2019-11-15T07:35:25-06:00 2018-12-31 990 2018-01-01 416011702 MAYO CLINIC MAYO 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 DENNIS E DAHLEN CFO 5075381297 2019-11-15 129.176.151.19 2019-11-15 07:35:10 CS P 588D31844B60C7BBDBBF042DCBD865D84CD90F6A 03A583A6FEEA4CC0CF2C233FDBC314B3FB6E454A 2018 2020-04-17 16:48:07Z GIANRICO FARRUGIA MD 200 FIRST STREET SW ROCHESTER MN 55905 8650548501 0 5983 X WWW.MAYOCLINIC.ORG X 1919 MN EDUCATION, RESEARCH AND PATIENT CARE 31 17 25479 741 689856985 117909802 1722852961 1975507156 3965257114 4050035431 394860611 323162453 59260630 74654454 6142231316 6423359494 696637480 204564712 0 0 2605554531 2805440917 700510 941836 41541364 2526753240 2616840186 5829645761 5627787651 312585555 795571843 11310805903 12305407265 9203875285 9273937859 2106930618 3031469406 X 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. 0 0 250664408 13907145 57478291 MEDICAL EDUCATION(SEE SCHEDULE O FOR DESCRIPTION): 3393496934 3108386348 PATIENT CARE (SEE SCHEDULE O FOR DESCRIPTION) 648809218 47536551 7565401 RESEARCH (SEE SCHEDULE O FOR DESCRIPTION) 143121015 143121016 917793232 COMMUNITY CONTRIBUTIONS:COMMUNITY GIVING AND INVOLVEMENT IS A VALUE-DRIVEN PRIORITY AT MAYO CLINIC. QUALITY PATIENT CARE, RESEARCH AND EDUCATION ARE BEST ADVANCED WITHIN A VIBRANT LOCAL COMMUNITY, WITH STRONG SOCIETAL FOUNDATIONS, SUCH AS EDUCATION, HEALTH, INCLUSIVITY, A DIVERSE ECONOMY, SUPPORTIVE SOCIAL SERVICES, AND AMENITIES THAT MAKE ROCHESTER A DESIRABLE PLACE TO LIVE AND SUPPORT SOCIAL DETERMINANTS OF HEALTH. A THRIVING COMMUNITY RELIES ON A VARIETY OF ORGANIZATIONS TO PROVIDE VITAL SERVICES AND PROGRAMS TO MEET COMMUNITY NEEDS. LIKE MOST CITIES, ROCHESTER FACES FUNDAMENTAL SOCIO-ECONOMIC CHALLENGES SUCH AS HUNGER, POVERTY, UNEQUAL ACCESS TO HEALTH CARE AND HEALTH DISPARITIES. ROCHESTER IS ALSO AN INCREASINGLY DIVERSE COMMUNITY, WITH NEWCOMERS WHO NEED HELP IN ASSIMILATING TO THEIR NEW ENVIRONMENT. MAYO CLINIC'S COMMUNITY ENGAGEMENT DIVISION WORKS TO BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL GOVERNMENTAL AGENCIES, COMMUNITY GROUPS, AND ORGANIZATIONS TO BUILD ADDITIONAL CAPACITY AND ENSURE SUSTAINABILITY TO MEET THESE EVER INCREASING NEEDS. MAYO CLINIC MAKES FINANCIAL AND IN-KIND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS BASED ON IDENTIFIED COMMUNITY HEALTH NEEDS AND FOR A VARIETY OF INITIATIVES SUCH AS HEALTH AND WELLNESS, HUMAN SERVICES, CAPACITY BUILDING, DIVERSITY AND INCLUSION, HOUSING, EDUCATION-WORKFORCE DEVELOPMENT, YOUTH ENRICHMENT (ESPECIALLY AT-RISK YOUTH) AND THE ARTS AND CULTURE. MAYO CLINIC STRIVES TO MAINTAIN A CONTRIBUTIONS PROGRAM THAT IS FISCALLY RESPONSIBLE AND SOCIALLY ACCOUNTABLE THROUGH CONTINUOUS EVALUATION, AND ALIGNED WITH ITS MISSION AS A NON-PROFIT ORGANIZATION. IN 2018, MAYO CLINIC'S COMMUNITY CONTRIBUTIONS PROGRAM PROVIDED MORE THAN $2 MILLION TO MORE THAN 115 NON-PROFIT ORGANIZATIONS. HIGHLIGHTS OF COMMUNITY GIVING INCLUDE: *FINANCIAL AND IN-KIND SUPPORT TO THE SALVATION ARMY GOOD SAMARITAN MEDICAL AND DENTAL CLINICS, THE ZUMBRO VALLEY MENTAL HEALTH CENTER AND SEVERAL LOCAL COMMUNITY DENTAL CLINICS TO SERVE LOCAL CITIZENS AND FAMILIES WHO CANNOT OTHERWISE AFFORD CARE AND INCREASE COMMUNITY HEALTH CARE ACCESS POINTS FOR ALL RESIDENTS.*CAPITAL SUPPORT TO COMMUNITY DENTAL SERVICES, THE EMPOWERMENT CENTER, AND THE READING CENTER TO HELP LOCAL RESIDENTS GAIN ACCESS TO DENTAL CARE, LITERACY SERVICES AND HOUSING SUPPORT FOR SINGLE PARENT FAMILIES. * FINANCIAL SUPPORT TO "CRADLE-TO-CAREER," A DISTRICT-WIDE EFFORT TO IMPROVE EDUCATIONAL ATTAINMENT AMONG K-12 STUDENTS, AFTER-SCHOOL YOUTH ENRICHMENT PROGRAMS AND WORKFORCE DEVELOPMENT PROGRAMS TO SUPPORT LIFELONG LEARNING AND ECONOMIC STABILITY.*MAYO CLINIC SUPPORTS HOSPITALITY HOUSES IN THE COMMUNITY SUCH AS THE RONALD MCDONALD HOUSE, THE HOPE LODGE, AND THE GIFT OF LIFE TRANSPLANT HOUSE. THESE FACILITIES PROVIDE MORE THAN 5,500 PATIENTS AND THEIR FAMILIES WITH SERIOUS AND COMPLICATED ILLNESSES WITH AN AFFORDABLE, WELCOMING RESIDENCE DURING THEIR LENGTHY VISITS TO ROCHESTER FOR EXTENDED CARE.*MAYO CLINIC PARTICIPATES IN THE COALITION FOR COMMUNITY HEALTH ACCESS INTEGRATION (CCHI), WHICH IS A PARTNERSHIP OF LOCAL AND REGIONAL COMMUNITY HEALTH CARE AND HUMAN SERVICES ORGANIZATIONS. CCHI'S MISSION IS TO CREATE OPPORTUNITIES TO COORDINATE AND INTEGRATE EFFICIENT AND EFFECTIVE SERVICES ACROSS ORGANIZATIONS TO IMPROVE THE HEALTH AND WELL-BEING OF THE OLMSTED COUNTY COMMUNITY.