Mayo Health Plan in Rochester, Minnesota (MN)

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Mayo Health Plan
Employer Identification Number (EIN)363434113
Name of OrganizationMayo Health Plan
Address200 1st St Sw, Rochester, MN 55905-0001
ActivitiesPrepared group health plan, Other health services
SubsectionSocial Welfare Organization
Ruling Date09/1986
DeductibilityContributions are not deductible
FoundationAll organizations except 501(c)(3)
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2003
Assets$0
Income$0
Filing Requirement990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount$3,031,466
Amount of Income$182,624
Form 990 Revenue Amount$182,624
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Group Health Practice (Health Maintenance Organizations)


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Amount of income in 2003: $182,624
This organization: 

 $182,624
Other organizations performing similar types of work: 

 $153,128,564

Assets in 2003: $3,031,466
Mayo Health Plan: 

 $3,031,466
Other organizations performing similar types of work: 

 $38,480,063

Expenses in 2002: $-248,970
Mayo Health Plan: 

 $-248,970
Other organizations performing similar types of work: 

 $144,226,235

Financial snapshot ($)

Revenue for 2002

Assets at end of 2002

Income-Producing Activities for 2002

Revenue, Expenses, and Changes in Net Assets or Fund Balances
200020012002
Total revenue$16,150,240$13,604,580$182,624
Contributions, gifts, grants, and similar amounts received$0$0$0
Contributions to donor advised funds
Direct public support$0$0$0
Indirect public support$0$0$0
Government contributions (grants)$0$0$0
Program service revenue including government fees and contracts$15,390,867$12,612,629$0
Membership dues and assessments$0$0$0
Interest on savings and temporary cash investments$0$0$0
Dividends and interest from securities$0$242,273$128,311
Net rental income or (loss)$0$0$0
Gross rents$0$0$0
Less: rental expenses$0$0$0
Other investment income$0$0$0
Gain or (loss) from sales of assets other than inventory$262,605$0$0
Gross amount from sales of assets other than inventory$2,286,733$0$0
Less: cost or other basis and sales expenses$2,024,128$0$0
Net income or (loss) from special events and activities$0$0$0
Gross revenue$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0
Less: cost of goods sold$0$0$0
Other revenue$496,768$749,678$54,313
Total expenses$18,769,990$13,675,790$-248,970
Program services$17,439,445$12,330,686$-248,970
Management and general$1,330,545$1,345,104$0
Fundraising$0$0$0
Payments to affiliates$0$0$0
Net assets or fund balances at end of year$73,592$2,599,872$3,031,466
Excess or (deficit) for the year$-2,619,750$-71,210$431,594
Net assets or fund balances at beginning of year$193,342$73,592$2,599,872
Other changes in net assets or fund balances$2,500,000$2,597,490$0
Statement of Functional Expenses (for 2002)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$-248,970$-248,970$0$0
Grants paid from donor advised funds
Other grants and allocations$0
Specific assistance to individuals$-418,897
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$0$0$0$0
Compensation of former officers, directors, key employees, etc.
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Salaries and wages of employees not included above$0$0$0$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$0$0$0$0
Payroll taxes$0$0$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$0$0$0$0
Legal fees$0$0$0$0
Supplies$0$0$0$0
Telephone$0$0$0$0
Postage and shipping$0$0$0$0
Occupancy$0$0$0$0
Equipment rental and maintenance$0$0$0$0
Printing and publications$0$0$0$0
Travel$0$0$0$0
Conferences, conventions, and meetings$0$0$0$0
Interest$282,313$282,313$0$0
Depreciation, depletion, etc.$0$0$0$0
Other expenses not covered above$-112,386$-112,386$0$0
Balance Sheets
200020012002
Total assets$4,436,434$5,752,772$3,031,466
Cash - non-interest-bearing$19,127$2,721,640$1,395,512
Savings and temporary cash investments$0$0$0
Accounts receivable less allowance for doubtful accounts$194,537$340,619$40,095
Pledges receivable less allowance for doubtful accounts$0$0$0
Grants receivable$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Other notes and loans receivable less allowance for doubtful accounts$0$0$0
Inventories for sale or use$0$0$0
Prepaid expenses and deferred charges$336,970$0$0
Investments - publicly-traded securities
Investments - other securities$3,785,800$2,590,513$1,595,859
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0
Investments - other$0$0$0
Land, buildings, and equipment less accumulated depreciation$0$0$0
Other assets, including program-related investments$100,000$100,000$0
Total liabilities$4,362,842$3,152,900$0
Accounts payable and accrued expenses$3,362,842$2,152,900$0
Grants payable$0$0$0
Deferred revenue$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0
Tax-exempt bond liabilities$0$0$0
Mortgages and other notes payable$1,000,000$1,000,000$0
Other liabilities$0$0$0
Total liabilities and net assets/fund balances$4,436,434$5,752,772$3,031,466
Total net assets or fund balances$73,592$2,599,872$3,031,466
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
200020012002
Total revenue$16,152,866$13,604,580$0
Total revenue, gains, and other support per audited financial statements$16,152,866$13,604,580$0
