CHARITABLE TRUST	NC	N/A	T				Yes
(22) CHARITABLE REMAINDER TRUST (2)	CHARITABLE TRUST	NV	N/A	T				Yes
(23) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	TX	N/A	T				Yes
(24) PERPETUAL TRUST	CHARITABLE TRUST	ND	MFMER	T	104,400	1,738,558	90.000 %	Yes
(25) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	CO	MFMER	T		816,679	100.000 %	Yes
(26) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	FL	MFMER	T		998,490	70.000 %	Yes
(27) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	IL	MFMER	T		221,656	100.000 %	Yes
(28) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	MI	MFMER	T		2,467,375	100.000 %	Yes
(29) CHARITABLE REMAINDER TRUST (45)	CHARITABLE TRUST	MN	MFMER	T				Yes
(30) CHARITABLE REMAINDER TRUST (6)	CHARITABLE TRUST	MN	MCHS--SOUTHWEST MINNESOTA REGION	T				Yes
(31) CHARITABLE REMAINDER TRUST	CHARITABLE TRUST	WI	MCHS--NORTHWEST WISCONSIN REGION INC	T		4,417	100.000 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CHARTERHOUSE INC	P	3,448,832	GAAP
(2) CHARTERHOUSE INC	Q	24,201,540	GAAP
(3) MAYO CLINIC AMBULANCE	M	1,172,439	GAAP
(4) MAYO CLINIC AMBULANCE	P	1,608,665	GAAP
(5) MAYO CLINIC AMBULANCE	Q	48,478,109	GAAP
(6) MAYO CLINIC ARIZONA	C	96,678	GAAP
(7) MAYO CLINIC ARIZONA	P	3,782,754	GAAP
(8) MAYO CLINIC ARIZONA	Q	1,868,965,854	GAAP
(9) MAYO CLINIC ARIZONA	R	3,973,171	GAAP
(10) MAYO CLINIC FLORIDA	C	150,000,000	GAAP
(11) MAYO CLINIC FLORIDA	P	24,242,454	GAAP
(12) MAYO CLINIC FLORIDA	Q	656,841,925	GAAP
(13) MAYO CLINIC FLORIDA	R	3,704,423	GAAP
(14) MAYO CLINIC FLORIDA	S	39,564,910	GAAP
(15) MAYO CLINIC HOSPITAL ROCHESTER	P	10,131,536	GAAP
(16) MAYO CLINIC HOSPITAL ROCHESTER	Q	1,641,572,183	GAAP
(17) MAYO CLINIC HOSPITAL ROCHESTER	R	21,892,600	GAAP
(18) MAYO CLINIC HOSPITAL ROCHESTER	S	404,623	GAAP
(19) MAYO CLINIC JACKSONVILLE	B	154,152	GAAP
(20) MAYO CLINIC JACKSONVILLE	P	6,045,291	GAAP
(21) MAYO CLINIC JACKSONVILLE	Q	1,102,273,167	GAAP
(22) MAYO CLINIC JACKSONVILLE	R	1,878,486	GAAP
(23) MAYO CLINIC UK LTD	Q	13,414,633	GAAP
(24) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	B	96,678	GAAP
(25) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	C	180,607	GAAP
(26) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	P	7,266,838,396	GAAP
(27) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	Q	16,281,815	GAAP
(28) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	R	451,578	GAAP
(29) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH	S	31,030,690	GAAP
(30) MAYO HOLDING COMPANY	Q	593,130	GAAP
(31) MC ALLIANCE LTD	Q	18,850,228	GAAP
(32) MCHS AUSTIN FOUNDATION	C	100,225	GAAP
(33) MCHS DECORAH CLINIC PHYSICIANS	Q	9,490,927	GAAP
(34) MCHS FAIRMONT	L	712,347	GAAP
(35) MCHS FAIRMONT	P	208,029	GAAP
(36) MCHS FAIRMONT	Q	61,787,741	GAAP
(37) MCHS FAIRMONT	S	3,917,220	GAAP
(38) MCHS FRANCISCAN MEDICAL CENTER INC	P	206,348	GAAP
(39) MCHS FRANCISCAN MEDICAL CENTER INC	Q	395,303,194	GAAP
(40) MCHS FRANCISCAN MEDICAL CENTER INC	R	575,836	GAAP
(41) MCHS LAKE CITY	L	284,948	GAAP
(42) MCHS LAKE CITY	Q	27,301,401	GAAP
(43) MCHS LAKE CITY	S	1,596,556	GAAP
(44) MCHS NORTHWEST WISCONSIN REGION INC	L	242,415	GAAP
(45) MCHS NORTHWEST WISCONSIN REGION INC	M	2,248,353	GAAP
(46) MCHS NORTHWEST WISCONSIN REGION INC	P	5,119,935	GAAP
(47) MCHS NORTHWEST WISCONSIN REGION INC	Q	761,197,737	GAAP
(48) MCHS NORTHWEST WISCONSIN REGION INC	R	767,894	GAAP
(49) MCHS SOUTHEAST MINNESOTA REGION	L	6,334,320	GAAP
(50) MCHS SOUTHEAST MINNESOTA REGION	M	166,232	GAAP
(51) MCHS SOUTHEAST MINNESOTA REGION	P	5,304,784	GAAP
(52) MCHS SOUTHEAST MINNESOTA REGION	Q	445,817,260	GAAP
(53) MCHS SOUTHEAST MINNESOTA REGION	R	2,642,791	GAAP
(54) MCHS SOUTHEAST MINNESOTA REGION	S	223,449	GAAP
(55) MCHS SOUTHWEST MINNESOTA REGION	M	3,292,119	GAAP
(56) MCHS SOUTHWEST MINNESOTA REGION	P	1,894,203	GAAP
(57) MCHS SOUTHWEST MINNESOTA REGION	Q	477,028,225	GAAP
(58) MCHS SOUTHWEST MINNESOTA REGION	R	231,379	GAAP
(59) MCHS ST JAMES	L	206,040	GAAP
(60) MCHS ST JAMES	Q	17,173,882	GAAP
(61) MCHS ST JAMES	S	1,389,694	GAAP
(62) RESOUNDANT INC	L	583,175	GAAP