*MAYO CLINIC PARTNERS WITH THE OLMSTED COUNTY HEALTH DEPARTMENT, OLMSTED COUNTY MEDICAL CENTER AND OTHER AREA HEALTH PROVIDERS TO PREPARE FOR AND COORDINATE RESPONSES TO HEALTH RELATED EMERGENCIES SUCH AS EPIDEMICS AND NATURAL DISASTERS WITH THE THREAT OF MASS INJURIES/MORTALITIES.*IN 2018 MAYO CLINIC CONTINUED TO HELP LEAD THE ROCHESTER AREA HOUSING COALITION, A COLLABORATIVE PROGRAM AMONG LOCAL COMMUNITY SERVICE PROVIDERS TO CREATE AND PRESERVE AFFORDABLE AND WORKFORCE PRICED HOUSING IN THE ROCHESTER AREA.HEALTH INFORMATION:MAYO CLINIC PUBLISHES A VARIETY OF HEALTH INFORMATION RESOURCES TO MAKE THE RESULTS OF ITS RESEARCH AND EDUCATION PROGRAMS AVAILABLE TO THE MEDICAL COMMUNITY AND TO THE GENERAL PUBLIC. MAYO CLINIC PROCEEDINGS (A MONTHLY JOURNAL FOR PHYSICIANS AND OTHER MEDICAL PERSONNEL), MAYO CLINIC HEALTH LETTER (A MONTHLY NEWSLETTER PROVIDING HEALTH INFORMATION FOR CONSUMERS), SPECIALTY SERVICES AND PRACTICE NEWSLETTERS AND NUMEROUS HEALTH-RELATED BOOKS FOR HEALTHCARE PROFESSIONALS AND CONSUMERS ARE PUBLISHED. FROM AN ONLINE PERSPECTIVE, MAYO CLINIC HOSTS BLOGS, PODCASTS AND A VARIETY OF ONLINE HEALTH INFORMATION FOR CONSUMERS, PATIENTS, HEALTH CARE PROFESSIONALS, PHYSICIANS AND OTHER SPECIALIZED GROUPS.GRANTS TO AFFILIATES: ADDITIONAL GRANTS ARE GRANTS BETWEEN MAYO CLINIC ENTITIES IN ORDER TO SUPPORT OUR EXEMPT PURPOSES OF EDUCATION, PATIENT CARE AND RESEARCH. 143121015 143121016 917793232 4436091575 1 1 0 1 0 1 0 1 0 1 1 1 0 1 1 1 0 1 1 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 1082 0 1 25479 1 1 1 1 GM CJ EI MX UK 0 0 0 0 1 1 0 0 0 0 0 0 1 0 X 31 17 1 1 1 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 1 1 1 AL AK AR CA CT FL GA IL IN KS KY MD MA MI MN MS NH NJ NY NC NM OK OR PA RI TN UT VA WV WI SC X CORPORATE TAX 5075381297 200 FIRST STREET SW ROCHESTER MN 55905 ALIX JAY TRUSTEE 5.00 0.00 X 75257 0 0 ALVARADO LINDA G TRUSTEE 5.00 0.00 X 0 0 0 ANDERSON BRADBURY BRAD H TRUSTEE 5.00 0.00 X 0 0 0 BERRY MD DANIEL J TRUSTEE 40.00 0.00 X 844360 0 80559 BILICIC GEORGE W TRUSTEE 5.00 0.00 X 74760 0 0 BOLTON JEFFREY W VP/TRUSTEE 40.00 0.00 X X 0 1541049 80037 BURNS URSULA M TRUSTEE 5.00 0.00 X 0 0 0 BUSKIRK MD STEVEN J TRUSTEE 1.00 40.00 X 0 724718 34240 COLEMAN MARY SUE TRUSTEE 5.00 0.00 X 5166 0 0 DAVIS RICHARD K TRUSTEE 5.00 0.00 X 0 0 0 DECKER MD WYATT W VP/TRUSTEE 1.00 40.00 X X 0 2036466 79220 DI PIAZZA JR SAMUEL A CHAIR/TRUSTEE 5.00 0.00 X X 2496 0 0 FARRUGIA MD GIANRICO VP/TRUSTEE 1.00 40.00 X X 0 1836138 74821 GEORGE WILLIAM W TRUSTEE 5.00 0.00 X 0 0 0 GOSTOUT MD BOBBIE S VP/TRUSTEE 1.00 40.00 X X 0 1472277 92428 GREENE MD EDDIE L TRUSTEE 40.00 0.00 X 400081 0 74645 HALVORSON GEORGE C TRUSTEE 5.00 0.00 X 0 0 0 HARPER JR MD CHARLES M TRUSTEE 1.00 40.00 X 0 1440702 33371 HERBERGER PHD ROY A TRUSTEE 5.00 0.00 X 0 0 0 KRAHN MD LOIS E TRUSTEE 1.00 40.00 X 0 525173 73430 MENKOSKY PAULA E ASST SECY/TRUSTEE 1.00 40.00 X X 0 735158 74935 MULALLY ALAN R TRUSTEE 5.00 0.00 X 0 0 0 NELSON MD HEIDI TRUSTEE 40.00 0.00 X 761160 0 87925 NOSEWORTHY MD JOHN H CEO/PRESIDENT/TRUSTEE 40.00 0.00 X X 0 3416776 35861 POWELL MICHAEL K TRUSTEE 5.00 0.00 X 13267 0 0 ROBERTS CORINNE TRUSTEE 5.00 0.00 X 0 0 0 ROGER MD VERONIQUE L TRUSTEE 40.00 0.00 X 712820 0 64548 SALAZAR KENNETH L TRUSTEE 5.00 0.00 X 0 0 0 SCHMIDT ERIC E TRUSTEE 5.00 0.00 X 0 0 0 STEER MD RANDOLPH C TRUSTEE 5.00 0.00 X 6242 0 0 SWEENEY ANNE M TRUSTEE 5.00 0.00 X 0 0 0 TAYLOR DIANA L TRUSTEE 5.00 0.00 X 0 0 0 TOMM CHARLES B TRUSTEE 5.00 0.00 X 0 0 0 WILLIAMSON MARY J TRUSTEE 40.00 0.00 X 797512 0 65917 BROWN WILLIAM A ASST TREASURER 1.00 40.00 X 0 251130 32141 DAHLEN DENNIS E CFO 1.00 40.00 X 0 1066321 33818 FRANCIS JAMES R ASST TREASURER 1.00 40.00 X 0 453444 81974 FROISLAND JEFFREY R ASST TREASURER 1.00 40.00 X 0 337576 43424 GORMAN PAUL A ASST TREASURER 1.00 40.00 X 0 1134570 77321 HAEFLINGER RICKY J ASST TREASURER 40.00 0.00 X 562112 0 79599 HOFFMAN III HARRY N TREASURER 1.00 40.00 X 0 1252135 83288 HUBERT SHERRY L ASST SECY 1.00 40.00 X 0 313016 74752 LOCKETT KEVIN M ASST TREASURER 1.00 40.00 X 0 275978 68625 MURPHY JOSHUA B SECY 1.00 40.00 X 0 905630 73501 NORBY MARK L ASST TREASURER 1.00 40.00 X 0 