Mayo Clinic Health System-home Health & Hospice Inc

Nonprofit profile at a glance

EIN
391491516
IRS 990 coverage
2010–2014
Forms available
Form 990 2014
Location
Eau Claire, WI, USA
Phone
5075381297
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Home Health Care

Official website

Reported finances

Revenue
$9,567,459
Expenses
$8,155,074
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2014. Amounts in USD.

Leadership & pay

7 people listed

Executive titles in this filing

  • BYRD MD JANE D (PRESIDENT/DIRECTOR)
  • LINTON MD RANDALL L (CEO)

Highest reported compensation

  • LINTON MD RANDALL L (CEO): $637,348 total reported compensation
  • DICKEY JOHN M (CAO): $453,269 total reported compensation
  • BAMMEL PAUL M (VP/DIRECTOR/CFO): $413,976 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2014. 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 2014

Patient care -- see schedule opatient care: 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 nearly 70 communities, mayo clinic health system includes 19 owned hospitals, five 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 - home health & hospice, inc. (mchs-hh&h) is a member of the mayo clinic health system. It is a Wisconsin nonprofit corporation, tax exempt as an organization described in sec. 501(c)(3) of the internal revenue code. The corporation provides services to the residents of 14 counties in northwestern Wisconsin.mayo clinic health system - home health & hospice plays a vital role in the health and well-being of eau claire residents and the surrounding communities by offering home health, hospice, bereavement and personal care services. This includes four branch locations. Disciplines include skilled nursing, physical therapy, occupational therapy, speech therapy, dietary, social services, home health aides, spiritual care and personal care. Mchs-hh&h had over 1,200 unduplicated patients with over 38,000 visits for 2014.mchs-hh&h provides care to persons covered by governmental programs. Services are provided to both medicare and medicaid patients/residents at substantial discounts from standard fees. Charity care is also provided for patients that are financially unable to pay for services provided. The cost of charity care was approximately $10,100. The unreimbursed cost of medicaid was approximately $109,000. Mayo clinic health system - eau claire hospital, inc. And mayo clinic health system - eau claire clinic, inc. Voluntarily entered into an agreement with the wi attorney general relating to charity care. The terms of the agreement include an automatic discount for uninsured patients, a payment cap for those uninsured patients that meet the organization's charity care criteria, and a commitment to make information available to our patients regarding our charity care program. Additionally, the wi attorney general reviewed and approved our billing and collection policies and practices.mchs-hh&h had 59 volunteers for 2014. Volunteers donated over 950 hospice visits for mchs-hh&h, valued at approximately $33,000, based on independent sectors average estimated value of such services. These service hours were spent as companion, direct care, or bereavement volunteers for the benefit of the hospice programs patients and their families.

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 71
  • Accountability: 42
  • Sustainability: 43
  • Growth: 40

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 69%; rating input score 69
  • Program expense ratio: 81%; rating input score 81
  • Fundraising efficiency: $74.6 raised per $1 spent on fundraising; rating input score 85; 85th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd 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: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 25%; rating input score 25; 6th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • 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: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 14.8%; rating input score 78; 78th percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 4.1%; rating input score 55; 55th percentile among comparable filings

Growth

  • Program expense growth: -20.6% per year; rating input score 0; 7th percentile among comparable filings
  • Revenue growth: 7.8% per year; rating input score 100; 66th percentile among comparable filings
  • Asset growth: -16.5% per year; rating input score 0; 4th percentile among comparable filings

Details

  • Where the money goes: 69% of revenue deployed · 81% of spending went to programs
  • Governance: 1 of 4 board members independent · 6 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $6.6M in reported program spending
  • Leadership: top reported pay $637K · 7 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 2 contractors listed · $1.1M reported
  • Consistency: 28 of 28 current checks pass
  • Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 5 filing years from 2010 to 2014
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 58 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 — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Accountability: Independent voting board scored 25/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Sustainability: Officer compensation ratio scored 55/100.