2023-11-10T16:31:42-06:00 2022-12-31 990 2022-01-01 383952644 MAYO CLINIC GROUP RETURN MAYO 5075381297 200 FIRST STREET SW ATTN TAX ROCHESTER MN 55905 DENNIS E DAHLEN CFO 5075381297 2023-11-10 DENNIS DAHLEN 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GIANRICO FARRUGIA MD 200 FIRST STREET SW ATTN TAX ROCHESTER MN 55905 12579265403 1 1 5983 X WWW.MAYOCLINIC.ORG X PATIENT CARE, MEDICAL RESEARCH AND MEDICAL EDUCATION 206 53 62476 2674 52925907 14195279 768947004 585179971 11625633785 11783498231 123255371 71034348 126825493 128664069 12644661653 12568376619 1728651801 1496587346 0 0 5534440796 5519355695 0 0 2139347 5046909110 5410326847 12310001707 12426269888 334659946 142106731 14730960803 14629597865 6984855321 6898192351 7746105482 7731405514 X TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. 0 0 9703600169 1471568382 11193718986 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 2022 EXCEEDED ONE MILLION 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 2022, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $309,900,000. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,017,109,000. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2022 ON A COMBINED BASIS WAS APPROXIMATELY $36,000,000.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 2,674 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 254,456 HOURS OF SERVICE IN 2022, VALUED AT APPROXIMATELY $7,620,957 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES. 516349385 516349385 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. 248028412 18995385 697863 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. 139131488 6023579 150267586 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. 139131488 6023579 150267586 10607109454 1 1 0 1 0 0 0 1 1 1 1 1 0 1 1 1 0 1 0 1 1 1 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 7434 0 1 62476 1 1 1 1 MX GM 0 0 0 0 0 0 0 0 0 0 X 206 53 1 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 0 1 1 FL CA KY MN WI AL WA AZ NY X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 FARRUGIA MD GIANRICO DIR/CEO/PRES/FORMER OFFICER 40.00 0.00 X X X 3636091 0 84251 THIELEN MD KENT R DIRECTOR/CHAIR/CEO FL 40.00 0.00 X X X 2006672 0 82342 GRAY MD RICHARD J DIRECTOR/CHAIR/CEO AZ 40.00 0.00 X X X 1999424 0 73274 GORMAN PAUL A TREASURER 40.00 0.00 X 1715056 0 86692 ZORN CHRISTINA K DIR/CAO/FORMER OFFICER 40.00 0.00 X X X 1530674 0 71810 DAHLEN DENNIS E DIRECTOR/VP/FORMER OFFICER 40.00 0.00 X X 1481402 0 92474 CIOTA MD MARK R FORMER OFFICER 40.00 0.00 X 795919 0 743111 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MYHRE MD KAREN K DIRECTOR/VICE CHAIR 40.00 0.00 X X 325547 0 71830 PRUTHI MD SANDHYA DIRECTOR 1.00 40.00 X 0 328855 65899 SIMPSON MD HENRY J REG CHAIR CLINICAL PRACTICE 40.00 0.00 X 324237 0 67704 JELINEK DIANE F DIRECTOR 1.00 40.00 X 350359 13175 22567 GLENN SEAN W DIRECTOR/ASST SECY 40.00 0.00 X X 312582 0 67506 BAUER MD BRENT A DIRECTOR 1.00 40.00 X 0 317080 60723 PAUL TRAVIS C DIR/SECY/TRES/REG CHAIR ADMIN SWMN 1.00 40.00 X X 0 317168 56535 GREEN MD JEFFREY P FORMER OFFICER 40.00 0.00 X 295008 0 75631 WHITE PAMELA K CHIEF NURSING OFFICER 40.00 0.00 X 308225 0 61281 BORTNEM MARK A DIRECTOR/TREAS/CFO WI 40.00 0.00 X X 316058 0 51214 KANUGA MD MANSI J CHAIR, INTEGRATED MED SPEC 40.00 0.00 X 332571 0 33590 MISRA MD ARTIKA VICE CHAIR-CLINICAL PRACTICE 40.00 0.00 X 300383 0 65081 CROCKETT ERIC D DIR/SECY/ASST SECY/REG CHAIR-ADMIN SEMN 1.00 40.00 X X 0 299470 65214 SKAAR MD PHILLIP J DIRECTOR/CHAIR 40.00 0.00 X X 296486 0 63014 WOMER DOUGLAS X CFO MCHS 40.00 0.00 X 358939 0 0 SANTRACH MD PAULA J DIRECTOR/VICE CHAIR 1.00 40.00 X X 0 337247 18276 ADLEMAN BREEANN M FORMER OFFICER 40.00 0.00 X 285723 0 65011 HORECKI MD RICHARD J PHYSICIAN 40.00 0.00 X 273824 0 76214 MURPHY MARIALENA DIRECTOR/SECY 40.00 0.00 X X 278612 0 70567 BERG DAVID W ADMIN - MCHS SEMN 40.00 0.00 X 278588 0 70397 ERICKSON ERIC B VICE CHAIR-ADMINISTRATION 40.00 0.00 X 288317 0 55164 NORDRUM CHARLOTTE J FORMER OFFICER 40.00 0.00 X 277731 0 64511 GALINDEZ JR PETER ASST SECY/FORMER OFFICER 40.00 0.00 X 269951 0 67840 HOLTZ MD CAROL P FORMER OFFICER 0.00 40.00 X 0 283993 43379 KOWAL DO GERALD K FORMER KEY EMPLOYEE 40.00 0.00 X 273445 0 51977 PARKS DOUGLAS A FORMER OFFICER 0.00 40.00 X 0 288834 34872 MORRIS MD MARIE E DIRECTOR/CHAIR 40.00 0.00 X X 248174 0 74912 KIM MD HYUN I DIRECTOR/VICE CHAIR 40.00 0.00 X X 242835 0 76581 MELVIN KEVIN B ASST SECY 1.00 40.00 X 0 258185 61182 FORSTER MD JEREMY S DIRECTOR 40.00 0.00 X 249473 0 62977 BROWN WILLIAM A ASST TREASURER 40.00 0.00 X 270854 0 37597 DEGEN SUSANNE C VICE CHAIR-ADMINISTRATION 40.00 0.00 X 259353 0 46898 GROSS TERA L DIRECTOR 40.00 0.00 X 250125 0 54220 MARTIN DAVID L FORMER KEY EMPLOYEE 40.00 0.00 X 242381 0 56413 HOLST TANNER T DIRECTOR 40.00 0.00 X 248203 0 49959 LEBRASSEUR NATHAN K DIRECTOR 1.00 40.00 X 0 238568 57999 MATTHIAS MARK A FORMER OFFICER 40.00 0.00 X 237620 0 57167 FALLER MD ANNETTE PHYSICIAN 40.00 0.00 X 257135 0 34190 HANSON VICTORIA M VICE CHAIR-ADMINISTRATION 40.00 0.00 X 236167 0 55036 DAVIS AMY L FORMER OFFICER 1.00 40.00 X 166950 65127 54847 CAPLAN SHERRY M VICE CHAIR-ADMINISTRATION 40.00 0.00 X 239947 0 43948 COGNETTA-RIEKE CHERISTI M CHIEF NURSING OFFICER 40.00 0.00 X 226072 0 51490 JOHNSON RYAN R DIRECTOR 1.00 40.00 X 0 229052 44583 JANSSEN JAMES J ASST TREASURER 40.00 0.00 X 217168 0 55993 AMEENUDDIN MD NUSHEEN DIRECTOR 1.00 40.00 X 0 236561 34848 BRANDT TERRY L FORMER OFFICER 0.00 40.00 X 145744 16416 250 WILSON JAMES D CFO MCHS 40.00 0.00 X 253587 0 17251 LANZ APRIL D VICE CHAIR-ADMINISTRATION 40.00 0.00 X 217645 0 52059 EIDE DEAN B DIR/VICE CHAIR-ADMIN 40.00 0.00 X X 235636 0 33597 FLATTUM BETHANIE L TREAS/VICE CHAIR-ADMIN 40.00 0.00 X X 214146 0 54322 EBERLE MICHELE R DIR/VICE CHAIR-ADMIN 40.00 0.00 X X 226801 0 39197 CLUNE MD CAROLINE G PHYSICIAN 40.00 0.00 X 221701 0 44076 MCCONNELL LISA A DIRECTOR 40.00 0.00 X 212562 0 47965 MARTIN-KRAJEWSKI CARIE A VICE CHAIR-ADMINISTRATION 40.00 0.00 X 222664 0 37629 ARCHER LISA M CHIEF NURSING OFFICER 40.00 1.00 X 216768 9783 31177 HOWIE GORDON C CHAIR, FACILITIES 40.00 0.00 X 209502 0 46167 JOHNSON CARLA J FORMER OFFICER 40.00 0.00 X 213160 0 41712 DALBELLO JR ALBERT DIRECTOR/SECRETARY 40.00 0.00 X X 189070 0 62001 SILVERS MD SCOTT M FORMER KEY EMPLOYEE 40.00 0.00 X 185189 0 63103 RUSTAD CHRISTOPHER D DIR/SECY/TREAS/FORMER OFFICER 1.00 40.00 X X 0 205301 41295 DRUCKER PAUL E DIRECTOR/CEO/PRESIDENT/VP 1.00 40.00 X X 0 192354 54039 LONG AMY K DIRECTOR 40.00 0.00 X 203365 0 39716 BUSKIRK MD STEVEN J FORMER OFFICER 0.00 40.00 X 153244 79406 9511 LANZEL TRICIA G DIRECTOR/CHAIR/PRESIDENT/CEO 40.00 0.00 X X 183398 0 48829 FINNEMAN KILLINGER KAREN A REG CHAIR FAC & SUPP SVCS 40.00 0.00 X 179122 0 51152 KUEHL MD MARY J DIRECTOR/VICE CHAIR 40.00 0.00 X X 156653 0 57485 TRADEWELL MATTHEW W FORMER KEY EMPLOYEE 40.00 0.00 X 169015 0 43811 MCNEILL STEVEN L FORMER KEY EMPLOYEE 40.00 0.00 X 110924 0 3500 MEYER TIA J FORMER KEY EMPLOYEE 40.00 0.00 X 178170 0 30240 KUJAK-COON HEATHER FORMER KEY EMPLOYEE 40.00 0.00 X 160826 0 45831 BOYUM LISA L TREASURER 40.00 0.00 X 161070 0 44330 BELILES GREGORY R ASST SECY/DIR-ACH 40.00 0.00 X 160067 0 43358 SWENSON LAURA L DIRECTOR-NURSING HEALTH SVCS 40.00 0.00 X 168906 0 33202 GULDEN CHRISTOPHER R SECY 40.00 0.00 X 172124 0 28791 FEHMI RASHID A FORMER OFFICER 40.00 0.00 X 143744 0 40869 FENNELL THOMAS J ASST SECY 40.00 0.00 X 144787 0 36318 SEINOLA SCOTT A DIR/CEO/PRES/FORMER KEY EMPLOYEE 40.00 0.00 X X X 156045 0 8016 BROWN MICHAEL E FORMER OFFICER 40.00 0.00 X 146022 0 30624 CHRISTOPHERSON MARK TREASURER/CFO MN 40.00 0.00 X 149469 0 24120 EVENSON LAURA K FORMER KEY EMPLOYEE 40.00 0.00 X 134103 0 33736 KRUMM TARA L DIRECTOR/SECY/TREAS 40.00 0.00 X X 125251 0 38652 AAKRE SCOTT DIRECTOR 1.00 0.00 X 0 0 0 APOLO AUSTERE DIRECTOR 1.00 0.00 X 0 0 0 ARNTZ SUSAN DIRECTOR 1.00 0.00 X 0 0 0 BECKER JOHN DIRECTOR/TREAS/CHAIR 1.00 0.00 X X 0 0 0 BENTS IAN DIRECTOR 1.00 0.00 X 0 0 0 BERGERON-BOWE MELISSA DIRECTOR/SECRETARY 1.00 0.00 X X 0 0 0 BINSFELD MATT DIRECTOR 1.00 0.00 X 0 0 0 BOE RUSSELL DIRECTOR 1.00 0.00 X 0 0 0 BOHL HEIDI DIRECTOR 1.00 0.00 X 0 0 0 BORSHEIM PAUL DIRECTOR 1.00 0.00 X 0 0 0 BRANSTAD PAT DIRECTOR 1.00 0.00 X 0 0 0 CADMAN BERWYN DIRECTOR 1.00 0.00 X 0 0 0 CHRISTENSEN SISTER GEORGIA DIRECTOR 1.00 0.00 X 0 0 0 CLARK DIANE DIRECTOR 1.00 0.00 X 0 0 0 COFFEY MARK DIRECTOR 1.00 0.00 X 0 0 0 ELSBERND SISTER HELEN DIRECTOR/SECY 1.00 0.00 X X 0 0 0 GROVE MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 GRUBER JOHN DIRECTOR 1.00 0.00 X 0 0 0 HALOM MARTIN DIRECTOR 1.00 0.00 X 0 0 0 JACOBSON ROSEMARY DIRECTOR 1.00 0.00 X 0 0 0 JOHNSON HOLLY DIRECTOR 1.00 0.00 X 0 0 0 KASPER JOHN DIRECTOR 1.00 0.00 X 0 0 0 KING MICHELLE DIRECTOR 1.00 0.00 X 0 0 0 LANZER LORI DIRECTOR 1.00 0.00 X 0 0 0 LEGARE GREG DIRECTOR 1.00 0.00 X 0 0 0 LUCENTE PAOLA DIRECTOR 1.00 0.00 X 0 0 0 MARTIN DOUG DIRECTOR 1.00 0.00 X 0 0 0 MASON SHARI DIRECTOR/PRESIDENT 1.00 0.00 X X 0 0 0 MATHY SCOTT DIRECTOR 1.00 0.00 X 0 0 0 MCGRAW COLLEEN DIRECTOR 1.00 0.00 X 0 0 0 MOUW JEROMY J DIRECTOR 1.00 0.00 X 0 0 0 NIBAUR MARK DIRECTOR 1.00 0.00 X 0 0 0 OLIVER TRACY DIRECTOR 1.00 0.00 X 0 0 0 OLSON BENJAMIN D DIRECTOR/TREASURER 1.00 0.00 X X 0 0 0 PATSCHE WANDA DIRECTOR 1.00 0.00 X 0 0 0 PERRY MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 RETHERFORD KRISTINE S DIRECTOR 1.00 0.00 X 0 0 0 RIEBE DANIEL DIRECTOR 1.00 0.00 X 0 0 0 SCHAUFENBUEL KIM DIRECTOR 1.00 0.00 X 0 0 0 SCHMIDT JAMES DIRECTOR 1.00 0.00 X 0 0 0 SCHOENBAUER BRAD DIRECTOR 1.00 0.00 X 0 0 0 SMITH JOSHUA DIRECTOR 1.00 0.00 X 0 0 0 TRAETOW JUDY DIRECTOR 1.00 0.00 X 0 0 0 TYDRICH SISTER JULIE DIRECTOR 1.00 0.00 X 0 0 0 WALTER DALE DIRECTOR 1.00 0.00 X 0 0 0 WALTER KEVIN DIRECTOR 1.00 0.00 X 0 0 0 WERNER MARY JO DIRECTOR 1.00 0.00 X 0 0 0 WILSON MELISSA DIRECTOR/SECY 1.00 0.00 X X 0 0 0 YOUNG DDS RICHARD B DIRECTOR/VICE PRESIDENT 1.00 0.00 X X 0 0 0 ZELAYA NIDIA DIRECTOR 1.00 0.00 X 0 0 0 111560232 31215341 16327239 11891 1 1 0 RIGHT SOURCING INC 2 EXECUTIVE CIRCLE STE 210 IRVINE CA 92614 WORKFORCE SUPPORT SERVICES 252430440 DPR CONSTRUCTION 222 N 44TH ST PHOENIX AZ 85034 CONSTRUCTION SERVICES 131666403 KNUTSON CONSTRUCTION SERVICES 5500 WAYZATA BLVD STE 300 MINNEAPOLIS MN 55416 CONSTRUCTION SERVICES 103159475 MCCARTHY BUILDING COMPANIES INC 1341 N ROCK HILL RD ST LOUIS MO 63124 CONSTRUCTION SERVICES 79800936 GUNSTER YOAKLEY & STEWART PA 777 S FLAGLER DRIVE STE 500 WEST PALM BEACH FL 33401 LEGAL SERVICES 64500381 1363 20633 429399015 106273904 49486419 585179971 NET PATIENT REVENUE 620000 11116183397 11108100978 8082419 SHARED SERVICES 561000 516349385 516349385 ROYALTY REVENUE 541900 128138322 128138322 EDUCATION REVENUE 611600 22129264 22129264 RESEARCH REVENUE 541700 697863 379209 318654 11783498231 71046915 71046915 14616 14616 3344263 929676 255554 0 3088709 929676 4018385 929676 3088709 357595 6416980 1433634 5368124 -1076039 1048856 -27183 -27183 7546109 3831472 3714637 2049260 1665377 MISC. REVENUE 900099 64190414 44511682 19168544 510188 MISC. CONSULTING 541610 27847384 5881035 21341034 625315 CAFETERIA/VENDING 722310 26263901 26263901 2629348 878971 1036320 714057 120931047 12568376619 11852632747 52925907 77637994 X 1488972577 1488972577 6319133 6319133 1295636 1295636 99109507 61768205 37341302 26525808 22402173 4123635 4037014618 3299388274 736088654 1537690 434606592 348390519 86048875 167198 614908124 498317546 116391516 199062 307191046 251631714 55450091 109241 14053317 390912 13662405 3324802 809180 2515622 1315739 1315739 119278 43287 75991 1284016910 904138456 379876874 1580 8001087 1171118 6829969 833227098 780301082 52883783 42233 144330006 22176158 122153848 34184299 544874 33639425 167327632 99112505 68215127 46503919 38144742 8285064 74113 3940891 3229762 708104 3025 88486932 80626042 7860890 433284856 369109915 64174941 31807697 29958799 1848898 MEDICAL SUPPLIES 1968497516 1968497516 BAD DEBT EXPENSE 143233097 143014977 218120 UNRELATED BUSINESS TAX 1544109 806531 737578 MEDICAID SURCHARGE 77320037 77320037 125807625 107912045 17890375 5205 12426269888 10607109454 1817021087 2139347 1925839872 890024469 2029517 2093849 239007966 212201673 1574770816 1671089039 208869389 221547317 192555540 206317423 102344131 162015252 9271045401 4921276775 3935255278 4349768626 413306474 378717532 1110009722 1110922102 613361 613361 5026358737 5424287222 14730960803 14629597865 2591129413 2510988191 41618064 43027814 304366878 604412829 30323853 31435703 64172487 71394871 3953244626 3636932943 6984855321 6898192351 X 6898136612 6890382911 847968870 841022603 7746105482 7731405514 14730960803 14629597865 X 142106731 -207416416 50609717 X X 0 1 X 1 1 1 X 1 MCHS-SOUTHEAST MINNESOTA REGION 411404075 3 1 0 0 1 0 0 334410090 222673897 206236779 483384865 366056156 1612761787 334410090 222673897 206236779 483384865 366056156 1612761787 93846532 1518915255 8186742 23447811 20219184 34277745 15312280 101443762 526062 212410 3079355 1074302 19116 4911245 1719116794 3563489791 0.88350 0.90120 X 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 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (A) 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 (A) 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 (B) 2019 LINE 1: 2,202,904 LINE 2: 2,029,169,779 LINE 3: 127,489 LINE 4: 0 LINE 5: 0 LINE 6: 2,031,500,172 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,031,500,172 SECTION B. TOTAL SUPPORT CALENDAR YEAR (B) 2019 LINE 9: 2,031,500,172 LINE 10A: 33,736,143 LINE 10B: 2,398,473 LINE 10C: 36,134,616 LINE 11: 0 LINE 12: 0 LINE 13: 2,067,634,788 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (C) 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 (C) 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 (D) 2021 LINE 1: 2,617,791 LINE 2: 2,328,001,100 LINE 3: 36,687 LINE 4: 0 LINE 5: 0 LINE 6: 2,330,655,578 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE8: 2,330,655,578 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2021 LINE 9: 2,330,655,578 LINE 10A: 19,593,093 LINE 10B: 4,958,499 LINE 10C: 24,551,592 LINE 11: 0 LINE 12: 0 LINE 13: 2,355,207,170 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2022 LINE 1: 12,682,799 LINE 2: 2,378,202,265 LINE 3: 0 LINE 4: 0 LINE 5: 0 LINE 6: 2,390,885,064 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,390,885,064 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2022 LINE 9: 2,390,885,064 LINE 10A: 29,104,787 LINE 10B: 0 LINE 10C: 29,104,787 LINE 11: 0 LINE 12: 0 LINE 13: 2,419,989,851 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1: 22,083,255 LINE 2: 10,500,986,183 LINE 3: 195,082 LINE 4: 0 LINE 5: 0 LINE 6: 10,523,264,520 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 10,523,264,520 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 10,523,264,520 LINE 10A: 117,485,134 LINE 10B: 12,995,314 LINE 10C: 130,480,448 LINE 11: 0 LINE 12: 285,943 LINE 13: 10,654,030,911 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2022: 98.77% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2021: 98.81% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2022: 1.22% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2021: 1.18% LINE 19A X PART IV, SUPPORTING ORGANIZATIONS: PART IV, SECTION A - ALL SUPPORTING ORGANIZATIONS YES NO 1 X 2 X 3A X 4A X 5A X 6 X 7 X 8 X 9A X 9B X 9C X 10A X 11A X 11B X 11C X PART IV, SECTION B - TYPE I SUPPORTING ORGANIZATIONS YES NO 1 X 2 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 0 1 1096975 1 1 218764 1315739 0 PART II-B, LINE 1: DURING 2022, 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 2022, 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 2022, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $721,435. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. X X 0 1 200 1 0 201 1 X 821928557 14433807 -74772907 20301225 741288232 668818281 17295453 160134563 24319740 821928557 581677751 15205665 88044445 16109580 668818281 643594273 24924499 78187578 165028599 581677751 675799917 22664654 15430166 70300464 643594273 0.38590 0.41900 0.19510 0 1 1 342027091 342027091 5359343891 2814096206 2545247685 20517587 9712900 10804687 2886944768 2097467669 789477099 662212064 662212064 4349768626 MAYO POOLED INVESTMENTS 1110922102 F 1110922102 DUE FROM AFFILIATES 5065726625 ART 420000 CONTRIBUTED ASSETS PENDING DISPOSAL 1511550 GIFT ANNUITIES 101082332 OTHER LONG TERM ASSETS 105213547 TRUSTS 7006128 DEFERRED INCOME TAX ASSET 3253733 TECH BASED VENTURES 139510038 BOND RELATED INVESTMENTS 870 ASSETS HELD BY TRUSTEES 23169 RELOCATION HOUSES 539230 5424287222 DUE TO AFFILIATES 3636932943 3636932943 X 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, 2022 AND 2021, 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. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 74 TRAVEL 183197 EAST ASIA AND THE PACIFIC 0 71 TRAVEL 453701 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 473 TRAVEL 2118763 MIDDLE EAST AND NORTH AFRICA 0 98 TRAVEL 595046 NORTH AMERICA 0 191 TRAVEL 462570 RUSSIA AND THE NEIGHBORING STATES 0 0 TRAVEL SOUTH AMERICA 0 56 TRAVEL 160618 SOUTH ASIA 0 30 TRAVEL 137079 SUB-SAHARAN AFRICA 0 15 TRAVEL 35891 CENTRAL AMERICA AND THE CARIBBEAN 5 5 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 277658 NORTH AMERICA 2 3 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 194703 SOUTH AMERICA 3 4 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 137556 NORTH AMERICA 0 0 PROGRAM SERVICES PATIENT CARE MIDDLE EAST AND NORTH AFRICA 0 4 PROGRAM SERVICES PATIENT CARE 49246 NORTH AMERICA 0 0 PROGRAM SERVICES CONSULTING EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 1114647 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 14799885 EAST ASIA AND THE PACIFIC 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC. 23396 MIDDLE EAST AND NORTH AFRICA 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 29948 SOUTH ASIA 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 36404 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES PATIENT CARE MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 5575188 NORTH AMERICA 0 0 INVESTMENTS 100000 0 993 13 34 13 1027 4110974 22374522 26485496 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARDS 277522 CHECK, ELECTRONIC 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARDS 38355 CHECK, ELECTRONIC 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM RESEARCH SUBAWARDS 248469 CHECK, ELECTRONIC 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM RESEARCH SUBAWARDS 192940 CHECK, ELECTRONIC 0 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, RESEARCH SUBAWARDS 214902 CHECK, ELECTRONIC 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARDS 66230 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, RESEARCH SUBAWARDS 50080 CHECK, ELECTRONIC 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARDS 8235 CHECK, ELECTRONIC 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM RESEARCH SUBAWARDS 79396 CHECK, ELECTRONIC 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARDS 20025 CHECK, ELECTRONIC 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH SUBAWARDS 13800 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 44280 CHECK, ELECTRONIC 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARDS 8700 CHECK, ELECTRONIC 0 0 17 1 1 1 0 0 1 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 DURING 2022, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, A SUBORDINATE ORGANIZTION INCLUDED WITH THIS GROUP FILING, TRANSFERRED PROPERTY TO A FOREIGN CORPORATION. MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ALSO HAD AN INTEREST IN A FOREIGN TRUST DURING 2022. THE FOREIGN TRUST WAS DISSOLVED DURING 2022, RESULTING IN MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH FILING A FINAL FORM 3520 FOR THE 2022 TAX YEAR. 