2025-11-14T10:04:29-06:00 2024-12-31 990 2024-01-01 383952644 MAYO CLINIC GROUP RETURN MAYO 5075381297 PO BOX 4007 ROCHESTER MN 559034007 DENNIS E DAHLEN CFO 5075381297 2025-11-14 1 2024 2025-03-06 01:10:19Z X GIANRICO FARRUGIA MD PO BOX 4007 ROCHESTER MN 559034007 14918955280 1 1 5983 X WWW.MAYOCLINIC.ORG X PATIENT CARE, MEDICAL RESEARCH AND MEDICAL EDUCATION X 186 47 65470 3122 76733427 12835320 1065801036 760981484 12655320958 13859193561 83153486 127719946 166469310 143563281 13970744790 14891458272 2289344895 1672735071 0 0 5897793617 6424890223 0 0 3149124 5591821490 6227518506 13778960002 14325143800 191784788 566314472 17746970382 17859698606 9687931325 9183760893 8059039057 8675937713 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 11475243483 1636513376 13501093400 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 40 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, 3 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 4,174 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 2024 EXCEEDED ONE MILLION PATIENTS. IN ADDITION, HOUSING FOR THE ELDERLY IS PROVIDED THROUGH THE OPERATION OF 4 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 2024, THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $317,559,178. THE AGGREGATE COST OF UNCOMPENSATED CARE PROVIDED TO PATIENTS THROUGH MEDICARE WAS APPROXIMATELY $1,323,794,016. FINANCIAL ASSISTANCE (AT COST) PROVIDED TO PATIENTS IN 2024 ON A COMBINED BASIS WAS APPROXIMATELY $87,322,825.THE SUBORDINATES RECEIVED DONATED SERVICES FROM APPROXIMATELY 3,122 COMMUNITY VOLUNTEERS, WHO PROVIDED APPROXIMATELY 262,450 HOURS OF SERVICE IN 2024, VALUED AT APPROXIMATELY $9,130,638 BASED ON THE INDEPENDENT SECTOR'S AVERAGE ESTIMATED HOURLY VALUE OF SUCH SERVICES. 324006853 28541447 880788 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 THE 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. 196322073 196322073 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 CONDUCT THEIR EXEMPT FUNCTIONS BY REDUCING COSTS, HAVING STANDARDIZED PRACTICES AND PROCEDURES, AND CREATING ECONOMIES OF SCALE. 197086693 7680248 228758225 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. 197086693 7680248 228758225 12192659102 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 1 0 1 1 1 1 0 0 1 5581 0 1 65470 1 1 1 1 MX 0 0 0 0 0 0 0 0 0 0 X 186 47 1 1 1 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 0 1 1 FL CA KY MN AL WA AZ NY NJ WI X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 FARRUGIA MD GIANRICO DIRECTOR/CEO/PRESIDENT 40.00 0.00 X X X 4822235 0 65861 THIELEN MD KENT R DIRECTOR/CHAIR/CEO FL 40.00 0.00 X X X 3113840 0 92959 GRAY MD RICHARD J DIR/CHAIR/CEO AZ/FORMER KEY 40.00 0.00 X X X 3110824 0 91199 WILLIAMS MD AMY W DIR/VICE CHAIR/EXEC DEAN OF PRACTICE 40.00 0.00 X X X 2299102 0 29667 ZORN CHRISTINA K DIR/CAO/FORMER OFFICER 40.00 0.00 X X X 2087648 0 81916 DAHLEN DENNIS E DIRECTOR/VP/FORMER OFFICER 40.00 0.00 X X 1888039 0 102215 PHAM MD SI M PHYSICIAN 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1.00 40.00 X X 0 298741 49810 WOLF SHERRY L DIRECTOR 40.00 0.00 X 290146 0 55970 FALLER MD ANNETTE PHYSICIAN 40.00 0.00 X 300630 0 34796 LEBRASSEUR NATHAN K DIRECTOR 1.00 40.00 X 0 271065 61665 LEHMAN LINDSEY M DIRECTOR 1.00 40.00 X 0 305606 24241 GROSS TERA L DIRECTOR 40.00 0.00 X 270020 0 52968 CLUNE MD CAROLINE G FORMER KEY EMPLOYEE 40.00 0.00 X 273475 0 47056 DEGEN SUSANNE C DIR/VICE CHAIR-ADMIN 40.00 0.00 X X 298566 0 21482 HANSON VICTORIA M FORMER KEY EMPLOYEE 40.00 0.00 X 261943 0 57356 COGNETTA-RIEKE CHERISTI M FORMER KEY EMPLOYEE 1.00 40.00 X 123439 147844 39282 JANSSEN JAMES J ASST TREASURER 40.00 0.00 X 251122 0 58599 DAVIS AMY L FORMER OFFICER 0.00 40.00 X 0 260566 47423 EIDE DEAN B DIR/VICE CHAIR-ADMIN 40.00 0.00 X X 259217 0 46707 CAPLAN SHERRY M VICE CHAIR-ADMINISTRATION 40.00 0.00 X 260347 0 45069 SMITH CHUCK J ASST TREASURER 40.00 0.00 X 240668 0 60263 LANZ APRIL D VICE CHAIR-ADMINISTRATION 40.00 0.00 X 240539 0 51066 FLATTUM BETHANIE L TREAS/VICE CHAIR - ADMIN 40.00 0.00 X X 239766 0 51118 NORDRUM CHARLOTTE J FORMER OFFICER 40.00 0.00 X 226476 0 63797 TRADEWELL MATTHEW W VICE CHAIR - ADMINISTRATION 40.00 0.00 X 242008 0 47696 EBERLE MICHELE R DIR/VP/SECY/VICE CHAIR-ADMIN 40.00 0.00 X X 248128 0 41084 MCCONNELL LISA A DIRECTOR 40.00 0.00 X 236891 0 50212 MURPHY MARIALENA DIRECTOR 40.00 0.00 X 227020 0 59082 MARTIN-KRAJEWSKI CARIE A VICE CHAIR-ADMINISTRATION 40.00 0.00 X 247838 0 33048 ARCHER LISA M CHIEF NURSING OFFICER MCHS 40.00 0.00 X 237378 0 43042 JOHNSON CARLA J FORMER OFFICER 40.00 0.00 X 234076 0 45788 DRUCKER PAUL E DIRECTOR/CEO/PRESIDENT 1.00 40.00 X X 0 213840 57821 HOWIE GORDON C FORMER KEY EMPLOYEE 40.00 0.00 X 224498 0 46427 RUSTAD CHRISTOPHER D DIR/SECY/TREAS/FORMER OFFICER 1.00 40.00 X X 0 228334 41547 KEILMAN DENA R CHIEF NURSING OFFICER-MCHS 40.00 0.00 X 221002 0 48441 MATTHIAS MARK A FORMER OFFICER 40.00 0.00 X 228582 0 34927 LONG AMY K DIRECTOR 40.00 0.00 X 217644 0 42672 FINNEMAN KILLINGER KAREN A FORMER KEY EMPLOYEE 40.00 0.00 X 210792 0 46139 LANZEL TRICIA G FORMER OFFICER 40.00 0.00 X 208325 0 47988 BUCHHOLTZ KELLY M CHIEF NURSING OFFICER 40.00 0.00 X 209279 0 44635 KORDUCKI MD JANE M FORMER KEY EMPLOYEE 40.00 0.00 X 204896 0 47012 WHITED MD BRIAN L FORMER OFFICER 40.00 0.00 X 170699 0 76069 KUEHL MD MARY J DIRECTOR/VICE CHAIR 40.00 0.00 X X 195605 0 46864 MEYER TIA J FORMER KEY EMPLOYEE 40.00 0.00 X 197289 0 32555 KUJAK-COON HEATHER FORMER KEY EMPLOYEE 40.00 0.00 X 178338 0 45213 GULDEN CHRISTOPHER R SECY 40.00 0.00 X 190934 0 31643 BOYUM LISA L TREASURER 40.00 0.00 X 181642 0 38197 BELILES GREGORY R FORMER OFFICER 40.00 0.00 X 171053 0 39804 DEXTER MD DONN D FORMER KEY EMPLOYEE 40.00 0.00 X 125789 0 0 CHRISTOPHERSON MARK FORMER OFFICER 40.00 0.00 X 174324 0 26596 BIKKANI ABHI ASST SECY 40.00 0.00 X 175158 0 25377 ABILDGAARD SCOTT S DIRECTOR 40.00 0.00 X 154971 0 41635 BROWN WILLIAM A ASST TREASURER 40.00 0.00 X 166058 0 30432 FEHMI RASHID A FORMER OFFICER 40.00 0.00 X 152520 0 41067 FENNELL THOMAS J ASST SECY 40.00 0.00 X 152860 0 39194 KRUMM TARA L DIRECTOR/SECY/TREAS 40.00 0.00 X X 134092 0 46245 BARTELT JENNIFER M DIRECTOR/SECRETARY 1.00 40.00 X X 44410 99352 34904 NOWICKI JESSICA H DIRECTOR 40.00 0.00 X 135509 0 40160 HANSEN JULIE S FORMER OFFICER 40.00 0.00 X 153814 0 12000 BERG DAVID W FORMER KEY EMPLOYEE 40.00 0.00 X 139784 0 33173 DALBELLO JR ALBERT DIRECTOR/SECRETARY 40.00 0.00 X X 117259 0 27274 SWENSON LAURA L FORMER KEY EMPLOYEE 1.00 40.00 X 13620 88812 23879 JOHNSON MD DANIEL J FORMER KEY EMPLOYEE 40.00 0.00 X 114239 0 9531 BYRD MD JANE D FORMER OFFICER 0.00 40.00 X 118034 0 5 EDWARDS MD BROOKS S DIRECTOR 1.00 40.00 X 58865 1007 0 MCNEILL STEVEN L FORMER KEY EMPLOYEE 40.00 0.00 X 132100 0 12000 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 BEYER JESSICA DIRECTOR 1.00 0.00 X 0 0 0 BINSFELD MATT DIRECTOR 1.00 0.00 X 0 0 0 BORSHEIM PAUL DIRECTOR 1.00 0.00 X 0 0 0 BOSSE PATTY DIRECTOR 1.00 0.00 X 0 0 0 BRANSTAD PAT 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 DURAND KATHIE DIRECTOR 1.00 0.00 X 0 0 0 GROVE MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 HALOM MARTIN DIRECTOR 1.00 0.00 X 0 0 0 HANSEN MARK DIRECTOR 1.00 0.00 X 0 0 0 HEIL STEVEN DIRECTOR 1.00 0.00 X 0 0 0 JOHNSON HOLLY DIRECTOR/VICE PRESIDENT 1.00 0.00 X X 0 0 0 KASPER JOHN DIRECTOR 1.00 0.00 X 0 0 0 KUNSMAN JUSTIN DIRECTOR 1.00 0.00 X 0 0 0 LEGARE GREG DIRECTOR 1.00 0.00 X 0 0 0 MARTIN DOUG DIRECTOR 1.00 0.00 X 0 0 0 MATHY SCOTT DIRECTOR 1.00 0.00 X 0 0 0 MCGRATH CINDY DIRECTOR 1.00 0.00 X 0 0 0 MCGRAW COLLEEN DIRECTOR 1.00 0.00 X 0 0 0 MILOW JOSH DIRECTOR 1.00 0.00 X 0 0 0 MOMMSEN HUGH DIRECTOR 1.00 0.00 X 0 0 0 NIBAUR MARK DIRECTOR 1.00 0.00 X 0 0 0 NOTERMANN AMY 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 PERRY MICHAEL DIRECTOR 1.00 0.00 X 0 0 0 RIEBE DANIEL DIRECTOR 1.00 0.00 X 0 0 0 SANCHEZ DAISEY 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 SEVCIK CHERA 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 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/SECY 1.00 0.00 X X 0 0 0 WILSON MELISSA DIRECTOR/SECY 1.00 0.00 X X 0 0 0 YOUNG DDS RICHARD B DIRECTOR/PRESIDENT 1.00 0.00 X X 0 0 0 ZELAYA NIDIA DIRECTOR 1.00 0.00 X 0 0 0 ZWIEFELHOFER KELSEY A DIRECTOR 1.00 0.00 X 0 0 0 116185047 27149327 14131454 15526 1 1 0 KNUTSON CONSTRUCTION SERVICES ROCHESTER 5985 BANDEL RD NW ROCHESTER MN 55901 CONSTRUCTION SERVICES 186579848 THE ROBINS AND MORTON GROUP 5021 CARDINAL ST TRUSSVILLE AL 55486 CONSTRUCTION SERVICES 179393707 RIGHT SOURCING INC 2 EXECUTIVE CIRCLE STE 210 IRVINE CA 92614 WORKFORCE SUPPORT SERVICES 156080635 MORRISON MANAGEMENT SPECIALISTS 400 NORTHRIDGE RD STE 600 SANDY SPRINGS GA 30350 FOOD SERVICES 101570158 DPR CONSTRUCTION A GENERAL PARTNERSHIP 1450 VETERANS BLVD REDWOOD CITY CA 94063 CONSTRUCTION SERVICES 57897867 1658 17777 534860959 152019361 74083387 760981484 NET PATIENT REVENUE 620000 13433232475 13424334660 8897815 NET SHARED SERVICES 561000 196322073 196322073 ROYALTY REVENUE 541900 188345602 188345602 EDUCATION REVENUE 611600 40412623 40412623 RESEARCH REVENUE 541700 880788 720915 159873 13859193561 131058636 131058636 2808 2808 4285968 1021238 1197913 0 3088055 1021238 4109293 1021238 3088055 5156436 11606144 6722800 13381278 -1566364 -1775134 -3341498 -3341498 11684174 6195017 5489157 3188052 2301105 MISC. REVENUE 900099 51127991 25686716 25220782 220493 MISC. CONSULTING 541610 46049432 7148891 37404017 1496524 CAFETERIA/VENDING 722310 34059174 34059174 2728234 966144 841650 920440 133964831 14891458272 13917996798 76733427 135746563 1663535132 1663535132 7951719 7951719 1248220 1248220 101070360 52377552 48019347 673461 27958406 25141481 2816925 4818436741 3932778211 884335229 1323301 187850936 148221077 39505702 124157 920607269 744406633 175872324 328312 368966511 304058250 64769497 138764 15406101 2309237 13096864 3243523 846042 2397481 2205210 2181859 23351 133134 39393 93741 952376728 529140246 423232608 3874 8262391 6998539 1263852 1203518763 1110436850 92847142 234771 153625166 20135122 133490044 55778491 723030 55055461 191846828 129580300 62266528 61966477 50609582 11113125 243770 6469446 4162345 2306204 897 127527311 107768759 19758552 494813175 416905612 77907563 43246764 42092762 1154002 MEDICAL SUPPLIES 2518194958 2518194958 BAD DEBT EXPENSE 167237036 167226242 10794 UNRELATED BUSINESS TAX 1362445 779413 583032 MEDICAID SURCHARGE 88673787 88669312 4475 131630772 114141224 17411731 77817 14325143800 12192659102 2129335574 3149124 898333805 955232028 1869471 1895194 194000300 171797371 1850707594 1989840679 209415586 219087688 219355183 235093174 191003346 205451298 10749063158 5350281545 4844269613 5398781613 469717558 557424552 1235710928 1438826099 613361 613361 7631973637 6685655549 17746970382 17859698606 2847308531 3083286119 51974448 85116818 607299499 607245156 31006987 31667800 66940926 65500156 6083400934 5310944844 9687931325 9183760893 X 7215158213 7696037841 843880844 979899872 8059039057 8675937713 17746970382 17859698606 X 566314472 34906145 15678039 X X 0 1 X 1 1 1 X 1 MCHS-SOUTHEAST MINNESOTA REGION 411404075 3 1 5716 0 1 5716 0 206236779 483384865 366056156 462872395 267559177 1786109372 206236779 483384865 366056156 462872395 267559177 1786109372 135213557 1650895815 20219184 34277745 15312280 14843965 24488008 109141182 3079355 1074302 19116 130912 708261 5011946 1900262500 4217972748 0.86880 0.87530 X PART I: REASON FOR PUBLIC CHARITY STATUS 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 RECEIVE 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 (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 ORGANIZATIONS DESCRIBED IN 509(A)(2) SECTION A. PUBLIC SUPPORT CALENDAR YEAR (B) 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 (B) 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 (C) 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 LINE 8: 2,330,655,578 SECTION B. TOTAL SUPPORT CALENDAR YEAR (C) 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 (D) 2022 LINE 1: 12,682,799 LINE 2: 2,378,202,265 LINE 3: 11,894 LINE 4: 0 LINE 5: 0 LINE 6: 2,390,896,958 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,390,896,958 SECTION B. TOTAL SUPPORT CALENDAR YEAR (D) 2022 LINE 9: 2,390,896,958 LINE 10A: 29,104,787 LINE 10B: 0 LINE 10C: 29,104,787 LINE 11: 0 LINE 12: 0 LINE 13: 2,420,001,745 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2023 LINE 1: 281,331,665 LINE 2: 2,501,750,847 LINE 3: 434,802 LINE 4: 0 LINE 5: 0 LINE 6: 2,783,517,314 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,783,517,314 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2023 LINE 9: 2,783,517,314 LINE 10A: 43,864,568 LINE 10B: 0 LINE 10C: 43,864,568 LINE 11: 0 LINE 12: 0 LINE 13: 2,827,381,882 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (E) 2024 LINE 1: 65,516,586 LINE 2: 2,724,656,396 LINE 3: 6,521 LINE 4: 0 LINE 5: 0 LINE 6: 2,790,179,503 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 2,790,179,503 SECTION B. TOTAL SUPPORT CALENDAR YEAR (E) 2024 LINE 9: 2,790,179,503 LINE 10A: 55,565,246 LINE 10B: 0 LINE 10C: 55,565,246 LINE 11: 0 LINE 12: 0 LINE 13: 2,845,744,749 SECTION A. PUBLIC SUPPORT CALENDAR YEAR (F) TOTAL LINE 1: 365,326,679 LINE 2: 11,935,422,272 LINE 3: 520,810 LINE 4: 0 LINE 5: 0 LINE 6: 12,301,269,761 LINE 7A: 0 LINE 7B: 0 LINE 7C: 0 LINE 8: 12,301,269,761 SECTION B. TOTAL SUPPORT CALENDAR YEAR (F) TOTAL LINE 9: 12,301,269,761 LINE 10A: 160,314,169 LINE 10B: 8,258,477 LINE 10C: 168,572,646 LINE 11: 0 LINE 12: 0 LINE 13: 12,469,842,407 LINE 15 PUBLIC SUPPORT PERCENTAGE FOR 2024: 98.65% LINE 16 PUBLIC SUPPORT PERCENTAGE FOR 2023: 98.72% LINE 17 INVESTMENT INCOME PERCENTAGE FOR 2024: 1.35% LINE 18 INVESTMENT INCOME PERCENTAGE FOR 2023: 1.28% 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 1825804 1 1 379406 2205210 0 PART II-B, LINE 1: DURING 2024, 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 2024, 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 2024, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES ON BEHALF OF MAYO CLINIC (THE PARENT ORGANIZATION) WHICH ARE INCLUDED IN THIS FORM 990 ARE $1,350,850. 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 0 0 0 0 1 X 782603503 6989079 79893721 37211056 832275247 741288232 7306512 66169941 32161182 782603503 821928557 14433807 -74772907 20301225 741288232 668818281 17295453 160134563 24319740 821928557 581677751 15205665 88044445 16109580 668818281 0.38470 0.39030 0.22500 0 1 1 347827174 347827174 6405608082 3180717533 3224890549 27089543 13251210 13838333 3149489911 2156312802 993177109 819048448 819048448 5398781613 MAYO POOLED INVESTMENTS 1412834338 F QUALIFIED PENSION PLAN 25991761 F 1438826099 DUE FROM AFFILIATES 6407826061 ART 420000 CONTRIBUTED ASSETS PENDING DISPOSAL 1551667 GIFT ANNUITIES 126144474 OTHER LONG TERM ASSETS 73375365 TRUSTS 8032353 TECH BASED VENTURES 66310776 BOND RELATED INVESTMENTS 718 ASSETS HELD BY TRUSTEES -32378 RELOCATION HOUSES 2026513 6685655549 DUE TO AFFILIATES 5310944844 5310944844 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, 2024 AND 2023, 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 31 TRAVEL 31014 EAST ASIA AND THE PACIFIC 0 85 TRAVEL 546596 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 363 TRAVEL 1102379 MIDDLE EAST AND NORTH AFRICA 0 20 TRAVEL 147741 NORTH AMERICA 0 122 TRAVEL 75873 RUSSIA AND THE NEIGHBORING STATES 0 0 TRAVEL SOUTH AMERICA 0 45 TRAVEL 198442 SOUTH ASIA 0 23 TRAVEL 128594 SUB-SAHARAN AFRICA 0 7 TRAVEL 34307 MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES PATIENT CARE 9518 NORTH AMERICA 1 1 PROGRAM SERVICES ARRANGE APPOINTMENTS, TRAVEL, ETC 370051 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 14599885 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 3393159 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 244910 NORTH AMERICA 0 0 INVESTMENTS 200000 SOUTH ASIA 0 0 INVESTMENTS 200000 0 0 0 0 0 0 0 0 0 0 0 0 0 689 1 9 1 698 2230639 19051830 21282469 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARDS 32400 CHECK, ELECTRONIC 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARDS 3195 CHECK, ELECTRONIC 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARDS 11331 CHECK, ELECTRONIC 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARDS 178121 CHECK, ELECTRONIC 0 EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARDS 35758 CHECK, ELECTRONIC 0 EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARDS 460338 CHECK, ELECTRONIC 0 EUROPE (INCLUDING ICELAND AND GREENLAND) RESEARCH SUBAWARDS 35718 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 34099 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 59635 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 70602 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 1590 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 2100 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 5195 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 31140 CHECK, ELECTRONIC 0 MIDDLE EAST AND NORTH AFRICA RESEARCH SUBAWARDS 80000 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 40690 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 1625 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 49395 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 5595 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 10355 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 84418 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 14720 CHECK, ELECTRONIC 0 NORTH AMERICA RESEARCH SUBAWARDS 200 CHECK, ELECTRONIC 0 0 23 1 0 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 IV - FILING OF CERTAIN FOREIGN FORMS DISCLOSURE STATEMENT RELATED TO FORMS 5713: FOR TAX YEAR 2024, FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO COLLABORATIVE SERVICES, INC (EIN: 41-1346366) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) MAYO CLINIC ARIZONA (EIN: 86-0800150) 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 SATISIFIED 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 5471 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 87322768 87322768 0.00620 807764972 490206162 317558810 0.02240 895087740 490206162 404881578 0.02860 5295566 1224 5294342 0.00040 203942001 34403151 169538850 0.01200 391735877 214961518 176774359 0.01250 323954212 208282416 115671796 0.00820 5981167 5981167 0.00040 930908823 457648309 473260514 0.03350 1825996563 947854471 878142092 0.06210 500450 500450 0.00000 316956 316956 0.00000 28000 28000 0.00000 148043 148043 0.00000 321811 321811 0.00000 1315260 1315260 0.00000 0 167237036 66999916 2236907685 2672866191 -435958506 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 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 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 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 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 2022, MCHS IN MANKATO (MCHS-MANKATO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHADDRESSING SOCIAL DETERMINANTS OF HEALTHIN 2024, MCHS-MANKATO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING PREVENTATIVE EFFORTS, MCHS-MANKATO: HAD A LICENSED INDEPENDENT CLINICAL SOCIAL WORKER PRESENT ON CHILDHOOD MENTAL HEALTH DISORDERS FOR YMCA STAFF WORKING WITH SUMMER YOUTH PROGRAMS AND THINGS THEY COULD DO AS STAFF TO SUPPORT THESE YOUTH. PROVIDED STAFF REPRESENTATION ON BI-WEEKLY MANKATO SUICIDE PREVENTION COALITION COMMUNITY MEETINGS. REPRESENTATIVES INCLUDED STAFF FROM PSYCHIATRY, PSYCHOLOGY AND COMMUNITY RELATIONS.PROVIDED STAFF REPRESENTATION FOR MONTHLY MENTAL HEALTH RESOURCE HUB COMMUNITY MEETINGS TO DEVELOP CONTENT AND INFORMATION FOR ONLINE HUB IN PARTNERSHIP WITH MINNESOTA STATE UNIVERSITY MANKATO, CENTER FOR RURAL BEHAVIORAL HEALTH. REPRESENTATIVES INCLUDED STAFF FROM PSYCHIATRY, PSYCHOLOGY AND COMMUNITY RELATIONS. COSTS INCLUDED $3,800 TO HELP WITH MARKETING, PRINTING AND DESIGN COSTS TO BUILD COMMUNITY AWARNESS OF THE WEBSITE. HAD A PSYCHIATRIST PRESENT TO 40 OLDER ADULTS AT VINE FAITH IN ACTION ON THE TOPIC OF HOARDING AND MENTAL HEALTH.PROVIDED $50,000 FOR MANKATO YOUTH PLACE MENTAL HEALTH INITAITIVE TO HAVE ON-SITE MENTAL HEALTH SUPPORT AND RESOURCES FOR CHILDREN AND THEIR FAMILIES.HAD A SLEEP MEDICINE PHYSICIAN PRESENT TO 40 OLDER ADULTS AT VINE FAITH IN ACTION ON THE TOPIC OF SLEEP.CONTRIBUTED $12,500 IN FUNDING SUPPORT TO HAVE MENTAL HEALTH NAVIGATOR POSITION WITHIN MANKATO AREA PUBLIC SCHOOLS.CONDUCTED REGIONAL CAMP OZ GRIEF CAMP FOR 42 KIDS WHO HAVE EXPERIENCED THE DEATH OF SOMEONE IN THEIR LIFE WITH 37 MAYO CLINIC HEALTH SYSTEM AND COMMUNITY VOLUNTEERS.