Mayo Clinic Health System-red Cedar Inc
Nonprofit profile at a glance
- EIN
- 510190875
- IRS 990 coverage
- 2010–2014
- Forms available
- Form 990 2014
- Location
- Menomonie, WI, USA
- Phone
- 5075381297
- Rating
- 72
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Hospital, General
Reported finances
- Revenue
- $100,468,435
- Expenses
- $85,918,798
- Assets
- $148,490,704
- Liabilities
- $16,811,509
Source: IRS Form 990. Selected filing: tax year 2014. Amounts in USD.
Leadership & pay
21 people listed
Executive titles in this filing
- LINTON MD RANDALL L (DIRECTOR/REGIONAL CEO/PHYSICIAN)
- NELSON MD CARRIE J (DIRECTOR/VICE PRESIDENT/PHYSICIAN)
- SIMPSON MD HENRY J (DIRECTOR/PRESIDENT/SITE CEO/PHYSICIAN)
Highest reported compensation
- NESSE MD ROBERT E (DIRECTOR/PHYSICIAN): $886,523 total reported compensation
- THIRUMALAI MD SRIDHAR (INTERNAL MEDICINE PHYSICIAN): $736,507 total reported compensation
- MCNALLY DO PAUL D (ORTHOPEDIST): $735,477 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 o): mayo clinic health system-red cedar (mchs-red cedar) 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 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-red cedar (mchs-red cedar) is a Wisconsin nonprofit corporation, tax exempt as an organization described in sec. 501(c)(3) of the internal revenue code. Mchs-red cedar's mission statement states that the organization's aim is 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. Our vision is to achieve the highest standards for medical care and health improvement in the communities in which we live and work. Our first priority is to meet patient needs guided by the core values of integrity, continuous improvement, service, teamwork, innovation, balance and financial integrity. As part of the mayo clinic health system, mchs-red cedar operates a clinic and a hospital in menomonie, Wisconsin, along with regional clinics in glenwood city and elmwood, Wisconsin. Mchs-red cedar's clinics provide primary care, including family practice, internal medicine, ob/gyn, pediatrics and general surgery. In addition, specialty care in occupational medicine, behavioral health, orthopedics, podiatry and nutritional education are also provided. During 2014, there were 96,024 clinic visits. Mchs-red cedar's hospital is a 25-bed critical access hospital providing medical, surgical, maternity, emergency and critical care services to area residents. In 2014, 1,800 patients were admitted, 2,687 surgical procedures were performed and 11,210 patients used the hospital's emergency room.in conjunction with mayo clinic and its affiliates, mchs-red cedar is able to provide emergency medical helicopter service throughout the region. The helicopter provides rapid patient transport to the appropriate healthcare facility along with delivering high-level critical care.mchs-red cedar operated link to life (an easy-to-use personal response service) to ensure that older adults living at home can get quick assistance whenever it may be needed - 24 hours a day, 365 days a year. When the personal help button is pressed, a mchs-red cedar monitor responds, assesses the situation and summons appropriate help, however, this service was discontinued effective 10/31/2014.mchs-red cedar 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 2014, mchs-red cedar provided approximately $632,000 in financial assistance to patients. The unreimbursed cost of me
Operating model
- Revenue model
- Earned-program. 97% 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. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.
Rating breakdown
- Financial Efficiency: 84
- Transparency & Controls: 62
- Accountability: 54
- Sustainability: 70
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 76.7%; rating input score 77
- Program expense ratio: 91.4%; rating input score 91
- Fundraising efficiency: $374.48 raised per $1 spent on fundraising; rating input score 95; 95th percentile among comparable filings
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 20th 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: 38.7%; rating input score 39; 9th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 36.4%; rating input score 36; 10th 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: 14.5%; rating input score 84; 84th percentile among comparable filings
- Total-asset coverage ratio: 1.73; rating input score 63; 63rd percentile among comparable filings
- Liabilities to assets ratio: 0.11; rating input score 87; 87th percentile among comparable filings
- Officer compensation ratio: 4.9%; rating input score 15; 15th percentile among comparable filings
Growth
- Program expense growth: 8.1% per year; rating input score 100; 70th percentile among comparable filings
- Revenue growth: 4.8% per year; rating input score 100; 52nd percentile among comparable filings
- Asset growth: 12% per year; rating input score 100; 82nd percentile among comparable filings
Details
- Where the money goes: 76.7% of revenue deployed · 91.4% of spending went to programs
- Governance: 4 of 11 board members independent · 7 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $78.5M in reported program spending
- Leadership: top reported pay $887K · 21 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 4 contractors listed · $7.2M reported
- Consistency: 36 of 37 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 5 filing years from 2010 to 2014
- Contacts: How to reach this organization
- Money network: 13 filed money-flow records
- Related organizations: 59 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.
- Moderate — Accountability: Independent voting board scored 36/100.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Moderate — Transparency & Controls: Grant itemization coverage scored 39/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Officer compensation ratio scored 15/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.