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 CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACSONVILLE (EIN: 59-3337028) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 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 1 1 X 1 X 1 X 1 0 1 1 36062513 36062513 0.00290 775386355 465486857 309899498 0.02520 811448868 465486857 345962011 0.02810 3754631 408 3754223 0.00030 145747947 36578797 109169150 0.00890 514681424 312487825 202193599 0.01650 248028393 146978991 101049402 0.00820 3339677 3339677 0.00030 915552072 496046021 419506051 0.03420 1727000940 961532878 765468062 0.06230 3000 3000 0.00000 407942 407942 0.00000 500 500 0.00000 11050 11050 0.00000 83686 83686 0.00000 151183 151183 0.00000 657361 657361 0.00000 0 143233097 1811530529 2185666574 -374136045 X 1 1 19 1 MAYO CLINIC HOSPITAL ROCHESTER 1216 2ND STREET SW ROCHESTER MN 55905 WWW.MAYOCLINIC.ORG 00428 MAYO CLINIC HOSPITAL ROCHESTER 410944601 X X X X X X D 2 MCHS IN LA CROSSE 700 WEST AVENUE SOUTH LA CROSSE WI 546014796 WWW.MAYOCLINIC.ORG 24 MCHS FRANCISCAN MEDICAL CENTER 390806374 X X X X CANCER & SURGERY CENTER A 3 MAYO CLINIC HOSPITAL IN FLORIDA 4500 SAN PABLO ROAD S JACKSONVILLE FL 32224 WWW.MAYOCLINIC.ORG 4493 MAYO CLINIC FLORIDA 590714831 X X X X D 4 MCHS IN EAU CLAIRE 1221 WHIPPLE STREET EAU CLAIRE WI 54703 WWW.MAYOCLINIC.ORG 48 MCHS NORTHWEST WISCONSIN REGION INC 390813418 X X X A 5 MCHS IN MANKATO 1025 MARSH STREET MANKATO MN 56001 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 AZ 85054 WWW.MAYOCLINIC.ORG H2027 MAYO CLINIC ARIZONA 860800150 X X X X CLINIC, RESEARCH D 7 MCHS IN ALBERT LEA AND AUSTIN 1000 FIRST DRIVE NORTHWEST AUSTIN MN 55912 WWW.MAYOCLINIC.ORG 00920 MCHS SOUTHEAST MINNESOTA REGION 411404075 X X X CLINIC B 8 MCHS IN FAIRMONT 800 MEDICAL CENTER DRIVE FAIRMONT MN 56031 WWW.MAYOCLINIC.ORG 00359 MCHS IN FAIRMONT 410760836 X X X CLINIC A 9 MCHS IN RED WING 701 HEWITT BOULEVARD RED WING MN 55066 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 MN 56071 WWW.MAYOCLINIC.ORG 00607 MCHS SOUTHWEST MINNESOTA REGION 411236756 X X X X A 11 MCHS IN WASECA 501 NORTH STATE STREET WASECA MN 56093 WWW.MAYOCLINIC.ORG 00908 MCHS SOUTHWEST MINNESOTA REGION 411236756 X X X X CLINIC A 12 MCHS IN BARRON 1222 EAST WOODLAND AVE BARRON WI 54812 WWW.MAYOCLINIC.ORG 1018 MCHS NORTHWEST WISCONSIN REGION INC 390813418 X X X X CLINIC A 13 MCHS IN BLOOMER 1501 THOMPSON STREET BLOOMER WI 54724 WWW.MAYOCLINIC.ORG 1017 MCHS NORTHWEST WISCONSIN REGION INC 390813418 X X X X CLINIC A 14 MCHS IN MENOMONIE 2321 STOUT ROAD MENOMONIE WI 54751 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 WI 546562142 WWW.MAYOCLINIC.ORG 1009 MCHS FRANCISCAN MEDICAL CENTER 390806374 X X X X CLINIC A 16 MCHS IN ST JAMES 1101 MOULTON PARSONS DRIVE ST JAMES MN 56081 WWW.MAYOCLINIC.ORG 00698 MCHS IN ST JAMES 410797368 X X X X CLINIC A 17 MCHS IN OSSEO 13025 8TH STREET OSSEO WI 54758 WWW.MAYOCLINIC.ORG 1003 MCHS NORTHWEST WISCONSIN REGION INC 390813418 X X X X CLINIC B 18 MCHS IN LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 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 MN 55009 WWW.MAYOCLINIC.ORG 140 MCHS SOUTHEAST MINNESOTA REGION 411404075 X X X X CLINIC C REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 1 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X MAYOCLINICHEALTHSYSTEM.ORG X MAYOCLINICHEALTHSYSTEM.ORG X MAYOCLINICHEALTHSYSTEM.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP B 0 0 1 X X X X X X X X X 22 1 0 1 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X MAYOCLINICHEALTHSYSTEM.ORG X MAYOCLINICHEALTHSYSTEM.ORG X MAYOCLINICHEALTHSYSTEM.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP C 0 0 1 X X X X X X X X X 22 1 1 1 1 X MAYOCLINICHEALTHSYSTEM.ORG X 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X MAYOCLINICHEALTHSYSTEM.ORG X MAYOCLINICHEALTHSYSTEM.ORG X MAYOCLINICHEALTHSYSTEM.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 REPORTING GROUP D 0 0 1 X X X X X X X X X X 22 1 1 1 1 X MAYOCLINIC.ORG X 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X MAYOCLINIC.ORG X MAYOCLINIC.ORG X MAYOCLINIC.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: MCHS IN LA CROSSE, - 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 15: MCHS IN SPARTA, - FACILITY 16: MCHS IN ST. JAMES GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 5: COMMUNITY INPUT:COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. THE SOUTHWEST REGION OF MAYO CLINIC HEALTH SYSTEM, IN PARTNERSHIP WITH LOCAL PUBLIC HEALTH, CREATED A HEALTHY COMMUNITY PARTNERSHIP COLLABORATIVE THAT MEETS MONTHLY TO DISCUSS LOCAL COMMUNITY NEEDS AND FIND WAYS TO COLLABORATE. THIS GROUP ALSO HELPED TO PRIORITIZE THE COMMUNITY NEEDS BEING ADDRESSED. MAYO CLINIC HEALTH SYSTEM CREATED A COMMUNITY SURVEY AND RECEIVED FEEDBACK AND INPUT FROM LOCAL PUBLIC HEALTH DEPARTMENTS DURING THE DEVELOPMENT PROCESS. THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED THROUGH COLLABORATION WITH LOCAL NONPROFITS AND PUBLIC HEALTH, AS WELL AS THROUGH SOCIAL MEDIA NETWORKS. THE SURVEY WAS CONDUCTED THROUGHOUT THE SOUTHWEST MINNESOTA REGION BETWEEN FEBRUARY 1, 2022, TO JUNE 30, 2022, WITH OVER 800 RESPONSES. THERE WERE OVER 380 RESPONSES FROM BLUE EARTH, NICOLLET AND LE SUEUR COUNTIES WHICH MAKE UP THE DEFINED COMMUNITY OF MCHS IN MANKATO.OUTREACH TO GET INPUT FROM TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE PRIORITIZED. EXAMPLES OF THIS OUTREACH INCLUDED POSTCARDS INCLUDED IN EACH ECHO FOOD SHELF ORDER DURING THE MONTH OF MARCH 2022, SURVEY QR CODE ON DIGITAL SCREENS AT MINNESOTA STATE UNIVERSITY-MANKATO, SURVEY BEING SHARED ON SOCIAL MEDIA THROUGH BLUE EARTH, LE SUEUR AND NICOLLET COUNTIES, AS WELL AS ATTENDING EVENTS INCLUDING PROJECT COMMUNITY CONNECT AND THE ST. PETER SENIOR EXPO WHERE PARTICIPANTS FILLED OUT THE SURVEY VIA IPADS OR ASSISTANCE FROM STAFF. COMMUNITY CONVERSATIONS WERE ALSO HELD WITH STAKEHOLDERS FROM LOCAL GOVERNMENT AND NONPROFIT LEADERS, INCLUDING AN IN-PERSON COMMUNITY STAKEHOLDER PRIORITIZATION EVENT ON JUNE 7, 2022, WITH OVER 40 COMMUNITY STAKEHOLDERS IN ATTENDANCE AND A VIRTUAL HEALTHY COMMUNITY PARTNERSHIP MEETING ON JUNE 21, 2022, WITH OVER 20 COMMUNITY STAKEHOLDERS PARTICIPATING. IN ADDITION, INPUT INCLUDED QUANTITATIVE DATA FROM THE SOUTHERN MINNESOTA NEEDS ASSESSMENT PREPARED BY THE HEALTH SCIENCE DEPARTMENT OF MINNESOTA STATE UNIVERSITY-MANKATO ON BEHALF MCHS. THIS DATA WAS FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES FOR THE 11 REGIONAL COUNTIES INCLUDED IN THE SOUTHERN MINNESOTA NEEDS ASSESSMENT. 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: MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION GROUP A-FACILITY 5 -- MCHS IN MANKATO PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2022, 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 A RESILIENCY WEBINAR FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES WITH 100 ATTENDEES.EDUCATED COMMUNITY ON MENTAL HEALTH CONCERNS INCLUDING ANXIETY MANAGEMENT AND HOW TO GET HELP WITH SEVERAL EDUCATIONAL PRESENTATIONS FROM A MAYO CLINIC HEALTH SYSTEM PSYCHIATRIST IN PARTNERSHIP WITH VINE FAITH IN ACTION, KIWANIS AND ROTARY. HELD PRESENTATION AT MINNESOTA STATE UNIVERSITY, MANKATO THAT FOCUSED ON MENTAL HEALTH ISSUES WITHIN THE LBGTQ+ COLLEGE-AGE POPULATION. A MAYO CLINIC HEALTH SYSTEM PSYCHIATRIST LED THE PRESENTATION. SPONSORED AND PROVIDED MAYO CLINIC HEALTH SYSTEM PANELISTS FOR TWO SUICIDE PREVENTION AWARENESS EVENTS HOSTED BY GREATER MANKATO AREA UNITED WAY.ENGAGED IN A YOUTH MENTAL HEALTH COLLABORATIVE WHICH HELPED TO CREATE A YOUTH MENTAL HEATLH NAVIGATOR ROLE WITHIN MANKATO AREA PUBLIC SCHOOLS. MCHS CONTRIBUTED $12,500 TOWARDS FUNDING THE POSITION.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. FACILIATED SOUTHWEST MINNESOTA RESILIENCY COHORT OF CERTIFIED RESILIENCY TRAINERS TO SHARE BEST PRACTICES AND COLLABORATE ON NEW INITIATIVES. GROUP MET QUARTERLY IN 2022.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CONDUCTED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.CONDUCTED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MANKATO:PARTICIPATED AS A MEMBER OF THE ADOLESCENT CHEMICAL WELLNESS ADVOCATES GROUP WHO RECEIVED A DRUG-FREE COMMUNITIES GRANT. PARTICIPATED AS A MEMBER OF THE QUARTERLY SUBSTANCE USE ADVOCACY MEETINGS MADE UP OF PUBLIC SAFETY, COMMUNITY BASED ORGANIZATIONS, HEALTHCARE AND COMMUNITY MEMBERS.DISPLAYED INFLATABLE LUNG AND PROVIDED VAPING EDUCATION AT MANKATO YOUTH PLACE, CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA AND HIGH SCHOOL TRADE SHOW.HOSTED DRUGS AND ALCOHOL IMPACTS ON YOUTH WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MANKATO:CONDUCTED FALL INTO WELLNESS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. PROVIDED A COMMUNITY GARDEN AT EASTRIDGE CLINIC AS AN OPPORTUNITY TO TEACH GARDENING SKILLS, HEALTHY EATING AND HEALTHY RECIPES TO FOOD INSECURE PATIENTS. PATIENTS ALSO HAD ACCESS TO REFRIGERATOR WITH HARVESTED PRODUCE. FOOD INSECURE PATIENTS WERE GARDEN MEMBERS AND COULD ACCESS PRODUCE FREE OF CHARGE. COMMUNITY PARTNERS INCLUDED UNIVERSITY OF MINNESOTA EXTENSION AND SOUTH-CENTRAL FOOD RECOVERY.PROVIDED MAYO MILE INDOOR WALKING ROUTE AT RIVER HILLS MALL AND AT MAYO CLINIC HEALTH SYSTEM EVENT CENTER. HIRED HEALTH EQUITY COORDINATOR TO HELP CONNECT PATIENTS WITH IDENTIFIED SOCIAL DETERMINANTS OF HEALTH TO COMMUNITY RESOURCES. UTILIZED COMMUNITY HEALTH WORKERS TO FOCUS ON SOMALI AND HISPANIC COMMUNITY AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.HOSTED DISEASE-FIGHTING FOODS WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED 7 TIPS TO KEEPING YOUR FAMILY HEALTHY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.PROVIDED $20,000 FINANCIAL SUPPORT AND OVER $22,017 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 MORE THAN $200,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS UNITED WAY, YMCA AND FEEDING OUR COMMUNITIES PARTNERS.MAYO CLINIC HEALTH SYSTEM EXPERTS SPOKE AT SEVERAL COMMUNITY PRESENTATIONS INCLUDING: NOVEMBER MEN'S HEALTH MONTH, PARKINSON'S & EXERCISE, WHAT TO KNOW ABOUT COLON CANCER, FALLS PREVENTION AND MORE.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. 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. GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 5: COMMUNITY INPUT:COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MAYO CLINIC HEALTH SYSTEM CREATED A COMMUNITY SURVEY AND RECEIVED FEEDBACK AND INPUT FROM LOCAL PUBLIC HEALTH DEPARTMENTS DURING THE DEVELOPMENT PROCESS. THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED THROUGH COLLABORATION WITH LOCAL NONPROFITS AND PUBLIC HEALTH, AS WELL AS THROUGH SOCIAL MEDIA NETWORKS. THE SURVEY WAS CONDUCTED THROUGHOUT THE SOUTHWEST MINNESOTA REGION BETWEEN FEBRUARY 1, 2022, TO JUNE 30, 2022, WITH OVER 800 RESPONSES. THERE WERE 140 RESPONSES FROM MARTIN COUNTY, THE DEFINED COMMUNITY FOR MCHS IN FAIRMONT.OUTREACH TO GET INPUT FROM TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS WERE PRIORITIZED. EXAMPLES OF THIS OUTREACH INCLUDED POSTCARDS DISTRIBUTION OF SURVEY AT FAIRMONT FOODS PROCESSING PLANT TO ALL EMPLOYEES, SURVEY QR CODE SENT TO CHAMBER MEMBERS TO DISTRIBUTE TO THEIR STAFF, SURVEY BEING SHARED ON SOCIAL MEDIA THROUGH MARTIN COUNTY AND DISTRIBUTION BY COMMUNITY HEALTH WORKERS AT MCHS IN FAIRMONT. A PRIORITIZATION SURVEY WAS ALSO CONDUCTED WITH COMMUNITY STAKEHOLDERS FROM LOCAL GOVERNMENT, HEALTHCARE AND NONPROFIT LEADERS WITH 40 OF 60 INDIVIDUALS RESPONDING.IN ADDITION, INPUT INCLUDED QUANTITATIVE DATA FROM THE SOUTHERN MINNESOTA NEEDS ASSESSMENT PREPARED BY THE HEALTH SCIENCE DEPARTMENT OF MINNESOTA STATE UNIVERSITY-MANKATO ON BEHALF MCHS. THIS DATA WAS FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES FOR THE 11 REGIONAL COUNTIES INCLUDED IN THE SOUTHERN MINNESOTA NEEDS ASSESSMENT. GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6A: MCHS-MANKATOMCHS-NEW PRAGUEMCHS-ST. JAMESMCHS-WASECA GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 6B: MINNESOTA STATE UNIVERSITY MANKATO-DEPARTMENT OF COMMUNITY HEALTH EDUCATION GROUP A-FACILITY 8 -- MCHS IN FAIRMONT PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2022, 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: HELD A RESILIENCY WEBINAR FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES WITH 100 ATTENDEES.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CONDUCTED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.CONDUCTED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.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 A SPEAKING OF HEALTH RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT WITH TOPICS INCLUDING 8 COMMON SUICIDE MYTHS AND SIGNS OF STRESSED-OUT KIDS.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. FACILIATED SOUTHWEST MINNESOTA RESILIENCY COHORT OF CERTIFIED RESILIENCY TRAINERS TO SHARE BEST PRACTICES AND COLLABORATE ON NEW INITIATIVES. GROUP MET QUARTERLY IN 2022.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-FAIRMONT: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. PARTICIPATED AS A MEMBER OF THE MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION COALITION AND MARTIN COUNTY YOUTH COALITION WHICH ADDRESSES SUBSTANCE ABUSE AND PROVIDES POSITIVE OPPORTUNITIES FOR YOUTH. PROVIDED SUBSTANCE ABUSE EDUCATION AT EMPOWER HIGH SCHOOL DANCE.PROVIDED OVER 1,000 MARTIN COUNTY FAIR GUESTS INFORMATION ABOUT LUNG HEALTH THROUGH GIANT INFLATABLE LUNG AND VAPING EDUCATION.HOSTED DRUGS AND ALCOHOL IMPACTS ON YOUTH WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED CANNABIS AND ALCOHOL TRENDS IN YOUTH WEBINAR IN CONJUNCTIONN WITH OTHER HEALTH SYSTEM SITES.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-FAIRMONT: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. HOSTED 7 TIPS TO KEEPING YOUR FAMILY HEALTHY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.CONDUCTED A SPEAKING OF HEALTH RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT WITH MANY TOPICS AROUND CHRONIC DISEASE INCLUDING: HEALTHY EATING ON A BUDGET, SUN SAFETY REMINDERS, TIPS TO IMPROVE YOUR HEART HEALTH AND MORE.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. 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. LAUNCHED A COMMUNITY GARDEN AT MCHS-FAIRMONT 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. EMPLOYED 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. HOSTED DISEASE-FIGHTING FOODS WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.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 $9,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS SUCH AS MARTIN COUNTY KIDS AGAINST HUNGER, KIDS JUST WANT TO HAVE FUN, AND PROJECT 1590.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. PARTNERED WITH APPLE TREE DENTAL TO SUPPORT ACCESS TO DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE RESIDENTS, INCLUDING HAVING SPACE AT MCHS-FAIRMONT.SUPPORTED MARTIN COUNTY BABY CAFE WHICH PROVIDES EDUCATION AND SUPPORT FOR BREASTFEEDING MOTHERS. 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. GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 5: COMMUNITY INPUT:COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MAYO CLINIC HEALTH SYSTEM CREATED A COMMUNITY SURVEY AND RECEIVED FEEDBACK AND INPUT FROM LOCAL PUBLIC HEALTH DEPARTMENTS DURING THE DEVELOPMENT PROCESS. THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED THROUGH COLLABORATION WITH LOCAL NONPROFITS AND PUBLIC HEALTH, AS WELL AS THROUGH SOCIAL MEDIA NETWORKS. THE SURVEY WAS CONDUCTED THROUGHOUT THE SOUTHWEST MINNESOTA REGION BETWEEN FEBRUARY 1, 2022, TO JUNE 30, 2022, WITH OVER 800 RESPONSES. THERE WERE 100 RESPONSES FROM LE SUEUR AND SCOTT COUNTIES, THE DEFINED COMMUNITY FOR MCHS IN NEW PRAGUE.OUTREACH TO GET INPUT FROM TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS WERE PRIORITIZED. EXAMPLES OF THIS OUTREACH INCLUDED FLYERS PROVIDED TO DISTRIBUTE AT THE NEW PRAGUE FOOD SHELF, SURVEY BEING SHARED ON SOCIAL MEDIA THROUGH LE SUEUR AND SCOTT COUNTIES, AS WELL AS ATTENDING EVENTS INCLUDING RUN NEW PRAGUE AND CZECH OUT NEW PRAGUE. FEEDBACK WAS RECEIVED ON PRIORITIZING COMMUNITY HEALTH CONCERNS AT NEW PRAGUE ROTARY CLUB EVENT ON JUNE 16, 2022. IN ADDITION, INPUT INCLUDED QUANTITATIVE DATA FROM THE SOUTHERN MINNESOTA NEEDS ASSESSMENT PREPARED BY THE HEALTH SCIENCE DEPARTMENT OF MINNESOTA STATE UNIVERSITY-MANKATO ON BEHALF MCHS. THIS DATA WAS FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES FOR THE 11 REGIONAL COUNTIES INCLUDED IN THE SOUTHERN MINNESOTA NEEDS ASSESSMENT. GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6A: MCHS-MANKATOMCHS-FAIRMONTMCHS-ST. JAMESMCHS-WASECA GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 6B: MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION GROUP A-FACILITY 10 -- MCHS IN NEW PRAGUE PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2022, 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 A RESILIENCY WEBINAR FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES WITH 100 ATTENDEES.PROVIDED $4,250 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING MENTAL HEALTH AND WELL-BEING SUCH AS DUCK CUP MEMORIAL FUND, HUMANIZE MY HOODIE, AND INFANTS REMEMBERD IN SILENCE.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CONDUCTED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.CONDUCTED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-NEW PRAGUE:HOSTED DRUGS AND ALCOHOL IMPACTS ON YOUTH WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED CANNABIS AND ALCOHOL TRENDS IN YOUTH WEBINAR IN CONJUNCTIONN WITH OTHER HEALTH SYSTEM SITES.PARTICIPATED IN THE SCOTT COUNTY PREVENTION COALITION MADE UP OF PUBLIC HEALTH, COMMUNITY-BASED ORGANIZATIONS, HEALTH CARE, AND COMMUNITY MEMBERS.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 RIVER VALLEY HEALTH SERVICES TO PROVIDE FREE COMMUNITY-BASED DIABETES CLINICS.PARTICIPATED IN THE SCOTT COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE, SCOTT COUNTY ACCESS WORKGROUP, AND STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM.PROVIDED $4,500 SPONSORSHIP TO SUPPORT NEW PRAGUE CHAMBER OF COMMERCE'S RUN NEW PRAGUE EVENT. HAD SIX MAYO CLINIC HEALTH SYSTEM STAFF MEMBERS PROVIDE PHYSICAL REHABILITATION EDUCATION AND SERVICES DURING RUN NEW PRAGUE.PROVIDED SPACE AND VOLUNTEERS FOR THE PEACE CENTER ON THE MCHS-NEW PRAGUE CAMPUS. THE PEACE CENTER IS A FOOD SHELF THAT HELPS TO REDUCE FOOD INSECURITY IN THE NEW PRAGUE AREA. MCHS-NEW PRAGUE CONTRIBUTED $25,200 OF IN-KIND SPACE/FACILITIES SUPPORT, PLUS 2,467 IN STAFF VOLUNTEER TIME TO COORDINATE THE PEACE CENTER.CONDUCTED FALL INTO WELLNESS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. 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.HOSTED DISEASE-FIGHTING FOODS WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED 7 TIPS TO KEEPING YOUR FAMILY HEALTHY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.PARTICIPATED IN THE HEALTHY LIVING OPEN HOUSE HOSTED BY COMMUNITY EDUCATION AND THE FITNESS AND AQUATIC CENTER. MAYO CLINIC HEALTH SYSTEM HAD SIX EMPLOYEES PARTICIPATE IN PROVIDING NUTRITION EDUCATION, COOKING DEMONSTRATIONS, AND INFLUENZA VACCINATIONS.PROVIDED A TOUR OF THE PEACE GARDEN FOR MIDDLE SCHOOL-AGE STUDENTS ENROLLED IN THE SUMMER LEARNING LAB PROGRAM. STUDENTS LEARNED HOW TO TAKE CARE OF THE GARDEN INCLUDING PLANTING, MAINTENANCE, AND HARVEST.PROVIDED SPONSORSHIP TO SUPPORT THE SCENIC BYWAY RIVER RUN.PROVIDED $2,000 SPONSORSHIP TO SUPPORT THE NEW PRAGUE SOCCER CLUB PROVIDE SCHOLARSHIPS FOR YOUTH PARTICIPATION AND REDUCE OVERALL COST TO PARTICIPATE.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. GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 5: COMMUNITY INPUT:COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MAYO CLINIC HEALTH SYSTEM CREATED A COMMUNITY SURVEY AND RECEIVED FEEDBACK AND INPUT FROM LOCAL PUBLIC HEALTH DEPARTMENTS DURING THE DEVELOPMENT PROCESS. THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED THROUGH COLLABORATION WITH LOCAL NONPROFITS AND PUBLIC HEALTH, AS WELL AS THROUGH SOCIAL MEDIA NETWORKS. THE SURVEY WAS CONDUCTED THROUGHOUT THE SOUTHWEST MINNESOTA REGION BETWEEN FEBRUARY 1, 2022, TO JUNE 30, 2022, WITH OVER 800 RESPONSES. THERE WERE 118 RESPONSES FROM WASECA COUNTY, THE DEFINED COMMUNITY FOR MCHS IN WASECA.OUTREACH TO GET INPUT FROM TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS WERE PRIORITIZED. EXAMPLES OF THIS OUTREACH INCLUDED FLYERS POSTED AT THE WASECA AREA NEIGHBORHOOD SERVICE CENTER FOOD SHELF, SURVEY BEING SHARED ON SOCIAL MEDIA THROUGH WASECA COUNTY, AS WELL AS SHIP (STATEWIDE HEALTH IMPROVEMENT PLAN) FOR BROWN, NICOLLET, LE SUEUR AND WASECA COUNTIES. IN ADDITION, FEEDBACK WAS RECEIVED ON PRIORITIZING COMMUNITY HEALTH CONCERNS AT A WASECA AREA CHAMBER BUSINESS AFTER HOURS EVENT HELD IN WASECA ON JULY 20, 2022. IN ADDITION, INPUT INCLUDED QUANTITATIVE DATA FROM THE SOUTHERN MINNESOTA NEEDS ASSESSMENT PREPARED BY THE HEALTH SCIENCE DEPARTMENT OF MINNESOTA STATE UNIVERSITY-MANKATO ON BEHALF MCHS. THIS DATA WAS FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES FOR THE 11 REGIONAL COUNTIES INCLUDED IN THE SOUTHERN MINNESOTA NEEDS ASSESSMENT. GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6A: MCHS-MANKATOMCHS-FAIRMONTMCHS-ST. JAMESMCHS-NEW PRAGUE GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 6B: MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION GROUP A-FACILITY 11 -- MCHS IN WASECA PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2022, 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:PROVIDED $8,870 IN GRANTS TO WASECA PUBLIC SCHOOLS TO SUSTAIN PREVIOUS STAFF TRAINING ON SOCIAL AND EMOTIONAL LEARNING, MENTAL WELL-BEING, MINDFULNESS, TRAUMA-RESPONSIVE PRACTICES, AND EQUITY.HELD A RESILIENCY WEBINAR FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES WITH 100 ATTENDEES.