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE IN COLLABORATION WITH CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA.PARTICIPATED IN THE MAC INITIATIVE, AN ORGANIZATION THAT ASSISTS PARENTS WHO NEED MENTAL HEALTH SERVICES AFTER AN INFANT LOSS. THE PROGRAM PROVIDES FREE SESSIONS FOR BEREAVEMENT COUNSELING WITH A MAYO CLINIC HEALTH SYSTEM SOCIAL WORKER. HAD A PSYCHOLOGIST AND TWO PSYCHOLOGY NURSES PARTICIPATE IN A STUDENT MENTAL HEALTH EVENT AT MANKATO WEST HIGH SCHOOL.PROVIDED A $25,000 PLANNING GRANT FOR CHILDREN'S CRISIS RESIDENTIAL SERVICES IN SOUTH CENTRAL MINNESOTA. OFFERED MONTHLY CANCER SUPPORT GROUP PROVIDING CANCER-RELATED EDUCATION AND SUPPORT FOR PATIENTS AND THEIR CAREGIVERS.COLLABORATED WITH MANKATO AREA PUBLIC SCHOOLS TO HOST WELLNESS WEEK WITH 10 ELEMENTARY SCHOOLS TO REINFORCE HEALTHY HABITS AT SCHOOL AND HOME. DONATED OVER 4,000 WELL-BEING BACKPACK TAGS.CONTINUED JOURNEY TO WELLNESS, A FREE YEAR-LONG, VIRTUAL, SELF-GUIDED PROGRAM DESIGNED TO HELP MAKE THE WELLNESS JOURNEY EASIER. ALL NEW TOPICS WERE DEVELOPED FOR 2024. THERE WERE 3,500 PROGRAM PARTICIPANTS IN SOUTHWEST MINNESOTA. THE PROGRAM IS OFFERED THROUGHOUT MAYO CLINIC HEALTH SYSTEM.PROVIDED OVER $70,000 TO 19 ORGANIZATIONS IMPACTING MENTAL WELL-BEING IN OUR COMMUNITY THROUGH HOMETOWN HEALTH GRANTS. EXAMPLES INCLUDE: YWCA MANKATO, ONE BRIGHT STAR, JZ CANCER FUND, AND LAKE CRYSTAL AREA RECREATION CENTER. ADDRESSING SOCIAL DETERMINANTS OF HEALTH: TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITIES THAT ARE CAUSING HEALTH DISPARITIES, MCHS-MANKATO:ENGAGED WITH PLANNING COMMITTEE FOR ST. PETER COMMUNITY THREAD EVENTS TO HELP HISPANIC AND SOMALI FAMILIES FEEL MORE WELCOME AND LEARN MORE ABOUT THE ST. PETER COMMUNITY. PROVIDED $10,000 IN FUNDING TO FEEDING OUR COMMUNITIES PARTNERS FOR THEIR STOMP SUMMER FEEDING PROGRAM. MCHS STAFF ALSO PROVIDED 120 HOURS OF VOLUNTEER TIME FOR WEEKLY FOOD DISTRIBUTION AT WASHINGTON ELEMENTARY AND MONTHLY FOOD PACKING SESSIONS DURING THE SCHOOL YEAR.FURNISHED $10,000 IN FUNDING TO ECHO FOOD SHELF FOR THANKSGIVING MEAL DISTRIBUTION SPONSORSHIP. ALSO PROVIDED 65 HOURS OF MCHS STAFF VOLUNTEER TIME AT THIS THANKSGIVING DINNER DISTRIBUTION EVENT.PARTICIPAED IN MANKATO AREA PUBLIC SCHOOLS SUBSTANCE USE PREVENTION EVENTS FOR 7TH AND 8TH GRADERS AT BOTH MIDDLE SCHOOLS IMPACTING 1,200 STUDENTS. COLLABORATED WITH 6 OTHER ORGANIZATIONS TO ADMINISTER THE EVENTS FOR STUDENTS. SPONSORED THE MINNESOTA STATE UNIVERSITY MANKATO HEALTH & BIOMEDICAL SCIENCES SUMMIT AND HAD FOUR STAFF PRESENT DURING THE SUMMIT TO ADDRESS SOCIAL DETERMINANTS OF HEALTH.SPONSORED AND HAD A PRESENCE AT MANKATO AND NICOLLET COUNTY PROJECT COMMUNITY CONNECT - EVENTS TO CONNECT UNDERSERVED POPULATIONS WITH COMMUNITY RESOURCES. FOR MANKATO EVENT, MCHS BROUGHT MOBILE HEALTH CLINIC AND PARTNERED WITH SAGE TO OFFER CERVICAL CANCER SCREENINGS AND SCHEDULE SAME-DAY MAMMOGRAMS. MCHS PROVIDED PREVENTATIVE HEALTH INFORMATION AND BLOOD PRESSURE SCREENINGS AT BOTH EVENTS. NICOLLET COUNTY EVENT HAD OVER 200 ATTENDEES. MANKATO EVENT HAD OVER 500 ATTENDEES. 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 A REFRIGERATOR WITH HARVESTED PRODUCE. COMMUNITY PARTNERS INCLUDED UNIVERSITY OF MN EXTENSION AND SOUTH-CENTRAL FOOD RECOVERY. UTILIZED HEALTH EQUITY COORDINATOR TO HELP CONNECT PATIENTS WITH IDENTIFIED SOCIAL DETERMINANTS OF HEALTH TO COMMUNITY RESOURCES. HEALTH EQUITY COORDINATOR REFERRED 472 PATIENTS TO COMMUNITY RESOURCES IN THE DOMAINS OF FOOD INSECURITY, TRANPORTATION, HOUSING AND UTILITIES. DURING 2024, HEALTH EQUITY COORDINATION BEGAN UTILIZING COMPASS ROSE, AN EPIC CARE MANAGEMENT TOOL THAT ALLOWS FOR TARGETED OUTREACH ACROSS A WIDER GEOGRAPHIC AREA, MORE EFFICIENT TRACKING OF SOCIAL DETERMINANTS OF HEALTH DATA, IMPROVED MANAGEMENT OF EACH PATIENT'S SOCIAL DETERMINANTS OF HEALTH CONCERNS AND RELATED REFERRALS THROUGH FINDHELP. USAGE OF COMPASS ROSE INCREASED SOCIAL DETERMINANTS OF HEALTH OUTREACH TO INTERESTED PATIENTS BY 71% FROM 2023 TO 2024.UTILIZED THREE MAYO CLINIC HEALTH SYSTEM EMPLOYED COMMUNITY HEALTH WORKERS TO FOCUS ON THE SOMALI AND HISPANIC COMMUNITIES AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.FACILITATED MANKATO AREA HEALTHY COMMUNITY PARTNERSHIP COLLABORATIVE THAT IS FOCUSED ON IMPROVING HEALTH EQUITY AND MAPPING COMMUNITY ASSETS IN OUR REGION. THE GROUP MEETS BI-MONTHLY.PAID REMAINING $50,000 CAPITAL CAMPAIGN GIFT TO MANKATO YOUTH PLACE WHICH SERVES AT-RISK YOUTH IN OUR COMMUNITY. PROVIDED GUIDANCE AND INSIGHT TO THE GREATER MANKATO INCLUSIVITY STUDY PROJECT FOR BLUE EARTH AND NICOLLET COUNTY TO IDENTIFY CRITICAL THEMES IN COMMUNITY PERCEPTIONS AND EXPERIENCES SURROUNDING EQUITY, DIVERSITY, INCLUSIVITY AND BELONGING IN THIS AREA. PROVIDED FREE, INDOOR WALKING ROUTES - MAYO MILE - AT RIVER HILLS MALL AND MCHS EVENT CENTER.COORDINATED A HOLIDAY SHARING TREE DRIVE TO GIVE GIFTS TO THOSE IN NEED. HOSTED FOUR FAMILY MEDICINE ADVISORY COMMITTEE MEETINGS TO HEAR FROM COMMUNITY ABOUT HEALTH DISPARTITIES, BARRIERS AND POSSIBLE SOLUTIONS TO IMPROVE HEALTHCARE OUTCOMES, BARRIERS AND ACCESSIBILITY. PROVIDED LUNCH TO ALL COMMUNITY ATTENDEES.INTEGRATED ORAL HEALTH CLINIC AT EASTRIDGE CLINIC TO REDUCE TRANSPORTATION BARRIERS FOR FAMILIES. PARTNERED WITH MINNESOTA STATE UNIVERSITY, MANKATO DENTAL HYGIENCE PROGRAM TO PROVIDE SERVICES. SAW OVER 300 PATIENTS - PROVIDED 268 FLOURIDE VARNISH AND 195 CLEANING VISITS. PROVIDED STAFF REPRESENTATION ON THE FOLLOWING NONPROFIT BOARDS OR COALITIONS: FEEDING OUR COMMUNITIES PARTNERS, GREATER MANKATO AREA UNITED WAY, OPEN DOOR HEALTH CENTER, CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA, ECHO FOOD SHELF, CADA, ST. PETER FREE CLINIC, YWCA MANKATO, CONNECTIONS SHELTER, CHILD AND FAMILY ADVOCACY CENTER, PARTNERS FOR HOUSING, AND MANKATO YOUTH PLACE.CONTRIBUTED MCHS STAFF TIME (1 HOUR PER MONTH, 2 MCHS STAFF INVOLVED) TO THE C2DREAM RESEARCH PROJECT TO LOWER HYPERTENSION IN SOMALI POPULATION. PARTNERED WITH WELLSHARE INTERNATIONAL AND COUNTY PUBLIC HEALTH FOR THE PROJECT.PROVIDED OVER $116,000 TO 23 ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITY. EXAMPLES INCLUDE: CONNECTIONS SHELTER, CADA, PARTNERS FOR HOUSING, WELLSHARE INTERNATIONAL AND MINNESOTA VALLEY ACTION COUNCIL.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WERE HEALTHCARE ACCESS, SUBSTANCE ABUSE AND CHRONIC DISEASE. THESE NEEDS WILL BE ADDRESSED PARTLY THROUGH OUR PRIORITIZED NEEDS, MENTAL HEALTH AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, BUT GIVEN LIMITED RESOURCES AND OTHER ORGANIZATIONS WORKING TO ADDRESS THESE NEEDS THEY WILL NOT BE ADDRESSED BY MCHS-MANKATO. 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 2022, MCHS IN FAIRMONT (MCHS-FAIRMONT) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHADDRESSING SOCIAL DETERMINANTS OF HEALTHIN 2024, 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: HAD TWO STAFF PARTICIPATE AS MEMBERS OF THE MARTIN AND FAIRBAULT COUNTY COMMUNITY HEALTH COALITION WHICH ADDRESSES MENTAL HEALTH AND ADVERSE CHILDHOOD EXPERIENCES. PROVIDED $20,000 TO BRAVO ZULU HOUSE CAPITAL CAMPAIGN. BRAVO ZULU HOUSE SERVES VETERANS WITH SUBSTANCE USE ADDICTION. MAYO CLINIC HEALTH SYSTEM PROVIDES TELE-HEALTH SERVICES TO RESIDENTS.HAD A STAFF MEMBER ON THE MARTIN COUNTY RESILIENCY INITATIVE TEAM WHICH IDENTIFIES OPPORTUNITIES AND TAKES ACTION ON SCHOOL AGE MENTAL HEALTH. CONDUCTED AN ONSITE RADIO PROGRAM FEATURING A MAYO CLINIC HEALTH SYSTEM EXPERT WITH TOPICS INCLUDING SERVICES AVAILABLE TO ALL AGES, JOURNEY TO WELLNESS, SELF-LED PROGRAMMING AND VOLUNTEERING. MCHS CONDUCTED REGIONAL CAMP OZ GRIEF CAMP FOR 42 CHILDREN WHO HAVE EXPERIENCED THE DEATH OF SOMEONE IN THEIR LIFE WITH 37 MAYO CLINIC HEALTH SYSTEM AND COMMUNITY VOLUNTEERS.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. OFFERED MONTHLY CANCER SUPPORT GROUP WHICH PROVIDES CANCER-RELATED EDUCATION AND SUPPORT FOR PATIENTS AND THEIR CAREGIVERS.CONTINUED JOURNEY TO WELLNESS A FREE YEARLONG, VIRTUAL, SELF-GUIDED PROGRAM DESIGNED TO HELP MAKE THE WELLNESS JOURNEY EASIER. ALL NEW TOPICS WERE DEVELOPED FOR 2024. INDIVIDUALS OR BUSINESS ARE ABLE TO SIGN UP FOR A MONTHLY TOOLKIT THAT HAS A DIFFERENT TOPIC WITH RESOURCES LIKE BLOGS, VIDEOS, PRINTABLE EDUCATION AND ACTIVITIES. THERE WERE 3,500 PROGRAM PARTICIPANTS IN SOUTHWEST MINNESOTA. THE PROGRAM IS OFFERED THROUGHOUT MAYO CLINIC HEALTH SYSTEM.HAD A MENTAL HEALTH PROVIDER SERVE ON MARTIN COUNTY SUBSTANCE ABUSE AND PREVENTION BOARD AS LIAISON TO FAIRMONT AREA SCHOOLS.COLLABORATED WITH FAIRMONT AREA ELEMENTARY, ST. JOHN VIANNEY CATHOLIC, TRUMAN AND MARTIN COUNTY WEST SCHOOLS TO HOST WELLNESS WEEK TO REINFORCE HEALTHY HABITS AT SCHOOL AND HOME. DONATED LOGO REUSABLE SNACK BAGS TO OVER 1,140 STUDENTS.PROVIDED OVER $20,000 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING MENTAL HEALTH AND WELL-BEING SUCH AS UPWARD BOUND MENTAL HEALTH CENTER, JZ CANCER BOXES, AND FAIRMONT AREA SCHOOLS.ADDRESSING SOCIAL DETERMINANTS OF HEALTH: TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITIES THAT ARE CAUSING HEALTH DISPARITIES, MCHS-FAIRMONT: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. TENDED TO AND HARVESTED A COMMUNITY GARDEN. THIS 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 THE SOMALI AND HISPANIC COMMUNITIES 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. PARTNERED WITH APPLE TREE DENTAL TO SUPPORT ACCESS TO DENTAL SERVICES FOR THE AREA'S MOST VULNERABLE RESIDENTS, INCLUDING HAVING SPACE AT MCHS-FAIRMONT.WORKED TO OPTIMIZE FIND HELP - A COMMUNITY RESOURCE DATABASE - IN OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, COLLABORATED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. WORKED ON EXPANSION OF RESOURCES AND REFERRALS THROUGHOUT RURAL AREAS IN SOUTHERN MINNESOTA. HOSTED TWO COMMUNITY TRAININGS IN PARTNERSHIP WITH FIND HELP TO EXPAND THE NUMBER OF COMMUNITY-BASED ORGANIZATIONS USING FIND HELP. DELIVERED MEALS ON WHEELS TO FAIRMONT COMMUNITY RESIDENTS. DELIVERED 150 MEALS OVER A TWO-WEEK PERIOD TO 15 HOUSEHOLDS EACH WEEKDAY. SPONSORED AND PARTICIPATED IN MARTIN COUNTY KIDS AGAINST HUNGER PACK TO PROVIDE FOOD KITS FOR FAMILIES IN LOW-INCOME AREAS. PROVIDED $1,000 SPONSORSHIP FOR THIS EVENT.PROVIDED $7,500 IN FUNDING FOR LAKEVIEW METHODIST HEALTH CARE AND BUILDING BLOCKS CHILDCARE CENTER PROJECT TO PROVIDE MORE DAYCARE OPTIONS IN FAIRMONT AREA.COORDINATED A FOOD DRIVE TO DONATE BOTH NONPERISHABLE AND HYGIENE ITEMS FOR LOCAL FOOD SHELTER TO GIVE TO THOSE IN NEED.ARRANGED A TOYS FOR TOTS DRIVE CONTRIBUTING TO THE U.S. MARINE CORP'S EFFORTS TO ENSURE ALL CHILDREN RECEIVE A GIFT DURING THE WINTER HOLIDAY SEASON.PROVIDED $10,000 IN GRANTS TO COMMUNITY ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS CAREGIVER RESPONSE EFFORT & SERVICE, KINSHIP OF MARTIN COUNTY AND FAIRMONT FARMER'S MARKET.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WERE HEALTHCARE ACCESS, SUBSTANCE ABUSE AND CHRONIC DISEASE. THESE NEEDS WILL BE ADDRESSED PARTLY THROUGH OUR PRIORITIZED NEEDS, MENTAL HEALTH AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, BUT GIVEN LIMITED RESOURCES AND OTHER ORGANIZATIONS WORKING TO ADDRESS THESE NEEDS, THEY WILL NOT BE ADDRESSED BY MCHS-FAIRMONT. 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 2022, MCHS IN NEW PRAGUE (MCHS-NEW PRAGUE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHADDRESSING SOCIAL DETERMINANTS OF HEALTHIN 2024, 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: PROVIDED $7,750 IN GRANTS TO COMMUNITY ORGANIZATIONS PROMOTING MENTAL HEALTH AND WELL-BEING SUCH AS DUCK CUP MEMORIAL FUND AND GIRLS ON THE RUN.CONDUCTED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. GUIDED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.ADMINISTERED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS WHICH IS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.PROVIDED MCHS SOCIAL WORK REPRESENTATION ON SCOTT COUNTY MENTAL HEALTH ADVISORY COUNCIL. CONTINUED JOURNEY TO WELLNESS A FREE YEAR-LONG, VIRTUAL, SELF-GUIDED PROGRAM DESIGNED TO HELP MAKE THE WELLNESS JOURNEY EASIER. ALL NEW TOPICS WERE DEVELOPED FOR 2024. INDIVIDUALS OR BUSINESSES ARE ABLE TO SIGN UP FOR A MONTHLY TOOLKIT THAT HAS A DIFFERENT TOPIC WITH RESOURCES LIKE BLOGS, VIDEOS, PRINTABLE EDUCATION AND ACTIVITIES. THERE WERE 3,500 PROGRAM PARTICIPANTS IN SOUTHWEST MINNESOTA. THE PROGRAM IS OFFERED THROUGHOUT MAYO CLINIC HEALTH SYSTEM.CONDUCTED REGIONAL CAMP OZ GRIEF CAMP FOR 42 KIDS WHO HAVE EXPERIENCED THE DEATH OF SOMEONE IN THEIR LIFE WITH 37 MAYO CLINIC HEALTH SYSTEM AND COMMUNITY VOLUNTEERS.COLLABORATED WITH NEW PRAGUE AREA PUBLIC SCHOOLS AND CLEVELAND PUBLIC SCHOOLS TO HOST WELLNESS WEEK WITH 4 ELEMENTARY SCHOOLS TO REINFORCE HEALTHY HABITS AT SCHOOL AND HOME. DONATED REUSABLE SNACK BAGS TO OVER 2,100 STUDENTS.ADDRESSING SOCIAL DETERMINANTS OF HEALTH: TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITIES THAT ARE CAUSING HEALTH DISPARITIES, MCHS-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 $10,800 OF IN-KIND SPACE SUPPORT AND $14,400 IN-KIND SERVICE SUPPORT. MAYO CLINIC HEALTH SYSTEM HAS THREE BOARD OF DIRECTOR REPRESENTATIVES. PARTICIPATED IN THE SCOTT COUNTY COMMUNITY HEALTH IMPROVEMENT COMMITTEE, SCOTT COUNTY ACCESS WORKGROUP, AND STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP COMMUNITY LEADERSHIP TEAM.PROVIDED $9,750 IN GRANTS TO COMMUNITY ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH SUCH AS SOUTHERN VALLEY ALLIANCE, TREEHOUSE OF SCOTT COUNTY, AND AGING SERVICES OF COMMUNITIES. ENGAGED IN SIX NEWBORN TALK SESSIONS, A FREE, COMMUNITY EDUCATION CLASS THAT OFFERS SUPPORT TO NEW PARENTS ON DIFFERENT HEALTH AND WELL-BEING TOPICS RELATED TO NEWBORNS.UTILIZED THREE MCHS-EMPLOYED COMMUNITY HEALTH WORKERS TO FOCUS ON THE SOMALI AND HISPANIC COMMUNITIES AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.WORKED TO OPTIMIZE FIND HELP - A COMMUNITY RESOURCE DATABASE - IN OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, COLLABORATED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. WORKED ON EXPANSION OF RESOURCES AND REFERRALS THROUGHOUT RURAL AREAS IN SOUTHERN MINNESOTA. HOSTED TWO COMMUNITY TRAININGS IN PARTNERSHIP WITH FIND HELP TO EXPAND THE NUMBER OF COMMUNITY-BASED ORGANIZATIONS USING FIND HELP. PROVIDED IN-KIND SPACE ONCE A MONTH TO CHILDREN'S DENTAL SERVICES TO PROVIDE SERVICES AT MCHS-BELLE PLAINE CLINIC SITE. IN-KIND SPACE VALUED AT $782 ANNUALLY.STAFF ENGAGEMENT TEAM COORDINATED A FOOD DRIVE TO DONATE BOTH NONPERISHABLE AND HYGIENE ITEMS FOR LOCAL FOOD SHELTER TO GIVE TO THOSE IN NEED.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WERE HEALTHCARE ACCESS, SUBSTANCE ABUSE AND CHRONIC DISEASE. THESE NEEDS WILL BE ADDRESSED PARTLY THROUGH OUR PRIORITIZED NEEDS, MENTAL HEALTH AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, BUT GIVEN LIMITED RESOURCES AND OTHER ORGANIZATIONS WORKING TO ADDRESS THESE NEEDS, THEY WILL NOT BE ADDRESSED BY MCHS-NEW PRAGUE. 