Mayo Clinic Health System

What it reported doing in 2015

Patient care (see schedule o): patient care: mayo clinic health system - lake city (mchs-lake city) 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.mchs-lake city owns and operates an 18 bed critical access hospital serving lake city, Minnesota and surrounding communities. During the year ended december 31, 2015, lake city had 198 medical/surgical admissions, 16 obstetric admissions, and 171 swing bed admissions with an average daily census of 7.9. In addition, there were 2,522 emergency room visits, 204 same day surgeries and ancillary services including laboratory, cardiac rehabilitation, physical, occupational and speech therapy, and radiology services. Radiology services included mammography, ct, mri and ultrasound.mchs-lake city also owns and operates four clinics located in alma, Wisconsin and in lake city, plainview and wabasha, Minnesota. These clinics are staffed by eleven family medicine physicians, a general surgeon, two physician assistants, and five nurse practitioners, including a certified nurse-midwife. On an annual basis, there are approximately 52,379 patient visits among the four clinic locations.mchs-lake city continues to provide a ventilator program to ensure continuum of care and the most appropriate placement and level of care for ventilated and other patients requiring a high level of respiratory care. Mchs-lake city has committed eleven beds in the facility for caring for this kind of patient population, along with providing classroom and skills training for nursing staff and providers.mchs-lake city provides care to patients who meet certain criteria under its financial assistance policy without charge or at amounts less than its established rates. Services are also provided to medicaid and medicare patients at substantial discounts from standard fees. In 2015, mchs-lake city provided approximately $761,500 in financial assistance to patients. The total cost of uncompensated care provided to low income patients through medicaid and minnesotacare (a state program for providing medical care to the low income population) was approximately $1,952,200 which includes the medicaid surcharge of $431,177 and mncare tax of $326,313.the unreimbursed cost of services to medicare patients was approximately $291,000. Lake city has approximately 106 volunteers including individuals and service groups who provided approximately 3,101 hours of volunteer services during 2015. They staff the information desk directing patients and visitors to their destination and perform clerical duties for various departments in the medical center. Based on the 2015 independent sector statistics, the approximate value of these services is $73,060.mayo clinic health system-lake c

Financial Efficiency

• Mission deployment rate: 86.3%; rating input score 86
• Program expense ratio: 86.6%; rating input score 87
• Fundraising efficiency: Limited

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: 44.4%; rating input score 44; 8th 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: 0.3%; rating input score 35; 35th percentile among comparable filings
• Total-asset coverage ratio: 0.93; rating input score 43; 43rd percentile among comparable filings
• Liabilities to assets ratio: 0.23; rating input score 64; 64th percentile among comparable filings
• Officer compensation ratio: 8.7%; rating input score 18; 18th percentile among comparable filings

Growth

• Program expense growth: 1.9% per year; rating input score 100; 34th percentile among comparable filings
• Revenue growth: 4.2% per year; rating input score 100; 51st percentile among comparable filings
• Asset growth: 6.3% per year; rating input score 100; 60th percentile among comparable filings