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CONDUCTED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.CONDUCTED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS- WASECA:HOSTED DRUGS AND ALCOHOL IMPACTS ON YOUTH WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED CANNABIS AND ALCOHOL TRENDS IN YOUTH WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.CHRONIC DISEASE: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-WASECA:PROVIDED $4,000 IN GRANTS TO THE CITY OF WASECA TO UPDATE HANDICAP ACCESSIBILITY INFRASTRUCTURE AT THE COMMUNITY POOL ALLOWING INDIVIDUALS WITH ALL MODES OF ABILITY THE ACCESS AND OPPORTUNITY FOR PHYSICAL ACTIVITY.PROVIDED $15,343 IN GRANTS TO WASECA PUBLIC SCHOOLS TO IMPROVE ACCESS TO PHYSICAL ACTIVITY FOR STUDENTS AND IMPROVE SAFETY.PROVIDED $1,500 IN GRANTS TO WASECA PUBLIC SCHOOLS FOR A COMMUNITY BIKE RODEO PROMOTING BIKE SAFETY AND EDUCATION.PARTICIPATED IN THE STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM THAT SUPPORTS COMMUNITY-DRIVEN SOLUTIONS TO INCREASE ACCESS AND OPPORTUNITIES FOR ACTIVE LIVING, HEALTHY EATING, AND REDUCING COMMERCIAL TOBACCO USE.PROVIDED A SPONSORSHIP FOR THE JUNIOR ACHIEVEMENT COLOR RUN EVENT WHERE A MAYO CLINIC HEALTH SYSTEM DIETICIAN PROVIDED NUTRITION EDUCATION DURING THE EVENT.CONDUCTED FALL INTO WELLNESS VIRTUAL COMMUNITY CHALLENGE EDUCATING PARTICIPANTS ON THE KEY ELEMENTS OF WELL-BEING: EAT WELL, MOVE DAILY, RELAX, SLEEP, DISCOVER AND MAINTAIN. 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.HOSTED DISEASE-FIGHTING FOODS WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED 7 TIPS TO KEEPING YOUR FAMILY HEALTHY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.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.PROVIDED A SPONSORSHIP FOR THE TASTE OF THE FARM COMMUNITY EVENT WHERE A MAYO CLINIC HEALTH SYSTEM DIETICIAN PROVIDED NUTRITION EDUCATION DURING THE EVENT.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. GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 5: COMMUNITY INPUT:COMMUNITY INPUT WAS RECEIVED AT NUMEROUS STAGES AND FROM A VARIETY OF LEVELS OF LEADERSHIP THROUGHOUT THE CHNA PROCESS. MAYO CLINIC HEALTH SYSTEM CREATED A COMMUNITY SURVEY AND RECEIVED FEEDBACK AND INPUT FROM LOCAL PUBLIC HEALTH DEPARTMENTS DURING THE DEVELOPMENT PROCESS. THE COMMUNITY SURVEY WAS PRIMARILY DISTRIBUTED THROUGH COLLABORATION WITH LOCAL NONPROFITS AND PUBLIC HEALTH, AS WELL AS THROUGH SOCIAL MEDIA NETWORKS. THE SURVEY WAS CONDUCTED THROUGHOUT THE SOUTHWEST MINNESOTA REGION BETWEEN FEBRUARY 1, 2022, TO JUNE 30, 2022, WITH OVER 800 RESPONSES. THERE WERE 38 RESPONSES FROM WATONWAN COUNTY, THE DEFINED COMMUNITY FOR MCHS IN ST. JAMES.OUTREACH TO GET INPUT FROM TRADITIONALLY UNDERREPRESENTED, MEDICALLY UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS WERE PRIORITIZED. EXAMPLES OF THIS OUTREACH INCLUDED DISTRIBUTION OF SURVEY AT LOCAL LIBRARY, SURVEY BEING SHARED ON SOCIAL MEDIA THROUGH WATONWON COUNTY AND DISTRIBUTION BY COMMUNITY HEALTH WORKERS AT MCHS IN ST. JAMES. IN ADDITION, A PRIORITIZATION SURVEY WAS CONDUCTED WITH COMMUNITY STAKEHOLDERS FROM LOCAL GOVERNMENT, HEALTHCARE AND NONPROFIT LEADERS WITH 36 OF 57 INDIVIDUALS RESPONDING.IN ADDITION, INPUT INCLUDED QUANTITATIVE DATA FROM THE SOUTHERN MINNESOTA NEEDS ASSESSMENT PREPARED BY THE HEALTH SCIENCE DEPARTMENT OF MINNESOTA STATE UNIVERSITY-MANKATO ON BEHALF MCHS. THIS DATA WAS FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES FOR THE 11 REGIONAL COUNTIES INCLUDED IN THE SOUTHERN MINNESOTA NEEDS ASSESSMENT. GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6A: MCHS-MANKATOMCHS-FAIRMONTMCHS-WASECAMCHS-NEW PRAGUE GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 6B: MINNESOTA STATE UNIVERSITY MANKATO - DEPARTMENT OF COMMUNITY HEALTH EDUCATION GROUP A-FACILITY 16 -- MCHS IN ST. JAMES PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2019, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USECHRONIC DISEASEIN 2022, 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:HELD A RESILIENCY WEBINAR FOR REGIONAL CHAMBER OF COMMERCE BUSINESSES WITH 100 ATTENDEES.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CONDUCTED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.CONDUCTED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.CONDUCTED CAMP OZ GRIEF CAMP FOR KIDS WHO HAVE EXPERIENCED DEATH OF SOMEONE IN THEIR LIFE. HAD TWO STAFF PERSONS PARTICIPATE AS MEMBERS OF WATONWAN COUNTY VISIONS FOR FAMILIES AND COMMUNITIES. SUBSTANCE USE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-ST. JAMES:HOSTED DRUGS AND ALCOHOL IMPACTS ON YOUTH WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HAD ONE STAFF REPRESENT MCHS-ST. JAMES ON WATONWAN COUNTY OPIOID WORKGROUP WHICH ADDRESSES OPIOID ADDICTION AND OVERDOSE. 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. UTILIZED 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 $1,900 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING HEALTH AND WELLNESS. PROVIDED $5,000 IN SPONSORSHIP FOR WATLINE TRAIL.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. HAD ONE STAFF MEMBER SERVE ON THE WATONWAN COUNTY PUBLIC HEALTH ADVISORY COMMITTEE. HAD ONE STAFF MEMBERS SERVE ON UNITING CULTURES /UNIENDO CULTURAS WORKING TO UNITE PEOPLE AND COMMUNITIES BY REMOVING BARRIERS THROUGH SHARING, LEARNING, COLLABORATION AND ACTION.HOSTED DISEASE-FIGHTING FOODS WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.HOSTED 7 TIPS TO KEEPING YOUR FAMILY HEALTHY WEBINAR IN CONJUNCTION WITH OTHER HEALTH SYSTEM SITES.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. GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 5: COMMUNITY INPUT:THE 2021 EAU CLAIRE COUNTY COMMUNITY HEALTH ASSESSMENT SERVES AS THE BASIS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCHS IN EAU CLARIE. THE ASSESSMENT WAS CONDUCTED COLLABORATIVELY BY THE COMMUNITY HEALTH ASSESSMENT PLANNING PARTNERSHIP COMMITTEE (CHA PARTNERS). THIS PARTNERSHIP, WHICH INCLUDES COUNTY HEALTH DEPARTMENTS, LOCAL HEALTHCARE FACILITIES, AND COMMUNITY ORGANIZATIONS, WAS ESTABLISHED TO OPTIMIZE THE COORDINATION AND USE OF RESOURCES WHILE REDUCING DUPLICATIVE EFFORTS.THE CHA PARTNERS FACTORED DATA FROM SEVERAL SOURCES INCLUDING A COMMUNITY HEALTH SURVEY; SECONDARY HEALTH DATA INVOLVING LOCAL AND NATIONAL COMPARISONS; A SERIES OF VIRTUAL COMMUNITY CONVERSATIONS WITH COUNTY RESIDENTS AND STAKEHOLDERS; AND EAU CLAIRE HEALTHY COMMUNITIES, A LOCAL COALITION THAT PROMOTES THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES, AND COMMUNITIES IN EAU CLAIRE COUNTY.THE COMMUNITY HEALTH SURVEY WAS CONDUCTED DURING DECEMBER 2020. SEVERAL VERSIONS OF THE SURVEY WERE DEVELOPED, INCLUDING FULL-LENGTH, ON-LINE VERSIONS IN BOTH ENGLISH AND SPANISH ON SURVEYMONKEY AND BOTH FULL-LENGTH AND SHORT PAPER VERSIONS IN ENGLISH AND SPANISH. THE ALTERNATE VERSIONS WERE DEVELOPED AS A STRATEGY TO SOLICIT GREATER FEEDBACK FROM NON-ENGLISH SPEAKERS AND INDIVIDUALS WITH LIMITED COMPUTER ACCESS OR PROFICIENCY. A TOTAL OF 976 EAU CLAIRE RESIDENTS COMPLETED THE SURVEY.SURVEY OUTREACH METHODS INCLUDED SHARING THE SURVEYMONKEY SITE THROUGH PARTNER DISTRIBUTION LISTS (INCLUDING DOZENS OF COMMUNITY ORGANIZATIONS), WEBSITES, AND SOCIAL MEDIA; PURCHASING ADS THROUGH VOLUME ONE AND FACEBOOK; DISTRIBUTING FLYERS THROUGH COMMUNITY ORGANIZATIONS SUCH AS FEED MY PEOPLE; CONDUCTING SPECIFIC OUTREACH TO VULNERABLE POPULATIONS THROUGH GROUPS SUCH AS JONAH (JOINING OUR NEIGHBORS ADVANCING HOPE), EL CENTRO AND THE EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION; AND DISTRIBUTING PAPER SURVEYS THROUGH THE AGING AND DISABILITY RESOURCE CENTER (VIA MEALS ON WHEELS) AND EAU CLAIRE COUNTY JAIL.DURING FEBRUARY 2021, THREE ON-LINE PUBLIC COMMUNITY CONVERSATIONS HERE HELD TO FURTHER EVALUATE LOCAL HEALTH IMPACTS AND PRIORITIZATION CRITERIA. THESE EVENTS WERE PUBLICIZED WIDELY THROUGH E-MAIL, WEBSITES SOCIAL MEDIA AND OTHER MEANS. THE CHA PARTNERS CONDUCTED OUTREACH TO AND THROUGH HEALTH CARE AND OTHER SERVICE PROVIDERS, LOCAL GOVERNMENT, LIBRARIES, SENIOR CENTERS, EDUCATIONAL INSTITUTIONS, CHURCHES, AND THE CHAMBER OF COMMERCE, AMONG OTHER COMMUNITY ORGANIZATIONS. IN MARCH OF 2021, CHA PARTNERS MET WITH MEMBERS OF EAU CLAIRE HEALTHY COMMUNITIES, A COALITION OF LOCAL ORGANIZATIONS AND AGENCIES THAT PROMOTE HEALTH AND WELL-BEING WITHIN THE COMMUNITY. THE CHA PARTNERS FACILITATED VIRTUAL BREAKOUT ROOM DISCUSSIONS AROUND THE SAME SET OF QUESTIONS POSED DURING THE COMMUNITY CONVERSATIONS AND THEN SUMMARIZED KEY TAKEAWAYS UPON RECONVENING THE FULL GROUP. PRIOR TO ADJOURNING, PARTICIPANTS INDICATED THEIR TOP THREE HEALTH PRIORITIES VIA AN ON-LINE POLL. GROUP A-FACILITY 4 -- MCHS IN EAU CLAIRE PART V, SECTION B, LINE 6A: HSHS SACRED HEART HOSPITALHSHS ST. JOSEPH'S HOSPITALMCHS-BLOOMER 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 CLINIC HEALTH SYSTEMEAU CLAIRE HEALTHY COMMUNITIES CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHCHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP 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 2022, 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: PARTICIPATED WITH COMMUNITY COALITIONS LIKE MENTAL HEALTH MATTERS AND MENTAL HEALTH ACTION TEAMS TO ADDRESS NEEDS RELATED TO MENTAL HEALTH. IN ADDITON, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT IMPROVE MENTAL HEALTH. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- UNITED WAY OF GREATER CHIPPEWA VALLEY - $3,500 (BORN LEARNING TRAILS)- CHIPPEWA VALLEY FREE CLINIC - $2,000 (SUPPORT)- COMMUNITY TABLE - $7,000 (BACKPACK PROGRAM FOR UNHOUSED GUESTS)- MENTAL HEALTH MATTERS - $2,000 (SHAPING DESTINY: OVERCOMING ACES'S VIDEO)- L.E. PHILLIPS MEMORIAL PUBLIC LIBRARY - $5,000 (HMONG IN THE COMMUNITY)- HAVEN HOUSE CATHOLIC CHARITIES - $5,000 (COMMUNITY HAVEN HOUSE)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRENGTHENING YOUTH MENTAL HEALTH (PRESENTATION)- KICKSTART KINDNESS (VIRTUAL CHALLENGE)- HEALING REFLECTIONS MURAL GATHERING (EVENT)- CHIPPEWA VALLEY CHILD ADVOCACY CENTER TEAM (COMMITTEE MEMBER)- EAU CLAIRE COUNTY SEXUAL ASSUALT RESPONSE TEAM (COMMITTEE MEMBER)- CHIPPEWA VALLEY FREE CLINIC (PROVIDE SERVICES FOR SUPPORT)- INJURY PREVENTION (EVENT)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTHS NEEDS ASSESSMENT. A TOTAL OF $25,000 WAS AWARDED TO SCHOOLS WITHIN EAU CLAIRE COUNTY. PROJECTS SUPPORTING MENTAL WELLNESS INCLUDED:- NORTHWOODS ELEMENTARY SCHOOL - $1,000 (DIVERSITY IN THE MUSIC ROOM)- NORTH HIGH SCHOOL - $2,500 (INCLUSIVE & DIVERSE CLASSROOM)- REGIS CATHOLIC SCHOOL - $3,000 (SECOND STEP CURRICULUM)- SCHOOL DISTRICT OF ALTOONA WISCONSIN - $2,500 (ART CLUB)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-EAU CLAIRE:PARTICIPATED WITH COMMUNITY COALITIONS LIKE ALLIANCE FOR SUBSTANCE MISUSE PREVENTION, EAU CLAIRE HEALTHY COMMUNITIES, AND SUBSTANCE-FREE PREGNANCY AND RECOVERY TO IMPROVE SUBSTANCE USE AND ALCOHOL MISUSE. IN ADDITON, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE EDUCATION AND ADVOCACY AROUND SUBSTANCE USE AND ALCOHOL MISUSE. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- HOPE GOSPEL MISSION - $2,000 (HARVESTING HOPE)- FIERCE FREEDOM, INC. - $5,000 (RAISING SELF-WORTH / HUMAN TRAFFICKING)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT ADDRESS OR ASSIT IN REDUCING SUBSTANCE USE AND ALCOHOL MISUSE. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. A $50,000 GRANT TO THE BOYS AND GIRLS CLUB OF GREATHER CHIPPEWA VALLEY (CAPITAL CAMPAIGN) WAS A PROJECT SUPPORTED THROUGH A HOMETOWN HEALTH GRANT. HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - YOUTH SAFETY CAMP (EVENT)- DRUG AND ALCOHOL IMPACT ON YOUTH (WEBINAR)- NATIONAL NIGHT OUT (EVENT)- EAU CLAIRE AREA SCHOOL DISTRICTS - POST PROM TRAUMA (EVENTS)- INJURY PREVENTION WITH CARE STIMULATION (PRESENTATION)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING SUBSTANCE USE AND ALCOHOL MISUSE. PROJECTS INCLUDED:- ALTOONA ELEMENTARY AND INTERMEDIATE SCHOOLS - $5,000 (BOYS AND GIRLS CLUB)- NORTH HIGH SCHOOL - $3,000 (POSTIVE ATTENDANCE & HEALTHY TEEN CONNECTIONS)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-EAU CLAIRE:PARTICIPATED WITH COMMUNITY COALITIONS TO IMPACT CHRONIC DISEASE AND OBESITY. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- GIRLS ON THE RUN - $500 (WALK)- THE COMMUNITY TABLE - $600 (STAFF TEAM VOLUNTEER OPPERTUNTIY)- AMERICAN CANCER SOCIETY - $1,000 (PROGRAMMING)- CHIPPEWA VALLEY FREE CLINIC - $2,000 (PROGRAMMING)- AGING DISABILITY RESOURCE CENTER - $1,000 (A ONE-ACT PLAY ON MEMORY LOSS)- ALZHEIMER'S ASSOCIATION - $2,000 (WALK TO END ALZHEIMERS)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. A $25,000 GRANT TO THE FEED MY PEOPLE FOOD BANK (FEED MY PEOPLE'S INCLUSION INTIAITIVE) ALONG WITH GOOD SHEPHERD LUTHRAN FOUNDATION (SENIOR MEAL PROGRAM) WAS A PROJECT SUPPORTED THROUGH A HOMETOWN HEALTH GRANT. HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - DISEASE FIGHTING FOODS THAT PREVENT CANCER (WEBINAR)- CANCER AWARENESS (EVENT)- MY ROAD TO BETTER HEALTH (COMMUNITY TABLE)- 7 TIPS TO KEEPING YOUR FAMILY HEALTHY (WEBINAR)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED:- NORTHSTAR MIDDLE SCHOOL - $2,000 (THE NORTHSTAR EDIBLE CLASSROOM)- LOCUST LAKE ELEMENTARY - $1,000 (LOCUST LAND ELEMENTARY GARDEN)- ROOSEVELT ELEMENTARY SCHOOL - $5,000 (PLAYGROUND EXPANSION AND ENHANCEMENT)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. GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 5: COMMUNITY INPUT:THE PRIMARY INPUT INTO THE ASSESSMENT AND PRIORITIZATION PROCESS FOR MCHS-BARRON'S CHNA WAS THE 2021-22 BARRON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THE BARRON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED COLLABORATIVELY BY THE THRIVE BARRON COUNTY STEERING COMMITTEE. THIS COMMITTEE ENCOMPASSES BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES, LOCAL HEALTH CARE ORGANIZATIONS, COMMUNITY GROUPS AND RESIDENTS THAT WORK TOGETHER TO IDENTIFY BARRON COUNTY'S TOP HEALTH CONCERNS. THE COMMITTEE USED SEVERAL METHODS TO COLLECT BOTH QUALITATIVE AND QUANTITATIVE INFORMATION THROUGH THE ASSESSMENT PROCESS. THE ASSESSMENT PROCESS WAS AIMED PARTICULARLY AT UNDERSTANDING THE NEEDS OF THE TRADITIONALLY UNDER-SERVED. THE PRIMARY STRATEGIES UTILIZED TO GATHER DATA NEEDED TO COMPLETE THIS REPORT INVOLVED INFORMATION FROM EXISTING POPULATION HEALTH DATA, DISTRIBUTION OF A COMMUNITY PERCEPTION SURVEY, AND MEETING WITH LOCAL ORGANIZATIONS SUCH AS THE BARRON COUNTY COMMUNITY CONNECTIONS TO PROSPERITY COALITION. EXISTING POPULATION HEALTH DATA WAS GATHERED FROM A VARIETY OF SOURCES, INCLUDING CENSUS DATA, GOVERNMENT REPORTS, HEALTH DEPARTMENT STATISTICS, YOUTH RISK BEHAVIOR STUDY AND INFORMATION COLLECTED FROM LOCAL HOSPITALS AND LOCAL COMMUNITY SERVICE ORGANIZATIONS. ALSO CONSIDERED DURING THIS STEP WAS THE COUNTY HEALTH RANKINGS, A JOINT EFFORT OF THE ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. ANALYZING THIS QUANTITATIVE DATA FACILITATED THE EVALUATION OF HOW BARRON COUNTY COMPARED TO STATE AND NATIONAL AVERAGES AND BENCHMARKS. THE COMMUNITY PERCEPTION SURVEY WAS DISTRIBUTED IN LATE 2021 WITH THE OBJECTIVE OF INCREASING THE UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS AND PERCEPTION OF THE MAIN CHALLENGES FACING RESIDENTS OF BARRON COUNTY. THE SURVEY INCLUDED QUESTIONS RELATED TO COMMUNITY HEALTH NEEDS AND QUESTIONS TO CAPTURE DEMOGRAPHIC INFORMATION. A PRESS RELEASE WAS SENT TO AREA NEWSPAPERS ANNOUNCING THE INITIATIVE AND ASKING FOR COMMUNITY PARTICIPATION. IN ADDITION, THE SURVEY WAS PROMOTED ON SOCIAL MEDIA AND THROUGH EMAIL COMMUNICATION CHANNELS. A TOTAL OF 371 ON-LINE SURVEYS WERE COMPLETED.INPUT AND INFORMATION WERE ALSO GATHERED FROM THE BARRON COUNTY COMMUNITY CONNECTIONS TO PROSPERITY COALITION. THIS COALITION IS A GROUP OF ORGANIZATIONS, BUSINESSES, AND COMMUNITY MEMBERS IN BARRON COUNTY, WHOSE FOCUS IS ON HELPING THOSE IN POVERTY RISE ABOVE IT. THIS OUTREACH ALLOWED THE ASSESSMENT TEAM TO GARNER VALUABLE DATA RELATED TO LOW-INCOME POPULATIONS AS PART OF THE ASSESSMENT PROCESS. GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6A: MARSHFIELD MEDICAL CENTER - RICE LAKE GROUP A-FACILITY 12 -- MCHS IN BARRON PART V, SECTION B, LINE 6B: BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICESAGING & DISABILITY RESOURCE CENTERBARRON COUNTY SHERIFF DEPARTMENTBENJAMIN'S HOUSE EMERGENCY SHELTERCOMMUNITY CONNECTIONS TO PROSPERTIYDISABILITY RIGHTS WISCONSINRICE LAKE AREA FREE CLINICNAMI BARRON COUNTYNORTHLAKES COMMUNITY CLINICNORTHWOODS TECHNICAL COLLEGEUW EAU CLAIREUW MADISON DIVISION OF EXTENSION BARRON COUTNY 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 2022, 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: PARTICIPATED WITH COMMUNITY COALITIONS LIKE THE BARRON COUNTY HEALTH IMPROVEMENT PLAN COMMITTEE TO ADDRESS NEEDS REALTED TO MENTAL HEALTH. IN ADDITON, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT IMPROVE MENTAL HEALTH. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- NAMI OF BARRON COUNTY- $7,500 (COMMUNITY CONNECTIONS PROJECT)- BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (ADVOCATE FOR CHANGE)- COMMUNITY CONNECTIONS FOR PROSPERITY - $250 (COMMUNITY CONNECTIONS)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. GRANTS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- CASA OF WESTERN WISCONSIN - $25,000 (FOSTER CARE ADVOCATES)- BENJAMIN'S HOUSE EMERGENCY SHELTER - $25,000 (TRANSITIONAL HOUSING)- LAKES COMMUNITY HEALTH CENTER - $10,000 (TURTLE LAKE CLINIC & SCHOOLS)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRENGTHENING YOUTH MENTAL HEALTH (PRESENTATION)- KICKSTART KINDNESS (VIRTUAL CHALLENGE)- SAFETY CAMP (EVENT)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTHS NEEDS ASSESSMENT. A TOTAL OF $11,400 WAS AWARDED TO SCHOOLS WITHIN BARRON COUNTY. PROJECTS SUPPORTING MENTAL WELLNESS INCLUDED: - BARRON AREA SCHOOL DISTRICT - $2,000 (TRANSITION TEAM BUILDING)- CAMERON ELEMENTARY SCHOOL -$4,400 (SCHOOL SENSORY PATH)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BARRON:PARTICIPATED WITH COMMUNITY COALITIONS LIKE BARRON COUNTY HEALTHY COMMUNITIES TO IMPROVE SUBSTANCE USE AND ALCOHOL MISUSE. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE EDUCATION AND ADVOCACY AROUND SUBSTANCE USE AND ALCOHOL MISUSE.HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - YOUTH SAFETY CAMP (EVENT)- DRUG AND ALCOHOL IMPACT ON YOUTH (WEBINAR)- NATIONAL NIGHT OUT (EVENT)CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BARRON:PARTICIPATED WITH COMMUNITY COALITIONS TO IMPACT CHRONIC DISEASE AND OBESITY. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- FRIENDS OF HUNT HILL AUDUBON SANCTUARY - $2,000 (GLOW HIKE)- FOREST RUN FOUNDATION - $1,000 (FOUNDATION FOR BRAIN CANCER RESEARCH)- CITY OF RICE LAKE - $1,000 (PICKLEBALL)- BARRON COUNTY HEALTH & HUMAN SERVICES - $5,000 (FOOD SHARE EBT) - BARRON CHAMBER OF COMMERCE - $1,000 (FAMILY FUN DAY) - ADRC OF BARRON COUNTY - $3,000 (MEMORY CARE PLAY & COMMUNITY DISCUSSION)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. A $10,000 GRANT TO THE RICE LAKE AREA FREE CLINIC (DIEBETES DIAGNOSIS, MANAGEMENT & EDUCATION) WAS A PROJECT SUPPORTED THROUGH A HOMETOWN HEALTH GRANT. HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - DISEASE FIGHTING FOODS THAT PREVENT CANCER (WEBINAR)- 7 TIPS TO KEEPING FAMILY HEALTHY (WEBINAR)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED $5,000 TO RICE LAKE AREA SCHOOL DISTRICT FOR MATERIALS AND SUPPLIES.