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 2022, MCHS IN WASECA (MCHS-WASECA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHADDRESSING SOCIAL DETERMINANTS OF HEALTHIN 2024, 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: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 STAFF REPRESENTATION ON WASECA SUICIDE PREVENTION COMMITTEE.COLLABORATED WITH WASECA AREA PUBLIC SCHOOLS AND JANESVILLE WALDORF PEMBERTON SCHOOLS TO HOST WELLNESS WEEK WITH 4 ELEMENTARY SCHOOLS TO REINFORCE HEALTHY HABITS AT SCHOOL AND HOME. DONATED REUSABLE SNACK BAGS TO OVER 1,200 STUDENTS. CONDUCTED REGIONAL CAMP OZ GRIEF CAMP FOR 42 KIDS WHO HAVE EXPERIENCED THE DEATH OF SOMEONE IN THEIR LIFE WITH OVER 37 MAYO CLINIC HEALTH SYSTEM VOLUNTEERS.ADMINISTERED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE ALL AGES TO PLAY, EXPLORE AND CONNECT WITHOUT SOCIAL MEDIA. CONTINUED JOURNEY TO WELLNESS. A FREE YEAR-LONG, VIRTUAL, SELF-GUIDED PROGRAM DESIGNED TO HELP MAKE THE WELLNESS JOURNEY EASIER. ALL NEW TOPICS WERE DEVELOPED FOR 2024. INDIVIDUALS OR BUSINESSES ARE ABLE TO SIGN UP FOR A MONTHLY TOOLKIT THAT HAS A DIFFERENT TOPIC WITH RESOURCES LIKE BLOGS, VIDEOS, PRINTABLE EDUCATION AND ACTIVITIES. THERE WERE 3,500 PROGRAM PARTICIPANTS IN SOUTHWEST MINNESOTA. PROGRAM IS OFFERED THROUGHOUT MAYO CLINIC HEALTH SYSTEM.MANAGED 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. ADDRESSING SOCIAL DETERMINANTS OF HEALTH: TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITIES THAT ARE CAUSING HEALTH DISPARITIES, MCHS-WASECA:UTILIZED THREE MCHS-EMPLOYED COMMUNITY HEALTH WORKERS TO FOCUS ON THE SOMALI AND HISPANIC COMMUNITIES AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE. WORKED TO OPTIMIZE FIND HELP - A COMMUNITY RESOURCE DATABASE - IN OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, COLLABORATED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. WORKED ON EXPANSION OF RESOURCES AND REFERRALS THROUGHOUT RURAL AREAS IN SOUTHERN MINNESOTA. HOSTED TWO COMMUNITY TRAININGS IN PARTNERSHIP WITH FIND HELP TO EXPAND THE NUMBER OF COMMUNITY-BASED ORGANIZATIONS USING FIND HELP.PROVIDED $10,000 IN FUNDING TO ADDRESS SOCIAL DETERMINANTS OF HEALTH TO THE FOLLOWING ORGANIZATIONS: BIG BROTHERS BIG SISTERS OF SOUTHERN MN, WASECA COUNTY 4-H POWER OF PRODUCE PROGRAMMING, BETHLEHEM INN SHELTER, WASECA AREA SENIOR CITIZENS CENTER, JUNIOR ACHIEVEMENT AND WASECA AREA NEIGHBORHOOD SERVICE CENTER.PROVIDED A $10,000 CAPTIAL CAMPAIGN GIFT TO HELP WITH WASECA AREA NEIGHBORHOOD SERVICE CENTER FOOD SHELF CAMPAIGN.COORDINATED A SPRING FOOD DRIVE FOR THE WASECA FOOD SHELF AND A HOLIDAY GIFT TREE TO PROVIDE GIFTS TO THE BETHLEHEM INN SHELTER IN WASECA.PROVIDED NUTRITION EDUCATION AT THE FOOD SHELF ON THEIR SENIOR DAY.PROVIDED THREE, FREE COMMUNITY EDUCATION PRESENTATIONS AT WASECA AREA SENIOR CITIZENS CENTER - CHAIR YOGA FOR OLDER ADULTS, HEALTHY EATING AS WE AGE AND SAFE MOVEMENTS FOR OLDER ADULTS. AVERAGE OF 12 PARTICIPANTS PER SESSION.PROVIDED STAFF REPRESENTATION ON WASECA NEIGHBORHOOD SERVICE CENTER BOARD (FOOD SHELF).HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WERE HEALTHCARE ACCESS, SUBSTANCE ABUSE AND CHRONIC DISEASE. THESE NEEDS WILL BE ADDRESSED PARTLY THROUGH OUR PRIORITIZED NEEDS, MENTAL HEALTH AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, BUT GIVEN LIMITED RESOURCES AND OTHER ORGANIZATIONS WORKING TO ADDRESS THESE NEEDS, THEY WILL NOT BE ADDRESSED BY MCHS-WASECA. 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 2022, MCHS IN ST. JAMES (MCHS-ST. JAMES) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHADDRESSING SOCIAL DETERMINANTS OF HEALTHIN 2024, MCHS-ST. JAMES TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO REDUCE MENTAL HEALTH ISSUES BY ADDRESSING MENTAL HEALTH THROUGH PREVENTATIVE EFFORTS, MCHS-ST. JAMES:PROVIDED OVER $31,500 IN FUNDING TO IMPROVE MENTAL HEALTH THROUGH PHYSICAL ACTIVITY AND CONNECTION BY SUPPORTING ST. JAMES SPLASH PAD PROJECT, ST. JAMES BIKE SHARE PROGRAM, ST. JAMES SCHOOLS MENTAL HEALTH PROJECT AND CITY OF TRIMONT PLAYGROUND PROJECT.PARTICIPATED WITH A BOOTH AT THE WATONWAN COUNTY SUICIDE AWARENESS EVENT IN SEPTEMBER.CONDUCTED REGIONAL CAMP OZ GRIEF CAMP FOR 42 KIDS WHO HAVE EXPERIENCED THE DEATH OF SOMEONE IN THEIR LIFE WITH OVER 37 MAYO CLINIC HEALTH SYSTEM AND COMMUNITY VOLUNTEERS.ADMINISTERED SLIM YOUR SCREEN TIME COMMUNITY VIRTUAL CHALLENGE IN COLLABORATION WITH CHILDREN'S MUSEUM OF SOUTHERN MINNESOTA.CONDUCTED DISCOVER GRATITUDE COMMUNITY VIRTUAL PROGRAM TO HELP IMPROVE MENTAL WELL-BEING THROUGH DAILY JOURNALING.ADMINISTERED KICKSTART KINDNESS COMMUNITY VIRTUAL CHALLENGE TO ENCOURAGE EXTENDING KINDNESS, WHICH IS SHOWN TO INCREASE SELF-ESTEEM, EMPATHY, AND COMPASSION.CONTINUED JOURNEY TO WELLNESS. A FREE YEAR-LONG, VIRTUAL, SELF-GUIDED PROGRAM DESIGNED TO HELP MAKE THE WELLNESS JOURNEY EASIER. ALL NEW TOPICS WERE DEVELOPED FOR 2024. INDIVIDUALS OR BUSINESSES ARE ABLE TO SIGN UP FOR A MONTHLY TOOLKIT THAT HAS A DIFFERENT TOPIC WITH RESOURCES LIKE BLOGS, VIDEOS, PRINTABLE EDUCATION AND ACTIVITIES. THERE WERE 3,500 PROGRAM PARTICIPANTS IN SOUTHWEST MINNESOTA. THE PROGRAM IS OFFERED THROUGHOUT MAYO CLINIC HEALTH SYSTEM.ADDRESSING SOCIAL DETERMINANTS OF HEALTH: TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITIES THAT ARE CAUSING HEALTH DISPARITIES, MCHS-ST. JAMES:UTILIZED THREE MCHS-EMPLOYED COMMUNITY HEALTH WORKERS TO FOCUS ON THE SOMALI AND HISPANIC COMMUNITIES AND TO IMPROVE HEALTH CONDITIONS RELATED TO CHRONIC DISEASE.PARTNERED WITH HACER (HISPANIC ADVOCACY COMMUNITY-ENGAGED RESEARCH) AND SAGE TO HOST A BREAST CANCER AND CERVIAL CANCER SCREENING EVENT IN MARCH WITH THE MAYO MOBILE UNIT AND MAYO MAMMO UNIT. HACER PROVIDED EDUCATION PRIOR TO THE EVENT. 17 MAMMOGRAMS AND 13 PAP TESTS WERE COMPLETED. MCHS COVERED COSTS OF PARTICIPANTS WHO DID NOT HAVE INSURANCE AND DID NOT QUALIFY FOR SAGE. WORKED TO OPTIMIZE FIND HELP - A COMMUNITY RESOURCE DATABASE - IN OUR ELECTRONIC HEALTH RECORDS TO HELP PROVIDE JUST IN TIME RESOURCES TO PROVIDERS FOR IDENTIFIED SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, COLLABORATED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO ACCEPT REFERRALS AND UTILIZE THE PLATFORM. WORKED ON EXPANSION OF RESOURCES AND REFERRALS THROUGHOUT RURAL AREAS IN SOUTHERN MINNESOTA. HOSTED TWO COMMUNITY TRAININGS IN PARTNERSHIP WITH FIND HELP TO EXPAND THE NUMBER OF COMMUNITY-BASED ORGANIZATIONS USING FIND HELP. PROVIDED $7,500 IN FUNDING TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH THE WATONWAN COUNTY FOOD SHELF, WELLSPRING FAITH IN ACTION, UNITING CULTRURES AND TRIMONT FARMER'S MARKET.COORDINATED STAFF PARTICIPATION IN WATONWAN COUNTY WINTER GEAR DRIVE AND HOLIDAY GIVING TREE FOR ST. JAMES AREA.PROVIDED A REPRESENTATIVE FOR THE WELLSPRING FAITH IN ACTION BOARD OF DIRECTORS.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA THAT WERE NOT PRIORITIZED AS SIGNIFICANT WERE HEALTHCARE ACCESS, SUBSTANCE ABUSE AND CHRONIC DISEASE. THESE NEEDS WILL BE ADDRESSED PARTLY THROUGH OUR PRIORITIZED NEEDS, MENTAL HEALTH AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, BUT GIVEN LIMITED RESOURCES AND OTHER ORGANIZATIONS WORKING TO ADDRESS THESE NEEDS, THEY WILL NOT BE ADDRESSED BY MCHS-ST. JAMES. 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 2022, MCHS IN EAU CLAIRE (MCHS-EAU CLAIRE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2024, MCHS-EAU CLAIRE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO IMPROVE MENTAL HEALTH WITH AN EMPHASIS ON STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES, SUICIDE PREVENTION AND SUPPORTING RESILIENCY ACROSS THE LIFESPAN, 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 - $8,500 (SPONSOR/DIAPER BANK PROGRAM)- BOYS AND GILS CLUB OF THE GREATER CHIPPEWA VALLEY - $1,000 (YOUTH OF THE YEAR GALA)- CHIPPEWA VALLEY LGBTQ+ - $1,000 (PRIDE IN THE PARK SPONSOR)- NAMI CHIPPEWA VALLEY - $1,000 (PROGRAMMING)- BLACK AND BROWN WOMYN POWER - $2,000 (HMOOB HERITAGE GALA AND CELEBRATION)- GIRL SCOUTS OF THE NORTHWESTERN GREAT LAKES - $1,000 (PROGRAMMING)- BOLTON REFUGE HOUSE - $5,000 (OPERATIONS)- EAU CLAIRE COUNTY FARM BUREAU - $500 (FARM NEIGHBOR CARES PROGRAM)- BIG BROTHERS BIG SISTERS - $4,600 (MENTOR PROGRAM)- EAU CLAIRE SCHOOL DISTRICT - $5,000 (PROJECT SEARCH)- ADRC OF EAU CLAIRE COUNTY - $500 (DEMENTIA COALITION SKILLS FAIR)- EAU CLAIRE B.R.A.I.N. TEAM - $1,000 (PROGRAMMING)- EAU CLAIRE SCHOOL DISTRICT FOUNDATION - $5,000 (HOMELESS/UNDERSERVED STUDENTS) - DOWNTOWN EAU CLAIRE, INC. - $1,500 (FALL FESTIVAL EVENT SPONSOR)- BEACON HOUSE FAMILY PROMISE - $5,000 (OPERATIONS)- FAMILY RESOURCE CENTER OF EAU CLAIRE - $5,000 (PROGRAM OPERATIONS)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRONG BODIES (EAU CLAIRE ADRC)- GRIEF SUPPORT GROUP (BEREAVEMENT SERVICES)- HMONG MENTAL HEALTH CONFERENCE (SPEAKERS)- PRIDE IN THE PARK EVENT (EDUCATIONAL RESOURCE BOOTH)- HMONG CELEBRATION (RESOURCE BOOTH)- YOUTH SAFETY CAMP - UW EAU CLAIRE SANE EVENT (EDUCATIONAL BOOTH)- WEAC RETIRED TEACHERS STATE CONFERENCE (RESILIENCY AND CHAIR YOGA)- GATHERING OF THE WATERS POW WOW (HEALTH BOOTHS)- JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM) 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 INCLUDED: $24,000 TO THE BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY FOR A SITE BEHAVIOR COORDINATOR TO SUPPORT YOUTH MENTAL HEALTH, $25,000 TO THE EAU CLAIRE HMONG MUTUAL ASSISTANCE ASSOCIATION FOR THE KAJSIAB ("PEACEFUL HEART") PROJECT, $30,000 TO CATHOLIC CHARITIES TO SUPPORT OPERATIONS OF THE COMMUNITY HAVEN HOUSE HOMELESS SHELTER AND $25,000 TO JOINING OUR NEIGHBORS IN ADVANCING HOPE FOR THE CONTINUATION OF THE EAU CLAIRE TENANT LANDLORD RESOURCE CENTER.ADDITIONAL COMMUNITY GIVING GRANTS WERE AWARDED TO SUPPORT THE FOLLOWING: $20,000 TO BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN FOR THEIR MENTORING PROGRAM, $90,000 TO THE WESTERN DAIRYLAND ECONOMIC OPPORTUNITY COUNCIL FOR THE OPERATION OF A DAY RESOURCE CENTER AND $100,000 TO THE FALL CREEK PUBLIC LIBRARY NEW BUILDING CAPITAL CAMPAIGN.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTHS NEEDS ASSESSMENT. A TOTAL OF $28,000 WAS AWARDED TO SCHOOLS WITHIN EAU CLAIRE COUNTY. PROJECTS SUPPORTING MENTAL HEALTH INCLUDED:- EAU CLAIRE SCHOOL DISTRICT - $8,000 (POWER OF PERCEPTION MENTORING CHAPTER)- AUGUSTA AREA SCHOOL DISTRICT - $5,500 (EMOTIONAL ACADEMIC CONNECTIONS FOR EXCELLENCE PROGRAM)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO PREVENT ALCOHOL MISUSE AND SUBSTANCE ABUSE WITH AN EMPHASIS ON YOUTH, 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:- HOPE GOSPEL MISSION - $5,000 (PROGRAMMING)- EAU CLAIRE HEALTH ALLIANCE - $1,000 (LITTLE RECOVERY HANDBOOK RESOURCE GUIDE)- ALTOONA POLICE DEPARTMENT - $250 (NATIONAL NIGHT OUT)- EAU CLAIRE SCHOOL DISTRICT - $198 (STAFF TO ATTEND POST PROM TRAUMA EVENT)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - YOUTH SAFETY CAMP - NATIONAL NIGHT OUT EVENT (ALTOONA)- EAU CLAIRE FALL FESTIVAL- WISCONSIN SCIENCE FESTIVAL (LUNG DISPLAY)- GATHERING OF THE WATERS POW WOW (HEALTH BOOTHS)- EAU CLAIRE AREA SCHOOL DISTRICT POST PROM TRAUMA EVENTSAWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT ADDRESS OR ASSIST 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 $30,000 GRANT WAS AWARDED TO LUTHER SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN FOR THE EXPANSION OF IN-HOME FAMILY-CENTERED TREATMENT AND RECOVERY SERVICES. CHRONIC DISEASE AND OBESITY: TO PREVENT OBESITY AND REDUCE CHRONIC DISEASE WITH A FOCUS ON NUTRITION, REDUCING FOOD INSECURITY AND INCREASING PUBLIC ACCESS TO PHYSICAL ACTIVITY, 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:- GROUP HEALTH - $250 (GET THE SHOT CAMPAIGN) - WISCONSIN HOSPITAL ASSOCIATION - $3,000 (CONFERENCE KEYNOTE SPEAKER)- EAU CLAIRE SHERIFF'S DEPARTMENT - $500 (BIKE SAFETY EVENT)- THE COMMUNITY TABLE - $6,000 (CORPORATE SPONSORSHIP/FOOD INSECURITY) - FEED MY PEOPLE - $7,500 (EMPTY BOWLS EVENT/DIALYSIS CLINIC FOOD SECURITY PROJECT)- FRIENDS OF THE FAIR - $1,000 (100TH ANNIVERSARY CELEBRATION ACTIVITIES)- UW EAU CLAIRE CONTINUING EDUCATION - $500 (ACADEMY FOR LIFELONG LEARNERS CONFERENCE)- AMERICAN RED CROSS - $2,000 (NWWI HEROES BREAKFAST) - UW EAU CLAIRE CAMPUS - $1,000 (HARVEST FOOD PANTRY)- UW EAU CLAIRE HEALTH CARE ADMINISTRATION PROGRAM - $1,500 (SPRING BANQUET)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRONG BODIES (EAU CLAIRE ADRC)- STROKE SUPPORT GROUP (NEUROLOGY)- YOUTH SAFETY CAMP - GATHERING OF THE WATERS POW WOW (HEALTH BOOTHS)- WISCONSIN EDUCATIONAL OPPORTUNITY PROGRAMS (BOOTH)- BOYS AND GIRLS CLUB HEALTH AND WELLNESS PROGRAM (CAREER PRESENTATIONS)- THE CHILDREN'S MUSEUM OF EAU CLAIRE (KINDERGARTEN EVENT - HAND HYGIENE)- HISPANIC HEALTH FAIR- ACADEMY FOR LIFELONG LEARNERS (STROKE EDUCATION BOOTH)- CHIPPEWA VALLEY FREE CLINIC (PROVIDE SERVICES FOR SUPPORT)- JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM) AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT ADDRESS NUTRITION AND FOOD INSECURITY. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS AT A HIGHER FINANCIAL SUPPORT LEVEL. GRANTS INCLUDED $15,000 TO FEED MY PEOPLE FOOD BANK AND $25,000 TO THE CHIPPEWA VALLEY FREE CLINIC TO STRENGTHEN COMMUNITY ACCESS TO HEALTHCARE.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED:- FALL CREEK SCHOOL DISTRICT - $6,500 (HEART RATE MONITORS FOR PHYSICAL EDUCATION CLASS)- EAU CLAIRE SCHOOL DISTRICT - $8,000 (HEALTHY MINDS/BODIES & WELLNESS FOR ALL PROGRAMS)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 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 2022, MCHS IN BARRON (MCHS-BARRON) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2024, MCHS-BARRON TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO IMPROVE MENTAL HEALTH WITH AN EMPHASIS ON STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES AND SUICIDE PREVENTION AND SUPPORTING RESILIENCY ACROSS THE LIFESPAN, MCHS-BARRON: PARTICIPATED WITH COMMUNITY COALITIONS LIKE THE BARRON COUNTY COMMUNITY COALITION AND COMMUNITY CONNECTIONS TO PROSPERITY 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:- BOYS AND GIRLS CLUB OF BARRON COUNTY - $5,000 (CORPORATE SPONSOR)- BARRON COUNTY ADRC - $750 (GROWING CONNECTIONS PROGRAM)- RICE LAKE PUBLIC LIBRARY - $2,500 (LAUNDROMAT LIBRARY PROGRAM)- BARRON CHAMBER OF COMMERCE - $1,000 (FAMILY FUN NIGHT/MUSIC IN THE PARK)- LAKELAND FAMILY RESOURCE CENTER - $2,000 (SPONSORSHIP)- UNITED WAY OF RICE LAKE - $1,000 (SPONSORSHIP)- CHETEK WEYERHAEUSER BOOSTER CLUB - $450 (FIRST-AID KITS)- BARRON COUNTY DEVELOPMENTAL SERVICES, INC. - $5,000 (PROGRAMMING)- ST. VINCENT DE PAUL - $5,000 (FOOD PANTRY AND KITCHEN)- NORTHLAKES COMMUNITY CLINIC - $3,000 (PEDIATRIC THERAPY LENDING CLOSET)- COMMUNITY CONNECTIONS TO PROSPERITY - $1,000 (MULTI-AGENCY RESOURCE EVENT)- SALVATION ARMY OF BARRON COUNTY - $1,500 (RED KETTLE SPONSOR)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - SAFETY CAMP EVENT (BARRON)- PRESENTATION TO LEADERSHIP BARRON COUNTY- JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS AT A HIGHER FINANCIAL SUPPORT LEVEL. GRANTS INCLUDED $25,000 TO BENJAMIN'S HOUSE EMERGENCY SHELTER TRANSITIONAL HOUSING PROGRAM AND $20,000 TO CASA OF WESTERN WISCONSIN FOSTER CARE MENTORSHIP PROGRAM.AN ADDITIONAL $20,000 COMMUNITY GIVING GRANT WAS AWARDED TO THE BOYS AND GIRLS CLUB OF BARRON COUNTY FOR YOUTH MENTAL HEALTH NEEDS.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT. A TOTAL OF $28,000 WAS AWARDED TO SCHOOLS WITHIN BARRON COUNTY. PROJECTS SUPPORTING MENTAL WELLNESS INCLUDED: - CAMERON SCHOOL DISTRICT - $7,000 (WORLD MENTAL HEALTH DAY EVENT)- BARRON SCHOOL DISTRICT - $7,000 (STUDENT WELLNESS CONFERENCE & PREK FAMILY OUTREACH)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO PREVENT ALCOHOL MISUSE AND SUBSTANCE ABUSE WITH AN EMPHASIS ON YOUTH, MCHS-BARRON:PARTICIPATED WITH COMMUNITY COALITIONS LIKE BARRON COUNTY COMMUNITY COALITION AND COMMUNITY CONNECTIONS TO PROSPERITY 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 WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- BARRON CO. HEALTH AND HUMAN SERVICES - $5,000 (FAMILY DRUG TREATMENT COURT)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - YOUTH SAFETY CAMP (BARRON)- BARRON COUNTY FAIR (EDUCATIONAL BOOTH)CHRONIC DISEASE AND OBESITY: TO PREVENT OBESITY AND REDUCE CHRONIC DISEASE WITH A FOCUS ON NUTRITION, REDUCING FOOD INSECURITY AND INCREASING PUBLIC ACCESS TO PHYSICAL ACTIVITY, 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:- BARRON AREA CLERGY ASSOCIATION - $1,000 (BARRON FOOD PANTRY)- CHETEK FOOD SHELF - $1,000- BARRON COUNTY SHERIFF'S DEPARTMENT - $2,000 (BIKE SAFETY)- FORREST RUN - $1,000 (BRAIN CANCER RESEARCH)- AMERICAN RED CROSS - $2,000 (NWWI HEROES BREAKFAST)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM)- YOUTH SAFETY CAMP (BARRON)- BARRON LIBRARY STORYTIME (AMBULANCE AND EMERGENCY STAFF)- STRONG BODIES CLASS (SAND CREEK ARTS CENTER)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT ADDRESS CHRONIC DISEASE PREVENTION, OBESITY AND FOOD INSECURITY. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS AT A HIGHER FINANCIAL SUPPORT LEVEL. A $20,000 GRANT WAS AWARDED TO RICE LAKE AREA FREE CLINIC FOR OPERATIONAL NEEDS.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. A TOTAL OF $28,000 WAS AWARDED TO SCHOOLS WITHIN BARRON COUNTY. PROJECTS INCLUDED:- CHETEK WEYERHAEUSER SCHOOL DISTRICT - $5,000 (FRISBEE GOLF COURSE)- RICE LAKE SCHOOL DISTRICT - $5,000 (WELLNESS EQUIPMENT, AFTER-SCHOOL PROGRAM)- TURTLE LAKE SCHOOL DISTRICT - $4,000 (SCHOOL BACKPACK PROGRAM)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 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 2022, MCHS IN BLOOMER (MCHS-BLOOMER) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2024, MCHS-BLOOMER TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO IMPROVE MENTAL HEALTH WITH AN EMPHASIS ON STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES AND SUICIDE PREVENTION AND SUPPORTING RESILIENCY ACROSS THE LIFESPAN, MCHS-BLOOMER: PARTNERED WITH COMMUNITY COALITIONS LIKE THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF CHIPPEWA COUNTY 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:- BLOOMER COMMUNITY CLOTHES CLOSET - $2,000 (FREE CLOTHES FOR PEOPLE IN NEED)- BLOOMER CIVIC CENTER - $4,000 (SENIOR MEAL PROGRAM)- RIVER SOURCE FAMILY CENTER - $400 (PARENT CAF WORKSHOP)- CENTER FOR INDEPENDENT LIVING - $2,000 (FISHING HAS NO BOUNDARIES CHIPPEWA VALLEY)- CARDINAL COMMUNITY LEARNING CENTER - $500 (AGE YOUR WAY EVENT)- BLOOMER VETERANS - $1,000 (BUILDING CAPITAL CAMPAIGN)- YMCA OF THE CHIPPEWA VALLEY - $5,000 (HEALTHY KIDS DAY AND FARMERS MARKET)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STEPPING ON CLASS (CHIPPEWA FALLS AND BLOOMER)- STRONG BODIES CLASS (BLOOMER CIVIC CENTER)- JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM)- FARM TECHNOLOGY DAYS (STOP THE BLEED/STROKE EDUCATION)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS AT A HIGHER FINANCIAL SUPPORT LEVEL. GRANTS INCLUDED $10,000 TO L.E. PHILLIPS CAREER DEVELOPMENT OUTREACH OFFICE IN CHIPPEWA FALLS FOR EMERGENCY HOUSING NEEDS AND $15,000 TO RIVERSOURCE FAMILY CENTER/FAMILY SUPPORT CENTER FOR PROGRAMMING.A $70,000 COMMUNITY GIVING GRANT WAS GIVEN TO THE BOYS AND GIRLS CLUB OF THE CHIPPEWA VALLEY TO SUPPORT YOUTH MENTAL NEEDS AT THE CLUBS IN CHIPPEWA FALLS, EAU CLAIRE AND MENOMONIE.