280609 50237 UHLENKAMP SUSAN M ASST TREASURER 1.00 40.00 X 0 339804 61507 WEBER JOAN A ASST TREASURER 1.00 40.00 X 0 388243 68099 ZORN CHRISTINA K ASST SECY 1.00 40.00 X 0 687130 63574 CIMA MD ROBERT R PHYSICIAN 40.00 0.00 X 559273 0 68918 CLARK LEON G CHAIR - DEPT OF RESEARCH ADMIN 40.00 0.00 X 486510 0 72494 DIASIO MD ROBERT B PHYSICIAN 40.00 0.00 X 885779 0 29126 DIDEHBAN ROSHANAK CHAIR - DEPT OF PRACTICE ADMIN 40.00 1.00 X 432512 15608 35922 FRANK MD IGOR PHYSICIAN 40.00 0.00 X 587106 0 62767 GORES MD GREGORY J PHYSICIAN 40.00 0.00 X 1017632 0 35054 HADAWAY CHERYL J CHAIR - DEPT OF DEVELOPMENT 40.00 0.00 X 595125 0 30746 HAYES MD DAVID L PHYSICIAN 40.00 0.00 X 778559 0 38624 HORLOCKER MD TERESE T PHYSICIAN 40.00 0.00 X 572794 0 74613 KHAN MD AMIR R PHYSICIAN 40.00 0.00 X 575012 0 69040 LOFTUS MD CONOR G PHYSICIAN 40.00 0.00 X 639860 0 63223 LUETMER MD PATRICK H PHYSICIAN 40.00 0.00 X 763224 0 81131 MORICE MD WILLIAM G PHYSICIAN 40.00 0.00 X 617887 0 69877 NARR MD BRADLY J PHYSICIAN 40.00 0.00 X 599666 0 33982 THIELEN MD KENT R PHYSICIAN 40.00 0.00 X 894420 0 74739 WALD MD JOHN T PHYSICIAN 40.00 0.00 X 751930 0 77917 WILLIAMS MD AMY W PHYSICIAN 40.00 0.00 X 649121 0 65246 KRAUSS MD WILLIAM E PHYSICIAN 40.00 0.00 X 1382340 0 77009 LANZINO MD GIUSEPPE PHYSICIAN 40.00 0.00 X 1319244 0 73580 MARSH MD W RICHARD PHYSICIAN 40.00 0.00 X 1302744 0 33050 SPINNER MD ROBERT J PHYSICIAN 40.00 0.00 X 1251113 0 55741 VAN DEURSEN JAN CHAIR BIOCHEM/MOL 40.00 0.00 X 1422324 0 73333 ADKINS JR KEDRICK D FORMER OFFICER 0.00 40.00 X 0 585800 2190 SANDEEN DARRELL L FORMER OFFICER 0.00 40.00 X 0 368289 60987 AGERTER MD DAVID C FORMER KEY EMPLOYEE 40.00 0.00 X 586016 0 31310 BLACK MD JOHN L FORMER KEY EMPLOYEE 40.00 0.00 X 492017 0 29795 CAMILLERI MD MICHAEL FORMER KEY EMPLOYEE 40.00 0.00 X 810122 0 31867 FOOTE MD ROBERT L FORMER KEY EMPLOYEE 40.00 0.00 X 733754 0 53811 GERTZ MD MORIE A FORMER KEY EMPLOYEE 40.00 0.00 X 677154 0 31560 HEBL MD JAMES R FORMER KEY EMPLOYEE 40.00 0.00 X 687600 0 65052 KOCH MARK B FORMER KEY EMPLOYEE 40.00 0.00 X 650558 0 21532 MEYER MD FREDRIC B FORMER KEY EMPLOYEE 0.00 40.00 X 0 1293738 42846 NESSE MD ROBERT E FORMER KEY EMPLOYEE 0.00 40.00 X 0 1109651 34400 OKUNO MD SCOTT H FORMER KEY EMPLOYEE 40.00 0.00 X 587897 0 75431 PAIGE SR KEVIN A FORMER KEY EMPLOYEE 40.00 0.00 X 488503 0 82554 ROCK MD MICHAEL G FORMER KEY EMPLOYEE 40.00 0.00 X 299544 0 12555 SANTRACH MD PAULA J FORMER KEY EMPLOYEE 40.00 0.00 X 511888 0 76393 WARNER MD MARK A FORMER KEY EMPLOYEE 40.00 0.00 X 572625 0 30621 WHITED MD BRIAN L FORMER KEY EMPLOYEE 40.00 0.00 X 594962 0 76097 30032048 24787129 3898930 5256 1 1 0 MAYO FOUNDATION FOR MEDICAL EDUCATION & 200 FIRST STREET SW ROCHESTER MN 55905 PROCUREMENT & MED SUPPORT SERVICES 546927462 GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 MEDICAL SUPPORT SERVICES 7257843 MAYO CLINIC HOSPITAL - ROCHESTER 200 FIRST STREET SW ROCHESTER MN 55905 MEDICAL SUPPORT SERVICES 7045728 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 MEDICAL SUPPORT SERVICES 4208228 MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 MEDICAL SUPPORT SERVICES 1084761 5 96565 1062290899 278277662 634842030 20540747 1975507156 NET PATIENT CARE 621110 3059905001 2368994898 690910103 SHARED SERVICES 561000 917793232 910569734 7223498 EDUCATION 611600 57478292 57478292 RESEARCH 541700 7565401 4721147 2844254 MEDICAL PRODUCT SALES 446199 7293505 7293505 4050035431 31066834 -21138298 52205132 469119 469119 28337197 28337197 2029980 1866998 162982 162982 162982 2508846958 8017143 2211603248 13634353 297243710 -5617210 291626500 291626500 132713 84408 48305 48305 MISC CONSULTING 541610 26433377 4599340 16377739 5456298 MISC. REVENUE 900099 7985479 1364760 814882 5805837 CAFETERIA/VENDING 722310 6530052 6530052 5157062 356492 4800570 46105970 6423359494 3390245417 689856985 367749936 X 189070068 189070068 13991760 13991760 1502884 1502884 17097188 14321622 2149695 625871 21571997 18375741 3196256 2168129373 2097614472 52100619 18414282 205200085 198258863 5199351 1741871 260624215 252134444 6272749 2217022 132818059 128493330 3195367 1129362 1032512 618025 47852 366635 390368 390368 800773 800773 941836 941836 4446748 18196 4428552 1317925617 401764213 906703684 9457720 15704952 14682401 941528 81023 201890460 194267125 