Schedule R (Form 990) 2021

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) 2021

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) 2021

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	198
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	49
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	58,697
6	Total number of volunteers (estimate if necessary) .............	6	2,405
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	51,288,295
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	18,987,138

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	689,209,224	768,947,004
9	Program service revenue (Part VIII, line 2g) .........	9,963,475,896	11,625,633,785
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	67,068,982	123,255,371
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	100,790,508	126,825,493
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	10,820,544,610	12,644,661,653
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,312,243,972	1,728,651,801
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)	5,008,846,386	5,534,440,796
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,478,729
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	4,334,021,646	5,046,909,110
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,655,112,004	12,310,001,707
19	Revenue less expenses. Subtract line 18 from line 12.......	165,432,606	334,659,946
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	13,950,857,094	14,730,960,803
21	Total liabilities (Part X, line 26).............	6,683,952,020	6,984,855,321
22	Net assets or fund balances. Subtract line 21 from line 20.....	7,266,905,074	7,746,105,482

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 9,479,995,990 including grants of $ 1,706,159,818 ) (Revenue $ 10,691,876,631 )
	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 APPROXIMATELY 50 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 21 HOSPITAL FACILITIES (19 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 PROVIDES 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 4,152 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 2021 WAS APPROXIMATELY 975,000 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 2021, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $325,790,000. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,248,470,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2021 ON A COMBINED BASIS WAS APPROXIMATELY $36,000,000.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 2,405 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 214,656 HOURS OF SERVICE IN 2021, VALUED AT APPROXIMATELY $6,126,282 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES.

4b	(Code: ) (Expenses $ 838,844,211 including grants of $ ) (Revenue $ 838,844,211 )
	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 $ 218,808,544 including grants of $ 16,961,350 ) (Revenue $ 1,457,390 )
	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 $ 130,494,835 including grants of $ 5,530,633 ) (Revenue $ 172,912,932 )
	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 $ 130,494,835 including grants of $ 5,530,633 ) (Revenue $ 172,912,932 )
4e	Total program service expenses10,668,143,580

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	107,617,244	28,348,089	17,788,479

1a	Federated campaigns..		1a	25,309
b	Membership dues..		1b	2,340
c	Fundraising events..		1c
d	Related organizations		1d	624,505,896
e	Government grants (contributions)		1e	88,380,538

f	All other contributions, gifts, grants, and similar amounts not included above		1f	56,032,921

g	Noncash contributions included in lines 1a - 1f:$		1g	90,000

h Total. Add lines 1a-1f.......		768,947,004

		Business Code
2a	NET PATIENT REVENUE	620000	10,612,419,252	10,603,474,233	8,945,019
b	SHARED SERVICES	561000	838,844,211	838,844,211
c	ROYALTY REVENUE	541900	154,709,016	154,709,016
d	EDUCATION REVENUE	611600	18,203,916	18,203,916
e	RESEARCH REVENUE	541700	1,457,390	864,819	592,571
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		11,625,633,785

