Mayo Clinic Health System-st James

What it reported doing in 2014

Patient care (schedule o)patient 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 - st. James is a critical access hospital located in st. James that is part of the mayo clinic health system. There were approximately 2,900 patients treated in the emergency room in 2014, which is open 24 hours a day. In 2014, mchs - st. James admitted over 240 patients. Mchs - st. James operates primary care clinics in st. James and trimont. Mchs - st. James served over 25,000 clinic visits.uncompensated care: mchs - st. James provides care to persons covered by governmental programs. Services are provided to both medicare and medicaid patients/residents at substantial discounts from standard fees. Mchs - st. James is designated as a critical access hospital and is reimbursed based on its cost of providing services for hospital medicare patients.charity care is also provided for patients that are financially unable to pay for services provided. The cost of charity provided in 2014 was approximately $91,500.mchs - st. James also provides discounts to uninsured patients. The total discounts given in 2014 were $59,000.the cost of uncompensated care in 2014 provided to low income patients through medicaid and other governmental programs was approximately $381,000. Included in this amount is $204,543 paid to minnesotacare (a program that provides health care for low income populations) and the medicaid surcharge of $131,879.mchs-st. James leases space to affiliated organizations to help further their exempt purpose of providing patient care.

Financial Efficiency

• Mission deployment rate: 76.8%; rating input score 77
• Program expense ratio: 87.3%; 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: 50%; rating input score 50; 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: 12%; rating input score 78; 78th percentile among comparable filings
• Total-asset coverage ratio: 1.48; rating input score 58; 58th percentile among comparable filings
• Liabilities to assets ratio: 0.66; rating input score 23; 23rd percentile among comparable filings
• Officer compensation ratio: 12.3%; rating input score 9; 9th percentile among comparable filings

Growth

• Program expense growth: 0.5% per year; rating input score 100; 29th percentile among comparable filings
• Revenue growth: 7.8% per year; rating input score 100; 70th percentile among comparable filings
• Asset growth: 4.7% per year; rating input score 100; 50th percentile among comparable filings