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT. A TOTAL OF $24,000 WAS AWARDED TO SCHOOLS WITHIN CHIPPEWA COUNTY. PROJECTS SUPPORTING MENTAL HEALTH INCLUDED:- BLOOMER SCHOOL DISTRICT - $3,000 (MENTAL HEALTH AND WELLNESS INITIATIVE)- CARDINAL COMMUNITY LEARNING CENTER - $5,000 (STUDENT SUPPORT GROUP & AFTER-SCHOOL PROGRAMS)- CORNELL COMMUNITY SCHOOLS - $4,000 (BEHAVIOR REWARD SYSTEM)- CHIPPEWA FALLS SCHOOL DISTRICT - $2,000 (STUDENT FIELD TRIP EXPERIENCES)- NEW AUBURN SCHOOL DISTRICT - $5,000 (STUDENT WELLNESS CONFERENCE)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO PREVENT ALCOHOL MISUSE AND SUBSTANCE ABUSE WITH AN EMPHASIS ON YOUTH, 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. HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - BLOOMER HIGH SCHOOL (TRAUMA SIMULATION TO STOP DRINKING & DRIVING)- CADOTT HIGH SCHOOL (TRAUMA SIMULATION TO STOP DRINKING & DRIVING)- CHIPPEWA FALLS HIGH SCHOOL (TRAUMA SIMULATION TO STOP DRINKING & DRIVING)- DRUG TAKE BACK DAY (CHIPPEWA FALLS POLICE DEPARTMENT)- ONE PILL CAN KILL PRESENTATION (PARTNERSHIP WITH VOICES IN PREVENTION)- NATIONAL PREVENTION WEEK BOOTH (CHIPPEWA FALLS SCHOOL DISTRICT)- NATIONAL NIGHT OUT EVENT (CORNELL)- FREE VAPING POSTERS TO LAKE HOLCOMBE SCHOOL DISTRICT- VAPING AND LUNG DISPLAY (NEW AUBURN SCHOOL)CHRONIC DISEASE AND OBESITY: TO PREVENT OBESITY AND REDUCE CHRONIC DISEASE WITH A FOCUS ON NUTRITION, REDUCING FOOD INSECURITY AND INCREASING PUBLIC ACCESS TO PHYSICAL ACTIVITY, MCHS-BLOOMER:PARTICIPATED WITH COMMUNITY COALITIONS LIKE CHIPPEWA HEALTH IMPROVEMENT PARTNERSHIP 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 CHIPPEWA VALLEY - $1,000 (SPONSORSHIP)- UNITED WAY OF THE GREATER CHIPPEWA VALLEY - $3,500 (PROGRAMMING AND LEARNING TRAIL)- THE OPEN DOOR CLINIC, CHIPPEWA FALLS - $500 (EVENT SPONSORSHIP) - CHIPPEWA COUNTY UW EXTENSION - $300 (GARDENING WORKSHOPS)- BLOOMER/NEW AUBURN FOOD PANTRY - $2,000 (BACKPACK PROGRAM)- CHIPPEWA FALLS PRESBYTERIAN CHURCH - $1,000 (FOOD PANTRY)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - STRONG BODIES CLASS (BLOOMER CIVIC CENTER)- STEPPING ON CLASS (BLOOMER AND CHIPPEWA FALLS)- YMCA HEALTHY KIDS DAY EVENT- AFTER SCHOOL PROGRAM (BLOOMER LIBRARY)- HISPANIC HEALTH FAIR BOOTH (CHIPPEWA FALLS)- THE OPEN DOOR CLINIC, CHIPPEWA FALLS (SERVICES FOR SUPPORT)- JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM)- GARDENING WORKSHOP IN PARTNERSHIP WITH UW EXTENSION (BLOOMER)- COMMUNITY GARDEN (BLOOMER)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS AT A HIGHER FINANCIAL SUPPORT LEVEL. GRANTS INCLUDED $10,000 TO AGNES TABLE FOR FOOD INSECURITY, $25,000 TO CURTIE CARES, INC. TO SUPPORT TRANSPORTATION NEEDS TO HEALTHCARE APPOINTMENTS AND $20,000 TO THE OPEN DOOR CLINIC IN CHIPPEWA FALLS.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. PROJECTS INCLUDED $5,000 TO THE BLOOMER SCHOOL DISTRICT FOR CLIMBING WALL FOR ELEMENTARY SCHOOL GYM.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 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 2022, MCHS IN LA CROSSE (MCHS-LA CROSSE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CAREMENTAL HEALTH AND/OR SUBSTANCE ABUSECHRONIC DISEASE AND CONTRIBUTING FACTORSIN 2024, MCHS-LA CROSSE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO ENSURE ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE FOR COMMUNITY MEMBERS, WHICH IS SAFE, AFFORDABLE, TIMELY, AND COORDINATED, MCHS-LA CROSSE:TRAVELED TO THE MATHY BOYS & GIRLS CLUB OF GREATER LA CROSSE IN JULY PROVIDING FREE SPORTS PHYSICALS TO MIDDLE AND HIGH SCHOOL CLUB MEMBERS. OVER 30 SPORTS PHYSICALS WERE PROVIDED BY THE FAMILY MEDICINCE RESIDENCY PROGRAM. PARTNERED WITH ST. CLARE HEALTH MISSION, AN ORGANIZATION THAT PROVIDES HEALTHCARE TO THOSE THAT FIND SUCH SERVICES INNACCESSIBLE. COLLABRATION IS ACCOMPLISHED THROUGH THE RESIDENCY PROGRAM PARTNERSHIP, COMMUNITY HEALTH WORKER PROGRAM, STAFF VOLUNTEER PROGRAM AND USE OF FACILITES. FOCUSED ON NURSING WORKFORCE DEVELOPMENT STRATEGIES TO PROACTIVELY FIND SOLUTIONS TO PROJECTED WORKFORCE SHORTAGES. THE DALE SCHOLAR COHORT CONSISTED OF 6 STUDENTS FROM THE VITERBO UNIVERSITY NURSING PROGRAM. THE SCHOLAR BENEFITS OF THE PROGRAM INCLUDE POST-GRADUATE EMPLOYMENT. TRAVELED TO THE MATHY BOYS & GIRLS CLUB OF GREATER LA CROSSE FOR MONTHLY HEALTH CONVERSATIONS. TOPICS RANGE FROM HOW TO CARE FOR YOUR BODY TO HEALTHY RELATIONSHIPS. IT IS ALSO AN OPPORTUNITY FOR MEMBERS TO ASK QUESTIONS IN A SAFE ENVIRONMENT. IMPLEMENTED PRIMARY CARE ON DEMAND. THIS SERVICE PROVIDES DIGITAL PRIMARY CARE USING ARTIFICIAL INTELLIGENCE TO DELIVER PERSONALIZED QUALITY MEDICINE 24/7/365. IT IS AN EXTENSION OF THE CARE OFFERED BY IN-CLINIC CARE TEAMS AND IS AVAILABLE THROUGH THE PRIMARY CARE ON DEMAND WISCONSIN MOBILE APP. THIS SERVICE IS AVAILABLE TO MAYO CLINIC HEALTH SYSTEM PATIENTS AND COMMUNITY MEMBERS AGES 18+ LIVING IN WISCONSIN. IT PROVIDES CARE FOR NEARLY 40 CONDITIONS, INCLUDING UPPER RESPIRATORY INFECTION, SINUSITIS, CONJUNCTIVITIS, URINARY TRACT INFECTION, SHINGLES, AND BACK PAIN. CONTRIBUTED FINANCIAL FUNDING AND SUPPORT TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT INVOLVE IMPROVED ACCESS TO CARE. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- ST. CLARE HEALTH MISSION (DENTAL CARE & GENERAL FUNDING)- LA CROSSE LIONS CLUB (RIDE FOR SIGHT)- UNIVERSITY OF WISCONSIN-LA CROSSE (SPORTS SCIENCE HEART SCREENING)- SCHOOL DISTRICT OF WEST SALEM (AED)- LA CROSSE SCHOOL DISTRICT (CPR & AED TRAINING EQUIPMENT)- SCENIC BLUFFS HEALTH CETNER (MOBILE DENTAL UNIT)- FAMILY & CHILDREN'S CENTER (BRIDGES TO BETTER TOMORROW)MENTAL HEALTH AND/OR SUBSTANCE ABUSE: TO ADDRESS THE COMMUNITY'S MENTAL HEALTH AND/OR SUBSTANCE ABUSE HEALTH NEEDS THROUGH PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT, MCHS-LA CROSSE:COLLABORATED ON CRISIS INTERVENTION TRAINING. THIS TRAINING CONSISTED OF A TWO-DAY COURSE HELD BY LA CROSSE COUNTY LAW ENFORCEMENT AND FOCUSED ON BUILDING HEALTHIER RELATIONSHIPS AMONG THE YOUTH IN LA CROSSE COUNTY.PARTNERED WITH THE DEPARTMENT OF BEHAVIORAL HEALTH AT MAYO CLINIC HEALTH SYSTEM IN LA CROSSE AND THE BOYS & GIRLS CLUB OF GREATER LA CROSSE. THIS PARTNERSHIP PROVIDES 4 STAFF MEMBERS (INCLUDING A DIRECTOR) AND SUPPORT FOR THE BOYS & GIRLS CLUB. THE STAFF SERVE AS A RESOURCE FOR CLUB STAFFERS AND MEMBERS AND AS A LIAISON BETWEEN THE CLUB AND COMMUNITY RESOURCES.PARTICIPATED IN EVENT TO EMPOWER FAMILIES IN STRENGHING YOUTH MENTAL HEALTH. THE EVENT FOCUSED ON EMPOWERING FAMILIES WITH STRATEGIES TO SUPPORT YOUTH MENTAL HEALTH, EMPHASIZING THE IMPORTANCE OF STRONG FAMILY BONDS, SOCIAL SUPPORT, AND HEALTHY LIFESTYLE CHOICES. ATTENDEES RECEIVED PRACTICAL TOOLS TO ADDRESS DEPRESSION AND ANXIETY, REINFORCING THE OVERARCHING THEME OF FOSTERING RESILIENCE AND WELL-BEING IN ADOLESCENTS.PARTNERED WITH THE COULEE RECOVERY CENTER WHICH PROVIDES CONFIDENTIAL HELP TO INDIVIDUALS AND FAMILIES IMPACTED BY ADDICTION AND LEADS THE COMMUNITY IN PREVENTION, EDUCATION, AND AWARENESS. THE PARTNERSHIP BETWEEN THE ORGANIZATION INCLUDES PEER SUPPORT SPECIALIST PROGRAM, SUBSTANCE ABUSE CARE PROVIDER, CLINIC SUPERVISION AND USE OF MAYO OWNED PROPERTY.SPONSORED GRIEF SUPPORT GROUP FOR WIDOWED WOMEN. THIS IS A VIRTUAL MONTHLY GATHERING FOR INFORMAL CONVERSATION, CAMARADERIE AND SUPPORT FOR WOMEN AFTER THE DEATH OF A SPOUSE OR SIGNIFICANT OTHER. CONTRIBUTED FINANCIAL FUNDING AND SUPPORT TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT INVOLVE MENTAL HEALTH AND/OR SUBSTANCE USE. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- ADULT & TEEN CHALLENGE OF WESTERN WISCONSIN (WOMENS RECOVERY PROGRAM)- TELLURIAN BEHAVIORAL HEALTH (CRISIS STABILIZATION/RESIDENTAL FACILITY)- MINI DONUT FOUNDATION (SUICIDE AWARENESS & PREVENTION)- LA CROSSE SCHOOL DISTRICT (CONFERENCE/MENTAL HEALTH)- SUICIDE PREVENTION SUMMIT- MENTAL HEALTH COALITION OF GREATER LA CROSSE- SAFE FAMILIES FOR CHILDREN- HOPE RESTORES (MENTAL HEALTH COUNSELING)- RED CROSS (MENTAL HEALTH SUPPORT FOR MILITARY MEMBERS & DISASTER SURVIVERS)- COULEE COUNCIL ON ADDICTIONS (OUTDOOR RECOVERY PROGRAM & HOME RUN 5K)- LA CROSSE COUNTY SHERIFF (DARE PROGRAM)CHRONIC DISEASE AND CONTRIBUTING FACTORS: TO PROVIDE COMPREHENSIVE, QUALITY HEALTH CARE FOR PATIENTS EXPERIENCING CHRONIC DISEASE INCLUDING SCREENINGS, PATIENT MANAGEMENT, AND PATIENT EDUCATION, MCHS-LA CROSSE:PROVIDED ACCURATE, RELEVANT CHRONIC DISEASE PREVENTION INFORMATION AT NO COST USING A VARIETY OF CHANNELS.PROVIDED STAFF TO ENGAGE IN COLLABORATIVE COMMUNITY EFFORTS THAT SUPPORT CHRONIC DISEASE PREVENTION.SPONSORED PARKINSON'S EDUCATION OUTREACH. THIS PRESENTATION (DEMISTIFYING PARKINSON'S) IS LED BY A MCHS NEUROLOGIST AND IS AIMED TO EDUCATE THE COMMUNITY, THOSE LIVING WITH PARKINSON'S AND THEIR CAREGIVERS ABOUT PARKINSONISM.PARTNERED WITH INDIGENOUS POPULATON OUTREACH GROUPS AND LARGE EMPLOYERS TO OFFER MAMMOGRAMS AT COMMUNITY AND BUSINESS EVENTS. THE MOBILE MAMMOGRAPHY UNIT USED AT THISE EVENTS PROVIDES ADVANCED MAMMOGRAPHY TECHNOLOGY TO RURAL AREAS OF WISCONSIN AND MINNESOTA.CONTRIBUTED FINANCIAL FUNDING AND SUPPORT TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS INVOLVING CHRONIC DISEASE AND CONTRIBUTING FACTORS. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- NATIONAL MS SOCIETY- ALS ASSOCIATION- A LITTLE RAE OF HOPE (FOR FAMILIES FACING LIFE THREATING ILLNESSES)- ALZHEIMER'S ASSOCIATION- RUN FROM THE SUN (SKIN CANCER)- AMERICAN CANCER SOCIETY- DOWN SYNDROME ASSOCIATION - WAFER (FOOD PANTRY)- CLEARWATER FARM (SPARK PROGRAM FOR MEMORY LOSS)HEALTH NEEDS NOT ADDRESSED: MCHS IN LA CROSSE ANALYZED THE LOCAL HEALTH NEED OUTCOMES IDENTIFIED IN THE CHNA AND CHOSE STRATEGIES AND INITIATIVES WHERE THE ORGANIZATION COULD MAKE THE GREATEST IMPACT AND EFFECT CHANGE IN THE LOCAL COMMUNITIES. OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA INCLUDED POVERTY, LIVABLE WAGES, AND/OR SAFE AND AFFORDABLE HOUSING. THESE NEEDS WILL BE ADDRESSED BY MCHS-LA CROSSE BASED ON RESOURCES AVAILABLE AND/OR COLLABORATING WITH 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 2022, MCHS IN SPARTA (MCHS-SPARTA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CAREMENTAL HEALTH AND/OR SUBSTANCE ABUSECHRONIC DISEASE AND CONTRIBUTING FACTORSIN 2024, MCHS-SPARTA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO ENSURE ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE FOR COMMUNITY MEMBERS, WHICH IS SAFE, AFFORDABLE, TIMELY, AND COORDINATED, MCHS-SPARTA:PROVIDED SPACE FOR ST. CLAIRE HEALTH MISSION OF MONROE COUNTY, AN ORGANIZATION THAT PROVIDES HEALTHCARE TO THOSE THAT FIND SUCH SERVICES INNACCESSIBLE, TO SEE PATIENTS TWO EVENINGS A MONTH. HOSPITAL REPRESENTATIVES ALSO SERVE ON THE BOARD OF DIRECTORS.PROVIDED SPORTS PHYSICALS FOR MEMBERS AT THE BOYS & GIRLS CLUB OF SPARTA.FOCUSED ON NURSING WORKFORCE DEVELOPMENT STRATEGIES TO PROACTIVELY FIND SOLUTIONS TO PROJECTED WORKFORCE SHORTAGES. THE DALE SCHOLAR COHORT CONSISTED OF 6 STUDENTS FROM THE VITERBO UNIVERSITY NURSING PROGRAM. THE SCHOLAR BENEFITS OF THE PROGRAM INCLUDE POST-GRADUATE EMPLOYMENT. IMPLEMENTED PRIMARY CARE ON DEMAND. THIS SERVICE PROVIDES DIGITAL PRIMARY CARE USING ARTIFICIAL INTELLIGENCE TO DELIVER PERSONALIZED QUALITY MEDICINE 24/7/365. IT IS AN EXTENSION OF THE CARE OFFERED BY IN-CLINIC CARE TEAMS AND IS AVAILABLE THROUGH THE PRIMARY CARE ON DEMAND WISCONSIN MOBILE APP. THIS SERVICE IS AVAILABLE TO MAYO CLINIC HEALTH SYSTEM PATIENTS AND COMMUNITY MEMBERS AGES 18+ LIVING IN WISCONSIN. IT PROVIDES CARE FOR NEARLY 40 CONDITIONS, INCLUDING UPPER RESPIRATORY INFECTION, SINUSITIS, CONJUNCTIVITIS, URINARY TRACT INFECTION, SHINGLES, AND BACK PAIN. HOSTED A WEEK-LONG STEMKAMP FOR KIDS IN GRADES 3-9 THAT FOCUSED ON HEALTHCARE CAREERS. EIGHT STAFF MEMBERS WERE PRESENT DURING THE EXPO WITH HANDS-ON ACTIVITIES FOR KIDS TO LEARN MORE ABOUT HEALTHCARE CAREERS. CONTRIBUTED FINANCIAL FUNDING AND SUPPORT TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT INVOLVE IMPROVED ACCESS TO CARE. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- FORT MCCOY (WELLNESS FAIR)- SPARTA STEMKAMP (HEALTHCARE WORKFORCE DEVELOPMENT)- INNOVATIONS STEM ACADEMY (FAMILY NIGHT)- SPARTA PICKLEBALL ASSOCIATION (AED)- FAMILIES FIRST OF MONROE COUNTY (CLIENT NEEDS)- CARING CLOSET (CLIENT NEEDS)- ADRC OF MONROE COUNTY (HOMELESS LIAISON SUPPORT)- FAMILY PROMISE OF MONROE COUNTY (SUPPORT FOR HOMELESSNESS)MENTAL HEALTH AND/OR SUBSTANCE ABUSE: TO ADDRESS THE COMMUNITY'S MENTAL HEALTH AND/OR SUBSTANCE ABUSE HEALTH NEEDS THROUGH PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT, MCHS-SPARTA:PARTNERED WITH THE COULEE RECOVERY CENTER WHICH PROVIDES CONFIDENTIAL HELP TO INDIVIDUALS AND FAMILIES IMPACTED BY ADDICTION AND LEADS THE COMMUNITY IN PREVENTION, EDUCATION, AND AWARENESS. THE PARTNERSHIP BETWEEN THE ORGANIZATION INCLUDES A PEER SUPPORT SPECIALIST PROGRAM, SUBSTANCE ABUSE CARE PROVIDER AND CLINIC SUPERVISION.PARTICIPATED IN THE MONROE COUNTY MENTAL WELLNESS FAIR. A CLINICAL THERAPIST SHARED INFORMATION ON A VARIETY OF MENTAL HEATLH TOPICS AND ANSWERED QUESTIONS FROM THE GENERAL PUBLIC.HELD A DRUG TAKE BACK DAY WITH A SHARPS DISPOSAL. THIS WAS IN PARTNERSHIP WITH THE MONROE COUNTY HEALTH DEPARTMENT AND THE SHERIFF'S DEPARTMENT.PROVIDED STAFF AS PART OF THE MONROE COUNTY MENTAL HEALTH COALITION. THE COLAITION STRIVES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND REDUCE STIGMA.PRESENTED ON MENTAL HEALTH AWARENESS FOR YOUTH AT THE BOYS & GIRLS CLUB OF WESTERN CENTERAL WISCONSIN. THE SPEAKER WAS A CLINICAL THERAPIST. CONTRIBUTED FINANCIAL FUNDING AND SUPPORT TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT INVOLVE MENTAL HEALTH AND/OR SUBSTANCE USE. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- COMMUNITY SAFETY NET (YOUTH DRUG SAFETY )- MONROE COUNTY SAFE COMMUNITY COALITION (SUBSTANCE USE PREVENTION)CHRONIC DISEASE AND CONTRIBUTING FACTORS: TO PROVIDE COMPREHENSIVE, QUALITY HEALTH CARE FOR PATIENTS EXPERIENCING CHRONIC DISEASE INCLUDING SCREENINGS, PATIENT MANAGEMENT, AND PATIENT EDUCATION, MCHS-SPARTA:PROVIDED ACCURATE, RELEVANT CHRONIC DISEASE PREVENTION INFORMATION AT NO COST USING A VARIETY OF CHANNELS.ATTENDED VARIOUS COMMUNITY HEALTH FAIRS TO SHARE INFORMATION AND EDUCATION ABOUT CHRONIC DISEASE AND CONTRIBUTING FACTORS. THESE INCLUDED THE MONROE COUNTY DAIRY BREAKFAST PARKINSON'S DISEASE, TOMAH MEN'S HEALTH PROSTATE CANCER, SPARTA SCHOOL DISTRICT STEMKAMP VAPING & TOBACCO PREVENTION, ADRC MONROE COUNTY NATIONAL SENIOR HEALTH & FITNESS DAY, AND FORT MCCOY WELLNESS FAIR.PROVIDED A WELLNESS AND VACCINATION PRESENTATION FOR YOUTH AT THE BOYS & GIRLS CLUB. THE PRESENTATION WAS LED BY A FAMILY MEDICINE PROVIDER AND HIGHLIGHTED THE IMPORTANCE OF PHYSICAL ACTIVITY, NUTRITION AND ANNUAL VACCINATIONS. COLLABORATED WITH THE WISCONSIN WELL WOMENS PROGRAM AND SCENIC BLUFFS MEDICAL CENTER TO BETTER UNDERSTAND THE NEEDS OF THE WOMEN THEY SERVE WITH THE GOAL OF CREATING ACCESSIBLE MAMMOGRAPHY OPPORTUNITIES.CONTRIBUTED FINANCIAL FUNDING AND SUPPORT TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS INVOLVING CHRONIC DISEASE AND CONTRIBUTING FACTORS. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- SPARTA AREA SCHOOLS (BACKPACK FOOD PROGRAM)- NEIGHBOR FOR NEIGHBOR FOOD PANTRY- COULEECAP (FOOD PANTRY)HEALTH NEEDS NOT ADDRESSED: MCHS IN SPARTA ANALYZED THE LOCAL HEALTH NEED OUTCOMES IDENTIFIED IN THE CHNA AND CHOSE STRATEGIES AND INITIATIVES WHERE THE ORGANIZATION COULD MAKE THE GREATEST IMPACT AND EFFECT CHANGE IN THE LOCAL COMMUNITIES. OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA INCLUDED POVERTY, LIVABLE WAGES, AND/OR SAFE AND AFFORDABLE HOUSING. THESE NEEDS WILL BE ADDRESSED BY MCHS-SPARTA BASED ON RESOURCES AVAILABLE AND/OR COLLABORATING WITH OTHER AGENCIES AND ORGANIZATIONS WITHIN THE COMMUNITY THAT ARE MORE ALIGNED WITH 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 2022, MCHS IN MENOMONIE (MCHS-MENOMONIE) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2024, MCHS-MENOMONIE TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO IMPROVE MENTAL HEALTH WITH AN EMPHASIS ON STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES AND SUICIDE PREVENTION AND SUPPORTING RESILIENCY ACROSS THE LIFESPAN, 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:- POSITIVE ALTERNATIVES - $5,000 (GROUP HOME RENOVATION)- UW-STOUT - $4,000 (EARLY CHILDHOOD CONFERENCE & WELLNESS FOR EDUCATORS WORKSHOP) - COMMUNITY FOUNDATION OF DUNN COUNTY - $2,500 (SPONSORSHIP)- MENOMONIE THEATER GUILD - $1,500 (YOUTH PROGRAMMING)- THE MABEL TAINTER - $1,000 (MABEL'S COMMUNITY CELEBRATION)- WISCONSIN FOSTER CLOSET - $1,000 (CLOTHES AND GAMES FOR FOSTER FAMILIES)- BRIDGE TO HOPE - $5,050 (PROGRAMMING)- MENOMONIE PRIDE, INC. - $500 (PRIDE PICNIC)- GLENWOOD CITY PUBLIC LIBRARY - $4,000 (MENTAL HEALTH EVENT FOR FAMILIES)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - MENOMONIE PUBLIC LIBRARY (YOGA CLASSES IN PERSON AND VIRTUAL)- UW-STOUT EARLY CHILDHOOD CONFERENCE (PRESENTATION)- UW-STOUT MENTAL HEALTH AND WELLNESS WORKSHOP FOR EDUCATORS - JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM)- MENOMONIE PRIDE PICNIC- ELMWOOD SCHOOL DISTRICT STAFF (YOGA CLASS)AWARDED HOMETOWN HEALTH GRANTS TO ORGANIZATIONS WITHIN THE COMMUNITY THAT PROMOTE MENTAL WELLNESS. GRANTS WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS ON PROJECTS AT A HIGHER FINANCIAL SUPPORT LEVEL. A $20,000 GRANT WAS AWARDED TO THE MENOMONIE SENIOR CENTER TO ASSIST SENIORS AND CAREGIVERS WITH RESPITE CARE.AN ADDITIONAL $50,000 COMMUNITY GIVING GRANT WAS AWARDED TO THE MENOMONIE PUBLIC LIBRARY TO SUPPORT THE OUTDOOR IMPROVEMENT PROJECT AND $70,000 TO THE BOYS AND GIRLS CLUB OF THE GREATER CHIPPEWA VALLEY TO SUPPORT YOUTH MENTAL HEALTH AT THE CHIPPEWA FALLS, EAU CLAIRE AND MENOMONIE SITES.