Mayo Clinic Health System-franciscan Healthcare Inc

Nonprofit profile at a glance

EIN
391411999
IRS 990 coverage
2010–2015
Forms available
Form 990 2015
Location
La Crosse, WI, USA
Phone
5075381297
Rating
33
Verdict
REVIEW
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$527,348
Expenses
$566,067
Assets
$11,893,702
Liabilities
$28,375,245

Source: IRS Form 990. Selected filing: tax year 2015. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • JOHNSON MD TIMOTHY J (DIRECTOR/PRESIDENT/CEO)
  • TIGGELAAR THOMAS H (VICE PRESIDENT-FINANCIAL SERVICES)
  • NESSE MD ROBERT E (FORMER PRESIDENT/CEO)

Highest reported compensation

  • NESSE MD ROBERT E (FORMER PRESIDENT/CEO): $945,849 total reported compensation
  • HUDDLESTON MD PAUL M (DIRECTOR): $735,461 total reported compensation
  • NARR MD BRADLY J (DIRECTOR): $597,778 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2015. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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.

What it reported doing in 2015

See schedule omayo clinic health system-franciscan healthcare, inc. Is a member of the mayo clinic health system. Mayo clinic health system is a family of clinics, hospitals and health care facilities serving communities in Minnesota, Iowa, Wisconsin and Georgia. As part of mayo clinic, the health system offers care designed for the whole body close to the patient's home, when they need it. A multidisciplinary team of experts has ready access to knowledge, resources, and expertise of mayo clinic and collaborates on providing exactly the care the patient needs. Mayo clinic health system sites employ approximately 1,000 physicians and 15,000 allied health staff. In addition, mayo clinic physicians from multiple specialties regularly see patients at health system facilities. Besides having health care facilities in more than 60 communities, mayo clinic health system includes 19 owned hospitals, two owned nursing homes, physician service agreements with one additional hospital, and contract management agreements with two additional hospitals and one nursing home. Since its inception in 1992, mayo clinic health system has grown into one of the most successful regional health care systems in the united states. More than 600,000 unique patients account for more than 2.6 million visits annually in mayo clinic health system. It is also a national leader in quality and safety efforts.mayo clinic health system-franciscan healthcare, inc. Was originally organized in 1982, with its primary purpose being to provide coordination, planning, development, resource allocation and other administrative and support services to various subsidiaries and affiliates within the regional health care delivery system. In prior years, the majority of these services have shifted to being provided by mayo clinic health system-franciscan medical center, inc., however, the reporting organization's board still maintains an oversight function over the entities in the region.

Operating model

Revenue model
Investment-supported. 100% of the money available for current operations came from recurring investment income.
Distribution model
Grant intermediary. The nonprofit sent 100% of its reported program spending out as grants.

The verdict

REVIEW - The filed numbers largely add up. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 0
  • Transparency & Controls: 67
  • Accountability: 56
  • Sustainability: 37
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 0.1%; rating input score 0
  • Program expense ratio: 0.1%; rating input score 0
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 40%; rating input score 40; 9th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -7.3%; rating input score 18; 18th percentile among comparable filings
  • Total-asset coverage ratio: 21.01; rating input score 97; 97th percentile among comparable filings
  • Liabilities to assets ratio: 2.39; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 108.6%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: -43% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -33.6% per year; rating input score 0; 2nd percentile among comparable filings
  • Asset growth: -19.2% per year; rating input score 0; 4th percentile among comparable filings

Details

  • Where the money goes: 0.1% of revenue deployed · 0.1% of spending went to programs
  • Governance: 6 of 15 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $400 in reported program spending
  • Leadership: top reported pay $946K · 18 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 18 of 18 current checks pass
  • Schedules: 5 filed schedules · includes executive pay and related organizations
  • Filing history: 6 filing years from 2010 to 2015
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 52 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Mission deployment rate scored 0/100.
  • High — Financial Efficiency: Program expense ratio scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Independent voting board scored 40/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 18/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.