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. GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 5: COMMUNITY INPUT:THE PRIMARY INPUT INTO THE ASSESSMENT AND PRIORITIZATION PROCESS FOR MCHS-BLOOMER'S CHNA WAS THE 2021 CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT. THE CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT (CHA) WAS CONDUCTED COLLABORATIVELY BY THE COMMUNITY HEALTH ASSESSMENT PLANNING PARTNERSHIP COMMITTEE (CHA PARTNERS). THIS PARTNERSHIP, WHICH INCLUDES COUNTY HEALTH DEPARTMENTS, LOCAL HEALTHCARE FACILITIES, AND COMMUNITY ORGANIZATIONS, WAS ESTABLISHED TO OPTIMIZE THE COORDINATION AND USE OF RESOURCES WHILE REDUCING DUPLICATIVE EFFORTS.THE CHA PARTNERS USED SEVERAL METHODS TO COLLECT BOTH QUALITATIVE AND QUANTITATIVE INFORMATION THROUGH THE ASSESSMENT PROCESS. THE FOUR PRIMARY STRATEGIES UTILIZED FOR GATHERING THE DATA NEEDED TO COMPLETE THIS REPORT INVOLVED DISTRIBUTING A COMMUNITY HEALTH SURVEY, COMPILING SECONDARY DATA (HEALTH COMPARISONS), HOLDING COMMUNITY CONVERSATIONS, AND MEETING WITH HEALTH COALITIONS SUCH AS THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP.THE COMMUNITY HEALTH SURVEY WAS CONDUCTED DURING DECEMBER 2020. SEVERAL VERSIONS OF THE SURVEY WERE DEVELOPED, INCLUDING FULL-LENGTH, ON-LINE VERSIONS IN BOTH ENGLISH AND SPANISH ON SURVEYMONKEY AND BOTH FULL-LENGTH AND SHORT PAPER VERSIONS IN ENGLISH AND SPANISH. THE ALTERNATE VERSIONS WERE DEVELOPED AS A STRATEGY TO SOLICIT GREATER FEEDBACK FROM NON-ENGLISH SPEAKERS AND INDIVIDUALS WITH LIMITED COMPUTER ACCESS OR PROFICIENCY. A TOTAL OF 637 CHIPPEWA COUNT RESIDENTS COMPLETED THE SURVEY.THE CHA PARTNERS CONDUCTED SURVEY OUTREACH THROUGH A VARIETY OF METHODS. THESE INCLUDED SHARING THE SURVEYMONKEY SITE THROUGH PARTNER DISTRIBUTION LISTS (INCLUDING DOZENS OF COMMUNITY ORGANIZATIONS), WEBSITES, AND SOCIAL MEDIA; PURCHASING ADS THROUGH VOLUME ONE AND FACEBOOK; DISTRIBUTING FLYERS THROUGH COMMUNITY ORGANIZATIONS SUCH AS FEED MY PEOPLE; CONDUCTING SPECIFIC OUTREACH TO VULNERABLE POPULATIONS THROUGH GROUPS SUCH AS JONAH (JOINING OUR NEIGHBORS ADVANCING HOPE), EL CENTRO, AND THE EAU CLAIRE AREA HMONG MUTUAL ASSISTANCE ASSOCIATION; AND DISTRIBUTING PAPER SURVEYS THROUGH THE AGING AND DISABILITY RESOURCE CENTER (VIA MEALS ON WHEELS) AND CHIPPEWA COUNTY JAIL.DURING FEBRUARY 2021, THREE ON-LINE PUBLIC COMMUNITY CONVERSATIONS HERE HELD TO FURTHER EVALUATE LOCAL HEALTH IMPACTS AND PRIORITIZATION CRITERIA. THESE EVENTS WERE PUBLICIZED WIDELY THROUGH E-MAIL, WEBSITES SOCIAL MEDIA AND OTHER MEANS. THE CHA PARTNERS CONDUCTED OUTREACH TO AND THROUGH HEALTH CARE AND OTHER SERVICE PROVIDERS, LOCAL GOVERNMENT, LIBRARIES, SENIOR CENTERS, EDUCATIONAL INSTITUTIONS, CHURCHES, AND THE CHAMBER OF COMMERCE, AMONG OTHER COMMUNITY ORGANIZATIONS. IN MARCH OF 2021, CHA PARTNERS MET WITH MEMBERS OF THE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP, A COALITION OF LOCAL ORGANIZATIONS AND AGENCIES THAT PROMOTE HEALTH AND WELL-BEING WITHIN THE COMMUNITY. THE CHA PARTNERS FACILITATED VIRTUAL BREAKOUT ROOM DISCUSSIONS AROUND THE SAME SET OF QUESTIONS POSED DURING THE COMMUNITY CONVERSATIONS AND THEN SUMMARIZED KEY TAKEAWAYS UPON RECONVENING THE FULL GROUP. PRIOR TO ADJOURNING, PARTICIPANTS INDICATED THEIR TOP THREE HEALTH PRIORITIES VIA AN ON-LINE POLL. GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6A: HSHS ST. JOSEPH'S HOSPITALHSHS SACRED HEART HOSPITALMCHS-EAU CLAIRE GROUP A-FACILITY 13 -- MCHS IN BLOOMER PART V, SECTION B, LINE 6B: CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIPCHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTHMARSHFIELD CLINIC HEALTH SYSTEMUNITED WAY OF THE GREATER CHIPPEWA VALLEYEAU CLAIRE CITY-COUNTY HEALTH DEPARTMENTEAU CLAIRE HEALTHY COMMUNITIES 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 2022, 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: PARTICIPATED WITH COMMUNITY COALITIONS LIKE THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF CHIPPEWA COUNTY TO ADDRESS NEEDS REALTED TO MENTAL HEALTH. IN ADDITON, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT IMPROVE MENTAL HEALTH. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- HOPE VILLAGE - $5,000 (COMMUNITY BUILDING)- CHIPPEWA FALLS LIBRARY - $2,000 (SENIOR CRAFTY CREATIONS)- SCHOOL DISTRICT OF BLOOMER - $2,000 (MINDFULNESS SESSIONS)- CHIPPEWA FALLS YMCA - $3,000 (STRONG KIDS/ANNUAL CAMPAIGN)- SLEEP IN HEAVENLY PEACE- $2,000 (BED BUILDING DAY AND VOLUNTEERING) AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. A $65,000 GRANT TO HOPE VILLAGE (CAPITAL CAMPAIGN) WAS A PROJECT SUPPORTED THROUGH A HOMETOWN HEALTH GRANT. HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRENGTHENING YOUTH MENTAL HEALTH (PRESENTATION)- KICKSTART KINDNESS (VIRTUAL CHALLENGE)- CHIPPEWA VALLEY CHILD ADVOCACY CENTER TEAM (COMMITTEE MEMBER)- CHIPPEWA VALLEY FREE CLINIC (PROVIDE SERVICES FOR SUPPORT)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTHS NEEDS ASSESSMENT. A TOTAL OF $17,500 WAS AWARDED TO SCHOOLS WITHIN CHIPPEWA COUNTY. PROJECTS SUPPORTING MENTAL WELLNESS INCLUDED $5,000 TO HALMSTAD ELEMENTARY SCHOOL (SELF-MANAGEMENT/MENTAL HEALTH MINDFULNESS).SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-BLOOMER:PARTICIPATED WITH COMMUNITY COALITIONS IN CHIPPEWA COUNTY TO IMPROVE SUBSTANCE USE AND ALCOHOL MISUSE. COLLABORATIONS INCLUDE VOICES IN PREVENTION, COMMUNITY HEALTH IMPROVEMENT PARTNERSHIPS, AND SUBSTANCE-FREE PREGNANCY AND RECOVERY. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE EDUCATION AND ADVOCACY AROUND SUBSTANCE USE AND ALCOHOL MISUSE.AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT ADDRESS OR ASSIT IN REDUCING SUBSTANCE USE AND ALCOHOL MISUSE. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. GRANTS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- RIVER SOURCE FAMILY CENTER/FAMILY SUPPORT CENTER - $15,000 (PARENTING SUPPORT)- CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT - $10,000 (STRENGTHENING FAMILIES PROGRAM)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - CHI HI POST PROM TRAUMA (EVENT)- DRUG AND ALCOHOL IMPACT ON YOUTH (WEBINAR)- YMCA HEALTH KIDS DAY (EVENT) PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING SUBSTANCE USE AND ALCOHOL MISUSE. BLOOMER HIGH SCHOOL/BLOOMER MIDDLE SCHOOL RECEIVED $5,000 TO INCREASE AWARENESS OF SUBSTANCE AND ALCOHOL USE (AODA AWARENESS SERIES).CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-BLOOMER:PARTICIPATED WITH COMMUNITY COALITIONS TO IMPACT CHRONIC DISEASE AND OBESITY. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- NOTRE DAME - $3,000 (FOOD IS MEDICINE PROGRAM)- GIRLS ON THE RUN - $500 (PROGRAM AND 5K RUN)- CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP - $2,500 (CHRONIC DISEASE)- GE BLESKACEK FAMILY MEMORIAL LIBRARY - $1,200 (AFTER SCHOOL ACTIVITY) - BLOOMER AREA AQUATIC & RECREATION CENTER - $1,500 (AFTER-SCHOOL PROGRAM) AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. A $15,000 GRANT TO THE BLOOMER NEW AUBURN FOOD PANTRY (EXPANSION OF WEEKEND MEAL PROGRAM) WAS A PROJECT SUPPORTED THROUGH A HOMETOWN HEALTH GRANT. HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - DISEASE FIGHTING FOODS THAT PREVENT CANCER (WEBINAR)- BLOOMER COMMUNITY GARDIN (COMMUNITY GARDEN)- 7 TIPS TO KEEPING FAMILY HEALTHY (WEBINAR)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED:- STILLSON ELEMENTARY SCHOOL - $2,500 (PURCHASE OF GROW TOWERS)- CADOTT ELEMENTARY SCHOOL - $5,000 (ENGAGING IN DIVERSE PHYSICAL ACTIVITY)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. GROUP A-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 5: COMMUNITY INPUT:THIS STUDY WAS CONDUCTED UNDER THE DIRECTION OF GREAT RIVERS UNITED WAY, WITH TECHNICAL SUPPORT FROM A CONTRACTED CONSULTANT, COMMUNITY HEALTH SOLUTIONS. THE STUDY WAS GUIDED BY A COMPASS NOW STEERING COMMITTEE. THE STEERING COMMITTEE MEMBERS SUPPLIED GUIDANCE ON THE STUDY SCOPE AND METHODS AND PROVIDED LIAISONS TO ENGAGE COMMUNITY ORGANIZATIONS IN PROMOTING PARTICIPATION IN THE CONVENIENCE SURVEY CONDUCTED FOR THE STUDY. COMMUNITY HEALTH SOLUTIONS, WAS HIRED TO MANAGE THE ASSESSMENT AND PUBLICATION OF THE REPORT. THE STEERING COMMITTEE INCLUDED MEMBERS FROM THE SIX REGIONAL COUNTIES IN BUFFALO, LA CROSSE, MONROE, TREMPEALEAU AND VERNON COUNTIES IN WISCONSIN, AND HOUSTON COUNTY IN MINNESOTA. THIS COMMITTEE ALSO INCLUDES REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS, LOCAL HOSPITALS, AND HUMAN SERVICES ORGANIZATIONS AND IS TASKED WITH DETERMINING THE DETAILS OF THE COMPASS NOW REPORT. THE METHODS INCLUDED ANALYSIS OF COMMUNITY INDICATORS FROM VARIOUS SOURCES, AND COMMUNITY INSIGHTS PROVIDED BY RESPONDENTS TO A RANDOM HOUSEHOLD SURVEY AND A SUPPLEMENTAL CONVENIENCE SURVEY. ADDITIONALLY, WITHIN EACH COUNTY THE MAIL-OUT WAS DESIGNED TO OVER-SAMPLE FROM CENSUS TRACTS WITH RELATIVELY LOW INCOME TO HELP ASSURE THAT LOWER-INCOME COMMUNITY RESIDENTS WERE REPRESENTED.RANDOM HOUSEHOLD SURVEYS WERE CONDUCTED IN JULY-SEPTEMBER 2020. THE SURVEY WAS MAILED TO 6,000 RANDOMLY SELECTED HOUSEHOLDS USING A SAMPLING STRATEGY TARGETING 100 RESPONSES FROM EACH OF THE SIX COUNTIES. A TOTAL OF 713 RANDOM HOUSEHOLD SURVEYS WERE RESPONDED TO. THE SAMPLING STRATEGY WAS DESIGNED TO PRODUCE A TARGET NUMBER OF AT LEAST 100 SURVEY RESPONSES FROM EACH OF THE SIX COUNTIES.IN ADDITION, A CONVENIENCE SURVEY TOOK PLACE DURING OCTOBER-NOVEMBER 2020. THIS SURVEY WAS A WAY TO GENERATE ADDED SURVEY RESPONSES FROM THOSE WHO WERE UNDERREPRESENTED IN THE RANDOM HOUSEHOLD SURVEY. A TOTAL OF 510 CONVENIENCE SURVEYS WERE SUBMITTED THROUGH MIXED METHODS AND RESPONDENTS COMPLETED THEIR SURVEY ON-LINE OR SUBMITTED A PAPER COPY WITH THEIR SURVEY RESPONSE.LOCAL ORGANIZATIONS WERE ALSO ASKED TO SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDER-REPRESENTED BY REACHING OUT TO TARGETED INDIVIDUALS. THESE ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDER-REPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE, AND THE LGBTQ+ COMMUNITY. GROUP A-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6A: MCHS-FRANCISCAN MEDICAL CENTER SPARTAGUNDERSEN HEALTH SYSTEMGUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICSGUNDERSEN TRI-COUNTY HOSPITAL AND CLINICSVERNON MEMORIAL HEALTHCARE GROUP A-FACILITY 2 -- MCHS IN LA CROSSE PART V, SECTION B, LINE 6B: GREAT RIVERS UNITED WAYBUFFALO COUNTY HEALTH DEPARTMENTLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENTCOULEECAPAPTIV, INC. GROUP A-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 2022, 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 A ONE-HOUR PRESENTATION AT NO COST TO HELP AREA PARENTS AND CAREGIVERS ON YOUTH MENTAL HEALTH, TITLED: EMPOWERING FAMILIES TO STRENGTHEN YOUTH MENTAL HEALTH, PRESENTED BY A MAYO CLINIC HEALTH SYSTEM CHILD AND ADOLESCENT CLINICAL THERAPIST.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, VFW-WAR FIGHTER ADVANCE PTSD BENEFIT, FAMILY & CHILDREN'S CENTER BRIDGES TO BETTER TOMORROWS, LA CROSSE MENTAL HEALTH COALITION COMMUNITY CONVERSATION, LA CROSSE COMMUNITY THEATER NEXT TO NORMAL PRODUCTION, MINI DONUT SUICIDE AWARENESS HALF MARATHON, MENTAL HEALTH FIRST AIDE FOR UNIVERSITY WISCONSIN-LA CROSSE EXERCISE AND SPORTS SCIENCE PROGRAM, AND AMERICAN RED CROSS MENTAL HEALTH SUPPORT DURING DISASTERS. 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 AND ADDED AN ADDITIONAL SPECIALIST AT THE BARB & DAVE SKOGEN CLUB. THE HOSPITAL EMPLOYS THE THREE SPECIALISTS AND ABSORBS WAGES AND BENEFITS FOR ONE.CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR MENTAL HEALTH SERVICES.BESTOWED APPROXIMATELY $58,000 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.OFFERED THREE ONE-HOUR PRESENTATIONS AT NO COST TO HELP AREA PARENTS, CAREGIVERS AND TEACHERS WITH YOUTH SUBSTANCE ABUSE. INCLUDED: YOUTH ALCHOHOL AND MARIJUANA MISUSE, TOBACCO AND VAPING MISUSE, AND DRUGS AND ALCOHOL IMPACTS ON YOUTH: WHAT CAREGIVERS NEED TO KNOW. PRESENTERS INCLUDED HEALTH EDUCATORS AND AN ADDICTION MEDICINE PHYSICIAN.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, ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN, AND LA CROSSE LIGHTHOUSE, INC. CONTINUED ITS PARTNERSHIP WITH GREAT RIVERS HUB, A COLLABORATIVE EVIDENCE-BASED APPROACH TO COMMUNITY HEALTH IMPROVEMENT. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO PREGNANT WOMEN WITH ONE OR MORE SUBSTANCE ABUSE DISORDERS AND OTHER 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. 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.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.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, NORTHSIDE ELEMENTARY SCHOOL MENTORSHIPS, 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, LA CROSSE NEIGHBORHOOD RESOURCE OFFICERS, LINCOLN MIDDLE SCHOOL, BIG BROTHERS BIG SISTERS, APTIV, FAMILY & CHILDREN'S CENTER, THE PARENTING PLACE, ONALASKA EDUCATION FOUNDATION, THE GOOD FIGHT COMMUNITY CENTER, LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM TOGETHER 4 YOUTH SUMMIT, LEVEL UP, NORTHSIDE ELEMENTARY SCHOOL AND SAFE FAMILIES FOR CHILDREN (GENERATIONS, INC).PROVIDED FINANCIAL SUPPORT FOR MUSCLES IN MOTION, A PROGRAM OFFERED BY 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 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. THE HUB'S COMMUNITY CARE WORKERS PROVIDE 1:1 ATTENTION AND SUPPORT TO INDIVIDUALS REFERRED FOR SERVICES.INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE:IN 2022 THE HOSPITAL PRIORITIZED EQUITY, INCLUSION AND DIVERSITY AS AN ORGANIZATIONAL PRIORITY AND DISTRIBUTED $71,000 IN FUNDS TOWARDS COMMUNITY PROGRAMS WORKING TO ADDRESS THE NEEDS OF HISTORICALLY MARGINALIZED GROUPS SUCH AS: RACIAL/CULTURAL MINORITIES, MILITARY 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. GROUP A-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 5: COMMUNITY INPUT:THIS STUDY WAS CONDUCTED UNDER THE DIRECTION OF GREAT RIVERS UNITED WAY, WITH TECHNICAL SUPPORT FROM A CONTRACTED CONSULTANT, COMMUNITY HEALTH SOLUTIONS. THE STUDY WAS GUIDED BY A COMPASS NOW STEERING COMMITTEE. THE STEERING COMMITTEE MEMBERS SUPPLIED GUIDANCE ON THE STUDY SCOPE AND METHODS AND PROVIDED LIAISONS TO ENGAGE COMMUNITY ORGANIZATIONS IN PROMOTING PARTICIPATION IN THE CONVENIENCE SURVEY CONDUCTED FOR THE STUDY. COMMUNITY HEALTH SOLUTIONS, WAS HIRED TO MANAGE THE ASSESSMENT AND PUBLICATION OF THE REPORT. THE STEERING COMMITTEE INCLUDED MEMBERS FROM THE SIX REGIONAL COUNTIES IN BUFFALO, LA CROSSE, MONROE, TREMPEALEAU AND VERNON COUNTIES IN WISCONSIN, AND HOUSTON COUNTY IN MINNESOTA. THIS COMMITTEE ALSO INCLUDES REPRESENTATIVES FROM PUBLIC HEALTH DEPARTMENTS, LOCAL HOSPITALS, AND HUMAN SERVICES ORGANIZATIONS AND IS TASKED WITH DETERMINING THE DETAILS OF THE COMPASS NOW REPORT. THE METHODS INCLUDED ANALYSIS OF COMMUNITY INDICATORS FROM VARIOUS SOURCES, AND COMMUNITY INSIGHTS PROVIDED BY RESPONDENTS TO A RANDOM HOUSEHOLD SURVEY AND A SUPPLEMENTAL CONVENIENCE SURVEY. ADDITIONALLY, WITHIN EACH COUNTY THE MAIL-OUT WAS DESIGNED TO OVER-SAMPLE FROM CENSUS TRACTS WITH RELATIVELY LOW INCOME TO HELP ASSURE THAT LOWER-INCOME COMMUNITY RESIDENTS WERE REPRESENTED.RANDOM HOUSEHOLD SURVEYS WERE CONDUCTED IN JULY-SEPTEMBER 2020. THE SURVEY WAS MAILED TO 6,000 RANDOMLY SELECTED HOUSEHOLDS USING A SAMPLING STRATEGY TARGETING 100 RESPONSES FROM EACH OF THE SIX COUNTIES. A TOTAL OF 713 RANDOM HOUSEHOLD SURVEYS WERE RESPONDED TO. THE SAMPLING STRATEGY WAS DESIGNED TO PRODUCE A TARGET NUMBER OF AT LEAST 100 SURVEY RESPONSES FROM EACH OF THE SIX COUNTIES.IN ADDITION, A CONVENIENCE SURVEY TOOK PLACE DURING OCTOBER-NOVEMBER 2020. THIS SURVEY WAS A WAY TO GENERATE ADDED SURVEY RESPONSES FROM THOSE WHO WERE UNDERREPRESENTED IN THE RANDOM HOUSEHOLD SURVEY. A TOTAL OF 510 CONVENIENCE SURVEYS WERE SUBMITTED THROUGH MIXED METHODS AND RESPONDENTS COMPLETED THEIR SURVEY ON-LINE OR SUBMITTED A PAPER COPY WITH THEIR SURVEY RESPONSE.LOCAL ORGANIZATIONS WERE ALSO ASKED TO SHARE THEIR EXPERTISE ABOUT POPULATIONS THAT MAY BE UNDER-REPRESENTED BY REACHING OUT TO TARGETED INDIVIDUALS. THESE ORGANIZATIONS WERE ASKED TO GATHER INPUT FROM UNDER-REPRESENTED CONSTITUENTS THROUGH CONVENIENCE SURVEY RESPONSES, FOCUS GROUPS, AND/OR ATTENDANCE AT STAKEHOLDER MEETINGS. POPULATIONS TARGETED INCLUDED PEOPLE WITH DISABILITIES, SENIORS, PEOPLE WITH LOW INCOMES, RACIAL AND ETHNIC MINORITIES, VICTIMS OF DOMESTIC VIOLENCE, AND THE LGBTQ+ COMMUNITY. GROUP A-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 CROSSEVERNON MEMORIAL HEALTHCARE GROUP A-FACILITY 15 -- MCHS IN SPARTA PART V, SECTION B, LINE 6B: GREAT RIVERS UNITED WAYBUFFALO COUNTY HEALTH DEPARTMENTLA CROSSE COUNTY HEALTH DEPARTMENTMONROE COUNTY HEALTH DEPARTMENTTREMPEALEAU COUNTY HEALTH DEPARTMENTVERNON COUNTY HEALTH DEPARTMENTHOUSTON COUNTY HEALTH DEPARTMENTCOULEECAPAPTIV, INC. GROUP A-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 2022, 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. AN EXAMPLE INCLUDES THE MONROE COUNTY SAFE COMMUNITIES COALITION.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. 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 MENTAL 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. OFFERED A ONE-HOUR PRESENTATION AT NO COST TO HELP AREA PARENTS AND CAREGIVERS WITH YOUTH MENTAL HEALTH, TITLED: EMPOWERING FAMILIES TO STRENGTHEN YOUTH MENTAL HEALTH, PRESENTED BY A MAYO CLINIC HEALTH SYSTEM CHILD AND ADOLESCENT CLINICAL THERAPIST.PROVIDED FUNDING TO THE SPARTA AREA SCHOOL DISTRICT FOR THEIR INTEGRATED MENTAL HEALTH PROGRAM 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 INDIVIDUALIZED EDUCATIONAL PLAN MEETINGS, 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.MCHS-SPARTA ALSO PROVIDED FUNDING TO THE BOYS & GIRLS CLUB OF WEST-CENTRAL WISCONSIN FOR THEIR TOMAH CLUB'S THRIVE (TOOLS FOR HEALTH, RESILIENCE, INSIGHT, VITALITY, AND EMPOWERMENT) PROGRAM. THRIVE WAS DEVELOPED TO ADDRESS THE MENTAL HEALTH WELLNESS OF THE CLUB'S MEMBERS AND CONNECT MEMBERS TO COMMUNITY RESOURCES TO SUPPORT THEIR NEEDS. ADDITIONALLY, WE PROVIDED FUNDING FOR THE SPARTA POLICE DEPARTMENT'S LAW ENFORCEMENT WELLNESS INITIATIVE. THE GOAL IS TO INCREASE THE OVERALL WELLNESS AND RESILIENCY OF ALL MONROE COUNTY AND SURROUNDING AREA LAW ENFORCEMENT WORKERS AND THEIR FAMILIES BY PROVIDING A TARGETED TRAINING SPECIFICALLY FOR LAW ENFORCEMENT. 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 AND FOOD PROGRAMS INCLUDING NEIGHBOR FOR NEIGHBOR, THE BREAD BASKET, COULEECAP, FAMILIES FIRST OF MONROE COUNTY'S FOOD ASSISTANCE PROGRAM, AND VERNON ECONOMIC DEVELOPMENT ASSOCIATION'S FOOD PROGRAM. MCHS-SPARTA ALSO SUPPORTED THE SPARTA AREA SCHOOL DISTRICT'S WEEKEND BACKPACK PROGRAM WHICH IMPACTS ROUGHLY 540 FOOD-INSECURE STUDENTS AND FAMILIES.ADDITIONALLY, MAYO EMPLOYEES HOSTED A FOOD DRIVE AT THE CLINICS AND DONATED THE FOOD TO LOCAL FOOD PANTRIES IN MONROE COUNTY. INCREASED INCLUSION OF SOCIALLY DIVERSE PEOPLE: TO INCREASE AWARENESS AND ADDRESS THE NEEDS OF MARGINALIZED GROUPS, MCHS-SPARTA:PRIORITIZED EQUITY, INCLUSION, AND DIVERSITY AS AN ORGANIZATIONAL PRIORITY AND DISTRIBUTED $22,350OF 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. 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, - FACILITY 17: MCHS IN OSSEO GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 5: COMMUNITY INPUT:THE PRIMARY INPUT INTO THE ASSESSMENT AND PRIORITIZATION PROCESS FOR MCHS-MENOMONIE'S CHNA WAS THE 2022 DUNN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT PRODUCED BY THE HEALTH DUNN RIGHT STEERING COMMITTEE. THE CHNA IN DUNN COUNTY AND THE HEALTH DUNN RIGHT STEERING COMMITTEE HAS BEEN A COLLABORATIVE VENTURE INVOLVING NONPROFIT ORGANIZATIONS, LOCAL HEALTH CARE FACILITIES, THE UNIVERSITY OF WISCONSIN-STOUT, AND THE DUNN COUNTY HEALTH DEPARTMENT. COLLABORATORS WORK TOGETHER TO SHARE FINANCIAL SUPPORT, RESOURCES, AND COMMITMENT TO LEVERAGE THE HEALTH IMPROVEMENTS, THEREBY REDUCING DUPLICATION OF PUBLIC AND PRIVATE SECTOR EFFORTS IN THE COUNTY.THE CHNA PROCESS INCLUDED A VARIETY OF DATA COLLECTION METHODS 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 ON-LINE AND HARD COPY COMMUNITY HEALTH SURVEY AND SURVEY OUTREACH WITH UNDERREPRESENTED DEMOGRAPHIC GROUPS. SECONDARY, QUANTITATIVE COMMUNITY HEALTH DATA WAS COLLECTED BASED ON THE MEASURES RECOMMENDED IN THE WISCONSIN ASSOCIATION OF LOCAL HEALTH DEPARTMENTS AND 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.THE 2022 COMMUNITY HEALTH SURVEY WAS DISTRIBUTED TO RESIDENTS THROUGHOUT DUNN COUNTY IN MARCH AND NOVEMBER 2021. THE LINK TO THE WEB SURVEY WAS WIDELY DISTRIBUTED THROUGH THE NETWORKS OF THE PARTNERS AND THE COMMUNITY. COMMUNITY ORGANIZATIONS INCLUDED: AGING AND DISABILITY RESOURCE CENTER-SENIOR NUTRITION SITES, LOCAL CHURCHES AND FOOD PANTRIES, DUNN COUNTY EXTENSION, 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 ADVERTISED IN LOCAL NEWSPAPERS, SOCIAL MEDIA, AND FLIERS THROUGHOUT THE COUNTY. SPECIAL EFFORT WAS MADE TO ENSURE THE SURVEY WAS AVAILABLE TO UNDERREPRESENTED GROUPS WHO CAN SUFFER THE MOST FROM HEALTH DISPARITIES. HARD COPY AND PRINT SURVEYS WERE ALSO MADE AVAILABLE THROUGHOUT THE COUNTY. A TOTAL OF 691 COUNTY RESIDENTS PARTICIPATED IN THE SURVEY. GROUP B-FACILITY 14 -- MCHS IN MENOMONIE PART V, SECTION B, LINE 6B: ARBOR PLACECOMMUNITY FOUNDATION OF DUNN COUNTYDUNN COUNTY HEALTH DEPARTMENTUW EXTENSIONUNIVERSITY OF WISCONSIN-STOUTC-3 CENTERMARSHFIELD CLINICMENOMONIE FARMERS MARKETSTEPPING STONESWISCONSIN COMMUNITYMENOMONIE CO-OPCEDAR CORPWEST CAPMENOMONIE PUBLIC LIBRARY 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 2022, 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: PARTICIPATED WITH COMMUNITY COALITIONS LIKE HEALTH DUNN RIGHT TO ADDRESS NEEDS RELATED TO MENTAL HEALTH. IN ADDITON, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT IMPROVE MENTAL HEALTH. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- WISCONSIN MILKWEED ALLIANCE - $5,000 (PEER RECOVERY DROP-IN CENTER)- MENOMONIE PUBLIC LIBRARY - $300 (FREE YOGA CLASSES)- COMMUNITY FOUNDATION OF DUNN COUNTY - $5,000 (PROGRAMMING)- THE NEIGHBORS OF DUNN COUNTY - $1,000 (NEW BUS PROJECT)- MENOMONIE THEATER GUILD - $1,000 (YOUTH PROGRAMMING)- THE MABEL TAINTER - $500 (MABEL'S COMMUNITY CELEBRATION)- BRIDGE OT HOPE - $3,000 (PROGRAMMING)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRENGTHENING YOUTH MENTAL HEALTH (PRESENTATION)- KICKSTART KINDNESS (VIRTUAL CHALLENGE)- FALL INTO WELLNESS (VIRTUAL CHALLENGE)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTHS NEEDS ASSESSMENT. A TOTAL OF $17,500 WAS AWARDED TO SCHOOLS WITHIN DUNN COUNTY. PROJECTS SUPPORTING MENTAL WELLNESS INCLUDED:- COLFAX SCHOOL DISTRICT - $5,000 (MENTAL HEALTH THERAPISTS)- MENOMONIE SCHOOL DISTRICT - $5,000 (TRAUMA, HEALTHING AND RESILIENCE)- MENOMONIE MIDDLE SCHOOL - $2,500 (WE-WHERE EVERYONE BELONGS)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-MENOMONIE:PARTICIPATED WITH COMMUNITY COALITIONS LIKE HEALTH DUNN RIGHT TO IMPROVE SUBSTANCE USE AND ALCOHOL MISUSE. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE EDUCATION AND ADVOCACY AROUND SUBSTANCE USE AND ALCOHOL MISUSE. MONETARY SPONSORSHIPS INCLUDED $5,000 TO MILKWEED ALLIANCE (KALEIDOSCOPE PEER RECOVERY DROP-IN CENTER). AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT ADDRESS OR ASSIT IN REDUCING SUBSTANCE USE AND ALCOHOL MISUSE. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. GRANTS INCLUDED $10,000 TO POSITIVE ALTERNATIVES (HEALTHY LIFESTYLE ADVOCACY FOR CHILDREN).HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - DRUG AND ALCOHOL IMPACT ON YOUTH (WEBINAR)- MENOMONIE POST PROM TRAUMA (EVENT) CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-MENOMONIE:PARTICIPATED WITH COMMUNITY COALITIONS TO IMPACT CHRONIC DISEASE AND OBESITY. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- DUNN COUNTY HISTORICAL SOCIETY - $1,500 (INDOOR WALKING PROGRAM)- MIND OVER MATTER - $1,000 (PROGRAMMING)- ROTARY MENOMONIE - $1,500 (ROTARY FEEDS AT UW STOUT)- ADRC OF PIERCE COUNTY - $5,000 (DEMENTIA FRIENDLY WEEK) - HEALTH DUNN RIGHT - $4,000 (FARMER'S MARKET MATCH) - STEPPING STONES OF DUNN COUNTY - $3,000 (PROGRAMMING)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. GRANTS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- ELWOOD AREA AMBULANCE- $40,000 (STRYKER COT AND POWER LOAD)- POSITIVE ALTERNATIVES- $10,000 (EDUCATE YOUTH ON HEALTHY LIFESTYLES)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - MY ROAD TO BETTER HEALTH (EVENT)- YOGA AT MENOMONIE PUBLIC LIBRARY (PROGRAMMING)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED $5,000 TO ELWOOD ELEMENTARY SCHOOL (ELEMENTARY PLAYGROUND).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. GROUP B-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 5: COMMUNITY INPUT:THE PRIMARY INPUT INTO THE ASSESSMENT AND PRIORITIZATION PROCESS FOR MCHS-OSSEO'S CHNA WAS THE COMPASS NOW 2021 REPORT FOR TREMPEALEAU COUNTY. COMPASS NOW IS A JOINT EFFORT OF GREAT RIVERS UNITED WAY, AREA HEALTH CARE ORGANIZATIONS AND COUNTY HEALTH DEPARTMENTS TO IMPROVE THE QUALITY OF LIFE FOR EVERYONE IN THE COMMUNITY. LED BY THE COMPASS NOW 2021 TEAM, THE COMPASS NOW 2021 STUDY IS FOCUSED ON COMMUNITIES WITHIN A SIX-COUNTY REGION INCLUDING BUFFALO, LA CROSSE, MONROE, TREMPEALEAU, AND VERNON COUNTIES IN WISCONSIN, AND HOUSTON COUNTY IN MINNESOTA. THE PURPOSE OF THE COMPASS NOW 2021 REPORT IS TO PROVIDE AN UPDATED ASSESSMENT OF COMMUNITY NEEDS THAT CAN BE USED TO INFORM COMMUNITY ACTION STRATEGIES BY STAKEHOLDERS ACROSS THE REGION. THE ASSESSMENT WAS AIMED PARTICULARLY AT UNDERSTANDING THE NEEDS OF THE TRADITIONALLY UNDER-SERVED IN THE COMMUNITY.THE STEERING COMMITTEE MEMBERS PROVIDED GUIDANCE ON THE STUDY SCOPE AND METHODS, INCLUDING NECESSARY ADJUSTMENTS MADE IN RESPONSE TO COVID-19. THE STEERING COMMITTEE MEMBERS ALSO PROVIDED LIAISONS TO ENGAGE COMMUNITY ORGANIZATIONS IN PROMOTING PARTICIPATION IN THE CONVENIENCE SURVEY CONDUCTED FOR THE STUDY. THE STUDY METHODS INCLUDED ANALYSIS OF COMMUNITY INDICATORS FROM VARIOUS SOURCES, AND COMMUNITY INSIGHTS PROVIDED BY RESPONDENTS TO A RANDOM HOUSEHOLD SURVEY AND A SUPPLEMENTAL CONVENIENCE SURVEY.A RANDOM HOUSEHOLD SURVEY OF COMMUNITY RESIDENTS WAS CONDUCTED IN JULY-SEPTEMBER OF 2020. THE SURVEY WAS MAILED TO 6,000 RANDOMLY SELECTED HOUSEHOLDS USING A SAMPLING STRATEGY DESIGNED TO PRODUCE A TARGET NUMBER OF AT LEAST 100 SURVEY RESPONSES FROM EACH OF THE SIX COUNTIES. IN ADDITION, WITHIN EACH COUNTY THE MAIL-OUT WAS DESIGNED TO OVER-SAMPLE FROM CENSUS TRACTS WITH RELATIVELY LOW INCOME TO HELP ASSURE THAT LOWER-INCOME COMMUNITY RESIDENTS WERE REPRESENTED. OF THE 6,000 HOUSEHOLDS THAT RECEIVED SURVEYS, 713 WERE RETURNED AND THEIR RESPONSES ANALYZED. TREMPEALEAU COUNTY HAD A 21.7% RESPONSE RATE.A SUPPLEMENTAL CONVENIENCE SURVEY WAS CONDUCTED IN OCTOBER-NOVEMBER 2020. THE PURPOSE OF THE CONVENIENCE SURVEY WAS TO GENERATE ADDITIONAL SURVEY RESPONSES FROM POPULATIONS THAT MAY HAVE BEEN UNDER-REPRESENTED IN THE RANDOM HOUSEHOLD SURVEY. THE CONVENIENCE SURVEY WAS PRIMARILY CONDUCTED USING MIXED METHODS, AND RESPONDENTS COULD EITHER COMPLETE THEIR SURVEY ONLINE OR SUBMIT A PAPER COPY OF THEIR SURVEY RESPONSE. TREMPEALEAU COUNTY HAD 25 PEOPLE RESPOND THROUGH THE CONVENIENCE SURVEY.IN ADDITION, RESEARCH OF THE COUNTY HEALTH RANKINGS, A JOINT EFFORT OF THE ROBERT WOOD JOHNSON FOUNDATION AND UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, PROVIDED ADDITIONAL DATA AND INFORMATION INTO THE ASSESSMENT PROCESS. THE COUNTY HEALTH RANKINGS PROGRAM PRODUCES HEALTH FACTOR RANKINGS FOR ALL 50 STATES. THE RANKINGS IDENTIFY THE MULTIPLE HEALTH FACTORS THAT DETERMINE A COUNTY'S HEALTH STATUS AND INDICATE HOW HEALTH STATUS INCLUDES ENVIRONMENT, EDUCATION, JOBS, INDIVIDUAL BEHAVIORS, ACCESS TO SERVICES AND HEALTH CARE QUALITY. GROUP B-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6A: GROUP B-FACILITY 18 -- MCHS IN OSSEO PART V, SECTION B, LINE 6B: GREAT RIVERS UNITED WAYTREMPEALEAU COUNTY HEALTH DEPARTMENT GROUP B-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 2022, 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: PARTICIPATED WITH COMMUNITY COALITIONS TO ADDRESS NEEDS RELATED TO MENTAL HEALTH. IN ADDITON, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT IMPROVE MENTAL HEALTH. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- OSSEO AMERICAN LEGION - $950 (OSSEO VETERANS MEMORIAL PARK)- LUKE 3:11 PROJECT - $1,000 (WINTER CLOTHING, BLANKETS, ETC. FOR LOW-INCOME)- UW EXTENSION - $400 (RAISING WISCONSIN CHILDREN CONFERENCE)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS THAT ARE AT A HIGHER FINANCIAL LEVEL OF SUPPORT. A $25,000 GRANT TO BUFFALO COUNTY JAIL (MENTAL HEALTH AND SUBSTANCE ABUSE TELEHEALTH) WAS A PROJECT SUPPORTED THROUGH A HOMETOWN HEALTH GRANT.HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRENGTHENING YOUTH MENTAL HEALTH (PRESENTATION)- KICKSTART KINDNESS (VIRTUAL CHALLENGE)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTHS NEEDS ASSESSMENT. A TOTAL OF $14,000 WAS AWARDED TO SCHOOLS WITHIN TREMPEALEAU COUNTY. PROJECTS SUPPORTING MENTAL WELLNESS INCLUDED $5,000 TO OSSEO-FAIRCHILD SCHOOL DISTRICT (MINDFULNESS AND MENTAL HEALTH).SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO REDUCE SUBSTANCE ABUSE BY PROVIDING EDUCATION AND ADVOCACY AROUND SUBSTANCE ABUSE IN THE COMMUNITY, MCHS-OSSEO:HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - DRUG AND ALCOHOL IMPACT ON YOUTH (WEBINAR)- OSSEO-FAIRCHILD HIGH SCHOOL POST PROM TRAUMA (EVENT) CHRONIC DISEASE AND OBESITY: TO REDUCE CHRONIC DISEASE BY PROMOTING HEALTH AND WELLNESS LIFESTYLE CHOICES IN THE COMMUNITY, MCHS-OSSEO:PARTICIPATED WITH COMMUNITY COALITIONS TO IMPACT CHRONIC DISEASE AND OBESITY. FINANCIAL SUPPORT IS ALSO PROVIDED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS LIFESTYLE CHOICES. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- ADRC OF TREMPEALEAU COUNTY - $1,500 (THE REMEMBRANCE PROJECT)- RELAY FOR LIFE TREMPEALEAU COUNTY - $1,000 (SPONSORSHIP)- FAIRCHILD FIRE PROTECTION DISTRICT - $1,000 (EMS SUPPLIES)- ADRC OF PIERCE COUNTY - $5,000 (DEMENTIA FRIENDLY WEEK) - SPECIAL OLYMPICS WISCONSIN - $2,500 (SO-FIT) - AMERICAN RED CROSS - $2,000 (NWWI HEROES BREAKFAST)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH WEBINARS, PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - DISEASE FIGHTING FOODS THAT PREVENT CANCER (WEBINAR)- 7 TIPS TO KEEPING YOUR FAMILY HEALTHY (WEBINAR)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED:- ELEVA STRUM ELEMENTARY SCHOOL - $5,000 (OUTDOOR EDUCATION)- MONDOVI ELEMENTARY - $4,000 (PLAYGROUND AND WORKOUT ROOM)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. GROUP B-FACILITY 7 -- MCHS IN ALBERT LEA AND AUSTIN PART V, SECTION B, LINE 5: COMMUNITY INPUT:MCHS IN ALBERT LEA & AUSTIN COORDINATED EFFORTS WITH THE PUBLIC HEALTH DEPARTMENTS IN FREEBORN AND MOWER COUNTIES TO DEVELOP AND DISSEMINATE A MAILED SURVEY. IN ADDITION TO A RANDOM MAILED SURVEY, MCHS IN ALBERT LEA & AUSTIN, IN CONJUNCTION WITH THE COUNTY PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY STAKEHOLDERS, ALSO USED SEPARATE SURVEYS AND FEEDBACK TO SUPPLEMENT THE COMMUNITY SURVEY, SOLICIT FEEDBACK FROM TYPICALLY UNDERSERVED OR AT-RISK POPULATIONS AND GAIN GENERAL PERSPECTIVES ABOUT SOCIAL AND ENVIRONMENTAL ISSUES AFFECTING HEALTH. AN INITIAL SURVEY PACKET WAS MAILED TO SAMPLED HOUSEHOLDS IN MOWER AND FREEBORN COUNTIES IN SEPTEMBER OF 2021, THAT INCLUDED A COVER LETTER, THE SURVEY INSTRUMENT, AND A POSTAGE-PAID RETURN ENVELOPE. ONE WEEK AFTER THE FIRST SURVEY PACKETS WERE MAILED (OCTOBER 1), A POSTCARD WAS SENT TO ALL SAMPLED HOUSEHOLDS, REMINDING THOSE WHO HAD NOT YET RETURNED A SURVEY TO DO SO, AND THANKING THOSE WHO HAD ALREADY RESPONDED. TWO WEEKS AFTER THE REMINDER POSTCARDS WERE MAILED (OCTOBER 15), ANOTHER FULL SURVEY PACKET WAS SENT TO ALL HOUSEHOLDS THAT HAD STILL NOT RETURNED THE SURVEY. THE REMAINING COMPLETED SURVEYS WERE RECEIVED OVER THE NEXT SIX WEEKS, WITH THE FINAL DATE FOR THE RECEIPT OF SURVEYS BEING NOVEMBER OF 2021.IN ADDITION, A SEPARATE SURVEY WAS USED TO SURVEY A CONVENIENCE SAMPLE OF 45 ADDITIONAL ADULTS IN FREEBORN COUNTY AND 100 ADDITIONAL ADULTS IN MOWER COUNTY TO REACH ADULTS WHO HAVE TYPICALLY BEEN UNDER-REPRESENTED. RESPONDENTS FOR THE CONVENIENCE SAMPLE WERE FREEBORN COUNTY PUBLIC HEALTH CLIENTS, STUDENTS FROM ALBERT LEA SCHOOL DISTRICT'S ADULT BASIC EDUCATION PROGRAM, MOWER COUNTY HEALTH AND HUMAN SERVICES CLIENTS AND PERSONS USING THE WOMEN, INFANTS & CHILDREN (WIC) CLINIC.KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED IN THE LATE SPRING, EARLY SUMMER OF 2022 BY MEMBERS OF MCHS ADMINISTRATIVE LEADERSHIP. THESE ONE-ON-ONE INTERVIEWS WITH KEY COMMUNITY LEADERS ALLOWED INDIVIDUALS TO REPORT THEIR PERCEPTIONS OF COMMUNITY NEEDS AND SHARE INSIGHT INTO CURRENT STRATEGIES CURRENTLY BEING USED. INFORMANTS INCLUDED REPRESENTATIVES FROM LOCAL ORGANIZATIONS SUCH AS SCHOOL DISTRICTS, LAW ENFORCEMENT, UNITED WAY, PUBLIC HEALTH, SOCIAL SERVICES, ETC. IN ADDITION, MCHS IN ALBERT LEA & AUSTIN CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY GROUPS IN MOWER COUNTY FROM APRIL-JUNE 2022 AND FOUR FOCUS GROUPS WITH COMMUNITY GROUPS IN FREEBORN COUNTY IN JUNE AND JULY 2022. EXAMPLES OF COMMUNITY GROUPS SELECTED FOR THE FOCUS GROUPS INCLUDED LOCAL ORGANIZATIONS SUCH AS THE KARENNI PARENT GROUP, COUNCIL OF SOCIAL AGENCIES, AUSTIN POSITIVE ACTION COALITION, MOWER REFRESHED HEALTH EQUITY, ETC. 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 2022, 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: SHARED INFORMATION WITH COMMUNITY-BASED ORGANIZATIONS ON HOW TO CLAIM THEIR SOCIAL SERVICE PROFILE WITHIN THE FIND HELP PLATFORM AND OUTLINED HOW FIND HELP WILL BE USED TO GUIDE PATIENTS TO COMMUNITY RESOURCES. 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.MOWER COUNTY BROADBAND COALITION: SERVE ON THE INITIAL STEERING COMMITTEE TO APPLY FOR AND RECEIVE GRANT FUNDING FROM THE BLANDIN FOUNDATION TO SUPPORT LOCAL BROADBAND - A KEY RESOURCE NEEDED TO IMPLEMENT VIRTUAL CARE VISITS.LEADERSHIP AUSTIN: VIRTUALLY PRESENTED TO APPROXIMATELY 25 MOWER COUNTY LEADERS TO INFORM AND DISCUSS LOCAL HEALTHCARE OPTIONS AND PROVIDE UPDATES ON CARE ACCESS IMPROVEMENTS. DISCUSSIONS AND Q&A WERE LED BY MAYO CLINIC HEALTH SYSTEM LEADERS. PRESENTATIONS TO COMMUNITY/CIVIC ORGANIZATIONS: SCHEDULED MAYO CLINIC LEADERS TO PRESENT AND ANSWER FAQS FROM COMMUNITY MEMBERS AT LOCAL SERVICE CLUBS AND COMMUNITY MEETINGS. COMMUNITY UPDATE E-NEWSLETTER: DELIVERED TIMELY HEALTH INFORMATION, NEWS FROM THE PRACTICE AND INTRODUCTIONS OF NEW PROVIDERS TO MORE THAN 600 COMMUNITY MEMBERS THROUGH A MONTHLY E-NEWSLETTER. 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 VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM HIGHLIGHTED CHANGES TO MANAGE STRESS, EAT NUTRITIOUS FOODS AND GET REGULAR PHYSICAL ACTIVITY. WOMEN & WELL-BEING WEBINAR: DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE NATURE FIX THEME WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE TO EDUCATE WOMEN ON THE IMPORTANCE OF HOW BEING IN NATURE CAN HELP IMPROVE MENTAL HEALTH. DISCOVER GRATITUDE: INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. HOMETOWN HEALTH BLOGS: PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS WITH EDUCATIONAL ACCESS THROUGH ELECTRONIC NEWSLETTERS. COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES: FACILITATED GRANT INVITATIONS AND REVIEWS 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 AS 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 THROUGH AWARENESS, EDUCATION, AND RESOURCES. SENIOR HEALTH CARE COLLABORATIVE WORKGROUP: WORKED WITH AREA ORGANIZATIONS TO MAKE RESOURCES AVAILABLE TO AID IN IMPROVING PHYSICAL AND MENTAL WELL-BEING, AND SAFETY OF AREA SENIORS. MOWER REFRESHED HEALTH EQUITY COMMITTEE: 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. 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.ROAD TO RESILIENCE: DISTRIBUTED ROAD TO RESILIENCE MATERIALS TO AREA SCHOOLS - VIRTUAL PROGRAM - HELPS BUILD AND STRENGTHEN RESILIENCY AND COPING SKILLS FOR CHILDREN.SPEAKERS FOR LOCAL EVENTS: PROVIDED SPEAKERS AT COMMUNITY EVENTS, INCLUDING AUSTIN PUBLIC SCHOOLS, AUSTIN ASPIRES, AUSTIN ROTARY, AUSTIN PUBLIC LIBRARY, ALBERT LEA HIGH SCHOOL CAREER PATHWAYS.WELL-ADOLESCENT CHECKUPS: PROVIDED INFORMATION AT COMMUNITY EVENTS ON THE IMPORTANCE OF WELL-ADOLESCENT CHECKUPS. INFORMATION WAS AVAILABLE IN MULTIPLE LANGUAGES. 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. THE TOPICS OF THE THREE WEBINARS INCLUDED HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT, YOGA TO RELIEVE PAIN AND STRESS AND MEN'S UROLOGY. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION: FACILITATED GRANT INVITATIONS AND REVIEWS 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 GROUP WORKS ON LOWERING RATES OF OBESITY, SMOKING AND CHRONIC DISEASES TO CREATE A HEALTHIER, HAPPIER PLACE TO LIVE, WORK, AND PLAY. FREEBORN COUNTY FAIR: PROVIDED HEALTH INFORMATION TO FAIR ATTENDEES. WORKSITE WELLNESS: WORKED WITH THIS COMMUNITY COMMITTEE TO IDENTIFY SOLUTIONS FOR WORKSITES TO INSPIRE EMPLOYEES. TACTICS INCLUDED PRODUCING A BI-MONTHLY NEWSLETTER THAT INCLUDES TOPICS ON MENTAL WELL-BEING, 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. 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 DDRUG 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.COMMUNITY HEALTH CARE COLLABORATIVE: HOST BI-MONTHLY MEETINGS WITH KEY COMMUNITY LEADERS WHO HAVE A SPECIFIC INTEREST IN THE HEALTH AND WELL-BEING OF FREEBORN COUNTY RESIDENTS TO MONITOR CHNA PROGRESS AND OFFER INSIGHT ON TACTICAL IMPLEMENTATION.MOBILE MAMMOGRAPHY EVENT: HOSTED THE MAYO CLINIC MOBILE MAMMOGRAPHY UNIT AAT THE HORMEL INSTITUTE TO PROVIDE MAMMOGRAMS TO QUALIFYING WOMEN. THE EVENT FEATURED A HEALTH FAIR THAT PROVIDED INFORMATION ON COMMUNITY RESOURCES. FOOD INSECURITY GRANTS: DISTRIBUTED GRANT FUNDING TO LOCAL ORGANIZATIONS INVOLVED IN FOOD SECURITY INITIATIVES. FOOD INSECURITY ACTIVITIES: COORDINATED EVENTS TO SUPPORT FOOD SECURITY INCLUDING FOOD PACKING EVENTS, MEALS ON WHEELS, MEALS AT THE SALVATION ARMY, FOOD DRIVES AND FARMER'S MARKETS.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED SOCIOECONOMIC FACTORS AND PREVENTION. THESE NEEDS WILL BE ADDRESSED BY MCHS-AL/AUS IN A SUPPORTING ROLE OR BY OTHER AGENCIES, ORGANIZATIONS AND PROGRAMS WITHIN THE COMMUNITY THAT ARE BETTER ALIGNED IN ADDRESSING THOSE NEEDS. PART V, SECTION B FACILITY REPORTING GROUP D FACILITY REPORTING GROUP D CONSISTS OF: - FACILITY 1: MAYO CLINIC HOSPITAL ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA GROUP D-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 ARIZONA, NEIGHBORHOOD ACCESS TO HEALTH, BANNER HEALTH, DIGNITY HEALTH, NATIVE HEALTH, PHOENIX CHILDREN'S HOSPITAL, VALLEYWISE HEALTH AND VITALYST HEALTH FOUNDATION.PRIMARY DATA REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WERE GATHERED THROUGH FOCUS GROUPS AND SURVEYS THAT INCLUDED PEOPLE FROM MEDICALLY UNDER-SERVED, LOW-INCOME AND MINORITY POPULATIONS. A TOTAL OF 52 CHNA FOCUS GROUPS WERE CONDUCTED BETWEEN AUGUST 2018 AND DECEMBER 2019 WITH MEDICALLY UNDER-SERVED POPULATIONS ACROSS MARICOPA COUNTY INCLUDING YOUTH. THE GROUPS CONSISTED OF AFRICAN AMERICANS, NATIVE AMERICANS, CONGOLESE, HISPANICS, AND FILIPINOS. OTHER GROUPS REPRESENTED WERE HOMELESS POPULATIONS, LGBTQ PERSONS, PEOPLE WHO HAVE BEEN INCARCERATED, PEOPLE IN RURAL COMMUNITIES, NEW PARENTS AND PARENTS OF CHILDREN WITH SPECIAL NEEDS. SIX GROUPS WERE CONDUCTED IN SPANISH, ONE IN MANDARIN, ONE IN SWAHILI AND THE REMAINDER IN ENGLISH. BETWEEN FEBRUARY AND JUNE 2021, A SERIES OF FOCUS GROUPS WERE CONDUCTED TO BETTER UNDERSTAND THE IMPACT OF COVID19 ON MARICOPA COUNTY RESIDENTS. A TOTAL OF 33 FOCUS GROUPS WERE CONDUCTED WITH 186 COMMUNITY MEMBERS FROM FIVE GEOGRAPHIC LOCATIONS THAT INCLUDED PERSONS FROM THE FOLLOWING GROUPS: AFRICAN AMERICANS, HISPANICS/LATINOS, NATIVE AMERICANS, ASIAN AMERICANS, LGBTQ PERSONS, VETERANS, NEW PARENTS, PARENTS OF YOUNG CHILDREN, AND REFUGEES.BETWEEN FEBRUARY AND JUNE 2019, MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH COLLECTED COMMUNITY SURVEYS FROM RESIDENTS AND PROFESSIONALS. THIS SURVEY WAS DESIGNED TO IDENTIFY PRIORITY HEALTH ISSUES, RESOURCES, AND BARRIERS TO CARE. A TOTAL OF 11,893 SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS AGES 14 AND ABOVE. THE DIGITAL SURVEY WAS SENT OUT BY COMMUNITY PARTNER NETWORKS THROUGHOUT MARICOPA COUNTY, HOSPITAL/HEALTHCARE SYSTEMS, MUNICIPALITIES, SCHOOL DISTRICTS, AND SOCIAL MEDIA. THE SURVEY WAS WIDELY PUBLICIZED WITH COMMUNITY AND HEALTHCARE PARTNERS PRIOR TO MARCH 1, 2019 TO SECURE PRESENCE AT COMMUNITY EVENTS AND PROVIDE ONLINE ADVERTISEMENT TO REDIRECT INDIVIDUALS TO THE SURVEY.MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH ALSO CONDUCTED A COVID19 COMMUNITY IMPACT SURVEY BETWEEN MAY AND JULY 2021 TO EXPLORE HOW COVID19 IMPACTED RESIDENTS. A TOTAL OF 14,380 SURVEYS WERE COMPLETED BY RESIDENTS FROM ALL REGIONS OF MARICOPA COUNTY. GROUP D-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6A: BANNER HEALTHDIGNITY HEALTHPHOENIX CHILDRENS HOSPITALVALLEYWISE HEALTH GROUP D-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 6B: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTHNEIGHBORHOOD OUTREACH ACCESS TO HEALTHNATIVE HEALTHVITALYST HEALTH FOUNDATION GROUP D-FACILITY 6 -- MAYO CLINIC HOSPITAL IN ARIZONA PART V, SECTION B, LINE 11: BASED ON THE CHNA CONDUCTED IN 2019, MAYO CLINIC ARIZONA (MCA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CARECANCER/BREAST CANCERSOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS)IN 2022, 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. IN 2022, MCA PROVIDED MPHC REFERRED PATIENTS $304,125 FOR BREAST CANCER CHARITY CARE. ALSO APPROVED 12 ECHOCARDIOGRAPHY AND 12 BONE MARROW BIOPSIES FOR MPHC REFERRED PATIETNS. REFERRED PATIENTS RECEIVED A TOTAL OF $14,878 IN CHARITY CARE FOR CARDIAC SCREENING AND CANCER SCREENING CARE.MCA CONTINUED 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 CONTINUE STAFFING COVID 19 VACCINATION SITES WITH MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH TOWARD ZIP CODES WITH THE LEAST COVID 19 VACCINATON COMPLIANT ZIP CODES IN MARICOPA COUNTY. MCA IS A RECIPIENT OF AN NCI GRANT THAT IS AIMED AT BUILDING A PLATFORM OF TRUST WITH MINORITY COMMUNITIES, SPECIFICALLY BLACK, LATINO AND NATIVE COMMUNITITES. THE GRANT HAS THREE UNIVERSITY PARTNERS, ARIZONA STATE UNIVERSITY, UNIVERSITY OF ARIZONA AND NORTHERN ARIZONA UNIVERSITY. MCA 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, 8 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. THE TOTAL COST OF THE CARE TO 6 BREAST AND 1 CERVICAL CANCER PATIENT WAS $1,383,906.00THE CLINICAL PARTNERSHIP WITH ADELANTE FOR MCA TRAINEES AND PHYSICIAN STAFF TO PROVIDE GASTROENTEROLOGY FIT TEST TO THEIR PATIENT BASE CONTINUES. 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 NEARLY $100,000 OF FINANCIAL SUPPORT FOR A PART TIME COORDINATOR FOR THE COALITION OF BLACKS AGAINST BREAST CANCER. THE COALITION PROVIDES COORDINATION, FINANCIAL SUPPORT AND OUTREACH FOR COMMUNITIES OF FAITH TO PROVIDE BREAST CANCER EDUCATION AND AWARENESS OF THE SIGNIFICANT DIFFERENCES OF HEALTH OUTCOMES FOR BREAST CANCER IN BLACK COMMUNITIES.