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT. A TOTAL OF $30,000 WAS AWARDED TO SCHOOLS WITHIN DUNN COUNTY. PROJECTS SUPPORTING MENTAL HEALTH INCLUDED:- COLFAX SCHOOL DISTRICT - $6,000 (ON-SITE MENTAL HEALTH THERAPY AND SCHOOL FOOD PANTRY)- BOYCEVILLE SCHOOL DISTRICT - $5,000 (SENSORY ROOM AND BOOKS FOR IMMIGRANT STUDENTS)- MENOMONIE SCHOOL DISTRICT - $4,000 (SHOES FOR ELEMENTARY STUDENTS)- ELK MOUND SCHOOL DISTRICT - $5,000 (PEER TO PEER RESILIENCY & CHARACTER STRONG PROGRAMS)SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO PREVENT ALCOHOL MISUSE AND SUBSTANCE ABUSE WITH EMPHASIS ON YOUTH, MCHS-MENOMONIE:HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - MENOMONIE HIGH SCHOOL (TRAUMA SIMULATION TO STOP DRINKING & DRIVING)- JUNIOR ACHIEVEMENT CAREER DAY BOOTH- NATIONAL NIGHT OUT EVENT (MENOMONIE)A $45,000 COMMUNITY GIVING GRANT WAS AWARDED TO ARBOR PLACE, INC. FOR THE BRIGHTER TOMORROW'S CAPITAL CAMPAIGN DEDICATED TO A NEW WOMEN AND CHILDREN'S RESIDENTIAL TREATMENT UNIT. CHRONIC DISEASE AND OBESITY: TO PREVENT OBESITY AND REDUCE CHRONIC DISEASE WITH A FOCUS ON NUTRITION, REDUCING FOOD INSECURITY AND INCREASING PUBLIC ACCESS TO PHYSICAL ACTIVITY, MCHS-MENOMONIE:PARTICIPATED WITH COMMUNITY COALITIONS LIKE HEALTH DUNN RIGHT 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 HEALTH DEPARTMENT - $2,500 (PUBLIC HEALTH KIOSK)- STEPPING STONES OF DUNN COUNTY - $3,000 (FOOD PANTRY)- DUNN COUNTY BIRTH TO 3 - $2,000 (HEALTHY SNACKS FOR PLAYGROUP)- WESTCAP BOYCEVILLE/GLENWOOD CITY - $2,000 (FOOD PANTRY)- UW-STOUT - $1,000 (HELPING HAND STUDENT FOOD+ PANTRY)- THURSDAY'S TABLE LTD - $6,000 (COMMUNITY MEAL SPONSOR)- MENOMONIE UNITED METHODIST CHURCH - $5,000 (COMMUNITY MEAL SPONSOR)- ROTARY MENOMONIE - $1,200 (ROTARY FEEDS AT UW STOUT)- AMERICAN RED CROSS - $2,000 (NWWI HEROES BREAKFAST)- THE FREE CLINIC OF THE GREATER MENOMONIE AREA - $2,000 (OPERATIONS)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - YOGA CLASSES (MENOMONIE PUBLIC LIBRARY IN PERSON AND VIRTUAL)- STRONG BODIES CLASS (MENOMONIE SENIOR CENTER)- CHIPPEWA VALLEY LEARNING IN RETIREMENT (PRESENTATIONS)- YOGA CLASSES (KALEIDOSCOPE PEER SUPPORT PROGRAM)- GENERAL HEALTH BOOTH (UW-STOUT WELLNESS FAIR)- GLENWOOD CITY CLINIC COMMUNITY OPEN HOUSE (GLENWOOD CITY PUBLIC LIBRARY)- MAMMOGRAM SCREENING EVENT (FREE CLINIC OF MENOMONIE)- HISPANIC HEALTH FAIR BOOTH (ROCK CREEK CHURCH, ROCK FALLS)- 3M WELLNESS DAY BOOTH- CAREER DAY (MENOMONIE HOMESCHOOL ASSOCIATION)- YOGA CLASS (ELMWOOD SCHOOL DISTRICT STAFF)- WALK-A-THON (WAKANDA ELEMENTARY SCHOOL)PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ASSIST IN REDUCING CHRONIC DISEASE AND OBESITY. A TOTAL OF $30,000 WAS AWARDED TO SCHOOLS WITHIN DUNN COUNTY. PROJECTS INCLUDED:- BOYCEVILLE SCHOOL DISTRICT - $1,000 (WELLNESS WALK)- MENOMONIE SCHOOL DISTRICT - $4,000 (HEALTHY SNACK PROGRAM)- ELMWOOD SCHOOL DISTRICT - $5,000 (GAGA BALL PITS)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 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 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 2022, MCHS IN OSSEO (MCHS-OSSEO) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE ABUSE AND ALCOHOL MISUSECHRONIC DISEASE AND OBESITYIN 2024, MCHS-OSSEO TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO IMPROVE MENTAL HEALTH WITH AN EMPHASIS ON STRENGTHENING COMMUNITY MENTAL HEALTH SERVICES AND SUICIDE PREVENTION AND SUPPORTING RESILIENCY ACROSS THE LIFESPAN, MCHS-OSSEO: PARTNERED WITH COMMUNITY COALITIONS AND BOARDS SUCH AS OSSEO HOUSING, INC. AND CITY COUNCIL TO ADDRESS NEEDS RELATED TO MENTAL HEALTH. IN ADDITION, FINANCIAL SUPPORT WAS CONTRIBUTED TO ORGANIZATIONS THAT OFFER COMMUNITY SERVICES AND PROGRAMS THAT IMPROVE MENTAL HEALTH. MONETARY SPONSORSHIPS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS:- LUKE 3:11 PROJECT - $7,000 (CLOTHING, BLANKETS, & TOILETRIES FOR LOW-INCOME) - OSSEO SCHOOL DISTRICT - $5,000 (STAFF MENTAL HEALTH IN-SERVICE DAY)- WESTERN DAIRYLAND ECONOMIC OPPORTUNITY COUNCIL, INC. - $2,000 (CNA SCHOLARSHIPS)- GARBER BAND SHELL - $850 (MAYO EVENT NIGHT)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS MENTAL HEALTH CONCERNS BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED JOURNEY TO WELLNESS, A 12 MONTH SELF-LED VIRTUAL PROGRAM.PROVIDED SUPPORT TO AREA SCHOOL DISTRICTS FOR PROGRAMS AND ACTIVITIES THAT ALIGN WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT. A TOTAL OF $10,000 WAS AWARDED TO SCHOOLS WITHIN TREMPEALEAU COUNTY. PROJECTS SUPPORTING MENTAL HEALTH INCLUDED:- OSSEO-FAIRCHILD SCHOOL DISTRICT - $5,000 (SAFE@HOME & SAFE SITTERS ESSENTIALS PROGRAMS) - MONDOVI SCHOOL DISTRICT - $5,000 (M-CORE PROGRAM).SUBSTANCE ABUSE AND ALCOHOL MISUSE: TO PREVENT ALCOHOL MISUSE AND SUBSTANCE ABUSE WITH AN EMPHASIS ON YOUTH, MCHS-OSSEO:HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS SUBSTANCE USE AND ALCOHOL MISUSE BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED JOURNEY TO WELLNESS, A 12 MONTH SELF-LED VIRTUAL PROGRAM. CHRONIC DISEASE AND OBESITY: TO PREVENT OBESITY AND REDUCE CHRONIC DISEASE WITH A FOCUS ON NUTRITION, REDUCING FOOD INSECURITY AND INCREASING PUBLIC ACCESS TO PHYSICAL ACTIVITY, 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:- OSSEO COMMUNITY FOUNDATION - $5,000 (STODDARD PARK REJUVENATION COMMITTEE)- OSSEO FARMERS MARKET - $5,000 (SNAP AND EBT MARKET MATCH)- JACKSON IN ACTION - $1,000 (JACKSON COUNTY FARMERS MARKET EBT MATCH)- RELAY FOR LIFE TREMPEALEAU COUNTY - $1,000 (SPONSORSHIP)- OSSEO UNITED CHURCH OF CHRIST - $4,000 (SCHOOL BACKPACK PROGRAM)- OSSEO UNITED EVANGELICAL CHURCH - $4,000 (OSSEO AREA FOOD PANTRY)- AMERICAN RED CROSS - $2,000 (NWWI HEROES BREAKFAST)HELD COMMUNITY OUTREACH ENGAGEMENTS TO ADDRESS CHRONIC DISEASE AND OBESITY BY CONNECTING WITH THE COMMUNITY THROUGH PRESENTATIONS, BLOGS, VIRTUAL CHALLENGES, COMMUNITY EVENTS, AND COALITION INVOLVEMENT. ENGAGEMENTS INCLUDED: - OSSEO WALKING PROGRAM- PRESENTATION TO FOURTH AND FIFTH GRADE STUDENTS ON PUBERTY (MONDOVI)- STOP THE BLEED TRAINING (WHITEHALL AND ELEVA STRUM SCHOOL DISTRICTS)- HISPANIC HEALTH FAIR (PIGEON FALLS)- JOURNEY TO WELLNESS (12 MONTH SELF-LED VIRTUAL PROGRAM)HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 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 2022, 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 CARE (FREEBORN & MOWER COUNTIES)MENTAL WELL-BEING (FREEBORN & MOWER COUNTIES)CHRONIC DISEASE PREVENTION (FREEBORN COUNTY)SUBSTANCE MISUSE (MOWER COUNTY)IN 2024, 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 OR PARTICIPATED IN 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.EMPLOYER ROUNDTABLE SESSIONS: HOSTED A DISCUSSION GROUP, LED BY MAYO CLINIC HEALTH SYSTEM LEADERSHIP, WITH LOCAL BUSINESS LEADERS/EMPLOYERS TO PROVIDE UPDATES ON INTEGRATION BETWEEN THE ALBERT LEA AND AUSTIN CAMPUSES AND ANSWER QUESTIONS RELATED TO HEALTHCARE ACCESS. SPORTS PHYSICALS: ASSISTED THE CLINICAL PRACTICE WITH COMMUNICATING ABOUT AND HOSTING ANNUAL SPORTS PHYSICALS FOR AREA TEENS, A REQUIREMENT FOR MINNESOTA HIGH SCHOOL SPORTS.LEADERSHIP ALBERT LEA AND AUSTIN: PRESENTED TO EMERGING COUNTY LEADERS TO INFORM AND DISCUSS LOCAL HEALTHCARE OPTIONS AND PROVIDE UPDATES ON CARE ACCESS IMPROVEMENTS. 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. HOMETOWN FOOD SECURITY: SHOWCASED COMMUNITY COLLABORATION AT THE TRANSFORMING COMMUNITY AND RURAL HEALTHCARE SYMPOSIUM.MOBILE HEALTH CLINIC: PROVIDED CARE AND IMMUNIZATIONS AT EVENTS ACROSS SOUTHEAST MINNESOTA.MAYO CLINIC CARES: FACILITATED THE MAYO CLINIC VOLUNTEER PROGRAM. COORDINATED SEVERAL VOLUNTEER EFFORTS IN THE COMMUNITY AND BUILT AWARENESS OF THE PROGRAM INTERNALLY WITH STAFF.MENTAL WELL-BEING: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED OR PARTICIPATED IN THE FOLLOWING EFFORTS:JOURNEY TO WELLNESS PROGRAM: DISTRIBUTED MATERIALS FOR THE VIRTUAL PROGRAM TO THE GENERAL POPULATION, KEY ORGANIZATIONS AND AREA SCHOOLS. THIS PROGRAM HIGHLIGHTED CHANGES TO MANAGE STRESS, DANGERS OF VAPING AND ALCOHOL USE, AND WAYS TO GET REGULAR PHYSICAL ACTIVITY. HOMETOWN HEALTH BLOGS: PRODUCED SUBJECT MATTER EDUCATION ON A VARIETY OF TOPICS FOCUSING ON COMMUNITY HEALTH PRIORITIES. 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. 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.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. SPEAKERS FOR LOCAL EVENTS: PROVIDED SPEAKERS AT COMMUNITY EVENTS, INCLUDING AUSTIN PUBLIC SCHOOLS, AUSTIN ASPIRES, AUSTIN ROTARY, AUSTIN PUBLIC LIBRARY AND ALBERT LEA HIGH SCHOOL CAREER PATHWAYS. COMMUNITY VIBRANCY EVENTS: PARTICIPATED IN LOCAL EVENTS THAT FOSTER THRIVING COMMUNITIES. CHRONIC DISEASE PREVENTION: TO EDUCATE THE COMMUNITY ON HEALTHY LIVING TO PROMOTE DISEASE PREVENTION, MCHS-AL/AUS IMPLEMENTED OR PARTICIPATED IN THE FOLLOWING EFFORTS: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. 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. FREEBORN COUNTY FAIR: PROVIDED HEALTH INFORMATION TO FAIR ATTENDEES AND AT VARIOUS FESTIVALS. WORKSITE WELLNESS: COLLABORATED WITH THIS COMMUNITY COMMITTEE TO IDENTIFY SOLUTIONS FOR WORKSITES TO INSPIRE HEALTHY EMPLOYEES. MAYO CLINIC CARES: FACILITATED THE MAYO CLINIC VOLUNTEER PROGRAM. COORDINATED SEVERAL VOLUNTEER EFFORTS IN THE COMMUNITY AND BUILT AWARENESS OF THE PROGRAM INTERNALLY WITH STAFF.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.SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, MCHS-AL/AUS IMPLEMENTED OR PARTICIPATED IN THE FOLLOWING EFFORTS: AUSTIN POSITIVE ACTION COALITION: ATTEND MONTHLY MEETINGS FOR THIS COMMUNITY COALITION THAT WORKS TO REDUCE ALCOHOL, TOBACCO, AND OTHER DRUG USE AMONG TEENS.MOWER COUNTY OPIOID TASKFORCE/ADVISORY COUNCIL: SERVED AS A MEMBER OF THE COUNTY TASKFORCE IDENTIFIED TO STEWARD THE $1.2 MILLION ALLOCATED TO MOWER COUNTY AS PART OF THE MINNESOTA OPIOID SETTLEMENT. FUNDS WILL BE USED FOR OPIOID MITIGATION SUCH AS TREATMENT, PREVENTION, RECOVERY, HARM REDUCTION, RESEARCH AND TRAINING. MOWER COUNTY OPIOID AWARENESS EVENT: REPRESENTED FOUNTAIN CENTERS, MADE NETWORKING CONNECTIONS AND SHARED INFORMATION ON FOUNTAIN CENTERS. MINNESOTA ASSOCIATION OF RESOURCES FOR RECOVERY AND CHEMICAL HEALTH CONFERENCE: HOSTED A BOOTH FOR FOUNTAIN CENTERS, MADE NETWORKING CONNECTIONS AND SHARED INFORMATION ON FOUNTAIN CENTERS. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA INCLUDED SOCIOECONOMIC FACTORS, SUCH AS FOOD INSECURITY, FAMILY/SOCIAL SUPPORT, HOUSEING, ETC. 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 2022, MAYO CLINIC ARIZONA (MCA) IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:ACCESS TO CARECANCER/BREAST CANCERSOCIAL DETERMINANTS OF HEALTH (HOMELESSNESS & FINANCIAL INSECURITY)IN 2024, MCA TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS TO CARE: TO PROVIDE NON-MAYO CLINIC PATIENTS ACCESS TO EXPERT SPECIALTY CARE (AT NO COST OR REDUCED COST) WHEN THEY PREVIOUSLY HAD LIMITED OR NO OPPORTUNITY TO RECEIVE THE NEEDED TREATMENT, 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.MAINTAINED PARTNERSHIP WITH MOUNTAIN PARK HEALTH CENTER (MPHC), ADELANTE HEALTH CENTER AND VALLEYWISE HEALTH TO BE ACCESS POINTS FOR REFERRED PATIENTS FROM MPHC, ADELANTE AND VALLEYWISE HEALTH. FOR THE PAST 14 YEARS MCA HAS CONTINUED TO TREAT UP TO 12 PATIENTS DIAGNOSED WITH BREAST CANCER. MCA PROVIDES BIOPSY, BREAST CANCER SURGERY, RADIOLOGIC, CHEMO-THERAPEUTIC, SURGICAL RECONSTRUCTION, AND FOLLOW UP APPOINTMENTS WITH PATIENTS THAT REQUIRED A GREATER LEVEL OF CARE THAT THEIR PRIMARY CARE TEAM AT MPHC ARE NOT ABLE TO PROVIDE.ADDED ADELANTE AND VALLEYWISE HEALTH TO THE GROUP OF FEDERALLY QUALITFIED HEALTH CENTERS TO ALLOW REFERRAL OF CANCER PATIENTS. MCA PROVIDED TREATMENT TO NEARLY 25 REFERRED PATIENTS FOR BREAST CANCER FROM THOSE FEDERALLY QUALIFIED HEALTH CENTERS.CONTINUED AN E-CONSULTATION PLATFORM FOR MPHC AND EXPANDED THE PLATFORM FOR PHYSICIANS FROM ADELANTE AND VALLEYWISE. PHYSICIANS THAT REQUIRE CONSULTATION FOR SCREENING/UNDERSTANDING CANCER LAB RESULTS OR CANCER PATIENT MAINTENANCE OF CARE ARE PROVIDED AT NO COST TO THE CLINICAL STAFF OF SAID FACILITIES. ADELANTE PATIENTS DIAGNOSED WITH BREAST AND OVARIAN CANCER HAVE BEEN TREATED AT MCA. IN 2024, 5 ADELANTE PATIENTS HAVE BEEN TREATED AT MCA AT NO COST AS A RESULT OF THE COMMITMENT TO PATIENTS IN THE COMMUNITY THAT NEED EXPERT CARE BUT LACK ACCESS. CONTINUED THE CLINICAL PARTNERSHIP WITH ADELANTE FOR MCA TRAINEES AND PHYSICIAN STAFF TO PROVIDE GASTROENTEROLOGY FECAL IMMUNOCHEMICAL TESTING TO THEIR PATIENT BASE. PATIENTS WITH POSITIVE RESULTS ARE REFERRED TO MCA FOR A COLONOSCOPY FOLLOW-UP VISIT. THOSE ADELANTE PATIENTS WHO ARE DIAGNOSED WITH A GASTROENTEROLOGY CANCER GO TO MCA FOR CANCER TREATMENT. MCA PROVIDES TRANSPORTATION TO AND FROM APPOINTMENTS. IN 2024, MCA PROVIDED TREATMENT TO 9 ADELANTE PATIENTS.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. APPROVED 12 ECHOCARDIOGRAPHY AND 12 BONE MARROW BIOPSIES FOR VALLEYWISE HEALTH PATIENTS. REFERRED PATIENTS RECEIVED TREATMENT AT MCA FOR BONE MARROW BIOPSIES AND CANCER SCREENINGS. CANCER CARE: TO PROVIDE CANCER CARE AND TO ASSIST IN REDUCING DISPARATE HEALTH OUTCOMES TO MINORITY, POOR, AND OTHER VULNERABLE DISPARATE POPULATIONS, MCA:ASSISTED PATIENTS FROM UNDERSERVED COMMUNITIES THROUGH PARTNERSHIPS WITH FEDERAL QUALIFIED HEALTH CENTERS SUCH AS MOUNTAIN PARK HEALTH CENTER, ADELANTE HEALTHCARE AND PHOENIX INDIAN MEDICAL CENTER.PROVIDED $50,000 OF FINANCIAL SUPPORT TO THE COALITION OF BLACKS AGAINST BREAST CANCER. THE COALITION OF BLACKS AGAINST CANCER 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.PROVIDED FUNDING SUPPORT TO THE AMERICAN CANCER SOCIETY TO SUPPORT COMMUNITY-BASED INITIATIVES TO RAISE AWARENESS AND FUNDING FOR RESEARCH AND SUPPORT PROGRAMS.CONTINUES TO PROMOTE CANCER SCREENINGS/TREATMENT AND IMPROVE ACCESS TO CARE WITH VULNERABLE COMMUNITIES, SPECIFICALLY BLACK, LATINO, AND NATIVE 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 OVER $100K TO CIRCLE THE CITY RESPITE FACILITY FOR THE HOMELESS IN 2024 AND CONTINUED SUPPORT THROUGH THE MARICOPA COUNTY COMMUNITY HEATH IMPROVEMENT PARTNERSHIP WITH COMMUNITY-FACING ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROVIDING SERVICES AND RESOURCES TO THE UNHOUSED POPULATION. SUCH ORGANIZATIONS INCLUDED THE SOCIETY OF ST. VINCENT DE PAUL, CIRCLE THE CITY, PHOENIX INDIAN CENTER, ONE COMMUNITY FOUNDATION, ONE-N-TEN, AND MANY OTHERS.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH PRIORITIES MENTIONED IN THE CHNA THAT ARE NOT BEING ADDRESSED BY MCA INCLUDE MENTAL HEALTH, ALCOHOL/SUBSTANCE USE, 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. 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: BASED ON THE CHNA CONDUCTED IN 2022, 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:ACCESSCHRONIC DISEASESMENTAL HEALTHIN 2024, MCF TOOK THE FOLLOWING ACTIONS TO ADDRESS THE IDENTIFIED NEEDS:ACCESS: TO INCREASE HEALTH CARE RESOURCES FOR INDIVIDUALS AND FAMILIES WITH LIMITED OR NO MEANS IN THE COMMUNITY, MCF SUPPORTED THE FOLLOWING:SULZBACHER CENTER: MCF CONTINUED TO GROW ITS COMMUNITY CLINIC ENHANCING CLINICAL OPPORTUNITIES FOR LEARNERS AT SULZBACHER CENTER. IN 2023, THROUGH ITS COMMUNITY INTERNAL MEDICINE PROGRAM AT SULZBACHER, 49 PATIENTS WERE SEEN. IN 2024 THE CLINIC GREW SUBSTANTIONALLY AND 260 PATIENTS WERE SEEN. ADDITIONALLY, MCF CONTRIBUTED SUPPLEMENTAL CARE THROUGH CARDIOLOGY WHICH RESULTED IN 90 PATIENTS BEING SEEN. THROUGH THIS GROWTH MAYO CLINIC SOCIAL WORKERS AND ITS LEARNERS NOW COME WEEKLY DURING THIS CLINIC TO PROVIDE CASE MANAGEMENT SERVICES TO PATIENTS AT SULZBACHER. THE TEAM CONTINUES TO WORK TO ADD SUBSPECIALTY SERVICES TO PROVIDE ACCESS TO CARE FOR THE MOST VULNERABLE POPULATION IN JACKSONVILLE. VOLUNTEERS IN MEDICINE (VIM): MCF CONTRIBUTED ACCESS TO CARE FOR VULNERABLE POPULATIONS BY PROVIDING INOCULATION AND TESTING FOR HUMAN PAPILLOMAVIRUS (HPV) AT VIM. IN ADDITION, MCF SUPPLEMENTED VIM CLINIC STAFF TO PROVIDE SERVICES INCLUDING CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY, AND INTERNAL MEDICINE. SERVICES RESULTED IN 319 PATIENTS SEEN AND 512 STAFF HOURS. MISSION HOUSE: MCF SUPPLEMENTED THE MISSION HOUSE CLINIC'S STAFF WITH COMMUNITY INTERNAL MEDICINE AND NEUROLOGY PROVIDERS; RESULTING 585 PATIENT VISITS. WE CARE: MCF PROVIDED GENERAL SURGERY, GYNECOLOGY AND UROLOGICAL SURGERIES AS A PART OF ITS COMMUNITY FINANCIAL ASSISTANCE PROGRAMS. ADDITIONALLY AT THE END OF 2024 MAYO CLINIC PROVIDED A $250,000 GRANT TO SUPPORT CLINICAL PATIENT EXPENSES PROVIDED THROUGH WE CARE. THIS WILL SUBSTANTIALLY EXPAND THEIR REACH IN THE COMMUNITY.AGAPE FAMILY HEALTH: MCF PROVIDED DERMATOLOGY SERVICES RESULTING IN 42 STAFF AND LEARNER HOURS AND 144 PATIENTS SEEN.ABILITY HOUSING: MCF DONATED $50,000 TO ASSIT AFFORDABLE HOUSING INITIATIVES IN NORTHEAST FLORIDA. CHRONIC DISEASES: TO INCREASE ACCESS TO HEALTH EDUCATION AND SELF-ADVOCACY TOOLS THAT ADDRESS AND DELIVER CHRONIC DISEASE PREVENTION SERVICES AND EARLY DIAGNOSIS, ALONG WITH IMPROVING COMMUNICATION AMONG PROVIDERS AND THE COMMUNITY REGARDING CHRONIC DISEASES AND PREVENTION, MCF:CONTINUED ITS WELLNESS RX EFFORTS. WELLNESS RX IS A COMMUNITY DRIVEN HEALTH AND WELLNESS INITIATIVE THAT STARTED IN 2017 AND IS HOSTED BY THE MAYO CLINIC COMPREHENSIVE CANCER CENTER'S COMMUNITY OUTREACH AND ENGAGEMENT RESEARCH SERVICES TEAM. IN 2024 MCF PARTNERED WITH THE FOLLOWING LOCATIONS ON A ROTATING MONTHLY SCHEDULE: JACKSONVILLE UNIVERSITY, MOUNT TABOR FIRST BAPTIST CHURCH MAIN CAMPUS (PALATKA, FL.) AND MOUNT TABOR FIRST BAPTIST CHURCH SOUTH CAMPUS (CRESCENT CITY, FL). IN 2024, WELLNESS RX SERVED 684 FAMILIES AND DISTRIBUTED OVER 48,533 LBS OF FOOD.PARTICIPATED IN CANCER CONVERSATIONS, AN ENTERPRISE-WIDE INITIATIVE THAT ENCOURAGES CONVERSATIONS ABOUT CANCER-RELATED TOPICS. SUBJECTS COVERED INCLUDED BREAST CANCER, MELANOMA, COLORECTAL, UTERINE AND PROSTATE CANCER PREVENTION. EACH PRESENTATION WAS 90 MINUTES AND INCLUDED A MAYO HEALTH SUBJECT EXPERT, A CANCER SURVIVOR OR CAREGIVER AND A QUESTION-AND-ANSWER PERIOD. IN TOTAL, MORE THAN 200 PEOPLE ATTENDED AND RECEIVED THIS INFORMATION. THESE SESSIONS WERE EVALUATED TO IMPROVE A BETTER EDUCATIONAL AND ENGAGING EXPERIENCE FOR OUR COMMUNITIES. THIS INITIATIVE ALLOWS MAYO CLINIC TO COLLABORATE CLOSELY WITH COMMUNITY PARTNERS WITH SIMILAR HEALTH INTERESTS AND ARE HELD VIRTUALLY AND/OR IN PERSON FOR GREATER REACH AND IMPACT.HELD A KIDNEY CONNECT EVENT THAT WAS DESIGNED TO BRING EDUCATION, HEALTHY FOOD OPTIONS, BASIC HEALTH SCREENING & RESOURCES ON KIDNEY DISEASE AND CONNECT SPECIALTIES TO THE AFRICAN AMERICAN COMMUNITY. NEARLY 400 COMMUNITY MEMBERS ATTENDED AND WAS IN PARTNERSHIP WITH BETHEL BAPTIST CHURCH AND BLUE ZONES JACKSONVILLE. THIS HEALTH INFORMATION AND SCREENING INITIATIVE WAS THE FIRST OF ITS KIND FOR FLORIDA AND STRENGTHENED TRUST AND REPUTATION IN THE COMMUNITY, ALONG WITH ADDRESSING COMMUNITY HEALTH NEEDS. CONTINUED ITS INVOLVEMENT WITH HOPE PARA LA COMMUNIDAD. THIS IS A HEALTH EDUCATION, OUTREACH, AND RESEARCH INITIATIVE THAT PARTNERS WITH ORGANIZATIONS SERVING PREDOMINANTLY SPANISH-SPEAKING COMMUNITY MEMBERS FROM SEVERAL CATCHMENT AREAS TO PROVIDE INFORMATION ABOUT VARIOUS WELLNESS TOPICS AND RESOURCES THAT IMPACT THE COMMUNITY. EFFORTS UNDER HOPE PARA LA COMMUNIDAD INCLUDED MCF HOSTING MONTHLY MEETINGS TO UNDERSTAND THE NEEDS IN THE COMMUNITY. THE HOPE BOARD MEMBERS HAVE BEEN RESEARCHING AND WORKING TOGETHER TO CREATE THE FOUNDATION FOR A BILINGUAL GUIDE TO JACKSONVILLE. THIS GUIDE WILL CONSIST OF FOOD PANTRY LOCATIONS, HEALTHCARE FACILITIES, AND ORGANIZATIONS THAT OFFER VARIETIES OF EDUCATIONAL CLASSES. HOPE HAS ALSO WORKED TO INCREASE THEIR SOCIAL MEDIA PRESENCE WITH THEIR MAYO CONNECT SPANISH HEALTH BLOG: JAX SALUDABLE (HEALTHY JAX).MENTAL HEALTH: TO EDUCATE AND PROVIDE RESOURCES TO THOSE WHO SUFFER FROM MENTAL HEALTH NEEDS AND TO COLLABORATE WITH OTHERS IN THE COMMUNITY TO HELP GUIDE AND TREAT, MCF:FUNDED AND PARTICIPATED IN THE AMERICAN SUICIDE PREVENTION OUT OF THE DARKNESS WALK, WHICH RESULTED IN OVERALL EVENT FUNDRAISING OF $70,000 AND 1,000 WALKERS FROM THE COMMUNITY. THIS EVENT SUPPORTS EDUCATION AND PROGRAMMING FOR MENTAL HEALTH SERVICES FOR SURVIVORS AND FAMILY MEMBERS OF SUICIDE AS WELL AS PREVENTION RESOURCES AND SUPPORT.PROVIDED CONTRIBUTIONS TO HERE TOMORROW, AN ORGANIZATION THAT PROMOTES MENTAL HEATLH SERVICES. FUNDS SUPPORTED IMMEDIATE THERAPY SERVICES WHICH RESULTED IN PROVIDING A TOTAL OF 195 SESSIONS RELATED TO SUICIDE PREVENTION.HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 CHNA INCLUDED, POVERTY, HOUSING, MATERNAL & CHILD HEALTH AND DRUG ABUSE. 