4866751 2756584 152676104 42697621 109762966 215517 2373731 2367728 2230 3773 79836320 43359551 35159126 1317643 68993121 65566156 1776868 1650097 8778705 8736054 40619 2032 93623265 86389171 7234094 187516413 185286941 2153976 75496 13573148 13572853 295 MEDICAL SUPPLIES 320338116 320338116 UBIT 23997935 23997935 MN CARE TAX 50486124 50486124 BAD DEBT EXPENSE 39259755 39259755 33196019 27729285 4922134 544600 5627787651 4436091575 1150154712 41541364 3486331 2513119 1752422 462 281238827 402817614 493105847 432211923 103383218 219206137 8021654 6669532 18871844 6456807 3543810219 2038557457 1409772938 1505252762 326814189 322107196 7519473738 8266135991 1245417 1143639478 1142035722 11310805903 12305407265 2781564496 2200959666 45348962 50905241 1493476117 1685324936 1164228880 1363981822 3719256830 3972766194 9203875285 9273937859 X -344283719 393444475 1332585206 1310703655 1118629131 1327321276 2106930618 3031469406 11310805903 12305407265 X 795571843 -332862111 461829056 X 0 1 X 1 1 1 X 719080681 1010332924 1180799873 1722852961 1975507156 6608573595 2418987212 2890288119 3122923742 3359185346 3390245417 15181629836 4570629 4433234 4664443 4697015 17480366 35845687 3142638522 3905054277 4308388058 5086735322 5383232939 21826049118 0 0 0 21826049118 83892931 67235999 73514343 104141866 54704231 383489370 62443018 34562859 42801655 63998037 78762106 282567675 146335949 101798858 116315998 168139903 133466337 666057045 570564 1382377 8627843 10722804 5805837 27109425 3289545035 4008235512 4433331899 5265598029 5522505113 22519215588 0.96920 0.95900 0.02960 0.03990 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 570,564. 2015 AMOUNT: $ 1,382,377. 2016 AMOUNT: $ 8,627,843. 2017 AMOUNT: $ 10,722,804. 2018 AMOUNT: $ 5,805,837. SCHEDULE A PART I LINE 2: WHILE THE IRS DETERMINED THAT MAYO CLINIC QUALIFIES UNDER LINE 10, AN ORGANIZATION THAT NORMALLY RECEIVES: (1) MORE THAN 33 1/3% OF ITS SUPPORT FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, AND (2) NO MORE THAN 33 1/3% OF ITS SUPPORT FROM GROSS INVESTMENT INCOME AND UNRELATED BUSINESS TAXABLE INCOME, WE BELIEVE THAT IT ALSO QUALIFIES UNDER THE CLASSIFICATION OF LINE 2 - A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II), LINE 3 - A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III), AND LINE 7, AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNMENTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(VI). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 1 0 1 1 1 800773 800773 0 PART II-B, LINE 1: DURING 2018, MAYO CLINIC (MAYO) OFFICIALS HAD MEETINGS AND CONTACTS WITH FEDERAL AND STATE GOVERNMENT OFFICIALS, INCLUDING MEMBERS OF CONGRESS, STATE LEGISLATURES, AND RESPECTIVE EXECUTIVE BRANCH OFFICIALS TO DISCUSS VARIOUS HEALTH CARE REFORM PROPOSALS AND PROPOSED LEGISLATION. THESE DISCUSSIONS AND MEETINGS WERE HELD IN ROCHESTER, MN AS WELL AS WASHINGTON, D.C., ST. PAUL, MN AND OTHER MAYO CLINIC SITE LOCATIONS. IN ADDITION, MAYO SENT CORRESPONDENCE TO MEMBERS, STAFF AND OTHER GOVERNMENT OFFICIALS OUTLINING MAYO'S POSITIONS AND RECOMMENDATIONS ON LEGISLATION AND PROPOSED REGULATIONS. MAYO PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2018, MAYO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO PATIENT CARE, EDUCATION AND RESEARCH. THE MAJORITY OF EXPENSES RELATED TO LOBBYING ARE INCURRED BY MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (MFMER), AN AFFILIATED SUPPORT ORGANIZATION OF MAYO CLINIC. IN 2018, THE EXPENSES ASSOCIATED WITH THE ABOVE LOBBYING ACTIVITIES THAT ARE REPORTED ON MFMER'S 2018 FEDERAL FORM 990 TOTALED $1,252,917. SCHEDULE C PART II-B LINE 1I THE AMOUNT IN OTHER ACTIVITIES REPRESENTS A PORTION OF PROFESSIONAL DUES ATTRIBUTABLE TO LOBBYING. 