Other expenses$0$0$0
Net unrealized gains on investments$0$0$0
Donated services and use of facilities$0$0$0
Recoveries of prior year grants$0$0$0
Other$0$0$0
Other revenue$0$0$0
Investment expenses$0$0$0
Other$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
200020012002
Total expenses$18,769,990$13,675,790$0
Total expenses and losses per audited financial statements$18,772,616$13,675,790$0
Other revenue$2,626$0$0
Donated services and use of facilities$0$0$0
Prior year adjustments$0$0$0
Losses$0$0$0
Other$2,626$0$0
Other expenses$0$0$0
Investment expenses$0$0$0
Other$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings0
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?
Does the organization have a written conflict of interest policy?
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?Yes
Did the organization make only in-house lobbying expenditures of $2,000 or less?Yes
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?No
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?No
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?
Did the organization acquire a direct or indirect interest in any applicable insurance contract?
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?
Number of employees employed in the pay period that includes March 12, 20060
Analysis of Income-Producing Activities (for 2002)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$128,311$54,313
Program service revenue
Program service revenue 1000000$000$0$0
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$000$0$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$128,311$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$54,313
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2002)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2002)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2002)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
Enter the total number of donor advised funds owned at the end of the tax year
Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year
Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts
Enter the aggregate value of assets held in all funds or accounts included above at the end of the tax year
Reason for Non-Private Foundation Status
The organization is not a private foundation because it is
Support Schedule
199920002001
Total$0$0$0
Gifts, grants, and contributions received$0$0$0
Membership fees received$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0
Net income from unrelated business activities not included above$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0
Other income$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2002)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Kaiser Foundation Health Plan IncOne Kaiser Plz Ste 15l, Oakland, CA 94612-3610CA1981-12$73,070,955,322
2Blue Cross And Blue Shield Of Massachusetts Hmo Blue IncBoston, MA 02215MA$4,516,207,547
3New York State Catholic Health Plan Inc95-25 Queens Boulevard, Rego Park, NY 11374-4510NY1998-03$4,094,146,401
4Kaiser Foundation Health Plan Of ColoradoOne Kaiser Plaza Ste 15l, Oakland, CA 94612-3610CA1981-12$3,270,693,053
5Rochester Area Health Maintenance Organization Inc, Preferred Care220 Alexander St, Rochester, NY 14607-4002NY1979-05$3,261,971,027
6Kaiser Foundation Health Plan Of The NorthwestOne Kaiser Plz Ste 15l, Oakland, CA 94612-3610CA1981-12$3,202,133,905
7Tufts Associated Health Maintenance Organization Inc705 Mount Auburn St, Watertown, MA 02472-1508MA1979-12$3,044,932,414
8Mvp Health Plan Inc625 State St, Schenectady, NY 12305-2111NY1984-04$2,570,617,642
9Kaiser Foundation Health Plan Of The Mid Atlantic States Inc2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1981-06$2,491,136,983
10Optima Health Plan4417 Corporation Ln, Virginia Beach, VA 23462-3162VA1986-01$2,408,742,311
11Harvard Pilgrim Health Care Inc93 Worcester St, Wellesley, MA 02481-3609MA1969-10$2,364,926,679
12Health Alliance Plan Of Michigan, Medical Value Plan2850 W Grand Blvd, Detroit, MI 48202-2643MI2004-03$2,248,206,615
13Medica Health Plans401 Carlson Pkwy Mr Cp175, Minnetonka, MN 55305MN1975-06$1,969,972,358
14Healthpartners IncPO BOX 1309, Minneapolis, MN 55440-1309MN1985-03$1,453,049,935
15Group Health Plan Inc, HealthpartnersPO BOX 1309, Minneapolis, MN 55440-1309MN1990-10$1,408,827,699
16Hmo MinnesotaPO BOX 64560, Saint Paul, MN 55164-0560MN1975-03$1,333,790,428
17Delta Dental Of Minnesota500 Washington Ave S Ste 2060, Minneapolis, MN 55415-1163MN1971-11$226,593,456
18Preferredone Community Health Plan6105 Golden Hills Dr, Golden Valley, MN 55416-1023MN1996-01$125,185,264
19Atrium Health Plan IncSaint Paul, MN 55164MN$91,509,452
20Mayo Health Plan200 1st St Sw, Rochester, MN 55905-0001MN1986-09$182,624
Number of organizations performing similar types of work
Alabama1
Arkansas1
California22
Colorado5
Connecticut1
District of Columbia2
Florida2
Georgia1
Hawaii2
Idaho1
Illinois3
Indiana2
Kansas1
Kentucky1
Massachusetts6
Maryland1
Michigan17
Minnesota8
Missouri2
North Dakota1
New Jersey1
New Mexico1
New York19
Ohio6
Oklahoma1
Oregon4
Pennsylvania5
Rhode Island1
South Dakota1
Tennessee2
Texas8
Utah4
Virginia2
Vermont1
Washington1
Wisconsin4
West Virginia1
International1
Total143

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