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 2022, MAYO CLINIC HOSPITAL IN ROCHESTER (MCH-R)IDENTIFIED THE FOLLOWING NEEDS AS SIGNIFICANT:MENTAL HEALTHSUBSTANCE USEACCESS TO CARETHE 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 OUTPATIENT CARE, RESEARCH, AND EDUCATION SERVICES ON ITS ROCHESTER, MINNESOTA CAMPUS. MAYO CLINIC, WITH THE COORDINATION PROVIDED BY MCH-R, TOOK THE FOLLOWING ACTIONS IN 2024 TO ADDRESS THE IDENTIFIED NEEDS:MENTAL HEALTH: TO INCREASE CAPACITY TO ASSIST PATIENTS AND CITIZENS WITH MENTAL HEALTH CHALLENGES IN PREVENTION AND TREATMENT, MAYO CLINIC IMPLEMENTED THE FOLLOWING:PROVIDED LONG-TERM ROOM AND BOARD FOR POST-ACUTE BEHAVIORAL HEALTH PATIENTS DUE TO THE LACK OF LONG-TERM SERVICES AVAILABLE TO THEM IN MINNESOTA.SUPPORTED THE SOUTHEAST REGIONAL CRISIS CENTER (SERCC), A 24/7 MENTAL HEALTH FACILITY FOR PEOPLE EXPERIENCING A MENTAL HEALTH CRISIS. THE SERCC SERVES PATIENTS FROM THROUGHOUT SE MINNESOTA IMPROVING ACCESS TO MENTAL HEALTH CARE FOR RESIDENTS. IN 2024, MAYO CLINIC PROVIDED $1.4 MILLION IN FINANCIAL SUPPORT FOR SERCC OPERATIONS, AS WELL AS STAFF TIME IN CARE EXPERTISE. THE SERCC SERVED 725 OLMSTED COUNTY RESIDENTS IN 2024.SUPPORTED MENTAL HEALTH SERVICES THROUGH THE ALTERNATIVE LEARNING CENTER SCHOOL HEALTH CLINIC AND PROVIDED 429 PATIENT VISITS WHERE 82% OF PATIENTS WERE SCREENED FOR DEPRESSION.PROVIDED OVER $1.76 MILLION IN FINANCIAL SUPPORT TO LOCAL NON-PROFITS PROVIDING MENTAL HEALTH RESOURCES AND SERVICES THAT LEAD TO GREATER MENTAL HEALTH FOR COMMUNITY MEMBERS. THESE GRANTS WERE ESTIMATED TO PROVIDE DIRECT BENEFIT TO MORE THAN 1.2 MILLION RESIDENTS IN OLMSTED COUNTY.PROVIDED IN-KIND STAFFING SUPPORT TO OLMSTED COUNTY HEALTH DEPARTMENT ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM, AN IN-HOME MENTAL HEALTH COUNSELING SERVICE FOR RESIDENTS WITH PERSISTENT AND SERIOUS MENTAL ILLNESS. PARTICIPATED IN OLMSTED COUNTY COMMUNITIES COORDINATING FOR HEALTHY DEVELOPMENT WORKGROUP TO SUPPORT EARLY CHILDHOOD MENTAL AND PHYSICAL HEALTH DEVELOPMENT AND PRENATAL MENTAL HEALTH. PARTICIPATED IN AND SUPPORTED THE LOCAL OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN EFFORTS RELATED TO MENTAL HEALTH. IN 2024, MAYO CLINIC PROVIDED $69,000 IN SUPPORT FOR SURVEY AND COORDINATION SERVICES. PROVIDED FREE MENTAL HEALTH INFORMATION TO THE PUBLIC THROUGH NUMEROUS COMMUNICATION AND EDUCATION PLATFORMS. PROVIDED STAFF TIME TO HELP LEAD AND PARTICIPATE IN THE ROCHESTER HEALTHY COMMUNITY PARTNERSHIP TO LEARN MORE ABOUT UNMET MENTAL HEALTH NEEDS AND PRIORITIES OF IMMIGRANT POPULATIONS.CONTINUED TO HELP FACILITATE CUIDA TU MENTE, A COALITION OF LATINX MENTAL HEALTH PROVIDERS FROM THE ROCHESTER AREA TO OFFER EDUCATIONAL AND PROMOTIONAL EVENTS TO THE HISPANIC COMMUNITY ABOUT MENTAL HEALTH. IN 2024 CUIDA TU MENTE CONDUCTED 31 SESSIONS ON MENTAL HEALTH TOPICS AND REACHED 460 LATINO COMMUNITY MEMBERS. REDUCED WAIT TIMES FOR FIRST-TIME BEHAVIORAL HEALTH APPOINTMENTS FOR COMMUNITY PATIENTS BY APPROXIMATELY 50% OVER THE YEAR.ADVOCATED FOR CONTINUED FLEXIBILITY TO DELIVER HEALTHCARE SERVICES (INCLUDING MENTAL HEALTH NEEDS) VIA TELEHEALTH MODALITIES.SUBSTANCE USE: TO INCREASE CAPACITY TO HELP PREVENT AND TREAT PATIENTS AND RESIDENTS WITH SUBSTANCE USE AND ABUSE, MAYO CLINIC IMPLEMENTED THE FOLLOWING:EDUCATED THE COMMUNITY ABOUT OPIOID AND OTHER SUBSTANCE USE TOPICS THROUGH CLINICAL EXPERTISE ON NUMEROUS PUBLICLY AVAILABLE COMMUNICATION PLATFORMS. PARTICIPATED IN TWO AND HOSTED ONE NATIONAL DRUG TAKE BACK DAY TO PROMOTE THE SAFE DISPOSAL OF PRESCRIBED MEDICATIONS. EVENTS IN APRIL AND OCTOBER COLLECTED MORE THAN 1,000 POUNDS OF UNUSED PRESCRIPTION DRUGS FOR SAFE DISPOSAL.SUPPORTED THE DEVELOPMENT OF AN ONLINE RESOURCE INFORMATION AND NAVIGATION SYSTEM FOR SUBSTANCE ABUSE RESOURCES FOR OLMSTED COUNTY RESIDENTS.SUPPORTED TRAINING AND STAFFING OF PEER SUPPORT SPECIALISTS TO BE PRESENT IN EMERGENCY ROOMS TO HELP SERVE PATIENTS WITH ADDICTION AND ADDICTION RELATED BEHAVIORAL HEALTH DISORDERS. PROVIDED $172,000 IN PHILANTHROPIC SUPPORT TO LOCAL NON-PROFIT PROGRAMS AND ORGANIZATIONS PROVIDING ADDICTION INTERVENTION AND COUNSELING SERVICES. THROUGH COLLABORATIVE ADVOCACY EFFORTS, MAYO CLINIC SECURED A LOWER PRICE FOR OVER-THE-COUNTER NALOXONE FOR PATIENTS WHO HAVE TO PAY CASH. PROVIDED EXPERTISE AS ROCHESTER SCHOOL HEALTH PROGRAM MEDICAL DIRECTOR TO REVIEW AND APPROVE THE RPS HEALTH SERVICES PRACTICE GUIDELINE FOR NALOXONE IN SCHOOLS. COLLABORATED WITH SERCC AND OTHER LOCAL MENTAL AND SUBSTANCE USE HEALTH PROVIDERS TO SERVE THE LONGER-TERM NEEDS OF PATIENTS DISCHARGED FROM THE ER. INCREASED COORDINATION OF CARE FOR ER PATIENTS WITH OPIOID USE DISORDER WITH COMMUNITY RESOURCES. THROUGH THIS AND DEDICATED PHARMACIST TIME MAYO CLINIC HAS BEEN ABLE TO SIGNIFICANTLY EXPAND THE USE OF MEDICATIONS FOR OPIOID USE DISORDER IN OUR COMMUNITY. EXPEDITED THE IDENTIFICATION AND REFERRAL OF PATIENTS WITH ADDICTION DISORDERS IN OUR PRIMARY CARE PRACTICE TO APPROPRIATE TREATMENT THROUGH THE CONTROLLED SUBSTANCE ADVISORY GROUP (CSAG). INCREASED SCREENING OF PATIENTS FOR OPIOID USE DISORDER AND EXPANDED EFFECTIVE TREATMENT OPTIONS. INCREASED THE PRESENCE OF MENTAL HEALTH AND SUBSTANCE USE EXPERTS IN THE EMERGENCY DEPARTMENT TO REFER PATIENTS MORE QUICKLY TO FOLLOW-UP CARE AND RESOURCES. ACCESS TO CARE: TO INCREASE CAPACITY TO HELP RESIDENTS ACCESS APPROPRIATE PREVENTIVE AND RESPONSIVE HEALTH CARE, MAYO CLINIC IMPLEMENTED THE FOLLOWING:PROVIDED FINANCIAL AND IN-KIND SUPPORT TO THE SOUTHEAST REGIONAL CRISIS CENTER. PROVIDED IMMUNIZATION AND OTHER PREVENTIVE SUPPORT TO HEALTH SERVICES THROUGH THE ALTERNATIVE LEARNING CENTER SCHOOL HEALTH CLINIC. PROVIDED PHILANTHROPIC SUPPORT TO LOCAL NON-PROFITS SERVING HEALTHCARE ACCESS AND SOCIAL DETERMINANTS OF HEALTH NEEDS FOR UNINSURED AND UNDERINSURED RESIDENTS. PROVIDED FINANCIAL AND IN-KIND SUPPORT TO THE SALVATION ARMY GOOD SAMARITAN HEALTH AND DENTAL CLINICS THAT SERVE UNDER AND UNINSURED RESIDENTS IN OLMSTED COUNTY. PROVIDED CARE AT THE AT THE OLMSTED COUNTY PUBLIC HEALTH SERVICE REFUGEE HEALTH CLINIC TO SERVE NEWLY IMMIGRATED CHILDREN.INVESTED $760,000 TO IMPLEMENT THE COMMUNITY HEALTH WORKER PROGRAM WITH COMMUNITY PRIMARY CARE PATIENTS TO ADDRESS SOCIAL DRIVERS OF HEALTH WITH COMMUNITY RESOURCES (SUCH AS FOOD, TRANSPORTATION, FINANCIAL RESOURCES), HEALTH ACCESS AND HEALTHCARE NAVIGATION (HELPING WITH INSURANCE APPLICATIONS, FINDING A PRIMARY CARE PROVIDER) AND HEALTH EDUCATION. SEVERAL OF THE PEOPLE ASSISTED ARE AFFECTED BY HEALTH DISPARITIES AND SOCIOECONOMIC BARRIERS. IN 2024, MAYO CLINIC SERVED 605 PATIENTS WITH THIS PROGRAM. PARTICIPATED IN LOCAL OLMSTED COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN EFFORTS. PROVIDED HEALTHCARE AND A FREE LEGAL CLINIC AT THE LANDING FOR PEOPLE EXPERIENCING HOMELESSNESS.EXPANDED SPECIALTY CARE CLINICS IN COMMUNITY CARE SETTINGS FOR UNDER AND UNINSURED PATIENTS TO HELP DIAGNOSE AND REFER COMMUNITY PATIENTS TO NEEDED RESOURCES. PARTICIPATED IN THE ROCHESTER HEALTHY COMMUNITY PARTNERSHIP THAT ENGAGES WITH LOCAL IMMIGRANT GROUPS AND ORGANIZATIONS TO UNDERSTAND AND RESPOND TO UNIQUE HEALTH NEEDS THROUGH COMMUNITY-BASED PARTICIPATORY RESEARCH, EDUCATION AND CIVIC ENGAGEMENT. EXPANDED COMMUNITY ACCESS TO IMMUNIZATIONS BY PROVIDING RESOURCES FOR TWO COMMUNITY-WIDE BACK TO SCHOOL IMMUNIZATION EVENTS SERVING 114 CHILDREN. PROVIDED ENT (EAR, NOSE, THROAT) SPECIALTY CARE TO LATINX AND UN-AND UNDERINSURED COMMUNITIES THROUGH MAYO CLINIC STAFFED CLINICS AT COMMUNITY HEALTH SERVICES INC. PERFORMED 50 FREE COLONOSCOPIES TO PATIENTS FROM COMMUNITY HEALTH SERVICES, INC.PROVIDED FINANCIAL SUPPORT TO COMMUNITY ORGANIZATIONS TO IMPROVE SERVICES FOR SDOH (AFFORDABLE HOUSING, EDUCATION AND JOB READINESS, FOOD ACCESS, BASIC NEEDS, MENTAL HEALTH).SUPPORTED THE PASSAGE OF VARIOUS LICENSURE COMPACTS TO STREAMLINE THE LICENSURE PROCESS FOR HEALTHCARE PROFESSIONALS.ADVOCATED FOR ENHANCED FUNDING FOR HEALTHCARE PROVIDERS TO ENSURE SOLVENCY AND HELP EXPAND ACCESS TO CARE.SUPPORTED COMMUNITY-BASED RESEARCH INITIATIVES THAT ADDRESS COMMUNITY HEALTH PRIORITIES. HEALTH NEEDS NOT ADDRESSED: OTHER HEALTH NEEDS MENTIONED IN THE 2022 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 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 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 2022, THE FOLLOWING SIGNIFICANT NEEDS WERE IDENTIFIED BY MAYO CLINIC HEALTH SYSTEM IN LAKE CITY (MCHS-LAKE CITY), MCHS IN CANNON FALLS (MCHS-CANNON FALLS) AND MCHS IN RED WING (MCHS-RED WING): MENTAL WELL-BEING SUBSTANCE MISUSE SOCIAL CONNECTION AND INCLUSION 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 IN IMPLEMENTING THOSE STRATEGIES. THEREFORE, IN 2024, THE THREE HOSPITALS PARTICIPATED, EITHER DIRECTLY OR INDIRECTLY, IN THE BELOW ACTIONS TO ADDRESS THE IDENTIFIED NEEDS. MENTAL HEALTH: TO IMPROVE MENTAL WELL-BEING THROUGHOUT THE COMMUNITY, THE THREE HOSPITALS IMPLEMENTED OR PARTICIPATED IN THE FOLLOWING EFFORTS:JOURNEY TO WELLNESS - PROVIDED A SELF-GUIDED VIRTUAL PROGRAM OPEN TO EDUCATORS, SOCIAL SERVICE AGENCIES, AND COMMUNITY MEMBERS, EMPHASIZING DAILY JOURNALING WITH A FOCUS ON GRATITUDE.HOMETOWN HEALTH BLOGS - PRODUCED EDUCATIONAL CONTENT ON COMMUNITY HEALTH PRIORITIES AND SHARED THEM THROUGH ELECTRONIC NEWSLETTERS WITH SCHOOLS AND EDUCATIONAL ORGANIZATIONS.MENTAL HEALTH CONVENERS COMMITTEE - COLLABORATED WITH COMMUNITY ORGANIZATIONS, UNITED WAY, AND PUBLIC HEALTH AGENCIES TO ADDRESS MENTAL HEALTH SERVICES IN GOODHUE COUNTY. INITIATIVES INCLUDED SUPPORTING PROJECT ASCEND TO CREATE HIGHER EDUCATION AND OPPORTUNITIES FOR MARGINALIZED AND DISADVANTAGED YOUNG PEOPLE. COMMUNITY HEALTH COMMUNICATION - DISSEMINATED ELECTRONIC NEWSLETTERS TO STAKEHOLDERS AND LEADERS IN CANNON FALLS, LAKE CITY, AND RED WING, PROVIDING HEALTH INFORMATION ON PREVENTIVE CARE, ACCESS TO CARE, MENTAL HEALTH, AND COMMUNITY HEALTH PRIORITY AREAS.COMMUNITY OUTREACH HEALTH EQUITY GROUP - HELD BI-MONTHLY MEETINGS INVOLVING GOODHUE COUNTY PUBLIC HEALTH, HISPANIC OUTREACH, CARE CLINIC, AND GOODHUE COUNTY UNITED WAY TO SHARE HEALTH RESOURCES AND ADDRESS BARRIERS TO MENTAL HEALTH SERVICES.HEALTH FAIRS - PARTICIPATED IN AREA HEALTH FAIRS AND OTHER COMMUNITY EVENTS, SHARING EDUCATIONAL MATERIAL ON MENTAL WELL-BEING AND MANAGING MENTAL HEALTH.PROVIDER PRESENTATIONS - HOSTED PRESENTATIONS FOR THE RED WING AND CANNON FALLS COMMUNITIES ON MENTAL HEALTH SYMPTOMS AND PREVENTIVE CARE, INCLUDING MENTAL WELL-BEING EXERCISES.COMMUNITY CONTRIBUTION FUNDING - FACILITATED GRANTS FOR COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING MENTAL WELL-BEING. SUBSTANCE MISUSE: TO REDUCE SUBSTANCE MISUSE BY PROVIDING EDUCATION, COLLABORATION, AND ADVOCACY AROUND SUBSTANCE MISUSE IN THE COMMUNITY, THE THREE HOSPITALS IMPLEMENTED OR PARTICIPATED IN THE FOLLOWING ACTIVITIES:OPIOID SETTLEMENT TASK FORCE - PARTICIPATED AS A MEMBER OF AN ADVISORY GROUP TO ALLOCATE FUNDING THROUGH THE MINNESOTA OPIOID SETTLEMENT WITH THE AIM TO MITIGATE OPIOD ADDICTION.RISE-UP RED WING - PARTNERED WITH THE RISE-UP RED WING ORGANIZATION TO PROMOTE EDUCATION FOR YOUTH ABOUT ADDICTION AND MENTAL HEALTH AWARENESS.MENTAL AND CHEMICAL HEALTH COALITION - PARTICIPATED IN THE COALITION TO INCREASE KNOWLEDGE AND AWARENESS OF SUBSTANCE ABUSE THROUGH COMMUNITY EDUCATION.NATIONAL TAKE BACK DAY - PROMOTED NATIONAL TAKE BACK DAY, PROVIDING EDUCATIONAL MATERIAL TO COMMUNITY MEMBERS AND EDUCATORS.COMMUNITY CONTRIBUTION FUNDING - FACILITATED GRANTS FOR COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING SUBSTANCE MISUSE.SOCIAL CONNECTION AND INCLUSION: TO IMPROVE SOCIAL CONNECTION AND INCLUSION BY INCREASING A SENSE OF BELONGING, UNITY, AND VALUE AMONG PRIORITY COMMUNITIES, THE THREE HOSPITALS IMPLEMENTED OR PARTICIPATED IN THE FOLLOWING ACTIVITIES:C.A.R.E CLINIC COLLABORATION - PARTNERED WITH THE CARE CLINIC TO PROVIDE MEDICAL, MENTAL HEALTH, AND DENTAL SERVICES FOR GOODHUE COUNTY RESIDENTS LIVING IN POVERTY AND WITHOUT INSURANCE.COMMUNITY VIBRANCY EVENTS - PARTICIPATED IN LOCAL EVENTS TO FOSTER AND ENCOURGE INCLUSIVITY AND CONNECTION. EVENTS INCLUDED TOUR DE PEPIN, FEAST TRADESHOW AND RED WING ARTS FESTIVAL.HONORING DAKOTA PROJECT - SUPPORTED THE HONORING DAKOTA PROJECT, PROVIDING A SPACE FOR HEALING, IMPROVING MENTAL HEALTH, AND EDUCATING THE COMMUNITY ABOUT SHARED HISTORY.REACH OUT & READ - ENGAGED WITH THE REACH OUT & READ PROGRAM TO SUPPORT LITERACY, INCLUDING COORDINATING PEDIATRIC BOOK DONATIONS.COMMUNITY CONTRIBUTION FUNDING - FACILITATED GRANTS FOR COMMUNITY ORGANIZATIONS WITH INITIATIVES SUPPORTING AREAS OF SOCIAL CONNECTION AND INCLUSION.UNADDRESSED HEALTH NEEDS: THE THREE HOSPITALS IN A SUPPORTING ROLE WILL ADDRESS OTHER HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA, SUCH AS ACCESS TO CARE, HOUSING, AND SOCIOECONOMIC FACTORS. THIS MAY INVOLVE COLLABORATION WITH OTHER AGENCIES, ORGANIZATIONS, AND COMMUNITY PROGRAMS BETTER ALIGNED TO ADDRESS THOSE SPECIFIC 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 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 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. 77 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 - MAYO CLINIC SPECIALTY BUILDING 5779 EAST MAYO BOULEVARD PHOENIX AZ 85054 CLINIC 5 - MCHS IN OWATONNA 2200 26TH STREET NORTHWEST OWATONNA MN 55060 CLINIC, CHEMICAL DEPENDENCY 6 - MCHS NORTHWEST WISCONSIN REGION CLAIREMO 733 W CLAIREMONT AVENUE EAU CLAIRE WI 54701 CLINIC 7 - GATE PARKWAY PRIMARY CARE CENTER 7826 OZARK DRIVE JACKSONVILLE FL 32256 CLINIC 8 - MCHS FRANCISCAN HEALTHCARE ONALASKA 191 THEATER ROAD ONALASKA WI 54650 CLINIC, PHARMACY, DIALYSIS 9 - BASSO BUILDING 4634 WORRELL WAY JACKSONVILLE FL 32256 SLEEP DISORDER CENTER 10 - MCHS MANKATO IN MADISON EAST CENTER 1400 MADISON AVENUE SUITE 324A MANKATO MN 56001 CLINIC, HOSPICE 11 - MCHS IN ALBERT LEAFOUNTAIN CENTERS 404 WEST FOUNTAIN STREET ALBERT LEA MN 56007 CLINIC, CHEMICAL DEPENDENCY 12 - MCHS MANKATO IN EASTRIDGE 101 MARTIN LUTHER KING JR DRIVE MANKATO MN 56001 CLINIC 13 - MAYO CLINIC DIALYSIS CENTER 4658 WORRALL WAY JACKSONVILLE FL 32216 OUTPATIENT DIALYSIS 14 - MCHS FRANCISCAN HEALTHCARE TOMAH 325 BUTTS AVENUE TOMAH WI 54660 CLINIC 15 - MC FAMILY MEDICINE THUNDERBIRD 13737 NORTH 92ND STREET SCOTTSDALE AZ 85260 CLINIC 16 - MCHS MANKATO IN NORTHRIDGE 1695 LOR RAY DRIVE NORTH MANKATO MN 56003 CLINIC 17 - MAYO CLINIC DIALYSIS EAU CLAIRE 3845 LONDON ROAD EAU CLAIRE WI 54701 DIALYSIS 18 - BEACHES PRIMARY CARE CENTER 742 MARSH LANDING PARKWAY JACKSONVILLE BEACH FL 32250 CLINIC 19 - MCHS IN MENOMONIE ORTHOPEDIC & REHABILIT 2407 STOUT ROAD MENOMONIE WI 54751 REHABILITATION 20 - MCHS MANKATO IN ST PETER 1900 NORTH SUNRISE DRIVE SUITE 200 ST PETER MN 56082 CLINIC 21 - MCHS NORTHLAND IN RICE LAKE 331 SOUTH MAIN STREET SUITE H RICE LAKE WI 54868 CLINIC 22 - MCHS IN LA CROSSE (CLINIC) 800 WEST AVENUE SOUTH LA CROSSE WI 54601 CLINIC 23 - ST AUGUSTINE PRIMARY CARE 110 SOUTHWOOD LAKE DRIVE ST AUGUSTINE FL 32086 CLINIC 24 - MCHS NORTHWEST WISCONSIN REGION LUTHER C 1400 BELLINGER STREET EAU CLAIRE WI 54703 CLINIC 25 - CAMPUS SUPPORT CENTER 4420 DAVIS PARKWAY JACKSONVILLE FL 32224 CLINIC 26 - CANNADAY BUILDING 14335 HOSPITAL DRIVE JACKSONVILLE FL 32224 CLINIC 27 - DAVIS BUILDING 14335 MAYO BOULEVARD JACKSONVILLE FL 32224 CLINIC 28 - MANGURIAN BUILDING 4500 MELLISH DRIVE JACKSONVILLE FL 32224 CLINIC 29 - MCHS NORTHWEST WISCONSIN REGION IMAGING 1061 MENOMONIE STREET EAU CLAIRE WI 54703 IMAGING, SPORTS MEDICINE 30 - MCHS CHIPPEWA VALLEY-CHIPPEWA FALLS 611 1ST AVENUE CHIPPEWA FALLS WI 54729 CLINIC 31 - MCHS FRANCISCAN HC PRAIRIE DU CHIEN 800 EAST BLACKHAWK AVENUE PRAIRIE DU CHIEN WI 53821 CLINIC 32 - MCHS FRANCISCAN HEALTHCARE HOLMEN 1303 MAIN STREET SOUTH HOLMEN WI 54636 CLINIC, PHARMACY 33 - MAYO CLINIC FAMILY MED ARROWHEAD 20199 NORTH 75TH AVENUE GLENDALE AZ 85308 CLINIC 34 - SPORTS MEDICINE RIVER OFFICE 58 SOUTH RIVER DRIVE TEMPE AZ 85288 SPORTS MEDICINE 35 - SPORTS MEDICINE BUILDING 63 SOUTH ROCKFORD DRIVE SUITE 130 TEMPE AZ 85281 SPORTS MEDICINE 36 - JACOBY BUILDING 14225 ZUMBRO DRIVE JACKSONVILLE FL 32224 RADIOCHEMISTRY 37 - PABLO OAKS BUILDING 4315 PABLO OAKS COURT JACKSONVILLE FL 32224 CLINIC 38 - MCHS IN NEW PRAGUE 212 10TH AVENUE NORTHEAST NEW PRAGUE MN 56071 CLINIC 39 - MCHS IN FARIBAULT 300 STATE AVENUE FARIBAULT MN 55021 CLINIC, CHEMICAL DEPENDENCY 40 - MAYO CLINIC DIALYSIS DECORAH 901 MONTGOMERY STREET DECORAH IA 52101 HOSPITAL BASED DIALYSIS FACILITY 41 - MAYO CLINIC DIALYSIS MENOMONIE 507 21ST STREET NORTHEAST MENOMONIE WI 54751 DIALYSIS 42 - MAYO CLINIC PRIMARY CARE SAN TAN 1850 EAST NORTHROP BLVD SUITE 160 CHANDLER AZ 85286 CLINIC 43 - MCHS IN NEW PRAGUE - REHABILITATION 504 6TH AVENUE NORTHWEST NEW PRAGUE MN 56071 REHABILITATION 44 - MCHS FRANCISCAN HEALTHCARE ARCADIA 895 SOUTH DETTLOFF DRIVE ARCADIA WI 54612 CLINIC 45 - MCHS