3 Investment income (including dividends, interest, and othersimilar amounts) ......			115,159,630			115,159,630
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	767,097	2,783,918	6a
b	Less: rental expenses	0	234,234	6b
c	Rental income or (loss)	767,097	2,549,684	6c
d	Net rental income or (loss).......			3,316,781		767,097	2,549,684
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	22,558,877	5,248,088	7a
b	Less: cost or other basis and sales expenses	16,175,009	3,536,215	7b
c	Gain or (loss)	6,383,868	1,711,873	7c
d	Net gain or (loss).........			8,095,741			8,095,741
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	6,086,830
b	Less: cost of goods sold ..		10b	2,588,342
c	Net income or (loss) from sales of inventory..			3,498,488		1,764,704	1,733,784
Business Code			Miscellaneous Revenue
11a	MISC. REVENUE		900099	71,260,690	52,462,805	18,440,757	357,128
b	CAFETERIA/VENDING		722310	24,699,500	24,699,500
c	MISC. CONSULTING		541610	21,742,128	1,352,902	19,835,501	553,725
d	All other revenue ....			2,307,906	942,172	942,646	423,088
e	Total. Add lines 11a–11d ......			120,010,224
12	Total revenue. See instructions.....			12,644,661,653	11,695,553,574	51,288,295	128,872,780

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,721,463,703	1,721,463,703
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	5,812,849	5,812,849
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	1,375,249	1,375,249
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	95,531,368	58,287,569	37,243,799
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	27,533,570	23,174,374	4,359,196
7	Other salaries and wages........	3,913,294,547	3,264,024,779	647,387,043	1,882,725
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	490,389,163	410,437,695	79,760,088	191,380
9	Other employee benefits .......	721,418,042	590,668,328	130,526,832	222,882
10	Payroll taxes ...........	286,274,106	237,529,430	48,628,305	116,371
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	13,208,441	1,715,750	11,492,691
c	Accounting ...........	2,155,044	260,336	1,894,708
d	Lobbying ...........	1,530,159	1,530,159
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	85,797	45,308	40,489
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,243,528,102	934,186,912	309,335,983	5,207
12	Advertising and promotion ....	8,029,676	886,032	7,143,644
13	Office expenses .......	794,328,056	736,738,731	57,543,988	45,337
14	Information technology ......	122,279,241	19,547,190	102,732,051
15	Royalties ..	39,285,636	260,333	39,025,303
16	Occupancy ...........	140,816,035	84,964,621	55,850,994	420
17	Travel ............	25,128,703	22,611,938	2,504,506	12,259
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,079,978	926,070	153,908
20	Interest ...........	81,275,544	80,767,446	508,098
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	425,358,166	345,181,368	80,176,798
23	Insurance ...	26,092,420	24,436,054	1,656,366
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	1,789,430,338	1,789,430,338
b	BAD DEBT EXPENSE	141,275,134	141,241,319	33,815
c	UNRELATED BUSINESS TAX	2,345,160	1,342,204	1,002,956
d	MEDICAID SURCHARGE	69,791,753	69,791,753
e	All other expenses	119,885,727	99,505,742	20,377,837	2,148
25	Total functional expenses. Add lines 1 through 24e	12,310,001,707	10,668,143,580	1,639,379,398	2,478,729
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 ........			1,499,257,153	1	1,925,839,872
2	Savings and temporary cash investments .........			2,012,678	2	2,029,517
3	Pledges and grants receivable, net ......			196,246,181	3	239,007,966
4	Accounts receivable, net .............			1,452,039,721	4	1,574,770,816
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 ...........			213,657,344	7	208,869,389
8	Inventories for sale or use ............			177,580,772	8	192,555,540
9	Prepaid expenses and deferred charges ......			71,513,323	9	102,344,131
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	8,488,252,390
b	Less: accumulated depreciation	10b	4,552,997,112	3,456,476,218	10c	3,935,255,278
11	Investments—publicly traded securities .			343,296,860	11	413,306,474
12	Investments—other securities. See Part IV, line 11 .....			1,018,695,602	12	1,110,009,722
13	Investments—program-related. See Part IV, line 11 ..			8,031,775	13
14	Intangible assets ...............			613,334	14	613,361
15	Other assets. See Part IV, line 11 ...........			5,511,436,133	15	5,026,358,737
16	Total assets. Add lines 1 through 15 (must equal line 33)...			13,950,857,094	16	14,730,960,803

17	Accounts payable and accrued expenses .....	2,339,002,640	17	2,591,129,413
18	Grants payable ...		18
19	Deferred revenue .........	43,392,083	19	41,618,064
20	Tax-exempt bond liabilities .........	304,296,389	20	304,366,878
21	Escrow or custodial account liability. Complete Part IV of Schedule D	30,957,457	21	30,323,853
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 ..	65,549,556	23	64,172,487
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	3,900,753,895	25	3,953,244,626
26	Total liabilities. Add lines 17 through 25..	6,683,952,020	26	6,984,855,321

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	6,476,674,010	27	6,898,136,612
28	Net assets with donor restrictions ...........	790,231,064	28	847,968,870
	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 ...........	7,266,905,074	32	7,746,105,482
33	Total liabilities and net assets/fund balances ........	13,950,857,094	33	14,730,960,803

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