4 1575000 35000 2523481 1 1 X 0 3649041615 232064809 59629160 88498089 3852237495 3166765991 207453772 430687700 155865847 3649041616 2949847568 97648438 167579144 48309159 3166765991 2925727513 116977304 33069061 125926310 2949847568 2451147929 103503897 371075687 2925727513 0.46880 0.35360 0.17760 0 0 85868823 85868823 1672272143 988914347 683357796 47898592 30097879 17800713 1649828477 1019545231 630283246 87942184 87942184 1505252762 MAYO POOLED INVESTMENTS 8155499821 F BOND-RELATED TRUSTEE HELD INVEST 96457191 F TECH BASED VENTURES 14178979 C 8266135991 DUE FROM AFFILIATES 412890387 INVESTMENTS IN SUBSIDIARIES 533459979 CONTRIBUTED ASSETS PENDING DISPOSAL 85694164 ART 3167394 TRUSTS 78756134 DEFERRED INCOME TAX ASSET 28067664 1142035722 663569 DUE TO AFFILIATES 3649995429 DEFERRED COMPENSATION LIABILITY 322107196 3972766194 X PART III, LINE 1A: MAYO CLINIC PERIODICALLY RECEIVES WORKS OF ART FROM VARIOUS BENEFACTORS. THESE ITEMS ARE UNIQUE IN NATURE AND ARE HELD ON DISPLAY FOR THE BENEFIT AND ENJOYMENT OF MAYO'S PATIENTS. IT IS MAYO'S POLICY TO NEITHER CAPITALIZE CONTRIBUTED WORKS OF ART, NOR RECORD THE RELATED CONTRIBUTION REVENUE. IN THE RARE OCCURRENCE THAT MAYO CLINIC COMMISSIONS ART; IT IS REFLECTED AS AN EXPENSE OR ON THE BALANCE SHEET. PART III, LINE 4: MAYO'S FOUNDERS RECOGNIZED THAT CARING FOR THE WHOLE PATIENT EXTENDS BEYOND TREATING PHYSICAL AILMENTS. SINCE ITS INCEPTION, MAYO HAS USED ART, ARCHITECTURE AND BEAUTY IN SURROUNDINGS TO ADDRESS THE "SPIRITUAL ASPECTS" OF MEDICAL CARE. BENEFACTOR GIFTS FROM PATIENTS, FRIENDS, EMPLOYEES OR ALUMNI HELP MAYO SUPPORT THE ACQUISITION OF ART USED TO HUMANIZE THE MEDICAL ENVIRONMENT AND COMPLEMENT THE BELIEF THAT RESTORING THE MIND AND SPIRIT IS AN IMPORTANT PART OF MAKING THE BODY WELL. WORKS OF ART DISPLAYED ACROSS THE MAYO CAMPUS PROVIDE BEAUTY, PRESERVATION OF HERITAGE AND RESPECT FOR THE DIVERSITY OF PATIENTS, VISITORS AND STAFF. PART V, LINE 4: THE ENDOWMENT FUNDS PROVIDE A STABLE FUNDING SOURCE FOR RESEARCH AND EDUCATION PROGRAMS. PART X, LINE 2: PORTION OF INCOME TAX FOOTNOTE FROM MAYO CLINIC CONSOLIDATED AUDITED FINANCIALS STATEMENTS: MOST OF THE INCOME RECEIVED BY THE CLINIC AND ITS SUBSIDIARIES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME (UBI). THE CLINIC AND ITS SUBSIDIARIES FILE INCOME TAX RETURNS IN THE U.S. FEDERAL, VARIOUS STATE, AND FOREIGN JURISDICTIONS. THE STATUTES OF LIMITATIONS FOR TAX YEARS 2015 THROUGH 2017 REMAIN OPEN IN THE MAJOR U.S. TAXING JURISDICTIONS IN WHICH THE CLINIC AND SUBSIDIARIES ARE SUBJECT TO TAXATION. THE INTERNAL REVENUE SERVICE (IRS) PERFORMED AN EXAMINATION OF THE TAX AND INFORMATION RETURNS OF THE CLINIC AND TWO SUBSIDIARIES FOR 2005 AND 2006. THE IRS HAS CONCLUDED A LIMITED-SCOPE AUDIT OF THE CLINIC FOR TAX YEAR 2011. AS OF DECEMBER 31, 2015, THE IRS PROPOSED AN $11 MILLION TAX AND INTEREST ASSESSMENT FOR 2005 THROUGH 2012 THAT THE CLINIC PAID. THE CLINIC HAS FILED A CLAIM FOR REFUND FOR THESE AMOUNTS, WHICH WAS REJECTED BY THE IRS. THE CLINIC IS LITIGATING THE DENIAL OF THE CLAIMS IN U.S. DISTRICT COURT. MANAGEMENT HAS TAKEN THIS INTO CONSIDERATION DURING ITS DETERMINATION OF UNRECOGNIZED TAX BENEFITS. THE CLINIC HAS RECORDED $2 MILLION TAX INCLUDING INTEREST AND PENALTIES, FOR UNCERTAIN TAX POSITIONS DURING THE YEAR ENDED DECEMBER 31, 2018. AS OF DECEMBER 31, 2018 AND 2017, THE RESERVE TOTALED $14 MILLION AND $12 MILLION RESPECTIVELY. IT IS NOT ANTICIPATED THAT A SIGNIFICANT CHANGE IN THE RESERVE WILL OCCUR OVER THE NEXT 12 MONTHS. THE CLINIC'S PRACTICE IS TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE RACIALLY NONDISCRIMINATORY POLICY OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE, WHICH DRAWS STUDENTS FROM ACROSS THE UNITED STATES AND AROUND THE WORLD, IS MADE AVAILABLE IN ALL OF ITS PUBLISHED DOCUMENTS AND WEBSITE TO ANY INTERESTED APPLICANTS. SCHEDULE E, PART I, LINE 6 MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE/MAYO CLINIC RECEIVES FUNDS FROM THE STATE OF MINNESOTA FOR MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS WHO ARE RESIDENTS OF MINNESOTA. IN ADDITION, FEDERAL DIRECT STUDENT LOANS (SUBSIDIZED, UNSUBSIDIZED, PARENT PLUS AND GRADUATE PLUS) ARE AVAILABLE FOR STUDENTS IN THE MAYO CLINIC ALIX SCHOOL OF MEDICINE, MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES AND MAYO CLINIC SCHOOL OF HEALTH SCIENCES. FINALLY, QUALIFYING UNDERGRADUATE STUDENTS IN THE MAYO CLINIC SCHOOL OF HEALTH SCIENCES ARE ELIGIBLE FOR FUNDS FOR THE FEDERAL PELL GRANT PROGRAM. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 135 TRAVEL 368685 EAST ASIA AND THE PACIFIC 0 465 TRAVEL 1805273 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 1238 TRAVEL 5107132 MIDDLE EAST AND NORTH AFRICA 0 153 TRAVEL 707042 NORTH AMERICA 0 612 TRAVEL 1484539 RUSSIA AND THE NEIGHBORING STATES 0 19 TRAVEL 56666 SOUTH AMERICA 0 176 TRAVEL 536542 SOUTH ASIA 0 89 TRAVEL 223011 SUB-SAHARAN AFRICA 0 54 TRAVEL 132973 MIDDLE EAST AND NORTH AFRICA 0 3 PROGRAM SERVICES PATIENT CARE 65000 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 2 PROGRAM SERVICES CONSULTING 17223 SOUTH AMERICA 0 1 PROGRAM SERVICES CONSULTING 14321 NORTH AMERICA 0 2 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 185656 MIDDLE EAST AND NORTH AFRICA 0 15 PROGRAM SERVICES EDUCATION CONFERENCE - MAYO SPONSOR 94208 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 FUNDRAISING 7526 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 1221642040 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS EXPENSE 8671207 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 568198589 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS EXPENSE 10869501 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 INVESTMENTS 745871166 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 292658 NORTH AMERICA 0 0 INVESTMENTS 110424073 RUSSIA AND THE NEIGHBORING STATES 0 0 INVESTMENTS 2094633 SOUTH AMERICA 0 0 INVESTMENTS 5875133 SOUTH ASIA 0 0 INVESTMENTS 119749936 SUB-SAHARAN AFRICA 0 0 INVESTMENTS 23848956 EAST ASIA AND THE PACIFIC 1 1 PROGRAM SERVICES PATIENT SERVICES 326420 EUROPE (INCLUDING ICELAND AND GREENLAND) 0 3 PROGRAM SERVICES PATIENT SERVICES 25657 MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES PATIENT SERVICES 367941 NORTH AMERICA 0 6 PROGRAM SERVICES PATIENT SERVICES 994203 SOUTH AMERICA 0 0 PROGRAM SERVICES PATIENT SERVICES 60774 0 2887 1 88 1 2975 10288890 2819829794 2830118684 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 8763 0 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 130064 0 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 15850 0 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 32600 0 0 EAST ASIA AND THE PACIFIC RESEARCH SUBAWARD 27791 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 6415 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 0 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 40013 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 74388 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 164840 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 77839 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 19285 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) RESEARCH SUBAWARD 24000 0 0 NORTH AMERICA RESEARCH SUBAWARD 52672 0 0 NORTH AMERICA RESEARCH SUBAWARD 22100 0 0 NORTH AMERICA RESEARCH SUBAWARD 12663 0 0 NORTH AMERICA RESEARCH SUBAWARD 107565 0 0 NORTH AMERICA RESEARCH SUBAWARD 38750 0 0 NORTH AMERICA RESEARCH SUBAWARD 8400 0 0 NORTH AMERICA RESEARCH SUBAWARD 204891 0 0 NORTH AMERICA RESEARCH SUBAWARD 23700 0 0 NORTH AMERICA RESEARCH SUBAWARD 286071 0 0 NORTH AMERICA RESEARCH SUBAWARD 7825 0 0 SOUTH AMERICA RESEARCH SUBAWARD 33407 0 0 SOUTH ASIA RESEARCH SUBAWARD 96129 0 0 SUB-SAHARAN AFRICA RESEARCH SUBAWARD 26996 0 0 0 26 RESEARCH SUBAWARD EUROPE (INCLUDING ICELAND AND GREENLAND) 1 7290 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER FMV RESEARCH SUBAWARD SOUTH AMERICA 1 14321 CHECK, ELECTRONIC FUND, OR WIRE TRANSFER FMV 1 0 1 1 1 1 PART I, LINE 2: FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE REGULARLY MONITORED BY THE FILING ORGANIZATION FOR COMPLIANCE WITH EITHER THE FEDERAL REGULATIONS AND/OR THE CONTRACT PROVISIONS. SEE ALSO SCHEDULE I, PART IV FOR ADDITIONAL INFORMATION ON MAYO CLINIC'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS AS THE SAME PROCEDURES APPLY TO DOMESTIC AND FOREIGN GRANTS. GENERAL INFORMATION ON ACTIVITIES OUTSIDE THE UNITED STATES IS REPORTED BASED ON WHERE PAYMENTS WERE REMITTED. OUR CURRENT REPORTING SYSTEM DOES NOT TRACK ACTIVITIES OUTSIDE THE UNITED STATES BY LOCATION OF SERVICE. PART I, LINE 3: ACCRUAL METHOD PART I, LINE 3: THE AMOUNTS REPORTED IN SCHEDULE R, PART IV, COLUMN H AND SCHEDULE F, PART I, COLUMN F FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD. AND CAVALRY CLO IV, LTD. ARE BASED ON GROSS YEAR-END ASSETS, WHICH SIGNIFICANTLY OVERSTATES OUR SHARE OF THE VALUE OF THE OVERALL INVESTMENT. OUR SHARE OF THE VALUE OF THE ORGANIZATIONS IS $41,032,770 FOR BAIN CAPITAL CREDIT CLO 2017-2, LTD. AND $3,450,287 FOR CAVALRY CLO IV, LTD. X X X X X 1 GRAY PLANT MOOTY 500 IDS CENTER 80 SOUTH 8TH ST MINNEAPOLIS MN 55402 CONSULTS ON LEGAL ISSUES 0 0 