RED WING IN ZUMBROTA 1350 JEFFERSON DRIVE ZUMBROTA MN 55992 CLINIC 46 - MAYO CLINIC PRIMARY CARE PHOENIX 5701 EAST MAYO BOULEVARD PHOENIX AZ 85054 CLINIC 47 - MCHS OAKRIDGE IN MONDOVI 700 BUFFALO STREET MONDOVI WI 54755 CLINIC 48 - MCHS FRANCISCAN HEALTHCARE CALEDONIA 701 NORTH SPRAGUE STREET CALEDONIA MN 55921 CLINIC 49 - MCHS NEW PRAGUE IN MONTGOMERY 501 4TH STREET NORTHWEST MONTGOMERY MN 56069 CLINIC 50 - MCHS IN FARIBAULT (OBGYN) DISTRICT ONE HOSPITAL-200 STATE AVENUE FARIBAULT MN 55021 WOMENS HEALTH CLINIC 51 - MCHS RED WING IN ELLSWORTH 530 WEST CAIRNS STREET ELLSWORTH WI 54011 CLINIC 52 - MCHS LAKE CITY IN PLAINVIEW 245 1ST STREET SOUTHWEST PLAINVIEW MN 55964 CLINIC 53 - MCHS RED CEDAR IN GLENWOOD CITY 219 EAST OAK STREET GLENWOOD CITY WI 54013 CLINIC 54 - MCHS MENOMONIE-PSYCHIATRYPSYCHOLOGY 2403 STOUT ROAD MENOMONIE WI 54751 PSYCHIATRY & PSYCHOLOGY 55 - MCHS NEW PRAGUE IN BELLE PLAINE 700 WEST PRAIRIE STREET BELLE PLAINE MN 56011 CLINIC 56 - MCHS ALBERT LEA IN WELLS 301 SOUTH BROADWAY WELLS MN 56097 CLINIC 57 - FOUNTAIN CENTERS IN ROCHESTER 4122 18TH AVENUE NW ROCHESTER MN 55901 CHEMICAL DEPENDENCY 58 - FOUNTAIN CENTERS IN FAIRMONT 828 N NORTH AVENUE FAIRMONT MN 56031 CHEMICAL DEPENDENCY 59 - MAYO CLINIC DIALYSIS NORTHEAST 3041 STONEHEDGE DRIVE NORTHEAST ROCHESTER MN 55906 HOSPITAL BASED DIALYSIS FACILITY 60 - FRANCISCAN FAMILY HEALTH CLINIC 815 TENTH STREET SOUTH LA CROSSE WI 54601 CLINIC 61 - MCHS IN RED WING SEMINARY PROFESSIONAL B 906 COLLEGE AVE RED WING MN 55066 BEHAVIORAL HEALTH, HOSPICE 62 - MCHS NORTHLAND IN CHETEK 220 DOUGLAS STREET CHETEK WI 54728 CLINIC 63 - MCHS EXPRESS CARE IN ALBERT LEA 2708 BRIDGE AVENUE ALBERT LEA MN 56007 EXPRESS CARE 64 - MCHS EXPRESS CARE IN AUSTIN 1307 18TH AVENUE NW AUSTIN MN 55912 EXPRESS CARE 65 - MAYO CLINIC DIALYSIS WABASHA 1200 5TH GRANT BOULEVARD WEST WABASHA MN 55981 HOSPITAL BASED DIALYSIS FACILITY 66 - MCHS MOBILE HEALTH CLINIC-SHERBURN 21 EAST 1ST STREET SHERBURN MN 56171 MOBILE HEALTH CLINIC 67 - PROFESSIONAL ARTS BUILDING 615 SOUTH 10TH STREET LA CROSSE WI 54601 BEHAVIORAL HEALTH 68 - SPARTA EYE CLINIC 400 JEFFERSON AVENUE SPARTA WI 54656 EYE CLINIC 69 - MCHS WASECA IN WATERVILLE 212 EAST LAKE STREET WATERVILLE MN 56096 CLINIC 70 - MCHS ALBERT LEA IN NEW RICHLAND 318 FIRST STREET SOUTHWEST NEW RICHLAND MN 56072 CLINIC 71 - MCHS-EYE CARE CENTER 2409 STOUT ROAD MENOMONIE WI 54751 EYE CLINIC 72 - MCHS AUSTIN IN ADAMS 908 WEST MAIN STREET ADAMS MN 55909 CLINIC 73 - MCHS MOBILE HEALTH CLINIC-BUTTERFIELD 125 THIRD ST N BUTTERFIELD MN 56120 MOBILE HEALTH CLINIC 74 - MCHS IN LA CROSSE - BELLE SQUARE 232 3RD STREET NORTH SUITE 100 LA CROSSE WI 54601 LAB, RADIOLOGY 75 - MCHS MOBILE HEALTH CLINIC-BLOOMING PRAIR 4TH STREET SE BLOOMING PRAIRIE MN 55917 MOBILE HEALTH CLINIC 76 - MCHS MOBILE HEALTH CLINIC-LAKE MILLS 309 SOUTH 10TH AVENUE EAST LAKE MILLS IA 50450 CLINIC 77 - MAYO CLINIC ALBERT LEA HEALTH REACH 1705 SOUTHEAST BROADWAY ALBERT LEA MN 56007 DIALYSIS, HOSPICE, REHABILITATION 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. PRESUMPTIVE FINANCIAL ASSISTANCE SOFTWARE IS ALSO UTILIZED TO PROACTIVELY IDENTIFY PATIENTS FOR FINANCIAL ASSISTANCE WITHOUT THE NEED OF A FORMAL PAPER APPLICATION. PART I, LINE 6A: IN ADDITION TO THE CHNA'S, SEVERAL OF THE SUBORDINATES WILL PREPARE COMMUNITY IMPACT REPORTS FOR THE COMMUNITIES SERVED, WHICH ARE MADE AVAILABLE TO THE PUBLIC EITHER ON THE WEB OR UPON REQUEST. 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: $77,597,059. 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 $ 167,237,036. 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 3: DURING 2023, MAYO IMPLEMENTED A PRESUMPTIVE APPROACH FOR DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE WHICH SUPPLEMNTED THE STANDARD APPLICATION PROCESS. UNDER THIS APPROACH, CERTAIN PATIENTS ARE PRESUMED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON SOCIO-ECONOMIC CRITERIA RATHER THAN GOING THROUGH A FORMAL APPLICATION PROCESS. UPON IMPLEMENTATION OF THE PRESUMPTIVE APPROACH, MONTHLY ASSESSMENTS OF PATIENT ACCOUNTS IN COLLECTIONS (PRIOR TO THE ADOPTION OF THE PRESUMPTIVE APPROACH) WERE CONDUCTED USING THE SAME CRITERIA TO DETERMINE THE AMOUNT THAT WOULD POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE NEW PRESUMPTIVE APPROACH. ACCOUNTS DETERMINED TO BE 0% TO 200% OF THE FEDERAL POVERTY LEVEL WERE ADJUSTED MONTHLY. THIS PROCESS CONTINUED FOR 2024 AND IDENTIFIED $66,999,916 OF POTENTIAL PRESUMPTIVE CHARITY CARE INCLUDED IN BAD DEBT FOR 2024. SINCE THE AMOUNT WAS DETERMINED AFTER THE IMPLEMENTATION OF THE PRESUMPTION APPROACH AND CONSIDERED BAD DEBT UNDER THE PREVIOUS POLICY, THE AMOUNT WAS WRITTEN OFF AS BAD DEBT FOR 2024.DURING 2025, MAYO WILL CONTINUE TO REVIEW ALL NEW AND PRE-IMPLEMENTATION ACCOUNTS FOR CHARITY CARE BASED ON THE PRESUMPTIVE APPROACH USING 0% TO 200% POVERTY LEVELS. IN ADDITION, MAYO WILL CONTINUE TO SCREEN POST-IMPLEMENTATION ACCOUNTS USING THE SAME CRITERIA TO DETERMINE THE AMOUNT OF POTENTIAL CHARITY CARE INCLUDED IN BAD DEBT. PART III, LINE 4: FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT) CAN BE FOUND IN MAYO CLINIC'S 2024 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.PAGE 7: ACCOUNTS RECEIVABLE FOR MEDICAL SERVICES ARE BASED UPON THE ESTIMATED AMOUNTS EXPECTED TO BE PAID FROM PATIENTS AND THIRD-PARTY PAYORS.PAGE 12: 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, 2024 AND 2023, 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 $1,323,794,000.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 45 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, 2024, OLMSTED COUNTY HAD AN ESTIMATED POPULATION OF 166,424, OF WHICH AN ESTIMATED 23.30% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 17.70% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $93,494 WITH APPROXIMATELY 8.00% 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, 2024, MARICOPA COUNTY HAD AN ESTIMATED POPULATION OF 4,673,096, OF WHICH AN ESTIMATED 21.70% WAS UNDER THE AGE OF 18 AND 16.90% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $85,518 WITH APPROXIMATELY 11.10% 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, 2024, DUVAL AND ST. JOHNS COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 1,390,087 OF WHICH AN ESTIMATED 21.65% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 18.80% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $87,308 WITH APPROXIMATELY 10.30% 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, 2024, STEELE, RICE, MOWER, AND FREEBORN COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 177,673, OF WHICH AN ESTIMATED 22.75% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 20.13% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $76,687 WITH APPROXIMATELY 10.43% OF THE POPULATION BELOW THE POVERTY LEVEL.GOODHUE AND WABASHA COUNTIES HAD A COMBINED ESTIMATED POPULATION OF 69,556, OF WHICH AN ESTIMATED 21.45% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 22.40% WAS OVER THE AGE OF 65. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $81,441 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, 2024, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION OF 341,306, OF WHICH AN ESTIMATED 22.77% WAS UNDER THE AGE OF 18 AND AN ESTIMATED 19.21% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $81,723 WITH APPROXIMATELY 9.76% 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, 2024, THE COUNTIES THAT COMPRISE THE LARGEST PORTION OF THE SERVICE AREA HAD AN ESTIMATED POPULATION 299,899, OF WHICH AN ESTIMATED 21.14% OF THE POPULATION WAS UNDER THE AGE OF 18 AND 20.22% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $70,708 WITH APPROXIMATELY 10.50% 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, 2024, THE ESTIMATED POPULATION OF THE SERVICE AREA WAS 167,430, OF WHICH AN ESTIMATED 22.00% WAS UNDER THE AGE OF 18 AND 19.05% WAS 65 YEARS OF AGE OR OLDER. THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR 2019 TO 2023 WAS $69,459 WITH APPROXIMATELY 12.45% 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) 1628083733 0 SUPPORT CHARITABLE PROGRAMS INDIANA UNIVERSITY 1001 E THIRD STREET BLOOMINGTON IN 47405 356001673 STATE OF IN 2967624 0 SUPPORT RESEARCH PROGRAM WASHINGTON UNIVERSITY 700 ROSEDALE AVENUE CB 1034 SAINT LOUIS MO 63112 430653611 501(C)(3) 2176906 0 SUPPORT CHARITABLE PROGRAMS EPISCOPAL DIOCESE OF MINNESOTA 1101 W BROADWAY MINNEAPOLIS MN 66411 410694727 501(C)(3) 1998350 0 SUPPORT CHARITABLE PURPOSE 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) 1730069 0 SUPPORT CHARITABLE PROGRAMS EMORY UNIVERSITY 1599 CLIFTON ROAD 3RD FLOOR 3101 ATLANTA GA 30322 580566256 501(C)(3) 1604987 0 SUPPORT CHARITABLE PROGRAMS ARIZONA STATE UNIVERSITY PO BOX 875812 TEMPE AZ 85287 860196696 STATE OF AZ 1242192 0 SUPPORT RESEARCH PROGRAM NEXUS FAMILY HEALING 505 HIGHWAY 169 N NO 500 PLYMOUTH MN 55441 411419064 501(C)(3) 1100000 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF CALIFORNIA IRVINE 160 ALDRICH HALL IRVINE CA 92697 952226406 STATE OF CA 1055486 0 SUPPORT RESEARCH PROGRAM ST JUDE CHILDREN'S RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS TN 38105 620646012 501(C)(3) 1048826 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF FLORIDA 207 GRINTER HALL GAINESVILLE FL 32611 596002052 STATE OF FL 946634 0 SUPPORT RESEARCH PROGRAM ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 501(C)(3) 853150 0 SUPPORT CHARITABLE PROGRAMS JOHNS HOPKINS UNIVERSITY 3910 KESWICK ROAD NO N4327B BALTIMORE MD 21211 520595110 501(C)(3) 805234 0 SUPPORT CHARITABLE PROGRAMS SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE 10901 NORTH TORREY PINES ROAD LA JOLLA CA 92037 510197108 501(C)(3) 781027 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF CALIFORNIA SAN FRANCISCO 220 MONTGOMERY ST FL 5 SAN FRANCISCO CA 94104 946036493 STATE OF CA 656248 0 SUPPORT RESEARCH PROGRAM THE GENERAL HOSPITAL CORPORATION 399 REVOLUTION DRIVE NO 645 SOMERVILLE MA 02145 042697983 501(C)(3) 646025 0 SUPPORT CHARITABLE PROGRAMS REGENTS OF THE UNIVERSITY OF MINNESOTA 1300 S 2ND ST STE 206 MINNEAPOLIS MN 55454 416007513 STATE OF MN 550214 0 SUPPORT RESEARCH PROGRAM TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET SUITE 305 PHILADELPHIA PA 19104 231352685 501(C)(3) 519655 0 SUPPORT CHARITABLE PROGRAMS ROCHESTER DOWNTOWN ALLIANCE 311 SOUTH BROADWAY SUITE A2 ROCHESTER MN 55904 202435646 501(C)(6) 500000 0 SUPPORT EXEMPT PURPOSE UNIVERSITY OF ALABAMA AT BIRMINGHAM 701 S 20TH ST BIRMINGHAM AL 35294 636005396 STATE OF AL 463833 0 SUPPORT RESEARCH PROGRAM THE BRIGHAM AND WOMEN'S HOSPITAL INC 339 REVOLUTION DRIVE NO 645 SOMERVILLE MA 02145 042312909 501(C)(3) 454494 0 SUPPORT CHARITABLE PROGRAMS TERASAKI FAMILY FOUNDATION 1018 WESTWOOD BLVD LOS ANGELES CA 90024 954249502 501(C)(3) 416416 0 SUPPORT CHARITABLE PURPOSE THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 7703 FLOYD CURL DR SAN ANTONIO TX 78229 741586031 STATE OF TX 360606 0 SUPPORT RESEARCH PROGRAM MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 501(C)(3) 353771 0 SUPPORT CHARITABLE PROGRAMS CARNEGIE MELLON UNIVERSITY 5000 FORBES AVENUE PITTSBURGH PA 15213 250969449 501(C)(3) 347964 0 SUPPORT RESEARCH PROGRAM GEORGIA TECH RESEARCH CORPORATION 926 DALNEY STREET NW ATLANTA GA 30332 580603146 501(C)(3) 334956 0 SUPPORT CHARITABLE PROGRAMS THE MEDICAL UNIVERSITY OF SOUTH CAROLINA 179 ASHLEY AVE CHARLESTON SC 29425 576000722 STATE OF SC 334937 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES FL 33124 590624458 501(C)(3) 318443 0 SUPPORT CHARITABLE PROGRAMS ARIZONA BOARD OF REGENTS UNIVERSITY OF ARIZONA 888 NORTH EUCLID AVENUE ROOM 510 TUCSON AZ 85719 742652689 STATE OF AZ 314490 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF MARYLAND 620 W LEXINGTON STREET BALTIMORE MD 21201 526002033 STATE OF MD 291667 0 SUPPORT RESEARCH PROGRAM THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY NY 12201 141368361 501(C)(3) 282259 0 SUPPORT CHARITABLE PROGRAMS DIGNITY HEALTH 185 BERRY STREET SUITE 300 SAN FRANCISCO CA 94107 941196203 501(C)(3) 268441 0 SUPPORT CHARITABLE PROGRAMS SAGE BIONETWORKS 2901 THIRD AVE STE 330 SEATTLE WA 98121 264489946 501(C)(3) 247236 0 SUPPORT CHARITABLE PROGRAMS TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02215 042103547 501(C)(3) 246514 0 SUPPORT CHARITABLE PROGRAMS YALE UNIVERSITY PO BOX 208239 NEW HAVEN CT 06520 060646973 501(C)(3) 242552 0 SUPPORT CHARITABLE PROGRAMS CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 951644600 501(C)(3) 231889 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF CALIFORNIA LOS ANGELES 10889 WILSHIRE BOULEVARD STE 700 LOS ANGELES CA 90095 956006143 STATE OF CA 227822 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF SOUTH FLORIDA 4202 E FOWLER AVE TAMPA FL 33620 593102112 STATE OF FL 210962 0 SUPPORT RESEARCH PROGRAM CHANNEL ONE INC 131 35TH STREET SE ROCHESTER MN 55904 411379713 501(C)(3) 200000 0 SUPPORT CHARITABLE PURPOSE BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE 1450 EAST DUARTE ROAD DUARTE CA 91010 953432210 501(C)(3) 190604 0 SUPPORT CHARITABLE PROGRAMS WE CARE JACKSONVILLE INC 4080 WOODCOCK DRIVE SUITE 130 JACKSONVILLE FL 32207 593431724 501(C)(3) 177500 0 SUPPORT CHARITABLE PURPOSE BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA 151 PREM S PAUL RESEARCH CENTER LINCOLN NE 68583 470049123 STATE OF NE 176282 0 SUPPORT RESEARCH PROGRAM MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 501(C)(3) 171153 0 SUPPORT CHARITABLE PROGRAMS REGENTS OF THE UNIVERSITY OF MICHIGAN 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501(C)(3) 7000 0 SUPPORT CHARITABLE PURPOSE BARRON AREA SCHOOL DISTRICT 100 W RIVER AVE BARRON WI 54812 396022629 STATE OF WI 7000 0 SUPPORT EXEMPT PURPOSE COUNTY OF BARRON 335 E MONROE AVE BARRON WI 54812 396005668 CTY OF BARRON 7000 0 SUPPORT EXEMPT PURPOSE APTIV FOUNDATION INC 3000 SOUTH AVENUE LA CROSSE WI 54601 391366838 501(C)(3) 6851 0 SUPPORT CHARITABLE PURPOSE SANFORD RESEARCH PO BOX 5039 RTE 5218 SIOUX FALLS SD 57117 460450378 501(C)(3) 6840 0 SUPPORT CHARITABLE PROGRAMS ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC 225 N MICHIGAN AVE 17TH FLOOR CHICAGO IL 60601 133039601 501(C)(3) 6760 0 SUPPORT CHARITABLE PROGRAMS SCHOOL DISTRICT OF FALL CREEK 336 E HOOVER AVE FALL CREEK WI 54742 396001970 STATE OF WI 6500 0 SUPPORT EXEMPT PURPOSE INDEPENDENT SCHOOL DISTRICT 77 PO BOX 8741 MANKATO MN 56002 416000310 STATE OF MN 6500 0 SUPPORT EXEMPT PURPOSE STEELE COUNTY TRANSITIONAL HOUSING INC 560 DUNNELL DRIVE 212 OWATONNA MN 55060 411946337 501(C)(3) 6500 0 SUPPORT CHARITABLE 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418 LEVEE STREET RED WING MN 55066 416039135 501(C)(3) 5500 0 SUPPORT CHARITABLE PURPOSE LIFE-WORK PLANNING CENTER BOARD INC 127 SOUTH 2ND STREET MANKATO MN 56001 411357220 501(C)(3) 5500 0 SUPPORT CHARITABLE PROGRAMS SAINT PETER GOOD NEIGHBOR DIVERSITY COUNCIL 804 SPRUCE PLACE SAINT PETER MN 56082 874697133 501(C)(3) 5500 0 SUPPORT CHARITABLE PURPOSE UNIVERSITY OF PITTSBURGH 116 ATWOOD STREET SUITE 201 PITTSBURGH PA 15260 250965591 501(C)(3) 5115 0 SUPPORT CHARITABLE PROGRAMS EPILEPSY FOUNDATION OF AMERICA 3540 CRAIN HIGHWAY NO 675 BOWIE MD 20716 520856660 501(C)(3) 5100 0 SUPPORT CHARITABLE PURPOSE BRIDGE TO HOPE PO BOX 700 MENOMONIE WI 54751 391421880 501(C)(3) 5050 0 SUPPORT CHARITABLE PURPOSE 280 13 SCHOLARSHIPS 557 4477451 MEDICAL STUDENT STIPENDS 686 3202797 RESEARCH GRANT SUBAWARDS 6 3863 CHARITABLE SUPPORT OF INDIVIDUALS 222 267607 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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MELVIN KEVIN B FORMER OFFICER 0 297178 0 0 0 2640 0 32893 0 32804 0 365515 0 0 HOLST TANNER T DIRECTOR/REGIONAL CHAIR-ADMIN SWWI 301330 0 0 0 1409 0 27866 0 32649 0 363254 0 0 0 AMMASH MD NASER M CEO-SSMC 143104 0 0 0 157414 0 52648 0 6706 0 359872 0 0 0 AVIKAINEN BRIDGET F DIRECTOR/CHAIR/PRESIDENT 0 297349 0 0 0 1392 0 27287 0 22523 0 348551 0 0 WOLF SHERRY L DIRECTOR 288161 0 0 0 1985 0 22982 0 32988 0 346116 0 0 0 FALLER MD ANNETTE PHYSICIAN 287607 0 0 0 13023 0 32293 0 2503 0 335426 0 0 0 LEBRASSEUR NATHAN K DIRECTOR 0 265914 0 0 0 5151 0 29076 0 32589 0 332730 0 0 LEHMAN LINDSEY M DIRECTOR 0 303868 0 0 0 1738 0 11564 0 12677 0 329847 0 0 GROSS TERA L DIRECTOR 268511 0 0 0 1509 0 20366 0 32602 0 322988 0 0 0 CLUNE MD CAROLINE G FORMER KEY EMPLOYEE 262018 0 0 0 11457 0 28933 0 18123 0 320531 0 0 0 DEGEN SUSANNE C DIR/VICE CHAIR-ADMIN 285129 0 0 0 13437 0 10255 0 11227 0 320048 0 0 0 HANSON VICTORIA M FORMER KEY EMPLOYEE 258965 0 0 0 2978 0 28733 0 28623 0 319299 0 0 0 COGNETTA-RIEKE CHERISTI M FORMER KEY EMPLOYEE 97625 146649 0 0 25814 1195 2533 18128 7828 10793 133800 176765 0 0 JANSSEN JAMES J ASST TREASURER 244807 0 0 0 6315 0 37077 0 21522 0 309721 0 0 0 DAVIS AMY L FORMER OFFICER 0 258596 0 0 0 1970 0 14893 0 32530 0 307989 0 0 EIDE DEAN B DIR/VICE CHAIR-ADMIN 254624 0 0 0 4593 0 32524 0 14183 0 305924 0 0 0 CAPLAN SHERRY M VICE CHAIR-ADMINISTRATION 258043 0 0 0 2304 0 22544 0 22525 0 305416 0 0 0 SMITH CHUCK J ASST TREASURER 238821 0 0 0 1847 0 27623 0 32640 0 300931 0 0 0 LANZ APRIL D VICE CHAIR-ADMINISTRATION 237727 0 0 0 2812 0 22607 0 28459 0 291605 0 0 0 FLATTUM BETHANIE L TREAS/VICE CHAIR - ADMIN 237574 0 0 0 2192 0 22641 0 28477 0 290884 0 0 0 NORDRUM CHARLOTTE J FORMER OFFICER 223452 0 0 0 3024 0 34422 0 29375 0 290273 0 0 0 TRADEWELL MATTHEW W VICE CHAIR - ADMINISTRATION 230702 0 0 0 11306 0 18909 0 28787 0 289704 0 0 0 EBERLE MICHELE R DIR/VP/SECY/VICE CHAIR-ADMIN 243699 0 0 0 4429 0 30267 0 10817 0 289212 0 0 0 MCCONNELL LISA A DIRECTOR 230920 0 0 0 5971 0 29076 0 21136 0 287103 0 0 0 MURPHY MARIALENA DIRECTOR 227020 0 0 0 0 0 41283 0 17799 0 286102 0 0 0 MARTIN-KRAJEWSKI CARIE A VICE CHAIR-ADMINISTRATION 243421 0 0 0 4417 0 22212 0 10836 0 280886 0 0 0 ARCHER LISA M CHIEF NURSING OFFICER MCHS 234598 0 0 0 2780 0 29904 0 13138 0 280420 0 0 0 JOHNSON CARLA J FORMER OFFICER 232600 0 0 0 1476 0 23648 0 22140 0 279864 0 0 0 DRUCKER PAUL E DIRECTOR/CEO/PRESIDENT 0 211767 0 0 0 2073 0 26428 0 31393 0 271661 0 0 HOWIE GORDON C FORMER KEY EMPLOYEE 204182 0 0 0 20316 0 17590 0 28837 0 270925 0 0 0 RUSTAD CHRISTOPHER D DIR/SECY/TREAS/FORMER OFFICER 0 225946 0 0 0 2388 0 9286 0 32261 0 269881 0 0 KEILMAN DENA R CHIEF NURSING OFFICER-MCHS 207001 0 0 0 14001 0 14366 0 34075 0 269443 0 0 0 MATTHIAS MARK A