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 $383,000 TO SEVERAL COMMUNITY FACING ORGANIZATIONS AS WELL AS IN KIND CONTRIBUTIONS IN MARICOPA COUNTY. SUCH ORGANIZATIONS INCLUDED: MARFAN FOUNDATION, ST. VINCENT DE PAUL, TANNER COMMUNITY DEVELOPMENT CORPORATION, ONE N TEN, HOSPICE OF THE VALLEY, RONALD MCDONALD HOUSE CHARITIES, NATIONAL MULITPOLE SCLEROSIS SOCIETY, CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS, AND THE SALT RIVER PIMA INDIAN RESERVATION'S RIVER PEOPLE'S CLINIC, AND MANY OTHERS. MAYO CLINIC MEDICAL STUDENTS AND THREE MEDICAL SCHOOLS WITHIN MARICOPA COUNTY, CONTINUE TO PROVIDE ADDITIONAL PATIENT PROTECTION EQUIPMENT TO NON-PROFIT ORGANIZATIONS ACROSS MARICOPA COUNTY THROUGH A PARTNERSHIIP WITH GRAND CANYON UNIVERISITIES CITY SERVE PROGRAM. STUDENTS CONTINUE TO COLLECT SURPLUS MEDICAL EQUIPMENT AND PERSONAL PROTECTIVE EQUIPMENT 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 2022, 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 AND NOW LONG COVID, 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 THROUGH MULTIPLE VIRTUAL COMMUNITY TOWN HALLS. GROUP D-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 5: COMMUNITY INPUT:THE COMMUNITY HEALTH NEEDS IDENTIFIED FOR MCF WAS 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 MAYO CLINIC FLORIDA, ASCENSION ST. VINCENT'S, BAPTIST HEALTH/WOLFSON CHILDREN'S HOSPITAL, BROOKS REHABILITATION, AND UF HEALTH JACKSONVILLE.PRIMARY DATA WAS GATHERED FROM VARIOUS SEGMENTS OF THE COMMUNITY WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH INCLUDING RESIDENTS, STAKEHOLDER ORGANIZATIONS, AND HOSPITAL STAFF.STAKEHOLDERS FROM DUVAL AND ST. JOHNS COUNTIES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE HEALTH NEEDS OF PARTICULAR COMMUNITIES. SEVEN INTERVIEWS WERE CONDUCTED WITH DUVAL COUNTY ORGANIZATIONS AND FIVE INTERVIEWS WERE CONDUCTED WITH ST. JOHNS COUNTY WITH ORGANIZATIONS THAT WORK WITH POPULATIONS MOST AT RISK FOR HEALTH DISPARITIES TO GAIN INSIGHTS INTO THEIR SPECIFIC NEEDS. IN ADDITION EIGHT INTERVIEWS WERE CONDUCTED WITH REGIONAL AGENCIES THAT OFFER SERVICES IN BOTH COUNTIES.A TOTAL OF 13 KEY STAKEHOLDER INTERVIEWS AND TWO FOCUS GROUPS WERE CONDUCTED IN DUVAL AND ST. JOHNS COUNTIES, RESPECTIVELY WITH TOTALING 126 PARTICIPANTS BETWEEN MARCH AND APRIL OF 2021. EFFORTS WERE MADE TO RECRUIT FOCUS GROUP PARTICIPANTS THAT REPRESENT MINORITY, LOW-INCOME, VETERANS, AND MEDICALLY UNDERSERVED POPULATIONS MOST AT RISK FOR HEALTH DISPARITIES AND THOSE EXPERIENCING CHALLENGES IN ACCESSING HEALTHCARE. OTHER FOCUS GROUPS WERE CONDUCTED THAT REPRESENTED THE REGIONAL POPULATION WHICH INCLUDED ONE WITH THE LGBTQ+ POPULATION, AND ONE GROUP WITH PEOPLE OF DIFFERING ABILITIES.A COMMUNITY SURVEY WAS DISSEMINATED BETWEEN MARCH AND APRIL OF 2021 THROUGHOUT THE FIVE COUNTY AREA OF NORTHEAST FLORIDA. THE SURVEY WAS DISTRIBUTED IN ENGLISH AND IN SPANISH AND PAPER SURVEYS WERE ALSO AVAILABLE. AN ELECTRONIC SURVEY LINK AND QR CODE WERE SHARED WITH MEMBERS OF THE COMMUNITY IN A NUMBER OF WAYS INCLUDING A PRESS RELEASE, A FEATURED SEGMENT ON LOCAL PUBLIC RADIO, VARIOUS SOCIAL MEDIA OUTLETS, TRADITIONAL BROADCASTS, AND OTHER ONLINE MEDIA OUTLETS. FIVE THOUSAND POSTCARDS WITH THE SURVEY LINK AND QR CODE WERE DISTRIBUTED THROUGHOUT THE FIVE COUNTY AREA IN HOSPITAL WAITING ROOMS, VACCINE SITES AND CLINICS, AND VIA DOOR-TO-DOOR CANVASSERS.DUVAL COUNTY RESIDENTS ACCOUNT FOR 46 PERCENT OF THE RESPONSES WITH A TOTAL OF 527 PARTICIPANTS. ST. JOHNS COUNTY RESIDENTS ACCOUNT FOR 16 PERCENT OF THE RESPONSES WITH A TOTAL OF 179 PARTICIPANTS. IN MANY CASES, A CONVENIENCE SAMPLE IS FOLLOWED BY PROBABILITY SAMPLING TO MITIGATE FOR BIAS, AND INTERCEPT SURVEYS TO GARNER MORE ROBUST DATA ON ISSUES THAT WARRANT MORE STUDY. GROUP D-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6A: BAPTIST HEALTH/WOLFSON CHILDREN'S HOSPITALBROOKS REHABILITATIONASCENSION ST. VINCENT'SUF HEALTH JACKSONVILLE GROUP D-FACILITY 3 -- MAYO CLINIC HOSPITAL IN FLORIDA PART V, SECTION B, LINE 6B: THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA GROUP D-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 FROM THEIR 2019 CHNA:OBESITY/ NUTRITION/PHYSICAL ACTIVITY CANCERACCESS (HEALTH CARE, TRANSPORTATION, HOUSING, NUTRITION)IN 2022, 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. IN 2022, WELLNESS RX SERVED OVER 2,484 FAMILIES AND DISTRIBUTED OVER 70,000 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.OUTREACH INCLUDED: PARTICIPATING IN SPANISH SPEAKING CANCER CONVERSATIONS FOR BREAST CANCER; ATTENDING HYPERTENSION AWARENESS DAY AT DUPONT YMCA; FUNDING UNIDOS EN LA MSICA: A LATIN AMERICAN FESTIVAL WHERE MCF PROVIDED CHRONIC DISEASE AND CANCER SCREENING EDUCATION; ANALYZED THE MENTAL HEALTH STUDY DATA AS WELL AS RECRUITED PARTICIPANTS INTO OUR COMMUNITY REGISTRY AND HISPANIC BIOBANK. DEVELOPED A RELATIONSHIP WITH NORSAN MEDIA AND FUNDED VIVA LA FIESTA WHERE MCF STAFF WERE INTERVIEWED ABOUT THE IMPORTANCE OF RESEARCH STUDIES IN THE HISPANIC COMMUNITY, ENROLLED PARTICIPANTS IN THE HISPANIC BIOBANK, THE COMMUNITY REGISTRY AND OUR COMMUNITY ENGAGEMENT STUDIO EXPERT POOL. MCF RECRUITED A LARGE PERCENTAGE OF COMMUNITY HEALTH WORKER CANDIDATES FOR TRAINING IN OUR 2022 COMMUNITY HEALTH WORKERS COHORTS. MCF ENDED 2022 WITH OVER 100 PARTICIPANTS IN THE HISPANIC BIOBANK MANY OF WHOM PROVIDED SALIVA AND BLOOD SAMPLES.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.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 COMMUNITY CANCER CONVERSATION SERIES. 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. THE SERIES CONTINUED TO BE VIRTUAL DUE TO THE PANDEMIC AND TO FURTHER REACH COMMUNITY MEMBERS ACROSS MAYO CLINIC ENTERPRISE LOCATIONS. TOPICS FOR THESE CONVERSATIONS IN 2022 WERE BASED OFF COMMUNITY MEMBERS FEEDBACK ON WHAT THEY WOULD LIKE TO HAVE ACCESS TO AS WELL AS DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. TOPICS IN 2022 INCLUDED SKIN CANCER, PANCREATIC CANCER, CANCER PREVENTION, CANCER CENTER PATIENT NAVIGATORS, COLORECTAL CANCER, BREAST CANCER AS WELL AS PROSTATE CANCER. TOPICS COVERED IN THE SERIES FOCUSED ON UP TO DATE INFORMATION THROUGHOUT THE CANCER CONTINUUM FROM CANCER ETIOLOGY TO CANCER SURVIVORSHIP. EIGHT VIRTUAL CANCER CONVERSATIONS WERE HELD IN 2022. ATTENDANCE VARIED BUT HAD AN AVERAGE OF 32 ATTENDEES AT EACH CONVERSATION AND SHARED VIA COMMUNICATION CHANNELS FOR POST VIEWING. 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. IN ADDITION TO STAFF SERVICES BEING PROVIDED AT SULZBACHER CENTER, MCF GRANTED FUNDS TO SUPPORT THEIR PEDIATRIC DENTISTRY PROGRAM.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 190 PATIENTS SEEN.MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINIC'S STAFF WITH INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING IN 150 STAFF HOURS AND 278 APPOINTMENTS SEEN. MCF PROVIDED PERSONAL PROTECTION EQUIPMENT SUPPLIES 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 AS A PART OF OUR COMMUNITY FINANCIAL ASSISTANCE PROGRAMS.COMMUNITIES IN SCHOOL-JACKSONVILLE: MCF PROVIDED A GRANT TO COMMUNITIES IN SCHOOL -JACKSONVILLE TO PROVIDE HEALTH SEMINARS OR WORKSHOPS TO PARTICIPATING STUDENTS AT TERRY PARKER HIGH SCHOOL. EIGHTEEN STUDENTS RECEIVED SELF-DEFENSE TRAINING THAT EMPHASIZED SAFETY, DISCIPLINE, PHYSICAL, AND EMOTIONAL WELL-BEING. STUDENTS PARTNERED WITH MCF/ FEEDING NORTHEAST FLORIDA WELLNESS RX DRIVE-THRU GROCERY DISTRIBUTION SERVING OVER 200 FAMILIES AT EACH EVENT. TWENTY-SEVEN STUDENTS WERE PROVIDED CULINARY LESSONS, EMPHASIZING PROPER NUTRITION. ALSO, 189 STUDENTS AND ADULTS WERE CERTIFIED IN CPR DURING SUMMER CAMP.OPERATION NEW HOPE: MCF PROVIDED A GRANT TO OPERATION NEW HOPE TO OFFER TRAINING AND SUPPORT TO PEOPLE IMPACTED BY THE CRIMINAL JUSTICE SYSTEM. TRAINING WAS PROVIDED TO OVER 550 PEOPLE. MENTAL HEALTH SUPPORT WAS ALSO PROVIDED IN THE FORM OF INDIVIDUAL SESSIONS (303 HOURS), SUPPORTIVE SERVICES (154 HOURS), AND GROUP SESSIONS (85 SESSIONS). PINE CASTLE: MCF GRANTED SUPPORT TO PINE CASTLE (AN ORGANIZATION SERVING ADULTS WITH INTELLECTUAL AND DEVELOPMENT DISABILITIES) TO DEVELOP BETTER HEALTH PROGRAMS TO BETTER SERVE ADULT INDIVIDUALS WITH SUCH DISABILITIES. MCF'S SUPPORT WILL INCREASE CRITICAL PREVENTATIVE HEALTHCARE ACROSS OUR CAMPUS AND GROUP HOMES TO PROVIDE A SAFER, HEALTHIER ENVIRONMENT FOR ALL. THROUGH THIS PROGRAM HOSPITAL VISITS WERE DECREASED BY 50%.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. JACKSONVILLE UNIVERSITY: MCF GRANTED FUNDS TO SUPPORT JACKSONVILLE UNIVERSITY'S CLINICAL MENTAL HEALTH COUNSELING (CMHC) DEPARTMENT TO ESTABLISH A COUNSELING CENTER FOR MEN, IN PARTNERSHIP WITH FAMILY SUPPORT SERVICES. CMHC STUDENTS WILL COMPLETE THEIR PRACTICUM AND INTERNSHIP REQUIREMENTS AT THE CENTER FOR MEN'S MENTAL WELLNESS BY PROVIDING MENTAL HEALTH COUNSELING AND SUPPORT TO MEN WHO LIVE IN JACKSONVILLE'S 32209 ZIP CODE. 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. GROUP D-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-ROCHESTER COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY COALITION ON THE PROJECT ENCOMPASSES THE CORE COLLABORATING ORGANIZATIONS OF OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT, OLMSTED MEDICAL CENTER, AND MAYO CLINIC HOSPITAL-ROCHESTER. IN ADDITION, THERE ARE MORE THAN 30 OTHER COMMUNITY ORGANIZATIONS THROUGHOUT OLMSTED COUNTY THAT SERVE ON SUBGROUPS/WORKGROUPS IN SUPPORT OF THE CHNA PROCESS.THE PLANNING TEAMS 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 THE 2019 CHNA PROCESS. THIS OUTREACH WAS CONDUCTED DURING JANUARY AND FEBRUARY OF 2020.IN EARLY 2021, A COVID IMPACT STUDY WAS CONDUCTED CONSISTING OF A RANDOM AND A CONVENIENCE SURVEY TO RE-SURVEY THE COMMUNITY TO ASSESS CHANGES IN HEALTH NEEDS DUE TO THE COVID-19 PANDEMIC. THE SURVEY SHOWED THAT EXISTING HEALTH DISPARITIES IDENTIFIED IN THE 2019 CHNA HAD INTENSIFIED DURING THE ONSET OF THE COVID-19 PANDEMIC.A RANDOM MAIL SURVEY OF 4,600 COMMUNITY MEMBERS WAS CONDUCTED IN NOVEMBER AND DECEMBER OF 2021 AND INCLUDED SPECIAL FOCUS ON RURAL AREAS AND PEOPLE OF COLOR. THE SURVEY INCLUDED 2,250 RANDOM SAMPLE ADDRESSES IN EIGHT BLOCK GROUPS WHERE THE POPULATION WAS ESTIMATED TO BE 50% OR MORE OF PERSONS OF COLOR. IN ADDITION, 350 RANDOM SAMPLE ADDRESSES WERE RURAL AREAS OUTSIDE THE ROCHESTER CITY LIMITS. THE RESPONSE RATE FOR THE RANDOM MAIL SURVEY WAS 23.6%.ADDITIONAL ON-LINE CONVENIENCE SURVEYS WERE TRANSLATED INTO SPANISH AND SOMALI AND DISTRIBUTED TO SPANISH AND SOMALI-SPEAKING RESIDENTS THROUGH 16 COMMUNITY PARTNERS/SITES. 350 PEOPLE RESPONDED.THE PLANNING TEAM DECIDED AGAINST GATHERING COMMUNITY GROUPS FOR IN-PERSON DIALOGUE AND LISTENING SESSIONS AS IN PAST CHNA EFFORTS DUE TO RESTRICTIONS FROM THE COVID-19 PANDEMIC. POPULATION HEALTH AND CLINICAL CARE EXPERTS WITHIN THE CORE PLANNING GROUP ALSO RESEARCHED INDICATORS WITH BENCHMARK INFORMATION FROM EXISTING PUBLIC DATA.HEALTH INDICATORS WERE EVALUATED INDIVIDUALLY BASED ON OBJECTIVE (40% WEIGHT) AND SUBJECTIVE (60% WEIGHT) DATA. OBJECTIVE CRITERIA INCLUDED PERCENTAGE OF THE POPULATION AFFECTED, DISPARITIES ACROSS GROUPS AND TREND DATA. SUBJECTIVE DATA WAS COLLECTED THROUGH CHNA PRIORITIZATION MEETINGS WITH COMMUNITY GROUPS AND CONSIDERED BY THEIR RANKED PERCEPTION OF PRIORITY AND SENSE OF URGENCY FOR EACH INDICATOR.THE ABOVE DATA COLLECTION METHODS WERE CONDUCTED FROM JANUARY 2020 THROUGH JULY OF 2022. GROUP D-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6A: OLMSTED MEDICAL CENTER GROUP D-FACILITY 1 -- MAYO CLINIC HOSPITAL IN ROCHESTER PART V, SECTION B, LINE 6B: OLMSTED COUNTY PUBLIC HEALTH DEPARTMENT GROUP D-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 COLLABRATE WITH MAYO CLINIC (PARENT OF MCH-R) TO IDENTIFY STRATEGIES THAT CAN BE UNDERTAKEN WITHIN THE COMMUNITY TO ADDRESS THE ABOVE SIGNIFICANT HEALTH NEEDS AND TO COORDINATE WITH MAYO CLINIC IN IMPLEMENTING THOSE STRATEGIES ON BEHALF OF MCH-R. MCH-R OPERATIONS AND STAFFING ARE INTEGRATED WITH MAYO CLINIC'S COMPREHENSIVE OUTPATIENT CARE, RESEARCH AND EDUCATION SERVICES ON ITS ROCHESTER, MINNESOTA CAMPUS. LOCAL COMMUNITY HEALTH IMPROVEMENT IS ADDRESSED THROUGH ALL MAYO CLINIC OPERATIONS, INCLUDING HOSPITAL TREATMENT AND RECOVERY ROOMS, CLASSROOMS AND CLINICAL-TRAINING AREAS (PUBLIC HEALTH, AS WELL AS MEDICAL EDUCATION), RESEARCH LABS, OUTPATIENT CARE SETTINGS AND COMMUNITY SPACES. MAYO CLINIC, WITH THE COORDINATION PROVIDED BY MCH-R, TOOK THE FOLLOWING ACTIONS IN 2022 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 2022 MAYO CLINIC CONTRIBUTED MORE THAN $1,400,000 IN OPERATING FUNDING TO SERCC.PROVIDED SALARY AND ADMINISTRATIVE SUPPORT TO OLMSTED COUNTY COMMUNITY SERVICES PSYCHIATRIST TO SERVE LOCAL QUALIFYING RESIDENTS.CONTRIBUTED MORE THAN $480,000 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 PROGRAM SUPPORT TO EXERCISEABILITIES TO IMPROVE FITNESS RESOURCES FOR ADULTS AND CHILDREN 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. COLLABORATED WITH THE VILLAGE COMMUNITY GARDEN TO HOLD OPEN-AIR DISCUSSIONS ON MENTAL HEALTH, RESILIENCY, AND RESEARCH ON MOOD DISORDERS. 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 $1,600,000 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.SERVED AS A CO-FOUNDER AND FUNDER OF THE ROCHESTER AREA HOUSING ALLIANCE AND THE ROCHESTER AREA HOUSING COALITION, WHICH PROVIDES FINANCIAL SUPPORT TO PRESERVE AND BUILD NEW AFFORDABLE HOUSING FOR RESIDENTS IN OLMSTED COUNTY.PROVIDED FUNDING, 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 EDUCATION AND TRAINING FOR CAREERS IN HEALTH 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. DEDICATED SERVICE HOURS OF AMBULANCE/PARAMEDIC PERSONNEL TO ASSIST HOMELESS ADULTS IN RECEIVING HEALTH CARE COUNSELING AND REFERRAL ASSISTANCE. EXPANDED UTILIZATION OF 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. 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 2022 TO PROMOTE AWARENESS AND HELP DIRECT AUDIENCES TO AVAILABLE RESOURCES. 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. COLLABORATED WITH THE VILLAGE COMMUNITY GARDEN TO HOLD OPEN-AIR DISCUSSIONS ON ADDICTION AND COMMUNITY RESOURCES.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA WILL BE ADDRESSED BY MCH-R BASED ON RESOURCES AVAILABLE AND/OR BY OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: MCHS IN LA CROSSE, - 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 15: MCHS IN SPARTA, - FACILITY 16: MCHS IN ST. JAMES 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, - FACILITY 17: MCHS IN OSSEO 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:MCHS IN CANNON FALLS, LAKE CITY AND RED WING COORDINATED EFFORTS WITH THE PUBLIC HEALTH DEPARTMENT IN GOODHUE COUNTY TO DEVELOP AND DISSEMINATE A MAILED SURVEY. IN ADDITION TO A RANDOM MAILED SURVEY, MCHS IN CANNON FALLS, LAKE CITY AND RED WING, IN CONJUNCTION WITH THE PUBLIC HEALTH DEPARTMENT AND OTHER COMMUNITY STAKEHOLDERS, ALSO USED SEPARATE SURVEYS AND FEEDBACK TO SUPPLEMENT THE COMMUNITY SURVEY, SOLICIT FEEDBACK FROM TYPICALLY UNDERSERVED OR AT-RISK POPULATIONS AND GAIN GENERAL PERSPECTIVES ABOUT SOCIAL AND ENVIRONMENTAL ISSUES AFFECTING HEALTH. AN INITIAL SURVEY PACKET WAS MAILED TO SAMPLED HOUSEHOLDS IN GOODHUE COUNTY ON SEPTEMBER 30, 2021, THAT INCLUDED A COVER LETTER, THE SURVEY INSTRUMENT, AND A POSTAGE-PAID RETURN ENVELOPE. ONE WEEK AFTER THE FIRST SURVEY PACKETS WERE MAILED (OCTOBER 11), A POSTCARD WAS SENT TO ALL SAMPLED HOUSEHOLDS, REMINDING THOSE WHO HAD NOT YET RETURNED A SURVEY TO DO SO, AND THANKING THOSE WHO HAD ALREADY RESPONDED. TWO WEEKS AFTER THE REMINDER POSTCARDS WERE MAILED (OCTOBER 25), ANOTHER COMPLETE SURVEY PACKET WAS SENT TO ALL HOUSEHOLDS THAT HAD STILL NOT RETURNED THE SURVEY. THE REMAINING COMPLETED SURVEYS WERE RECEIVED OVER THE NEXT SIX WEEKS, WITH THE FINAL DATE FOR THE RECEIPT OF SURVEYS BEING DECEMBER 23, 2021.IN ADDITION, A SEPARATE SURVEY WAS USED TO SURVEY A CONVENIENCE SAMPLE OF 129 ADDITIONAL ADULTS IN GOODHUE COUNTY TO REACH ADULTS WHO HAVE TYPICALLY BEEN UNDER-REPRESENTED. RESPONDENTS FOR THE CONVENIENCE SAMPLE WERE CLIENTS OF GOODHUE COUNTY HEALTH AND HUMAN SERVICES, LOCAL FOOD SHELVES AND THE C.A.R.E. CLINIC. AN INTERPRETER FROM HISPANIC OUTREACH WAS AVAILABLE TO INTERPRET THE SURVEY FOR C.A.R.E. CLINIC CLIENTS WHO SPOKE SPANISH. KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED IN THE LATE WINTER, EARLY SPRING OF 2022 BY MEMBERS OF MCHS ADMINISTRATIVE LEADERSHIP AND GOODHUE COUNTY HEALTH AND HUMAN SERVICES HEALTHY COMMUNITIES' LEADERSHIP TEAM. THESE ONE-ON-ONE INTERVIEWS ALLOWED INDIVIDUALS TO REPORT THEIR PERCEPTIONS OF COMMUNITY NEEDS AND SHARE INSIGHT INTO CURRENT STRATEGIES BEING USED. INFORMANTS INCLUDED REPRESENTATIVES FROM LOCAL ORGANIZATIONS SUCH AS SCHOOL DISTRICTS, LAW ENFORCEMENT, UNITED WAY, PUBLIC HEALTH, SOCIAL SERVICES, ETC. IN APRIL 2022 AN ONLINE SURVEY WAS CONDUCTED TO GATHER FURTHER FEEDBACK FROM THE COMMUNITY. THE SURVEY WAS PROMOTED THROUGH SOCIAL MEDIA AND HAD OVER 1,100 RESPONSES. IN ADDITION, AN INTERN WAS HIRED TO ATTEND COMMUNITY ENGAGEMENT EVENTS THROUGHOUT THE COUNTY AND COLLECT DATA ABOUT HEALTH ISSUES FROM RESIDENTS ATTENDING THE EVENTS. 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 COUNTYCITY OF RED WING, MINNESOTAGOODHUE COUNTY HEALTH AND HUMAN SERVICES REPORTING GROUP C PART V, SECTION B, LINE 11: BASED ON THE JOINT CHNA CONDUCTED IN 2019, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MAYO CLINIC HEALTH SYSTEM IN LAKE CITY (MCHS-LAKE CITY), MAYO CLINIC HEALTH SYSTEM IN CANNON FALLS (MCHS-CANNON FALLS) AND MAYO CLINIC HEALTH SYSTEM IN RED WING (MCHS-RED WING): MENTAL WELL-BEING CHRONIC DISEASE PREVENTION SUBSTANCE MISUSE MCHS-LAKE CITY, MCHS-CANNON FALLS AND MCHS-RED WING ARE CLOSELY AFFILIATED HOSPITAL ENTITIES LOCATED IN GOODHUE COUNTY (THEIR DEFINED COMMUNITY). THEIR ROLE IN CONDUCTING THE STRATEGIES OUTLINED IN THEIR JOINT IMPLEMENTATION PLAN IS TO WORK COLLECTIVELY AND COLLIGATIVELY IN IMPLEMENTING THOSE STRATEGIES. THEREFORE, IN 2022 THE THREE HOSPITALS PARTICIPATED, EITHER DIRECTLY OR INDIRECTLY, IN THE BELOW ACTIONS TO ADDRESS THE IDENTIFIED NEEDS. MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, THE THREE HOSPITALS IMPLEMENTED THE FOLLOWING EFFORTS: ALL INTO WELLNESS VIRTUAL PROGRAM: DISTRIBUTED MATERIALS FOR THE VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS, AND AREA SCHOOLS. THIS PROGRAM HIGHLIGHTED CHANGES TO MANAGE STRESS, EAT NUTRITIOUS FOODS, AND GET REGULAR PHYSICAL ACTIVITY. WOMEN & WELL-BEING WEBINAR: DESIGNED TO EDUCATE WOMEN ON HEALTH AND WELLNESS. THE NATURE FIX THEME WAS INTENDED FOR A MULTIGENERATIONAL AUDIENCE TO EDUCATE WOMEN ON THE IMPORTANCE OF HOW BEING IN NATURE CAN HELP IMPROVE MENTAL HEALTH. DISCOVER GRATITUDE: INVITED EDUCATORS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMBERS TO PARTICIPATE IN THIS FREE, SELF-GUIDED VIRTUAL PROGRAM THAT HELPS IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING, WITH EMPHASIS ON GRATITUDE FOR THE POSITIVE. HOMETOWN HEALTH BLOGS: PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES AND COVID. BLOGS PROVIDE COMMUNITY MEMBERS WITH EDUCATIONAL ACCESS THROUGH ELECTRONIC NEWSLETTERS. MENTAL HEALTH CONVENERS COMMITTEE: PARTICIPATED IN MONTHLY MEETINGS OF COMMUNITY ORGANIZATIONS, UNITED WAY, AND PUBLIC HEALTH TO ADDRESS 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. LUNCH AND LEARNS: HOSTED MANUFACTURERS ASSOCIATION HEALTH EDUCATION QUESTION AND ANSWER HEALTH EDUCATION SESSION. COMMUNITY VIBRANCY EVENTS: PARTICIPATED IN LOCAL EVENTS THAT FOSTER THRIVING COMMUNITIES. THESE INCLUDED CHAMBER EVENTS AND COMMUNITY FESTIVALS. PROVIDER PRESENTATIONS: HOSTED PROVIDER PRESENTATIONS TO RED WING AND CANNON FALLS SCHOOL DISTRICT EDUCATORS ON THE SYMPTOMS OF SECONDHAND TRAUMA IN YOUTH, INCLUDING MENTAL HEALTH CONCERNS. COMMUNITY CONTRIBUTION FUNDING FOR MENTAL WELL-BEING INITIATIVES: FACILITATED GRANT INVITATIONS AND REVIEWS 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. CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY BEHAVIORS TO PROMOTE DISEASE PREVENTION, THE THREE HOSPITALS PARTICIPATED IN THE FOLLOWING ACTIVITIES: CHRONIC DISEASE WEBINARS: DISTRIBUTED A SERIES OF WEBINARS FEATURING SUBJECT MATTER EXPERTS THAT WERE DESIGNED TO EDUCATE THE COMMUNITY ABOUT CHRONIC DISEASE PREVENTION. THE TOPICS OF THE THREE WEBINARS INCLUDED HEALTHY EATING STRATEGIES, CHRONIC PAIN MANAGEMENT, YOGA TO RELIEVE PAIN AND STRESS AND MEN'S UROLOGY. COMMUNITY MEETINGS FOR UNDERSERVED POPULATIONS: COORDINATED MEETINGS WITH HISPANIC OUTREACH AND CARE CLINIC TO SHARE RESOURCES AND EXPLORE OBSTACLES TO OVERCOMING BARRIERS TO OBTAINING HEALTHCARE. COMMUNITY CONTRIBUTION FUNDING FOR CHRONIC DISEASE PREVENTION: FACILITATED GRANT INVITATIONS AND REVIEWS 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. CARE CLINIC COLLABORATION: PARTNERED WITH THE CARE CLINIC, A FREE CLINIC FOR GOODHUE COUNTY RESIDENTS LIVING IN POVERTY AND NOT INSURED. THE CLINIC PROVIDES 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. GOODHUE, PIERCE, WABASHA COUNTY PUBLIC HEALTH FLU VACCINATION: PROMOTED FLU VACCINATIONS TO COMMUNITY GROUPS WITH EDUCATION ON SYMPTOMS, VACCINE SAFETY, AVAILABILITY, AND COMMUNITY COLLABORATIONS. FLYERS WERE DISTRIBUTED IN SPANISH TO COUNTY AND COMMUNITY PARTNERS.COMMUNITY HEALTH COMMUNICATION: DELIVERED AN ELECTRONIC NEWSLETTER TO CANNON FALLS, LAKE CITY, AND RED WING STAKEHOLDERS AND LEADERS THAT PROVIDED HEALTH INFORMATION ON PREVENTIVE CARE, ACCESS TO CARE, MENTAL HEALTH AND COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY AREAS. FOOD INSECURITY INITIATIVES: SUPPORTED FARMER'S MARKETS TO ENCOURAGE HEALTHY FOOD CHOICES FOR AT-RISK YOUTH. FOOD VOUCHERS WERE DISTRIBUTED IN WEEKEND BACKPACKS AND SUMMER SCHOOL LUNCHES. FACILITATED GRANT INVITATIONS AND REVIEWS 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 PARTICIPATED IN THE FOLLOWING ACTIVITIES: HOPE FOR HARBORS HOMELESS SHELTER: SUPPORTED THE HOPE AND HARBOR HOMELESS SHELTER - A 24-HOUR AND OVERNIGHT HOMELESS PROJECT THAT OFFERED A SUBSTANCE ABUSE PROGRAM. LIVE WELL GOODHUE COUNTY: PARTICIPATED IN THE LIVE WELL GOODHUE COUNTY, A GROUP FOCUSED ON POLICIES, SYSTEMS AND ENVIRONMENTAL CHANGES TO ADDRESS OBESITY PREVENTION AND TOBACCO USE. FACILITATED GRANT INVITATIONS AND REVIEWS 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. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2019 CHNA INCLUDED ACCESS TO CARE, HOUSING AND SOCIOECONOMIC FACTORS. THESE NEEDS WILL BE ADDRESSED BY THE THREE HOSPITALS IN A SUPPORTING ROLE AND/OR OTHER AGENCIES, ORGANIZATIONS, AND PROGRAMS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED IN ADDRESSING THOSE NEEDS. 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 1: MAYO CLINIC HOSPITAL ROCHESTER, - FACILITY 3: MAYO CLINIC HOSPITAL IN FLORIDA, - FACILITY 6: MAYO CLINIC HOSPITAL IN ARIZONA 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 - GROUP C THE 2022 CHNA FOR MCHS-RED WING AND MCHS-CANNON FALLS (A JOINT CHNA ALSO INCLUDING MCHS-LAKE CITY) WAS TO BE APPROVED BY THE MCHS-SOUTHEAST MINNESOTA REGION'S BOARD OF DIRECTORS (THE GOVERNING BOARD FOR BOTH THE RED WING AND CANNON FALLS HOSPITAL FACILITIES) DURING THE DECEMBER 2022 BOARD MEETING. DUE TO INCLEMENT WEATHER, THE DECEMBER BOARD MEETING WAS CANCELLED. TO MEET THE REQUIREMENT OF HAVING THE BOARD APPROVE THE CHNA PRIOR TO DECEMBER 31, 2022, THE INTENTION WAS THAT THE CHNA WOULD BE APPROVED BY THE BOARD MEMBERS VIA EMAIL. DUE TO AN INADVERTENT AND UNINTENTIONAL MISUNDERSTANDING, THE CHNA WAS NOT EMAILED TO THE BOARD MEMBERS FOR THEIR APPROVAL PRIOR TO DECEMBER 31, 2022. REGARDLESS, THE CHNA WAS POSTED TO THE MAYO CLINIC HEALTH SYSTEM WEBSITE PRIOR TO DECEMBER 31, 2022, AS REQUIRED BY SECTION 1.501(R)-3, WITH THE UNDERSTANDING THAT THE CHNA HAD PREVIOUSLY BEEN APPROVED BY THE BOARD. UPON DISCOVERY OF THE ERROR, THE CHNA WAS PROMPTLY APPROVED AT THE JANUARY 25, 2023 BOARD MEETING.THE ABOVE ERROR REGARDING BOARD APPROVAL WAS MINOR, INADVERTENT, AND PROMPTLY CORRECTED, AND THEREFORE, NOT CONSIDERED A FAILURE TO MEET THE REQUIREMENT OF SECTION 1.501(R)-3. SECTION 1.501(R)-2(B) AND REVENUE PROCEDURE 2015-21 INDICATE THAT A HOSPITAL FACILITY'S OMISSION OR ERROR WITH RESPECT TO THE REQUIREMENTS OF SECTION 1.501(R)-3 THROUGH SECTION 1.501(R)-6 WILL NOT BE CONSIDERED A FAILURE TO MEET A REQUIREMENT OF 501(R) IF SUCH OMISSION OR ERROR WAS MINOR AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE AND THE HOSPITAL FACILITY PROMPTLY CORRECTS SUCH OMISSION OR ERROR.THE MCHS-LAKE CITY BOARD ALSO APPROVED THE JOINT LAKE CITY, RED WING AND CANNON FALLS CHNA FOR THE LAKE CITY HOSPITAL FACILITY AT THE NOVEMBER 10, 2022 BOARD MEETING. 80 1 - MAYO CLINIC BUILDING - SCOTTSDALE 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 CLINIC, RESEARCH FACILITY, MEDICAL SCHOOL 2 - MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 CLINIC & RESEARCH FACILITY 3 - MAYO CLINIC BUILDING - PHOENIX 5881 EAST MAYO BOULEVARD PHOENIX AZ 85054 CANCER CENTER, RADIATION THERAPY, TRANSPLANT 4 - MCHS NORTHWEST WISCONSIN REGION LUTHER C 1400 BELLINGER STREET EAU CLAIRE WI 54703 CLINIC 5 - MAYO CLINIC SPECIALTY BUILDING 5779 EAST MAYO BOULEVARD PHOENIX AZ 85054 CLINIC 6 - CANNADAY BUILDING 14335 HOSPITAL DRIVE JACKSONVILLE FL 32224 CLINIC 7 - DAVIS BUILDING 14335 MAYO BOULEVARD JACKSONVILLE FL 32224 CLINIC 8 - MAYO CLINIC DIALYSIS NORTHEAST 3041 STONEHEDGE DRIVE NORTHEAST ROCHESTER MN 55906 HOSPITAL BASED DIALYSIS FACILITY 9 - MANGURIAN BUILDING 4500 MELLISH DRIVE JACKSONVILLE FL 32224 CLINIC 10 - MAYO CLINIC DIALYSIS CENTER 4658 WORRALL WAY JACKSONVILLE FL 32216 OUTPATIENT DIALYSIS 11 - MAYO CLINIC DIALYSIS EAU CLAIRE 3845 LONDON ROAD EAU CLAIRE WI 54701 DIALYSIS 12 - SPORTS MEDICINE BUILDING 63 SOUTH ROCKFORD DRIVE SUITE 130 TEMPE AZ 85281 SPORTS MEDICINE 13 - JACOBY BUILDING 14225 ZUMBRO DRIVE JACKSONVILLE FL 32224 RADIOCHEMISTRY 14 - MCHS IN OWATONNA 2200 26TH STREET NORTHWEST OWATONNA MN 55060 CLINIC 15 - GATE PARKWAY PRIMARY CARE CENTER 7826 OZARK DRIVE JACKSONVILLE FL 32256 CLINIC 16 - BASSO BUILDING 4634 WORRELL WAY JACKSONVILLE FL 32256 SLEEP DISORDER CENTER 17 - MCHS FRANCISCAN HEALTHCARE ONALASKA 191 THEATER ROAD ONALASKA WI 54650 CLINIC, PHARMACY, DIALYSIS 18 - PABLO OAKS BUILDING 4315 PABLO OAKS COURT JACKSONVILLE FL 32224 CLINIC 19 - MCHS NORTHWEST WISCONSIN REGION CLAIREMO 733 W CLAIREMONT AVENUE EAU CLAIRE WI 54701 CLINIC 20 - MC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE AZ 85260 CLINIC 21 - MAYO CLINIC DIALYSIS MENOMONIE 507 21ST STREET NORTHEAST MENOMONIE WI 54751 DIALYSIS 22 - MCHS IN ALBERT LEAFOUNTAIN CENTERS 404 WEST FOUNTAIN STREET ALBERT LEA MN 56007 CLINIC, PHARMACY, CHEMICAL DEPENDENCY 23 - FRANCISCAN FAMILY HEALTH CLINIC 815 TENTH STREET SOUTH LA CROSSE WI 54601 CLINIC 24 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH IA 52101 HOSPITAL BASED DIALYSIS FACILITY 25 - BEACHES PRIMARY CARE CENTER 742 MARSH LANDING PARKWAY JACKSONVILLE BEACH FL 32250 CLINIC 26 - MCHS MANKATO IN EASTRIDGE 101 MARTIN LUTHER KING JR DRIVE MANKATO MN 56001 CLINIC, CHEMICAL DEPENDENCY 27 - MAYO CLINIC ALBERT LEA HEALTH REACH 1705 SOUTHEAST BROADWAY ALBERT LEA MN 56007 DIALYSIS, HOSPICE, REHABILITATION 28 - ST AUGUSTINE PRIMARY CARE 110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE FL 32086 CLINIC 29 - MAYO CLINIC DIALYSIS WABASHA 1200 5TH GRANT BOULEVARD WEST WABASHA MN 55981 HOSPITAL BASED DIALYSIS FACILITY 30 - MCHS IN MENOMONIE ORTHOPEDIC & REHABILIT 2407 STOUT ROAD MENOMONIE WI 54751 REHABILITATION 31 - MCHS IN LA CROSSE (CLINIC) 800 WEST AVENUE SOUTH LA CROSSE WI 54601 CLINIC 32 - MCHS MANKATO IN MADISON EAST CENTER 1400 MADISON AVENUE SUITE 324A MANKATO MN 56001 CLINIC, HOSPICE 33 - MCHS FRANCISCAN HEALTHCARE TOMAH 325 BUTTS AVENUE TOMAH WI 54660 CLINIC 34 - MCHS MANKATO IN NORTHRIDGE 1695 LOR RAY DRIVE NORTH MANKATO MN 56003 CLINIC 35 - MAYO CLINIC FAMILY MED ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE AZ 85308 CLINIC 36 - MCHS FRANCISCAN HEALTHCARE HOLMEN 1303 MAIN STREET SOUTH HOLMEN WI 54636 CLINIC, PHARMACY 37 - MCHS IN NEW PRAGUE 212 10TH AVENUE NORTHEAST NEW PRAGUE MN 56071 CLINIC 38 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN 800 EAST BLACKHAWK AVENUE PRAIRIE DU CHIEN WI 53821 CLINIC 39 - MCHS NORTHLAND IN RICE LAKE 331 SOUTH MAIN STREET SUITE H RICE LAKE WI 54868 CLINIC 40 - MCHS MANKATO IN ST PETER 1900 NORTH SUNRISE DRIVE SUITE 200 ST PETER MN 56082 CLINIC 41 - MCHS IN NEW PRAGUE - REHABILITATION 504 6TH AVENUE NORTHWEST NEW PRAGUE MN 56071 REHABILITATION 42 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS 611 1ST AVENUE CHIPPEWA FALLS WI 54729 CLINIC 43 - MCHS IN FARIBAULT (OBGYN) DISTRICT ONE HOSPITAL-200 STATE AVENUE FARIBAULT MN 55021 WOMENS HEALTH CLINIC 44 - SPARTA EYE CLINIC 400 JEFFERSON AVENUE SPARTA WI 54656 EYE CLINIC 45 - MCHS-EYE CARE CENTER 2409 STOUT ROAD MENOMONIE WI 54751 OPTOMETRY 46 - MCHS IN FARIBAULT 300 STATE AVENUE FARIBAULT MN 55021 CLINIC 47 - MAYO CLINIC PRIMARY CARE PHOENIX 5701 EAST MAYO BOULEVARD PHOENIX AZ 85054 CLINIC 48 - MAYO CLINIC PRIMARY CARE SAN TAN 1850 EAST NORTHROP BLVD SUITE 160 CHANDLER AZ 85286 CLINIC 49 - MCHS FRANCISCAN HEALTHCARE CALEDONIA 701 NORTH SPRAGUE STREET CALEDONIA MN 55921 CLINIC 50 - MCHS RED WING IN ZUMBROTA 1350 JEFFERSON DRIVE ZUMBROTA MN 55992 CLINIC 51 - MCHS NEW PRAGUE IN MONTGOMERY 501 4TH STREET NORTHWEST MONTGOMERY MN 56069 CLINIC 52 - MCHS MANKATO IN LE SUEUR 625 SOUTH 4TH STREET LE SUEUR MN 56058 CLINIC 53 - MCHS FRANCISCAN HEALTHCARE ARCADIA 895 SOUTH DETTLOFF DRIVE ARCADIA WI 54612 CLINIC 54 - CANCER CENTER AT ST VICENTES 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 CANCER CENTER 55 - MCHS OAKRIDGE IN MONDOVI 700 BUFFALO STREET MONDOVI WI 54755 CLINIC 56 - MCHS IN RED WING SEMINARY PROFESSIONAL B 906 COLLEGE AVE RED WING MN 55066 BEHAVIORAL HEALTH, HOSPICE 57 - MCHS LAKE CITY IN PLAINVIEW 275 1ST STREET SOUTHWEST PLAINVIEW MN 55964 CLINIC 58 - MCHS NORTHLAND IN CHETEK 220 DOUGLAS STREET CHETEK WI 54728 CLINIC 59 - MCHS RED CEDAR IN GLENWOOD CITY 219 EAST OAK STREET GLENWOOD CITY WI 54013 CLINIC 60 - FOUNTAIN CENTERS IN FAIRMONT 828 N NORTH AVENUE FAIRMONT MN 56031 CHEMICAL DEPENDENCY 61 - MCHS RED WING IN ELLSWORTH 530 WEST CAIRNS STREET ELLSWORTH WI 54011 CLINIC 62 - MCHS NEW PRAGUE IN BELLE PLAINE 700 WEST PRAIRIE STREET BELLE PLAINE MN 56011 CLINIC 63 - PROFESSIONAL ARTS BUILDING 615 SOUTH 10TH STREET LA CROSSE WI 54601 BEHAVIORAL HEALTH 64 - MCHS WASECA IN WATERVILLE 212 EAST LAKE STREET WATERVILLE MN 56096 CLINIC 65 - MCHS IN LA CROSSE - BELLE SQUARE 232 3RD STREET NORTH SUITE 100 LA CROSSE WI 54601 CLINIC 66 - MCHS ALBERT LEA IN LAKE MILLS 309 SOUTH 10TH AVENUE EAST LAKE MILLS IA 50450 CLINIC 67 - MCHS WASECA IN JANESVILLE 312 NORTH MAIN STREET JANESVILLE MN 56048 CLINIC 68 - MCHS ALBERT LEA IN WELLS 301 SOUTH BROADWAY WELLS MN 56097 CLINIC 69 - MCHS ALBERT LEA IN NEW RICHLAND 318 FIRST STREET SOUTHWEST NEW RICHLAND MN 56072 CLINIC 70 - MCHS AUSTIN HOSPICEFOUNTAIN CENTERS 101 14TH STREET NORTHWEST AUSTIN MN 55912 HOSPICE, CHEMICAL DEPENDENCY 71 - FOUNTAIN CENTERS IN FARIBAULT 2301 4TH STREET NORTHWEST FARIBAULT MN 55021 CHEMICAL DEPENDENCY 72 - FOUNTAIN CENTERS IN OWATONNA 134 SOUTHVIEW STREET OWATONNA MN 55060 CHEMICAL DEPENDENCY 73 - MCHS EXPRESS CARE IN AUSTIN 1307 18TH AVENUE NW AUSTIN MN 55912 EXPRESS CARE 74 - MCHS EXPRESS CARE IN ALBERT LEA 2708 BRIDGE AVENUE ALBERT LEA MN 56007 EXPRESS CARE 75 - FOUNTAIN CENTERS IN ROCHESTER 4122 18TH AVENUE NW ROCHESTER MN 55901 CHEMICAL DEPENDENCY 76 - MCHS MOBILE HEALTH CLINIC-SHERBURN 21 EAST 1ST STREET SHERBURN MN 56171 MOBILE HEALTH CLINIC 77 - MCHS MOBILE HEALTH CLINIC-BLOOMING PRAIR 4TH STREET SE BLOOMING PRAIRIE MN 55917 MOBILE HEALTH CLINIC 78 - MCHS MOBILE HEALTH CLINIC-KENYON 806 2ND STREET KENYON MN 55946 MOBILE HEALTH CLINIC 79 - MCHS MOBILE HEALTH CLINIC-BUTTERFIELD 123 SECOND ST N BUTTERFIELD MN 56120 MOBILE HEALTH CLINIC 80 - MCHS AUSTIN IN ADAMS 908 WEST MAIN STREET ADAMS MN 55909 CLINIC 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, THE HOSPITAL SUBORDINATES CONCLUDED THEIR REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENTS, WHICH WERE 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: $116,304,093. 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 $ 143,233,097. 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 (BAD DEBT) CAN BE FOUND IN MAYO CLINIC'S 2022 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.PAGE 8: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE BASED UPON THE ESTIMATED AMOUNTS EXPECTED TO BE PAID FROM PATIENTS AND THIRD-PARTY PAYORS.PAGE 13: SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2002 AND 2021, WAS NOT SIGNIFICANT. 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 $1,017,109,000.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, 2022, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 164,020, OF WHICH AN ESTIMATED 24.40% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 16.10% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $84,656 WITH APPROXIMATELY 7.70% 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, 2022, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,551,524, OF WHICH AN ESTIMATED 23.00% WAS UNDER THE AGE OF 18 AND 15.80% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $72,944 WITH APPROXIMATELY 11.30% 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, 2022, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,323,377 OF WHICH AN ESTIMATED 22.15% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.70% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $74,168 WITH APPROXIMATELY 10.60% 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, 2022, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 175,949, OF WHICH AN ESTIMATED 23.38% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.95% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $66,275 WITH APPROXIMATELY 10.08% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 69,671, OF WHICH AN ESTIMATED 22.05% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 21.55% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $71,009 WITH APPROXIMATELY 7.70% 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, 2022, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 337,363, OF WHICH AN ESTIMATED 23.21% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 17.90% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $73,110 WITH APPROXIMATELY 9.36% 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, 2022, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 297,037, OF WHICH AN ESTIMATED 21.54% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 18.64% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $62,392 WITH APPROXIMATELY 10.68% 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, 2022, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 166,403, OF WHICH AN ESTIMATED 22.35% WAS UNDER THE AGE OF 18 AND 17.60% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2017 TO 2021 WAS $62,939 WITH APPROXIMATELY 11.75% 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. 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 1307872107 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 501(C)(3) 160000000 0 SUPPORT CHARITABLE PROGRAMS WASHINGTON UNIVERSITY 700 ROSEDALE AVENUE CB 1034 SAINT LOUIS MO 63112 430653611 501(C)(3) 1537323 0 SUPPORT CHARITABLE PROGRAMS THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 615 WEST 131ST STREET MC 8741 NEW YORK NY 10027 135598093 501(C)(3) 1008574 0 SUPPORT CHARITABLE PROGRAMS INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW RENTON WA 98057 912003593 501(C)(3) 1007351 0 SUPPORT CHARITABLE PURPOSE ST JUDE CHILDREN'S RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS TN 38105 620646012 501(C)(3) 879603 0 SUPPORT CHARITABLE PROGRAMS REGENTS OF THE UNIVERSITY OF MINNESOTA 1300 S 2ND ST STE 206 MINNEAPOLIS MN 55454 416007513 STATE OF MN 735290 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF FLORIDA 207 GRINTER HALL GAINESVILLE FL 32611 596002052 STATE OF FL 636034 0 SUPPORT RESEARCH PROGRAM TERASAKI FAMILY FOUNDATION 1018 WESTWOOD BLVD LOS ANGELES CA 90024 954249502 501(C)(3) 628201 0 SUPPORT CHARITABLE PURPOSE SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE 10901 NORTH TORREY PINES ROAD LA JOLLA CA 92037 510197108 501(C)(3) 595456 0 SUPPORT CHARITABLE PROGRAMS JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD NO N4327B BALTIMORE MD 21211 520595110 501(C)(3) 590385 0 SUPPORT CHARITABLE PROGRAMS ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 501(C)(3) 570794 0 SUPPORT CHARITABLE PROGRAMS ARIZONA STATE UNIVERSITY PO BOX 875812 TEMPE AZ 85287 860196696 STATE OF AZ 548738 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF CALIFORNIA IRVINE 160 ALDRICH HALL IRVINE CA 92697 952226406 STATE OF CA 509141 0 SUPPORT RESEARCH PROGRAM THE GENERAL HOSPITAL CORPORATION 399 REVOLUTION DRIVE NO 645 SOMERVILLE MA 02145 042697983 501(C)(3) 496902 0 SUPPORT CHARITABLE PROGRAMS THE MEDICAL UNIVERSITY OF SOUTH CAROLINA 179 ASHLEY AVE CHARLESTON SC 29425 576000722 STATE OF SC 456531 0 SUPPORT RESEARCH PROGRAM BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA 151 PREM S PAUL RESEARCH CENTER LINCOLN NE 68583 470049123 STATE OF NE 374313 0 SUPPORT RESEARCH PROGRAM EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR 3101 ATLANTA GA 30322 580566256 501(C)(3) 371489 0 SUPPORT CHARITABLE PROGRAMS THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 7703 FLOYD CURL DR SAN ANTONIO TX 782293900 741586031 STATE OF TX 368124 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MARYLAND 620 W LEXINGTON STREET BALTIMORE MD 21201 526002033 STATE OF MD 343187 0 SUPPORT RESEARCH PROGRAM GEORGIA TECH RESEARCH CORPORATION 926 DALNEY STREET NW ATLANTA GA 303320415 580603146 501(C)(3) 342453 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF CALIFORNIA SAN FRANCISCO 220 MONTGOMERY ST FL 5 SAN FRANCISCO CA 94104 946036493 STATE OF CA 318546 0 SUPPORT RESEARCH PROGRAM ARIZONA BOARD OF REGENTS UNIVERSITY OF ARIZONA 888 NORTH EUCLID AVENUE ROOM 510 TUCSON AZ 85719 742652689 STATE OF AZ 300586 0 SUPPORT RESEARCH PROGRAM RESOUNDANT INC 421 1ST AVE SW ROCHESTER MN 55902 461661978 - 286385 0 SUPPORT RESEARCH PROGRAM INDIANA UNIVERSITY 1001 E THIRD STREET BLOOMINGTON IN 474057005 356001673 STATE OF IN 282116 0 SUPPORT RESEARCH PROGRAM TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 022151303 042103547 501(C)(3) 254035 0 SUPPORT CHARITABLE PROGRAMS NEXUS FAMILY HEALING 505 HIGHWAY 169 N NO 500 PLYMOUTH MN 55441 411419064 501(C)(3) 233333 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF SOUTH FLORIDA 4202 E FOWLER AVE TAMPA FL 33620 593102112 STATE OF FL 229345 0 SUPPORT RESEARCH PROGRAM ARIZONA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC 700 E JEFFERSON STREET SUITE 100 PHOENIX AZ 85034 860494702 501(C)(3) 214500 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF CALIFORNIA LOS ANGELES 10889 WILSHIRE BOULEVARD STE 700 LOS ANGELES CA 90095 956006143 STATE OF CA 191288 0 SUPPORT RESEARCH PROGRAM SAGE BIONETWORKS 2901 THIRD AVE STE 330 SEATTLE WA 98121 264489946 501(C)(3) 188849 0 SUPPORT CHARITABLE PROGRAMS THE UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER 1515 HOLCOMBE BOULEVARD HOUSTON TX 77030 746001118 STATE OF TX 173357 0 SUPPORT RESEARCH PROGRAM WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 1300 YORK AVENUE NEW YORK NY 10065 131623978 501(C)(3) 164939 0 SUPPORT CHARITABLE PURPOSE LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE WI 54702 391409024 501(C)(3) 163400 0 SUPPORT CHARITABLE PROGRAMS ARIZONA VETERANS RESEARCH AND EDUCATION FOUNDATION 650 EAST INDIAN SCHOOL ROAD PHOENIX AZ 85012 860907729 501(C)(3) 159100 0 SUPPORT CHARITABLE PROGRAMS AMERICAN HEART 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DOYLESTOWN PA 18901 231352174 501(C)(3) 5115 0 SUPPORT CHARITABLE PROGRAMS FOUNDATION FOR ATLANTA VETERANS EDUCATION AND RESEARCH INC 1670 CLAIRMONT ROAD 151F DECATUR GA 30033 581857346 501(C)(3) 5095 0 SUPPORT CHARITABLE PURPOSE THE MEDICAL COLLEGE OF WISCONSIN INC 8701 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 390806261 501(C)(3) 5065 0 SUPPORT CHARITABLE PROGRAMS 238 20 SCHOLARSHIPS 45478 3534929 MEDICAL STUDENT STIPENDS 468 2488650 RESEARCH GRANT SUBAWARDS 3 3540 CHARITABLE SUPPORT OF INDIVIDUALS 235 292014 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. 