FORMER OFFICER 226032 0 0 0 2550 0 9263 0 25664 0 263509 0 0 0 LONG AMY K DIRECTOR 215985 0 0 0 1659 0 13787 0 28885 0 260316 0 0 0 FINNEMAN KILLINGER KAREN A FORMER KEY EMPLOYEE 201256 0 0 0 9536 0 17873 0 28266 0 256931 0 0 0 LANZEL TRICIA G FORMER OFFICER 205662 0 0 0 2663 0 17839 0 30149 0 256313 0 0 0 BUCHHOLTZ KELLY M CHIEF NURSING OFFICER 207248 0 0 0 2031 0 16061 0 28574 0 253914 0 0 0 KORDUCKI MD JANE M FORMER KEY EMPLOYEE 194539 0 0 0 10357 0 21868 0 25144 0 251908 0 0 0 WHITED MD BRIAN L FORMER OFFICER 163361 0 0 0 7338 0 55685 0 20384 0 246768 0 0 0 KUEHL MD MARY J DIRECTOR/VICE CHAIR 187597 0 0 0 8008 0 27601 0 19263 0 242469 0 0 0 MEYER TIA J FORMER KEY EMPLOYEE 188183 0 0 0 9106 0 22099 0 10456 0 229844 0 0 0 KUJAK-COON HEATHER FORMER KEY EMPLOYEE 172565 0 0 0 5773 0 17207 0 28006 0 223551 0 0 0 GULDEN CHRISTOPHER R SECY 178571 0 0 0 12363 0 13740 0 17903 0 222577 0 0 0 BOYUM LISA L TREASURER 173612 0 0 0 8030 0 9865 0 28332 0 219839 0 0 0 BELILES GREGORY R FORMER OFFICER 169489 0 0 0 1564 0 11646 0 28158 0 210857 0 0 0 DEXTER MD DONN D FORMER KEY EMPLOYEE 0 0 0 0 125789 0 0 0 0 0 125789 0 78500 0 CHRISTOPHERSON MARK FORMER OFFICER 164561 0 0 0 9763 0 16143 0 10453 0 200920 0 0 0 BIKKANI ABHI ASST SECY 173441 0 0 0 1717 0 10078 0 15299 0 200535 0 0 0 ABILDGAARD SCOTT S DIRECTOR 153471 0 0 0 1500 0 13815 0 27820 0 196606 0 0 0 BROWN WILLIAM A ASST TREASURER 143139 0 0 0 22919 0 7388 0 23044 0 196490 0 0 0 FEHMI RASHID A FORMER OFFICER 140848 0 0 0 11672 0 20373 0 20694 0 193587 0 0 0 FENNELL THOMAS J ASST SECY 140996 0 0 0 11864 0 18823 0 20371 0 192054 0 0 0 KRUMM TARA L DIRECTOR/SECY/TREAS 128492 0 0 0 5600 0 13510 0 32735 0 180337 0 0 0 BARTELT JENNIFER M DIRECTOR/SECRETARY 43372 98067 0 0 1038 1285 927 6382 10263 17332 55600 123066 0 0 NOWICKI JESSICA H DIRECTOR 118899 0 0 0 16610 0 7265 0 32895 0 175669 0 0 0 HANSEN JULIE S FORMER OFFICER 145326 0 0 0 8488 0 0 0 12000 0 165814 0 7620 0 BERG DAVID W FORMER KEY EMPLOYEE 111294 0 0 0 28490 0 24261 0 8912 0 172957 0 0 0 SWENSON LAURA L FORMER KEY EMPLOYEE 13528 86606 0 0 92 2206 559 3857 869 18594 15048 111263 0 0 JOHNSON MD DANIEL J FORMER KEY EMPLOYEE 65966 0 0 0 48273 0 3803 0 5728 0 123770 0 0 0 BYRD MD JANE D FORMER OFFICER 3587 0 0 0 114447 0 0 0 5 0 118039 0 0 0 MCNEILL STEVEN L FORMER KEY EMPLOYEE 26313 0 0 0 105787 0 0 0 12000 0 144100 0 0 0 PART I, LINE 1A IN 2024, NASER M. AMMASH M.D., LESLIE T. COOPER M.D., GIANRICO FARRUGIA M.D., RAFAEL FONSECA M.D., DANIEL S. GOLDMAN, PAUL A. GORMAN, MANEESH GOYAL, RICHARD J. GRAY M.D., AMY K. HARA M.D., MITCHELL R. HUMPHREYS M.D., JEREMY C. JONES M.D., LOIS E. KRAHN M.D., STEVEN L. MCNEILL, FREDRIC B. MEYER M.D., JOHN D. POE, HENRY D. TAZELAAR M.D., LAURA A. VALLOW M.D., 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 2024, DENNIS E. DAHLEN, GIANRICO FARRUGIA M.D., RAFAEL FONSECA M.D., RICHARD J. GRAY M.D., KENT R. THIELEN M.D., AMY W. WILLIAMS M.D. AND CHRISTINA K. ZORN RECEIVED COMPANION 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 2024, 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 2024, ONE OR MORE LISTED PERSONS RECEIVED THIS SUPPLEMENTAL PAYMENT. NASER M. AMMASH RELOCATED TO ABU DHABI, UAE AS PART OF HIS INTERNATIONAL POSITION. HE WAS PROVIDED AN ANNUAL STIPEND AND HOUSING ALLOWANCE. THIS AMOUNT WAS TAXABLE TO THE EMPLOYEE AND 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. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2024, RYANNON K. FREDERICK 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 4A-C IN CONJUNCTION WITH A SEPARATION AGREEMENT, GUSTAV A. DECKER, MBBCH RECEIVED PAYMENT OF $453,078, SI M. PHAM M.D. RECEIVED PAYMENT OF $1,037,500 AND CHRISTOPHER J. ROSS RECEIVED PAYMENT OF $484,836. THE AMOUNTS ARE TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). 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). ABDEL M.D., MATTHEW P. $46871 ABEL M.D., MARTIN D. $66311 ACKERMAN, FRANKLIN K. $3257 ADLEMAN, BREEANN M. $1502 ALBRIGHT JR., D.O., ROBERT C. $119784 AMMASH M.D., NASER M. $117232 ANDREWS M.D., PAUL E. $93801 ANIL M.D., GOKHAN $64924 BARTLETT M.D., BRIAN N. $19381 BAUER M.D., BRENT A. $1604 BEHN M.D., JOSEPH R. $2405 BENDOK M.D., BERNARD R. $144793 BHAGRA M.D., SUMIT $5247 BOLAN M.D., CANDICE W. $39752 BORTNEM, MARK A. $1301 BRIEN M.D., AMY L. $17116 BROWN M.D., DANIEL R. $74446 BROWN M.D., MICHAEL J. $76833 BRUCE M.D., CHARLES J. $93815 BUECHLER M.D., TAMARA E. $9914 BUNKERS M.D., BRIAN E. $963 CAINE, NATALIE A. $47510 CAVINESS M.D., JOHN N. $20088 CHAPITAL M.D., ALYSSA B. $91383 CHUKWUDELUNZU SR., M.D., FELIX E. $6791 CIMA M.D., ROBERT R. $85555 COLLETTI M.D., JAMES E. $54838 COOPER M.D., LESLIE T. $102318 COSTAKOS M.D., DENNIS T. $27523 CRAIG M.D., FIONA E. $47177 CROSS III M.D., WILLIAM W. $97960 CULLINAN M.D., SUSAN M. $31045 DAHLEN, DENNIS E. $224231 DECKER MBBCH, GUSTAV A. $62659 DEGENHARDT M.D., JEFFRY A. $53784 DEWITT M.D., JASON J. $15147 DIDEHBAN, ROSHANAK $84249 DRONCA M.D., ROXANA S. $45482 DUNN, AJANI N. $59127 ETZIONI M.D., DAVID A. $40322 EZENAGU M.D., LEONARD C. $13102 FALLER M.D., ANNETTE $0 FAMUYIDE M.B.B.S., ABIMBOLA O. $53273 FARRUGIA M.D., GIANRICO $881418 FAUBION M.D., STEPHANIE S. $28421 FAUBION M.D., WILLIAM A. $113626 FISHER D.O., LAURA A. $17047 FITZGERALD M.D., KEVIN $3198 FONSECA M.D., RAFAEL $91767 FOSS M.D., RANDY M. $1079 PART I, LINE 4B CONTINUED FRANCIS, JAMES R. $52551 FREDERICK, RYANNON K. $67013 GAZELKA M.D., HALENA M. $36687 GILLIGAN, SHERRI W. $90885 GLANTZ M.D., JANEL N. $104136 GLENN, SEAN W. $393 GOLDMAN, DANIEL S. $6260 GORMAN, PAUL A. $153063 GOYAL, MANEESH $23166 GRAY M.D., RICHARD J. $496070 HALAMKA M.D., JOHN D. $50471 HARA M.D., AMY K. $115363 HARPER JR., M.D., CHARLES M. $147624 HASSE, CHRISTOPHER H. $8114 HEBL M.D., JAMES R. $152141 HELMERS M.D., RICHARD A. $144142 HERRMANN M.D., MARTIN J. $291 HICKSON M.D., LATONYA J. $38661 HOLTAN, DOUGLAS J. $28677 HORST, ADAM M. $15237 HORVATH M.D., PAUL R. $11335 HOXWORTH M.D., JOSEPH M. $91449 HSI M.D., ERIC D. $0 HUBERT, SHERRY L. $16913 HUMPHREYS M.D., MITCHELL R. $58867 JANUS M.D., JEFFREY R. $25697 JENSEN M.D., JEFFREY B. $64562 JOHNSON M.D., DANIEL J. $41455 JOHNSON M.D., MARGARET M. $45236 JONES M.D., JEREMY C. $11762 JOSEPH M.B.B.S., M.D., ABRAHAM $67834 KAMLITZ M.D., KENDRA E. $8931 KANUGA M.D., MANSI J. $6652 KELLEY, SHARON M. $29670 KENDRICK M.D., MICHAEL L. $106288 KRAHN M.D., LOIS E. $44403 KRIEN M.D., JOSEPH S. $32988 KROSCH M.D., TARA C. $26223 LAL M.D., DEVYANI $39595 LANGBEHN D.O., JENNIFER M. $4794 LEIBOVICH M.D., BRADLEY C. $95567 LEIGHTON M.D., JONATHAN A. $78871 LENHART M.D., JILL $1155 LIWONJO M.D., ANNE $2666 LUKE M.D., ANURADHA $32156 MABRY M.D., TAD M. $96991 MANIACI M.D., MICHAEL J. $10439 MCKINNEY M.D., J. MARK $79470 MCLAUGHLIN M.D., SARAH A. $66053 MENKOSKY, PAULA E. $163829 MERFELD M.D., JOHN $3246 MESCHIA M.D., JAMES F. $25589 MEYER M.D., FREDRIC B. $241264 MILLER, RICK R. $128 MISRA M.D., ARTIKA $1044 MOLLING D.O., PAUL E. $3674 MOSS M.D., ADYR A. $93329 MUELLER M.D., PAUL S. $138734 MURPHY, JOSHUA B. $287817 MYHRE M.D., KAREN K. $804 NASSAR M.D., AZIZA $58951 NORDSTROM M.D., CHARLES W. $11504 NOSEWORTHY M.D., PETER A. $48466 NOTTMEIER M.D., ERIC W. $186096 ODENIGBO M.D., CELESTINE $8709 OLMSTEAD D.O., MATTHEW J. $14251 OSUEBI M.D., OKECHUKWU N. $45295 OTLEY M.D., CLARK C. $174160 PAUL, TRAVIS C. $2188 PECK M.D., ROBERT C. $24106 PETCH, CONNIE S. $12443 PETROU M.D., STEVEN P. $76247 PHAM M.D., SI M. $135130 PICHELMANN M.D., MARK A. $188735 PIGNOLO M.D., PH.D., ROBERT J. $8885 POE, JOHN D. $52988 PORTER M.D., ALYX B. $33282 PRUTHI M.D., SANDHYA $1332 QUINONES-HINOJOSA M.D., ALFREDO $164772 RAFFALS M.D., LAURA E. $51121 REDDY M.B.B.S., KUNAM S. $94729 RIGDON, ALICE W. $8790 RIMSZA M.D., LISA M. $46053 ROBELIA M.D., PAUL M. $17844 ROGERS, JAMES A. $112326 ROSENFELD M.D., DAVID M. $81872 ROSS, CHRISTOPHER J. $109037 SADOSTY M.D., ANNIE T. $42376 SAMKUTTY, BIJU T. $9293 SCHAMS M.D., PETER J. $48580 SHAH M.D., VIJAY $137409 SHERRILL, TODD E. $27451 SINGBARTL M.D., KAI $37071 SKAAR M.D., PHILLIP J. $0 SLAMA D.O., TIMOTHY B. $0 TANER M.D., BURCIN C. $99888 TAPPY, DAWN $0 TAWK M.D., RABIH G. $139572 TAZELAAR M.D., HENRY D. $58348 THIEL M.D., DAVID D. $72936 THIELEN M.D., KENT R. $498460 TRENTMAN M.D., TERRENCE L. $66473 URUMOV M.D., ANDREJ $16085 VALLOW M.D., LAURA A. $103437 VARELA M.D., NICOLE L. $19786 VARKEY M.B.B.S., PRATHIBHA $132601 VIRAMONTES, ALLISON L. $7031 WATSON M.D., JAMES C. $50097 WHITED M.D., BRIAN L. $1485 WIECHMANN M.D., ROBERT J. $161260 WILLIAMS M.D., AMY W. $344335 WILLIAMSON, MARY J. $175078 WILLMAN M.D., CHERYL L. $184901 WILSON, JAMES D. $21518 WRAY-RAABOLLE M.D., JASON T. $5714 YOUNG M.D., TIMOTHY J. $8699 YUN M.D., BLENDA $7585 ZARGHAM, BRIAN O. $4975 ZIMMERMAN M.D., RICHARD S. $228599 ZORN, CHRISTINA K. $344014 ZUROB M.D., ADEL S. $27685 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. BAUER M.D., BRENT A. BRUCE M.D., CHARLES J. CAVINESS M.D., JOHN N. CHUKWUDELUNZU SR., M.D., FELIX E. FAMUYIDE M.B.B.S., ABIMBOLA O. FAUBION M.D., STEPHANIE S. FAUBION M.D., WILLIAM A. FEHMI, RASHID A. HUMPHREYS M.D., MITCHELL R. JOHNSON M.D., DANIEL J. KELLEY, SHARON M. KENDRICK M.D., MICHAEL L. LEBRASSEUR, NATHAN K. MEYER M.D., FREDRIC B. NOSEWORTHY M.D., PETER A. PIGNOLO M.D., PH.D., ROBERT J. QUINONES-HINOJOSA M.D., ALFREDO SHAH M.D., VIJAY 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 19958 1894882 300000000 2022 0 0 1 1 A 0 0 0 1 0 0.01060 0.00090 0.01150 0 0 1 B 0 0 0 1 0 0.00120 0.00020 0.00140 0 0 1 C 0 0 0 1 0 0.00020 0.00010 0.00030 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. 69944 EMPLOYMENT 0 ANDERSON MEGAN R FAMILY MEMBER OF DIRECTOR LANGBEHN D.O., JENNIFER M. 98164 EMPLOYMENT 0 ANIL STACI M FAMILY MEMBER OF DIRECTOR ANIL M.D., GOKHAN 24642 EMPLOYMENT 0 BAYRD DO MEGAN E FAMILY MEMBER OF KEY EMPLOYEE HORVATH M.D., PAUL R. 287850 EMPLOYMENT 0 BOLLAM MD RISHITHA FAMILY MEMBER OF OFFICER BIKKANI, ABHI 129767 EMPLOYMENT 0 BRUCE ALISON J FAMILY MEMBER OF DIRECTOR BRUCE M.D., CHARLES J. 621480 EMPLOYMENT 0 CULLINAN MACYN M FAMILY MEMBER OF DIRECTOR CULLINAN M.D., SUSAN M. 12597 EMPLOYMENT 0 ETZIONI MD SHIRI FAMILY MEMBER OF KEY EMPLOYEE ETZIONI M.D., DAVID A. 289031 EMPLOYMENT 0 FITZGERALD ROBIN L FAMILY MEMBER OF FORMER OFFICER FITZGERALD M.D., KEVIN 28282 EMPLOYMENT 0 FLOM MURPHY MELISSA A FAMILY MEMBER OF OFFICER MURPHY, JOSHUA B. 66171 EMPLOYMENT 0 GALINDEZ BRENDA K FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER 140469 EMPLOYMENT 0 GALINDEZ JONATHAN D FAMILY MEMBER OF OFFICER GALINDEZ JR., PETER 30570 EMPLOYMENT 0 GREENFIELD CLAIRE A FAMILY MEMBER OF FORMER KEY EMPLOYEE JOHNSON M.D., DANIEL J. 86606 EMPLOYMENT 0 HARPER SARAH B FAMILY MEMBER OF FORMER KEY EMPLOYEE HARPER JR., M.D., CHARLES M. 130643 EMPLOYMENT 0 IHLE MD KAITLYN F FAMILY MEMBER OF KEY EMPLOYEE KRIEN M.D., JOSEPH S. 38437 EMPLOYMENT 0 JUSTILIEN VERLINE FAMILY MEMBER OF DIRECTOR DUNN, AJANI N. 155303 EMPLOYMENT 0 LEGARE JENNIFER A FAMILY MEMBER OF DIRECTOR LEGARE, GREG 131579 EMPLOYMENT 0 MESCHIA DIANA K FAMILY MEMBER OF DIRECTOR MESCHIA M.D., JAMES F. 51085 EMPLOYMENT 0 MOLLING HEATHER M FAMILY MEMBER OF DIRECTOR MOLLING D.O., PAUL E. 111481 EMPLOYMENT 0 PHILLIPS MD TODD C FAMILY MEMBER OF KEY EMPLOYEE FALLER M.D., ANNETTE 450726 EMPLOYMENT 0 POE KRISTIN L FAMILY MEMBER OF DIRECTOR POE, JOHN D. 99402 EMPLOYMENT 0 ROBARDS MD CHRISTOPHER B FAMILY MEMBER OF DIRECTOR MCLAUGHLIN M.D., SARAH A. 676140 EMPLOYMENT 0 ROGERS NORA FAMILY MEMBER OF DIRECTOR ROGERS, JAMES A. 115272 EMPLOYMENT 0 SMITH JULIE M FAMILY MEMBER OF OFFICER SMITH, CHUCK J. 167090 EMPLOYMENT 0 TANER MD NILUFER FAMILY MEMBER OF DIRECTOR TANER M.D., BURCIN C. 483888 EMPLOYMENT 0 THIELEN MD JACQUELINE M FAMILY MEMBER OF DIRECTOR THIELEN M.D., KENT R. 248848 EMPLOYMENT 0 UMPHREY GREGORY FAMILY MEMBER OF DIRECTOR PORTER M.D., ALYX B. 432276 EMPLOYMENT 0 VOSSBERG PATTI L FAMILY MEMBER OF DIRECTOR GROSS, TERA L. 33641 EMPLOYMENT 0 WILLIAMS MD LINDSY N FAMILY MEMBER OF DIRECTOR JANUS M.D., JEFFREY R. 343951 EMPLOYMENT 0 WOLF ROBERT C FAMILY MEMBER OF DIRECTOR WOLF, SHERRY L. 267762 EMPLOYMENT 0 CASH 2024-02-02 22090 BOOK VALUE AT DATE OF MERGER. 390813418 MAYO CLINIC HEALTH SYSTEM - NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE ST EAU CLAIRE WI 54703 501(C)(3) NET PROPERTY, PLANT & EQUIPMENT 2024-02-02 328266 BOOK VALUE AT DATE OF MERGER. 390813418 MAYO CLINIC HEALTH SYSTEM - NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE ST EAU CLAIRE WI 54703 501(C)(3) 1 1 0 0 1 1 1 1 0 PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: LUTHER LAKESIDE APARTMENTS, INC. MERGED INTO MCHS - NORTHWEST WISCONSIN REGION, INC. EFFECTIVE 2/2/2024.AS OF THE DATE OF THE MERGER, THE FOLLOWING OFFICERS AND DIRECTORS OF LUTHER LAKESIDE APARTMENTS, INC. WERE OR BECAME DIRECTORS OF MCHS - NORTHWEST WISCONSIN REGION, INC.:HELMERS M.D., RICHARD A.AS OF THE DATE OF THE MERGER, THE FOLLOWING OFFICERS AND DIRECTORS OF LUTHER LAKESIDE APARTMENTS, INC. WERE OR BECAME EMPLOYEES OF MCHS - NORTHWEST WISCONSIN REGION, INC.:DEGEN, SUSANNE C.EBERLE, MICHELE R. 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. ABDEL M.D., MATTHEW P., ABILDGAARD, SCOTT S., ACKERMAN, FRANKLIN K., ALBRIGHT JR., D.O., ROBERT C., AMMASH M.D., NASER M., ANIL M.D., GOKHAN BECKER, JOHN BERGERON-BOWE, MELISSA, BHAGRA M.D., SUMIT, BIKKANI, ABHI, BORTNEM, MARK A., BROWN M.D., DANIEL R., BROWN, WILLIAM A., BRUCE M.D., CHARLES J., CAINE, NATALIE A. COOPER M.D., LESLIE T., CROCKETT, ERIC D. CULLINAN M.D., SUSAN M., DAHLEN, DENNIS E., DEGEN, SUSANNE C., DIDEHBAN, ROSHANAK, DRONCA M.D., ROXANA S., DUNN, AJANI N., EBERLE, MICHELE R., EIDE, DEAN B., FAMUYIDE M.B.B.S., ABIMBOLA O., FARRUGIA M.D., GIANRICO, FAUBION M.D., STEPHANIE S., FISHER D.O., LAURA A., FLATTUM, BETHANIE L., FORSTER M.D., JEREMY S., FRANCIS, JAMES R., GORMAN, PAUL A., GROSS, TERA L., GULDEN, CHRISTOPHER R., HASSE, CHRISTOPHER H., HEBL M.D., JAMES R. HELMERS M.D., RICHARD A., HICKSON M.D., LATONYA J., HOLST, TANNER T., HORST, ADAM M., HSI M.D., ERIC D., HUBERT, SHERRY L., JANUS M.D., JEFFREY R., JOHNSON M.D., MARGARET M., 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., MESCHIA M.D., JAMES F., MEYER M.D., FREDRIC B., MILLER, RICK R. MURPHY, JOSHUA B., NASSAR M.D., AZIZA, NOSEWORTHY M.D., PETER A., NOWICKI, JESSICA H., ODENIGBO M.D., CELESTINE, OSUEBI M.D., OKECHUKWU N., PAUL, TRAVIS C. QUINONES-HINOJOSA M.D., ALFREDO, RAFFALS M.D., LAURA E., RIGDON, ALICE W., SHAH M.D., VIJAY, SHERRILL, TODD E., SKAAR M.D., PHILLIP J., SMITH, CHUCK 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., WATSON M.D., JAMES C., WILLIAMS M.D., AMY W., WILLMAN M.D., CHERYL L., WILSON, JAMES D., ZORN, CHRISTINA K., THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR TRUSTEES OF MCHS-SOUTHWEST WISCONSIN REGION INC AND HAVE A BUSINESS RELATIONSHIP: BORSHEIM, PAUL MOLLING D.O., PAUL E. WALTER, DALE THE FOLLOWING INDIVIDUALS SERVE AS CURRENT DIRECTORS OR TRUSTEES OF MCHS-SOUTHWEST WISCONSIN REGION INC AND HAVE A BUSINESS RELATIONSHIP: BINSFELD, MATT BORSHEIM, PAUL MATHY, SCOTT ****************** HORST, ADAM M., POE, JOHN D., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF ROCHESTER AIRPORT COMPANY, A RELATED TAXABLE ENTITY. JANSSEN, JAMES J., SHERRILL, TODD E., DAHLEN, DENNIS E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, 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. 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. 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) 2, LTD., A RELATED TAXABLE ENTITY. WILLIAMSON, MARY J., HOLTAN, DOUGLAS J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF ROCHESTER AIRPORT COMPANY, A RELATED TAXABLE ENTITY. VIRAMONTES, ALLISON L., DIDEHBAN, ROSHANAK, HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 3 MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 4 AMENDMENT TO ARTICLES OF INCORPORATION FOR MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. WERE FILED WITH THE STATE OF WISCONSIN DURING 2023 TO CHANGE THE CORPORATION'S LEGAL NAME TO MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. TO BE EFFECTIVE JANUARY 1, 2024. THE AMENDED ARTICLES OF INCORPORATION ALONG WITH A SEPARATE LETTER WERE PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE TO DOCUMENT THE CHANGE IN LEGAL NAME. THE CORPORATION'S BYLAWS WERE ALSO AMENDED TO UPDATE FOR THE NAME CHANGE. IN ADDITION, THE BYLAWS FOR BELOW SUBORDINATES WERE AMENDED AND EFFECTIVE DECEMBER 9. 2024. - MCHS-SOUTHWEST MINNESOTA REGION - MCHS-SOUTHEAST MINNESOTA REGION - MCHS-NORTHWEST WISCONSIN REGION - MCHS-SOUTHWEST WISCONSIN REGION CHANGES TO THE BYLAWS FOR THE ABOVE SUBORDINATES ARE LISTED BELOW. COMPOSITION OF THE BOARD OF DIRECTORS FOR EACH OF THE SUBORDINATES IS TO BE A BOARD BETWEEN 7 AND 17 MEMBERS. THE BOARD FOR EACH OF THE SUBORDINATES ARE TO BE COMPRISED OF THE VICE PRESIDENT AND THE ADMINISTRATIVE CHAIR FOR MAYO CLINIC HEALTH SYSTEM-MINNESOTA (FOR MCHS-SWMN AND MCHS-SEMN) AND MAYO CLINIC HEALTH SYSTEM-WISCONSIN (FOR MCHS-NWWI AND MCHS-SWWI); THE MCHS-MINNESOTA EXECUTIVE OPERATIONS TEAM (FOR MCHS-SWMN AND MCHS-SEMN) AND THE MCHS-WISCONSIN EXECUTIVE OPERATIONS TEAM (FOR MCHS-SWMN AND MCHS-SEMN); AND ANY AT-LARGE DIRECTORS. ESTABLISHMENT OF AUTHORITY FOR THE BOARD OF DIRECTORS FOR EACH OF THE SUBORDINATES TO CREATE ADVISORY COUNCILS. ELIMINATION OF ANY SUPER MAJORITY APPROVAL REQUIREMENTS. 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 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. SPECIFICALLY, 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 MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF EIGHT OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, CONSULTING STAFF AND CERTAIN SENIOR ADMINISTRATIVE LEADERSHIP FROM ALL CAMPUSES (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF EXECUTIVE LEADERSHIP AND SENIOR PHYSICIAN POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS FOR THE SUBORDINATES WITHIN THIS RETURN ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. SOME OF THE SUBORDINATES WITHIN THIS GROUP RETURN ARE HOSPITALS AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990. FORM 990, PART XI, LINE 9: PENSION-POST RETIREMENT (PER FASB A 15,638,039. CONTRIBUTIONS-REFUND-FMV ADJUSTMENT 40,000. 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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