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DIRECTOR/CHAIR 460768 0 0 0 8600 0 25215 0 31802 0 526385 0 0 0 POE JOHN D DIRECTOR 406614 53063 0 0 1945 210 36197 1604 19054 4870 463810 59747 0 0 COSTAKOS MD DENNIS T DIRECTOR 408305 0 0 0 32062 0 61589 0 21261 0 523217 0 0 0 WHITED MD BRIAN L DIRECTOR/PRESIDENT/CHAIR 389652 0 0 0 44216 0 52940 0 25641 0 512449 0 0 0 VIRAMONTES ALLISON L DIRECTOR/TREASURER 442741 0 0 0 9068 0 29478 0 30769 0 512056 0 0 0 DEWITT MD JASON J FORMER KEY EMPLOYEE 433800 0 0 0 17065 0 30685 0 26240 0 507790 0 0 0 HORVATH MD PAUL R PHYSICIAN 427682 0 0 0 13618 0 30661 0 32606 0 504567 0 0 0 FAUBION MD STEPHANIE S DIRECTOR 406370 0 0 0 31541 0 48989 0 12825 0 499725 0 0 0 EZENAGU MD LEONARD C DIRECTOR/SECY 396449 0 0 0 21199 0 53119 0 27139 0 497906 0 0 0 KRIEN MD JOSEPH S REG CHAIR CLINICAL PRACTICE 395811 0 0 0 23097 0 41389 0 31171 0 491468 0 0 0 EDWARDS MD BROOKS S DIRECTOR 0 334378 0 0 0 99441 0 12200 0 27707 0 473726 0 0 HUBERT SHERRY L ASST SECY 366166 0 0 0 20244 0 48423 0 34580 0 469413 0 0 0 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11076 0 45918 0 32029 0 405231 0 0 0 FITZGERALD MD KEVIN DIV CHAIR-SWWI FAMILY MED 326229 0 0 0 10032 0 37964 0 28285 0 402510 0 0 0 GOLDMAN DANIEL S ASST SECY 308719 0 0 0 17472 0 48493 0 26528 0 401212 0 0 0 CAINE NATALIE A DIRECTOR/SECY 0 341246 0 0 0 2306 0 21086 0 36558 0 401196 0 0 MOLLING DO PAUL E DIRECTOR/VICE CHAIR 322736 0 0 0 9508 0 36672 0 32182 0 401098 0 0 0 CRAIG JASON E DIR/VP/SECY/REGIONAL CHAIR-ADMIN NWW 338834 0 0 0 8892 0 26164 0 26137 0 400027 0 0 0 MYHRE MD KAREN K DIRECTOR/VICE CHAIR 320989 0 0 0 4558 0 35719 0 36111 0 397377 0 0 0 PRUTHI MD SANDHYA DIRECTOR 0 314810 0 0 0 14045 0 41015 0 24884 0 394754 0 0 SIMPSON MD HENRY J REG CHAIR CLINICAL PRACTICE 310948 0 0 0 13289 0 51016 0 16688 0 391941 0 0 0 JELINEK DIANE F DIRECTOR 321832 12637 0 0 28527 538 10884 0 11197 486 372440 13661 0 0 GLENN SEAN W DIRECTOR/ASST SECY 307569 0 0 0 5013 0 34607 0 32899 0 380088 0 0 0 BAUER MD BRENT A DIRECTOR 0 308778 0 0 0 8302 0 29015 0 31708 0 377803 0 0 PAUL TRAVIS C DIR/SECY/TRES/REG CHAIR ADMIN SWMN 0 315303 0 0 0 1865 0 23819 0 32716 0 373703 0 0 GREEN MD JEFFREY P FORMER OFFICER 291214 0 0 0 3794 0 42517 0 33114 0 370639 0 0 0 WHITE PAMELA K CHIEF NURSING OFFICER 250051 0 0 0 58174 0 37754 0 23527 0 369506 0 0 0 BORTNEM MARK A DIRECTOR/TREAS/CFO WI 313823 0 0 0 2235 0 16838 0 34376 0 367272 0 0 0 KANUGA MD MANSI J CHAIR, INTEGRATED MED SPEC 327693 0 0 0 4878 0 26696 0 6894 0 366161 0 0 0 MISRA MD ARTIKA VICE CHAIR-CLINICAL PRACTICE 300088 0 0 0 295 0 29117 0 35964 0 365464 0 0 0 CROCKETT ERIC D DIR/SECY/ASST SECY/REG CHAIR-ADMIN S 0 297331 0 0 0 2139 0 32598 0 32616 0 364684 0 0 SKAAR MD PHILLIP J DIRECTOR/CHAIR 293950 0 0 0 2536 0 28250 0 34764 0 359500 0 0 0 WOMER DOUGLAS X CFO MCHS 358939 0 0 0 0 0 0 0 0 0 358939 0 0 0 SANTRACH MD PAULA J DIRECTOR/VICE CHAIR 0 240971 0 0 0 96276 0 11283 0 6993 0 355523 0 0 ADLEMAN BREEANN M FORMER OFFICER 283618 0 0 0 2105 0 28143 0 36868 0 350734 0 0 0 HORECKI MD RICHARD J PHYSICIAN 266094 0 0 0 7730 0 52432 0 23782 0 350038 0 0 0 MURPHY MARIALENA DIRECTOR/SECY 277350 0 0 0 1262 0 43019 0 27548 0 349179 0 0 0 BERG DAVID W ADMIN - MCHS SEMN 267001 0 0 0 11587 0 46243 0 24154 0 348985 0 0 0 ERICKSON ERIC B VICE CHAIR-ADMINISTRATION 279406 0 0 0 8911 0 44765 0 10399 0 343481 0 0 0 NORDRUM CHARLOTTE J FORMER OFFICER 276007 0 0 0 1724 0 33530 0 30981 0 342242 0 0 0 GALINDEZ JR PETER ASST SECY/FORMER OFFICER 267908 0 0 0 2043 0 36295 0 31545 0 337791 0 0 0 HOLTZ MD CAROL P FORMER OFFICER 0 280177 0 0 0 3816 0 37313 0 6066 0 327372 0 0 KOWAL DO GERALD K FORMER KEY EMPLOYEE 266000 0 0 0 7445 0 28955 0 23022 0 325422 0 0 0 PARKS DOUGLAS A FORMER OFFICER 0 285142 0 0 0 3692 0 9157 0 25715 0 323706 0 0 MORRIS MD MARIE E DIRECTOR/CHAIR 229791 0 0 0 18383 0 57314 0 17598 0 323086 0 0 0 KIM MD HYUN I DIRECTOR/VICE CHAIR 162198 0 0 0 80637 0 47071 0 29510 0 319416 0 0 0 MELVIN KEVIN B ASST SECY 0 257008 0 0 0 1177 0 28748 0 32434 0 319367 0 0 FORSTER MD JEREMY S DIRECTOR 247533 0 0 0 1940 0 31839 0 31138 0 312450 0 0 0 BROWN WILLIAM A ASST TREASURER 266298 0 0 0 4556 0 10086 0 27511 0 308451 0 0 0 DEGEN SUSANNE C VICE CHAIR-ADMINISTRATION 255562 0 0 0 3791 0 34234 0 12664 0 306251 0 0 0 GROSS TERA L DIRECTOR 248896 0 0 0 1229 0 22715 0 31505 0 304345 0 0 0 MARTIN DAVID L FORMER KEY EMPLOYEE 240635 0 0 0 1746 0 29355 0 27058 0 298794 0 0 0 HOLST TANNER T DIRECTOR 237904 0 0 0 10299 0 22169 0 27790 0 298162 0 0 0 LEBRASSEUR NATHAN K DIRECTOR 0 235235 0 0 0 3333 0 26527 0 31472 0 296567 0 0 MATTHIAS MARK A FORMER OFFICER 235887 0 0 0 1733 0 32353 0 24814 0 294787 0 0 0 FALLER MD ANNETTE PHYSICIAN 256598 0 0 0 537 0 33379 0 811 0 291325 0 0 0 HANSON VICTORIA M VICE CHAIR-ADMINISTRATION 234928 0 0 0 1239 0 26546 0 28490 0 291203 0 0 0 DAVIS AMY L FORMER OFFICER 165580 64989 0 0 1370 138 21322 1985 23608 7932 211880 75044 0 0 CAPLAN SHERRY M VICE CHAIR-ADMINISTRATION 238698 0 0 0 1249 0 22593 0 21355 0 283895 0 0 0 COGNETTA-RIEKE CHERISTI M CHIEF NURSING OFFICER 212041 0 0 0 14031 0 20152 0 31338 0 277562 0 0 0 JOHNSON RYAN R DIRECTOR 0 228222 0 0 0 830 0 13141 0 31442 0 273635 0 0 JANSSEN JAMES J ASST TREASURER 213915 0 0 0 3253 0 28833 0 27160 0 273161 0 0 0 AMEENUDDIN MD NUSHEEN DIRECTOR 0 236235 0 0 0 326 0 23523 0 11325 0 271409 0 0 BRANDT TERRY L FORMER OFFICER 0 0 0 0 145744 16416 0 0 0 250 145744 16666 108505 0 WILSON JAMES D CFO MCHS 203165 0 50000 0 422 0 4038 0 13213 0 270838 0 0 0 LANZ APRIL D VICE CHAIR-ADMINISTRATION 215923 0 0 0 1722 0 23670 0 28389 0 269704 0 0 0 EIDE DEAN B DIR/VICE CHAIR-ADMIN 232244 0 0 0 3392 0 29716 0 3881 0 269233 0 0 0 FLATTUM BETHANIE L TREAS/VICE CHAIR-ADMIN 213031 0 0 0 1115 0 21155 0 33167 0 268468 0 0 0 EBERLE MICHELE R DIR/VICE CHAIR-ADMIN 221413 0 0 0 5388 0 28762 0 10435 0 265998 0 0 0 CLUNE MD CAROLINE G PHYSICIAN 220017 0 0 0 1684 0 26956 0 17120 0 265777 0 0 0 MCCONNELL LISA A DIRECTOR 209507 0 0 0 3055 0 28334 0 19631 0 260527 0 0 0 MARTIN-KRAJEWSKI CARIE A VICE CHAIR-ADMINISTRATION 220926 0 0 0 1738 0 27019 0 10610 0 260293 0 0 0 ARCHER LISA M CHIEF NURSING OFFICER 201164 7783 10000 0 5604 2000 4426 1305 24411 1035 245605 12123 0 0 HOWIE GORDON C CHAIR, FACILITIES 189709 0 0 0 19793 0 21021 0 25146 0 255669 0 0 0 JOHNSON CARLA J FORMER OFFICER 212711 0 0 0 449 0 21679 0 20033 0 254872 0 0 0 DALBELLO JR ALBERT DIRECTOR/SECRETARY 186434 0 0 0 2636 0 30689 0 31312 0 251071 0 0 0 SILVERS MD SCOTT M FORMER KEY EMPLOYEE 120208 0 0 0 64981 0 33015 0 30088 0 248292 0 0 0 RUSTAD CHRISTOPHER D DIR/SECY/TREAS/FORMER OFFICER 0 203960 0 0 0 1341 0 8445 0 32850 0 246596 0 0 DRUCKER PAUL E DIRECTOR/CEO/PRESIDENT/VP 0 191393 0 0 0 961 0 23992 0 30047 0 246393 0 0 LONG AMY K DIRECTOR 202791 0 0 0 574 0 13350 0 26366 0 243081 0 0 0 BUSKIRK MD STEVEN J FORMER OFFICER 60377 79375 0 0 92867 31 3327 0 6184 0 162755 79406 0 0 LANZEL TRICIA G DIRECTOR/CHAIR/PRESIDENT/CEO 181828 0 0 0 1570 0 16903 0 31926 0 232227 0 0 0 FINNEMAN KILLINGER KAREN A REG CHAIR FAC & SUPP SVCS 174250 0 0 0 4872 0 21378 0 29774 0 230274 0 0 0 KUEHL MD MARY J DIRECTOR/VICE CHAIR 155417 0 0 0 1236 0 25593 0 31892 0 214138 0 0 0 TRADEWELL MATTHEW W FORMER KEY EMPLOYEE 164065 0 0 0 4950 0 14497 0 29314 0 212826 0 0 0 MCNEILL STEVEN L FORMER KEY EMPLOYEE 12629 0 0 0 98295 0 0 0 3500 0 114424 0 95643 0 MEYER TIA J FORMER KEY EMPLOYEE 170703 0 0 0 7467 0 20477 0 9763 0 208410 0 0 0 KUJAK-COON HEATHER FORMER KEY EMPLOYEE 156464 0 0 0 4362 0 16394 0 29437 0 206657 0 0 0 BOYUM LISA L TREASURER 155675 0 0 0 5395 0 12715 0 31615 0 205400 0 0 0 BELILES GREGORY R ASST SECY/DIR-ACH 153297 0 0 0 6770 0 11311 0 32047 0 203425 0 0 0 SWENSON LAURA L DIRECTOR-NURSING HEALTH SVCS 156867 0 0 0 12039 0 7695 0 25507 0 202108 0 0 0 GULDEN CHRISTOPHER R SECY 162062 0 0 0 10062 0 12497 0 16294 0 200915 0 0 0 FEHMI RASHID A FORMER OFFICER 134302 0 0 0 9442 0 20366 0 20503 0 184613 0 0 0 FENNELL THOMAS J ASST SECY 130694 0 0 0 14093 0 17181 0 19137 0 181105 0 0 0 SEINOLA SCOTT A DIR/CEO/PRES/FORMER KEY EMPLOYEE 82732 0 0 0 73313 0 3801 0 4215 0 164061 0 16959 0 BROWN MICHAEL E FORMER OFFICER 134902 0 0 0 11120 0 19561 0 11063 0 176646 0 0 0 CHRISTOPHERSON MARK TREASURER/CFO MN 143625 0 0 0 5844 0 14223 0 9897 0 173589 0 0 0 EVENSON LAURA K FORMER KEY EMPLOYEE 132267 0 0 0 1836 0 6360 0 27376 0 167839 0 0 0 KRUMM TARA L DIRECTOR/SECY/TREAS 118710 0 0 0 6541 0 11617 0 27035 0 163903 0 0 0 PART I, LINE 1A IN 2022, NASER M. AMMASH M.D., BERNARD R. BENDOK M.D., ROSHANAK DIDEHBAN, ABIMBOLA O. FAMUYIDE M.B.B.S., GIANRICO FARRUGIA M.D., DANIEL S. GOLDMAN, TINA E. HOLMES, LOIS E. KRAHN M.D., DEVYANI LAL M.D., FREDRIC B. MEYER M.D., ALFREDO QUINONES-HINOJOSA M.D., MICHAEL J. RYAN, MICHAEL W. STEWART M.D., RABIH G. TAWK M.D., ANDREJ URUMOV M.D., LAURA A. VALLOW M.D., PRATHIBHA VARKEY M.B.B.S., AMY W. WILLIAMS M.D. AND CHRISTINA K. ZORN WERE PROVIDED BUSINESS/FIRST-CLASS AND/OR CHARTER TRAVEL. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. 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 2022, DENNIS E. DAHLEN, GIANRICO FARRUGIA M.D., RAFAEL FONSECA M.D., RICHARD J. GRAY M.D., TINA E. HOLMES, JOSHUA B. MURPHY, KENT R. THIELEN M.D. AND AMY W. WILLIAMS M.D. 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 2022, 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 2022, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. A HOME RELOCATION CASH PAYMENT OPTION IS PROVIDED TO MAYO CLINIC VOTING/CONSULTING STAFF WHEN JUSTIFIED BY BUSINESS NEED. IN 2022, ONE LISTED PERSON RECEIVED A CASH PAYMENT OPTION THAT WAS TREATED AS TAXABLE INCOME. THIS PAYMENT WAS ISSUED AFTER THE RELOCATION AND WAS GROSSED UP. 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 RECEIVED SUPPLEMENTAL PAYMENTS TO OFFSET THE COST OF TAXES INCURRED AS A RESULT OF WORKING IN AN INTERNATIONAL POSITION. THIS AMOUNT WAS TAXABLE TO THE EMPLOYEE AND GROSSED. 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. CHRISTOPHER H. HASSE WAS PROVIDED PAYMENTS FOR TUITION TO DEFER HIS PHD DISSERTATION DEFENSE AND MAINTAIN ENROLLMENT WHILE TRANSITIONING TO A NEW LEADERSHIP POSITION. THIS PAYMENT WAS GROSSED UP AND TREATED AS TAXABLE INCOME. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2022, RYANNON K. FREDERICK, CHRISTOPHER H. HAASE AND CHRISTINA K. ZORN RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME AND GROSSED UP. ONE OR MORE LISTED PERSONS RECEIVED SUBSIDIZED EMPLOYEE MEMBERSHIPS TO THE YMCA AND SIMILAR HEALTH/FITNESS FACILITIES. SUCH SUBSIDIES ARE AVAILABLE TO SOME EMPLOYEES AS A BENEFIT AND ARE TREATED AS TAXABLE INCOME. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. ONE OR MORE LISTED PERSONS RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. PART I, LINE 3 THE SUBORDINATES WITHIN THIS GROUP FILING RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. PART I, LINES 4B-C 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. $ 67,554 ACKERMAN, FRANKLIN K. $ 6,997 ALBRIGHT JR., D.O., ROBERT C. $ 98,228 AMMASH M.D., NASER M. $113,509 ANDREWS M.D., PAUL E. $ 97,853 ANIL M.D., GOKHAN $ 42,934 BAKKUM-GAMEZ, M.D., JAMIE N. $ 40,112 BARTLETT M.D., BRIAN N. $ 10,357 BAUER M.D., BRENT A. $ 5,006 BEHN M.D., JOSEPH R. $ 2,064 BENDOK M.D., BERNARD R. $ 90,612 BHAGRA M.D., SUMIT $ 6,823 BOLTON, JEFFREY W. $370,628 BORTNEM, MARK A. $ 720 BRANDT, TERRY L. $ 13,764 BRIEN M.D., AMY L. $ 11,679 BROWN M.D., MICHAEL J. $ 67,134 BRUCE M.D., CHARLES J. $ 91,408 BUECHLER M.D., TAMARA E. $ 9,974 BUNKERS M.D., BRIAN E. $ 17,826 BUSKIRK M.D., STEVEN J. $ 62,820 CAINE, NATALIE A. $ 716 CASLER M.D., JOHN D. $ 73,749 CAVINESS M.D., JOHN N. $ 21,577 CHAPITAL M.D., ALYSSA B. $ 56,413 CHONG M.D., BRIAN W. $108,829 CHUKWUDELUNZU SR., M.D., FELIX E. $ 7,950 CIMA M.D., ROBERT R. $ 74,633 CIOTA M.D., MARK R. $ 84,775 CLUNE M.D., CAROLINE G. $ 330 COLLETTI M.D., JAMES E. $ 27,228 COOPER M.D., LESLIE T. $ 99,523 COSTAKOS M.D., DENNIS T. $ 26,477 CRAIG M.D., FIONA E. $ 35,094 CRAIG, JASON E. $ 7,300 CRANE M.D., SARAH J. $ 10,248 CROSS III M.D., WILLIAM W. $ 93,046 CULLINAN M.D., SUSAN M. $ 14,850 DAHLEN, DENNIS E. $143,487 DECKER MBBCH, GUSTAV A. $ 85,905 DEGENHARDT M.D., JEFFRY A. $ 55,470 DEVAULT M.D., KENNETH R. $108,730 DEWITT M.D., JASON J. $ 16,713 DEXTER M.D., DONN D. $ 16,065 DIDEHBAN, ROSHANAK $ 60,501 DIETER, HEIDI L. $ 30,126 DOWDY M.D., SEAN C. $ 67,916 DRONCA M.D., ROXANA S. $ 33,695 DUNN, AJANI N. $ 3,791 EDWARDS M.D., BROOKS S. $ 72,349 ETZIONI M.D., DAVID A. $ 41,632 EZENAGU M.D., LEONARD C. $ 17,173 FAMUYIDE M.B.B.S., ABIMBOLA O. $ 58,957 FARRUGIA M.D., GIANRICO $722,101 FAUBION M.D., STEPHANIE S. $ 29,499 FAUBION M.D., WILLIAM A. $ 93,331 FISHER D.O., LAURA A. $ 6,242 FITZGERALD M.D., KEVIN $ 8,179 FONSECA M.D., RAFAEL $111,757 FOSS M.D., RANDY M. $ 3,515 FRANCIS, JAMES R. $ 53,065 FRASER, CATHRYN H. $ 81,623 FREDERICK, RYANNON K. $ 53,253 GAZELKA M.D., HALENA M. $ 32,664 GILLIGAN, SHERRI W. $ 85,153 GLANTZ M.D., JANEL N. $ 76,122 GLENN, SEAN W. $ 2,094 GOLDMAN, DANIEL S. $ 4,548 GORES M.D., GREGORY J. $209,763 GORMAN, PAUL A. $140,092 GOYAL, MANEESH $ 16,000 GRAY M.D., RICHARD J. $324,738 GREEN M.D., JEFFREY P. $ 2,159 HALAMKA M.D., JOHN D. $ 85,905 HARA M.D., AMY K. $113,169 HARPER JR., M.D., CHARLES M. $223,863 HASSE, CHRISTOPHER H. $0 HEBL M.D., JAMES R. $132,091 HELLMICH M.D., THOMAS R. $ 34,932 HELMERS M.D., RICHARD A. $124,667 HERRMANN M.D., MARTIN J. $ 9,950 HICKSON M.D., LATONYA J. $ 17,638 HIRISAVE KRISHNA M.D., BIPINCHANDRA $2,841 HOLMES, TINA E. $1,248 HOLTAN, DOUGLAS J. $26,984 HOLTZ M.D., CAROL P. $1,155 HORECKI M.D., RICHARD J. $4,552 HORN M.D., JENNIFER L. $16,508 HORST, ADAM M. $14,870 HORVATH M.D., PAUL R. $11,286 HOXWORTH M.D., JOSEPH M. $81,351 HUBERT, SHERRY L. $17,058 JANUS M.D., JEFFREY R. $12,070 JELINEK, DIANE F. $13,311 JOHNSON M.D., DANIEL J. $56,085 JOHNSON M.D., MARGARET M. $41,466 JOSEPH M.B.B.S., M.D., ABRAHAM $25,229 KAMLITZ M.D., KENDRA E. $7,814 KANUGA M.D., MANSI J. $3,235 KEENAN M.D., LAWRENCE R. $81,287 KELLEY, SHARON M. $30,051 KENDRICK M.D., MICHAEL L. $108,561 KHAN, RITA G. $21,269 KHOOR M.D., ANDRAS $57,467 KIM M.D., HYUN I. $44,772 KNUDSON, STEVE L. $23,349 KORDUCKI M.D., JANE M. $5,240 KOWAL D.O., GERALD K. $5,468 KRAHN M.D., LOIS E. $41,434 KRIEN M.D., JOSEPH S. $20,487 KROSCH M.D., TARA C. $14,257 LAL M.D., DEVYANI $38,055 LANGBEHN D.O., JENNIFER M. $7,784 LEIBOVICH M.D., BRADLEY C. $92,619 LEIGHTON M.D., JONATHAN A. $98,930 LENHART M.D., JILL $4,171 LUKE M.D., ANURADHA $34,625 MABRY M.D., TAD M. $92,900 MANIACI M.D., MICHAEL J. $5,882 MCCLENDON JR M.D., JAMAL $38,055 MCKINNEY M.D., J. MARK $59,628 MCLAUGHLIN M.D., SARAH A. $62,008 MEKALA, PRAVEEN $936 MENKOSKY, PAULA E. $145,275 MERFELD M.D., JOHN $10,449 MEYER M.D., FREDRIC B. $229,490 MISRA M.D., ARTIKA $0 MOLLING D.O., PAUL E. $7,655 MORICE M.D., WILLIAM G. $108,034 MORREY, MICHAEL A. $14,905 MORRIS M.D., MARIE E. $4,803 MOSS M.D., ADYR A. $90,471 MUELLER M.D., PAUL S. $116,880 MURPHY, JOSHUA B. $229,142 MYHRE M.D., KAREN K. $4,140 NASSAR M.D., AZIZA $42,408 NOE M.D., KATHERINE H. $16,182 NOTTMEIER M.D., ERIC W. $132,168 ODENIGBO M.D., CELESTINE $23,717 OTLEY M.D., CLARK C. $167,962 OTTE, KIMBERLY K. $36,783 PATEL M.B., TUSHAR C. $56,748 PAUL, TRAVIS C. $0 PEARSON M.D., SUSAN E. $52,853 PECK M.D., ROBERT C. $27,059 PETERSON M.D., JEFFREY J. $105,905 PICHELMANN M.D., MARK A. $186,004 PIGNOLO M.D., PH.D., ROBERT J. $9,775 POE, JOHN D. $0 PORTER M.D., ALYX B. $21,388 PRESUTTI D.O., RICHARD J. $22,379 PRITT M.D., BOBBI S. $32,021 PRUTHI M.D., SANDHYA $4,817 QUINONES-HINOJOSA M.D., ALFREDO $99,912 REDDY M.B.B.S., KUNAM S. $89,770 RIGDON, ALICE W. $8,996 RIMSZA M.D., LISA M. $31,041 ROBELIA M.D., PAUL M. $6,697 ROGERS, JAMES A. $74,487 ROSENFELD M.D., DAVID M. $62,374 ROSS, CHRISTOPHER J. $104,008 RYAN, MICHAEL J. $68,837 SADOSTY M.D., ANNIE T. $62,618 SAMKUTTY, BIJU T. $4,900 SANTRACH M.D., PAULA J. $50,255 SCHAMS M.D., PETER J. $52,341 SEINOLA, SCOTT A. $41,791 SHAH M.D., VIJAY $135,686 SHARMA M.B.B.S., MANISH S. $60,884 SHERRILL, TODD E. $21,953 SILVERS M.D., SCOTT M. $36,305 SIMPSON M.D., HENRY J. $11,140 SINGBARTL M.D., KAI $21,652 SNAZA, KARI S. $9,691 STEWART M.D., MICHAEL W. $123,234 STONE M.D., WILLIAM M. $106,364 TANER M.D., BURCIN C. $72,578 TAWK M.D., RABIH G. $132,168 TAZELAAR M.D., HENRY D. $60,743 TERKONDA M.D., SARVAM P. $100,657 THIEL M.D., DAVID D. $72,905 THIELEN M.D., KENT R. $324,738 TRENTMAN M.D., TERRENCE L. $69,514 URUMOV M.D., ANDREJ $17,619 VALLOW M.D., LAURA A. $94,913 VARELA M.D., NICOLE L. $18,178 VARKEY M.B.B.S., PRATHIBHA $28,400 VIRAMONTES, ALLISON L. $6,460 WALD M.D., JOHN T. $103,229 WHITED M.D., BRIAN L. $38,590 WILLIAMS M.D., AMY W. $178,140 WILLIAMSON, MARY J. $167,752 WILLMAN M.D., CHERYL L. $52,140 WILSON, JAMES D. $0 WRAY-RAABOLLE M.D., JASON T. $6,011 YOUNG M.D., TIMOTHY J. $12,530 YUN M.D., BLENDA $8,166 ZIETLOW M.D., SCOTT P. $72,339 ZIMMERMAN M.D., RICHARD S. $218,926 ZORN, CHRISTINA K. $116,164 PART I, LINE 7 MICHAEL J. RYAN RECEIVED SUPPLEMENTAL PAYMENTS TO OFFSET THE COST OF TAXES INCURRED AS A RESULT OF WORKING IN AN INTERNATIONAL POSITION. THIS AMOUNT WAS TAXABLE TO THE EMPLOYEE AND GROSSED. PART I, LINES 4B-C CONTINUED: ZUROB M.D., ADEL S. $30,482 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. BRUCE M.D., CHARLES J. CAVINESS M.D., JOHN N. FAUBION M.D., STEPHANIE S. FEHMI, RASHID A. LAL M.D., DEVYANI MEYER M.D., FREDRIC B. TANER M.D., BURCIN C. PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. A INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX ARIZONA 522038405 71884SAA8 2014-05-08 180000000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 B CITY OF JACKSONVILLE FLORIDA 596000344 469400BW4 2016-05-03 125000000 REFUND 2006 BONDS 0 0 0 C INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF PHOENIX ARIZONA 522038405 71884SAF7 2022-04-12 301900306 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 180002359 39404 911155 179051800 2015 0 0 1 1 B 125000000 125000000 2016 1 0 1 1 C 301914839 19216 1894882 300000000 742 0 0 0 1 A 0 0 0 1 0 0.01020 0.00020 0.01040 0 0 1 B 0 0 0 1 0 0.00110 0.00250 0.00360 0 0 1 C 0 0 0 0 0.00040 0.00020 0.00060 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 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. ANDERSON ALYSSA M FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M. 80653 EMPLOYMENT 0 ANDERSON MEGAN R FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M. 91201 EMPLOYMENT 0 ANIL STACI M FAMILY MEMBER OF DIRECTOR ANIL M.D., GOKHAN 31175 EMPLOYMENT 0 BAYRD DO MEGAN E FAMILY MEMBER OF KEY EMPLOYEE HORVATH M.D., PAUL R. 234474 EMPLOYMENT 0 BORTNEM BRIANNA M FAMILY MEMBER OF DIRECTOR BORTNEM, MARK A. 27168 EMPLOYMENT 0 BRUCE ALISON J FAMILY MEMBER OF DIRECTOR BRUCE M.D., CHARLES J. 584518 EMPLOYMENT 0 CADMAN KATHRYN A FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN 122014 EMPLOYMENT 0 CADMAN KAYLA M FAMILY MEMBER OF DIRECTOR CADMAN, BERWYN 88988 EMPLOYMENT 0 CHONG CATHERINE FAMILY MEMBER OF DIRECTOR CHONG M.D., BRIAN W. 174784 EMPLOYMENT 0 COOPER MD JANE H FAMILY MEMBER OF DIRECTOR COOPER M.D., LESLIE T. 151649 EMPLOYMENT 0 CRAIG MELINDA G FAMILY MEMBER OF DIRECTOR CRAIG, JASON E. 53367 EMPLOYMENT 0 ETZIONI MD SHIRI FAMILY MEMBER OF KEY EMPLOYEE ETZIONI M.D., DAVID A. 241133 EMPLOYMENT 0 FITZGERALD ROBIN L FAMILY MEMBER OF KEY EMPLOYEE FITZGERALD M.D., KEVIN 120854 EMPLOYMENT 0 FLOM MURPHY MELISSA A FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B. 59029 EMPLOYMENT 0 GALINDEZ BRENDA K FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER 133868 EMPLOYMENT 0 GREENFIELD CLAIRE A FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., DANIEL J. 71303 EMPLOYMENT 0 GRUBER LISA J FAMILY MEMBER OF DIRECTOR GRUBER, JOHN 44609 EMPLOYMENT 0 HARPER SARAH B FAMILY MEMBER OF DIRECTOR HARPER JR., M.D., CHARLES M. 116957 EMPLOYMENT 0 JUSTILIEN VERLINE FAMILY MEMBER OF DIRECTOR DUNN, AJANI N. 142216 EMPLOYMENT 0 LEGARE JENNIFER A FAMILY MEMBER OF DIRECTOR LEGARE, GREG 163721 EMPLOYMENT 0 MOLLING HEATHER M FAMILY MEMBER OF DIRECTOR MOLLING D.O., PAUL E. 110481 EMPLOYMENT 0 PHILLIPS MD TODD C FAMILY MEMBER OF KEY EMPLOYEE FALLER M.D., ANNETTE 468280 EMPLOYMENT 0 ROBARDS MD CHRISTOPHER B FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A. 635511 EMPLOYMENT 0 ROGERS NORA FAMILY MEMBER OF DIRECTOR ROGERS, JAMES A. 46061 EMPLOYMENT 0 TANER MD NILUFER FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C. 420215 EMPLOYMENT 0 THIELEN MD JACQUELINE M FAMILY MEMBER OF DIRECTOR THIELEN M.D., KENT R. 230739 EMPLOYMENT 0 UMPHREY GREGORY FAMILY MEMBER OF DIRECTOR PORTER M.D., ALYX B. 101431 EMPLOYMENT 0 VOSSBERG PATTI L FAMILY MEMBER OF DIRECTOR GROSS, TERA L. 142287 EMPLOYMENT 0 WILLIAMS MD LINDSY N FAMILY MEMBER OF KEY EMPLOYEE JANUS M.D., JEFFREY R. 297442 EMPLOYMENT 0 WOLD DEREK J FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K. 71371 EMPLOYMENT 0 WOLD INGRID Y FAMILY MEMBER OF KEY EMPLOYEE WHITE, PAMELA K. 98135 EMPLOYMENT 0 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. ACKERMAN, FRANKLIN K., ALBRIGHT JR., D.O., ROBERT C., ANIL M.D., GOKHAN, BECKER, JOHN, BELILES, GREGORY R., BERGERON-BOWE, MELISSA, BHAGRA M.D., SUMIT, BORTNEM, MARK A., BROWN M.D., MICHAEL J., BROWN, WILLIAM A., BRUCE M.D., CHARLES J., CAINE, NATALIE A., CASLER M.D., JOHN D., CHRISTOPHERSON, MARK, CIMA M.D., ROBERT R., COOPER M.D., LESLIE T., CRAIG, JASON E., CROCKETT, ERIC D., DAHLEN, DENNIS E., DALBELLO JR., ALBERT, DEVAULT M.D., KENNETH R., DIDEHBAN, ROSHANAK, 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., FAUBION M.D., WILLIAM A., FISHER D.O., LAURA A., FLATTUM, BETHANIE L., FONSECA M.D., RAFAEL, FORSTER M.D., JEREMY S., FRANCIS, JAMES R., GALINDEZ JR., PETER, GAZELKA M.D., HALENA M., GORES M.D., GREGORY J., GORMAN, PAUL A., GRAY M.D., RICHARD J., GROSS, TERA L., GULDEN, CHRISTOPHER R., HARA M.D., AMY K., HARPER JR., M.D., CHARLES M., HASSE, CHRISTOPHER H., HEBL M.D., JAMES R., HELMERS M.D., RICHARD A., HICKSON M.D., LATONYA J., HORST, ADAM M., HUBERT, SHERRY L., JELINEK, DIANE F., JOHNSON M.D., MARGARET M., JOHNSON, RYAN R., KAMLITZ M.D., KENDRA E., KASPER, JOHN, KENDRICK M.D., MICHAEL L., KRUMM, TARA L., KUEHL M.D., MARY J., LONG, AMY K., MABRY M.D., TAD M., MANIACI M.D., MICHAEL J., MCLAUGHLIN M.D., SARAH A., MEKALA, PRAVEEN, MELVIN, KEVIN B., MENKOSKY, PAULA E., MEYER M.D., FREDRIC B., MORICE M.D., WILLIAM G., MORRIS M.D., MARIE E., MURPHY, JOSHUA B., ODENIGBO M.D., CELESTINE, OTLEY M.D., CLARK C., PATEL M.B., TUSHAR C., PAUL, TRAVIS C., PRITT M.D., BOBBI S., QUINONES-HINOJOSA M.D., ALFREDO, RIGDON, ALICE W., 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., VALLOW M.D., LAURA A., 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., WILSON, JAMES D., WOMER, DOUGLAS X., ZORN, CHRISTINA K., THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR KEY EMPLOYEES OF MCHS-FRANCISCAN MEDICAL CENTER AND HAVE A BUSINESS RELATIONSHIP: BINSFELD, MATT BORSHEIM, PAUL MATHY, SCOTT THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR KEY EMPLOYEES OF MCHS-AUSTIN FOUNDATION AND HAVE A BUSINESS RELATIONSHIP: KEENAN M.D., LAWRENCE R. KING, MICHELLE 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. 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 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 363,175,998. MANAGEMENT AND GENERAL EXPENSES 25,418,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 388,594,873. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 540,962,458. MANAGEMENT AND GENERAL EXPENSES 354,457,999. FUNDRAISING EXPENSES 1,580. TOTAL EXPENSES 895,422,037. FORM 990, PART XI, LINE 9: PENSION-POST RETIREMENT (PER FASB A 50,609,717. 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. 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