24466 0 MAUREEN OTIS 4850 WRIGHT RD STE 168 STAFFORD TX 77477 CONSULTS ON LEGAL ISSUES 0 0 7985 0 CCAH (CHAPMAN CUBINE AND HUSSEY) 2000 15TH STREET NORTH SUITE 550 ARLINGTON VA 22201 CONSULTING 0 0 201648 0 TARGET MARKETEAM INC 600 NORTHPARK TOWN CTR1200 ABERNAT ATLANTA GA 30328 CONSULTING 0 0 387029 0 FOLEY AND LARDNER ONE INDEPENDENT DR SUITE 1300 JACKSONVILLE FL 32202 CONSULTS ON LEGAL ISSUES 0 0 257256 0 THE STELTER COMPANY 10435 NEW YORK AVE DES MOINES IA 50322 DIRECT MAIL SERVICES 0 0 63452 0 941836 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY SCHEDULE G, PART I, LINE 2B, COLUMN (V) PAYMENTS MADE TO FUNDRAISERS WERE FOR SERVICES PROVIDED TO MAYO CLINIC IN RELATION TO FUNDRAISING CONDUCTED EXCLUSIVELY BY MAYO CLINIC. 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 501(C)(3) 74395470 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 501(C)(3) 64733170 0 SUPPORT CHARITABLE PROGRAMS DUKE UNIVERSITY DUMC 3934 DURHAM NC 27710 560532129 501(C)(3) 3908802 0 SUPPORT CHARITABLE PROGRAMS REGENTS OF THE UNIV OF MN DBA UNIVERSITY OF MN 2221 UNIV AVE SE STE 111 MINNEAPOLIS MN 55414 416007513 STATE OF MN 2646259 0 SUPPORT RESEARCH AND EDUCATIONAL PROGRAMS THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO 1855 FOLSOM ST BOX 0812 SAN FRANCISCO CA 94143 946036493 STATE OF CA 2182107 0 SUPPORT RESEARCH PROGRAM REGEN THERANOSTICS INC 3033 41ST ST NW STE 301 ROCHESTER MN 55901 271652200 - 1879500 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF CHICAGO 5747 S ELLIS AVE 122 CHICAGO IL 606371043 362177139 501(C)(3) 1598233 0 SUPPORT CHARITABLE PROGRAMS DANA-FARBER CANCER INSTITUTE INC 450 BROOKLINE AVE BOSTON MA 02215 042263040 501(C)(3) 1593255 0 SUPPORT CHARITABLE PROGRAMS SANFORD-BURNHAM MEDICAL RESEARCH INSTITUTE 10901 N TORREY PINES RD LA JOLLA CA 92037 510197108 501(C)(3) 1500102 0 SUPPORT CHARITABLE PROGRAMS DUKE UNIVERSITY HEALTH SYSTEM INC 3400 WAKE FOREST RD CHARLOTTE NC 282751274 562070036 501(C)(3) 1237029 0 SUPPORT CHARITABLE PROGRAMS TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ONE COLLEGE HALL PHILADELPHIA PA 191046303 231352685 501(C)(3) 1124845 0 SUPPORT CHARITABLE PROGRAMS MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER MN 55905 411506440 501(C)(3) 851504 0 SUPPORT CHARITABLE PROGRAMS MCKESSON SPECIALTY PHARMACY ONE POST STREET SAN FRANCISCO CA 94104 204085284 - 918795 0 SUPPORT RESEARCH PROGRAM UT MD ANDERSON CANCER CENTER PO BOX 301439 HOUSTON TX 772301439 746001118 STATE OF TX 853849 0 SUPPORT RESEARCH PROGRAM CORINDUS INC 309 WAVERLEY OAKS ROAD SUITE 105 WALTHAM MA 02452 680673201 - 772046 0 SUPPORT RESEARCH PROGRAM THE REGENTS OF THE UNIVERSITY OF MICHIGAN 1500 E MEDICAL CENTER DR ANN ARBOR MI 481090201 386006309 STATE OF MI 693534 0 SUPPORT RESEARCH PROGRAM MCHS--SOUTHEAST MINNESOTA REGION (FKA MCHS - ALBERT LEA AND AUSTIN) 1000 FIRST DRIVE NW AUSTIN MN 55912 411404075 501(C)(3) 758433 0 SUPPORT CHARITABLE PROGRAMS COLUMBIA UNIVERSITY 630 W 168TH ST UNIT 39 NEW YORK NY 10032 135598093 501(C)(3) 596267 0 SUPPORT CHARITABLE PROGRAMS EMORY UNIVERSITY SCHOOL OF MEDICINE 1365-B CLIFTON RD ATLANTA GA 30322 580566256 501(C)(3) 573942 0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 501(C)(3) 632826 0 SUPPORT CHARITABLE PROGRAMS GENERAL ELECTRIC COMPANY 41 FARNSWORTH STREET BOSTON MA 02210 140689340 - 532057 0 SUPPORT RESEARCH PROGRAM UNIVERSITY OF SOUTHERN CALIFORNIA 1510 SAN PABLO HCC 514 LOS ANGELES CA 90033 951642394 501(C)(3) 472001 0 SUPPORT CHARITABLE PROGRAMS WASHINGTON UNIVERSITY CAMPUS BOX 8063 660 S EUCLID AVE ST LOUIS MO 63110 430653611 501(C)(3) 455381 0 SUPPORT CHARITABLE PROGRAMS MCHS--SOUTHWEST MINNESOTA REGION (FKA MCHS - MANKATO) 1025 MARSH STREET MANKATO MN 56001 411236756 501(C)(3) 464610 0 SUPPORT CHARITABLE PROGRAMS OHIO STATE UNIVERSITY RESEARCH FOUNDATION 1010 LINCOLN TOWER 1800 CANNON DR COLUMBUS OH 432101230 316401599 501(C)(3) 411099 0 SUPPORT CHARITABLE PROGRAMS UNITED WAY OF OLMSTED COUNTY INC 903 WEST CENTER STREET ROCHESTER MN 55902 410695594 501(C)(3) 410650 0 SUPPORT CHARITABLE PROGRAMS BRIGHAM AND WOMENS HOSPITAL 75 FRANCIS ST BOSTON MA 02115 042312909 501(C)(3) 404489 0 SUPPORT CHARITABLE PROGRAMS OHIO STATE UNIVERSITY 558 DOAN HALL 410 W 10TH AVENUE COLUMBUS OH 43210 316025986 STATE OF OH 390090 0 SUPPORT RESEARCH PROGRAM THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 506 S WRIGHT 209 HAB MC-339 URBANA IL 61801 376000511 501(C)(3) 386373 0 SUPPORT CHARITABLE PROGRAMS RECOMBINETICS 1246 UNIVERSITY AVE W ST PAUL MN 55104 263121470 - 375047 0 SUPPORT RESEARCH PROGRAM GENERAL HOSPITAL CORPORATION 55 FRUIT BOSTON MA 02114 042697983 501(C)(3) 370336 0 SUPPORT CHARITABLE PROGRAMS OPTUM LABS INC 9900 BREN RD E MINNETONKA MN 55343 461615964 - 358200 0 SUPPORT RESEARCH PROGRAM CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVE CLEVELAND OH 441067037 341018992 501(C)(3) 339968 0 SUPPORT CHARITABLE PROGRAMS UNIVERSITY OF MIAMI PO BOX 248106 CORAL GABLES FL 331242912 590624458 501(C)(3) 329335 0 SUPPORT CHARITABLE PROGRAMS MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE WI 54702 390813418 501(C)(3) 556174 0 SUPPORT CHARITABLE PROGRAMS HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH PO BOX 1524 MINNEAPOLIS MN 554401524 411670163 501(C)(3) 319099 0 SUPPORT CHARITABLE PROGRAMS ROSWELL PARK CANCER INSTITUTE ELM AND CARLTON STREETS BUFFALO NY 14263 161552370 115(1) 318499 0 SUPPORT RESEARCH PROGRAM THE HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE INC 6720-A ROCKLEDGE DR STE 100 BETHESDA MD 20817 521317896 501(C)(3) 308233 0 SUPPORT CHARITABLE PROGRAMS THE GENEVA FOUNDATION PO BOX 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0 SUPPORT CHARITABLE PROGRAMS MAYO CLINIC HEALTH SYSTEM--FAIRMONT 800 CLINIC CIRCLE FAIRMONT MN 56031 410760836 501(C)(3) 150185 0 SUPPORT CHARITABLE PROGRAMS CARNEGIE INSTITUTION OF WASHINGTON 1530 P STREET NW WASHINGTON DC 20005 530196523 501(C)(3) 138298 0 SUPPORT CHARITABLE PROGRAMS NORTHSHORE UNIVERSITY 2650 RIDGE AVENUE EVANSTON IL 60201 362167060 501(C)(3) 137545 0 SUPPORT CHARITABLE PROGRAMS UC REGENTS 10945 LE CONTE AVE STE 2339 BOX 951687 LOS ANGELES CA 90095 956006143 STATE OF CA 136420 0 SUPPORT RESEARCH PROGRAM H LEE MOFFIT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DR TAMPA FL 33612 592451713 501(C)(3) 135788 0 SUPPORT CHARITABLE PROGRAMS COLORADO STATE UNIVERSITY 8008 CAMPUS DELIVERY FORT COLLINS CO 805238008 846000545 STATE OF CO 132532 0 SUPPORT RESEARCH PROGRAM ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE AK 99508 920162721 501(C)(3) 127111 0 SUPPORT CHARITABLE PROGRAMS GEORGE MASON UNIVERSITY 4400 UNIVERSITY DR FAIRFAX VA 22030 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TRANSFERS OR GRANTS TO TAX-EXEMPT ORGANIZATIONS AND/OR AFFILIATED TAX-EXEMPT ORGANIZATIONS WILL BE USED PURSUANT TO THE POLICIES AND PROCEDURES OF THE GRANTEE ORGANIZATIONS AND TO FURTHER THE EXEMPT PURPOSES OF THE GRANTEE ORGANIZATIONS. BOTH THE FILING ORGANIZATION AND THE GRANTEE ORGANIZATION MAINTAIN ADEQUATE BOOKS AND RECORDS OF SUCH TRANSFERS OR GRANTS. NO ADDITIONAL MONITORING IS PERFORMED. FEDERAL AWARDS THAT ARE SUBCONTRACTED TO OTHER ORGANIZATIONS ARE MONITORED BY MAYO AS PRESCRIBED IN OMB SINGLE AUDIT (FKA CIRCULAR A-133). MAYO PROVIDES SHORT-TERM FINANCIAL ASSISTANCE TO EMPLOYEES EXPERIENCING TEMPORARY HARDSHIPS. GRANTS ARE PROVIDED BASED ON A PROVEN NEED AND ARE NOT MONITORED. MEDICAL STUDENT STIPENDS ARE MOSTLY PAID TO THE STUDENTS OF THE MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE TO HELP OFFSET THE COST OF THE STUDENT'S LIVING EXPENSES AND ARE NOT MONITORED. MAYO CLINIC'S SCHOOLS OFFER BOTH MERIT-BASED AND NEEDS-BASED SCHOLARSHIPS AND GRANTS THAT ARE CONTINGENT UPON ON-GOING SATISFACTORY ACADEMIC PROGRESS. X X X X X 1 1 X X X X X 1 1 1 0 0 0 0 0 0 BERRY MD DANIEL J TRUSTEE 679895 0 0 0 164465 0 52769 0 27790 0 924919 0 0 0 BOLTON JEFFREY W VP/TRUSTEE 0 1288474 0 0 0 252575 0 57376 0 22661 0 1621086 0 0 BUSKIRK MD STEVEN J TRUSTEE 0 625669 0 0 0 99049 0 11005 0 23235 0 758958 0 0 DECKER MD WYATT W VP/TRUSTEE 0 1688971 0 0 0 347495 0 47541 0 31679 0 2115686 0 0 FARRUGIA MD GIANRICO VP/TRUSTEE 0 1568238 0 0 0 267900 0 44554 0 30267 0 1910959 0 0 GOSTOUT MD BOBBIE S VP/TRUSTEE 0 1264558 0 0 0 207719 0 63032 0 29396 0 1564705 0 0 GREENE MD EDDIE L TRUSTEE 373582 0 0 0 26499 0 53386 0 21259 0 474726 0 0 0 HARPER JR MD CHARLES M TRUSTEE 0 1190939 0 0 0 249763 0 11005 0 22366 0 1474073 0 0 KRAHN MD LOIS E TRUSTEE 0 412526 0 50000 0 62647 0 47996 0 25434 0 598603 0 0 MENKOSKY PAULA E ASST SECY/TRUSTEE 0 658784 0 0 0 76374 0 47346 0 27589 0 810093 0 0 NELSON MD HEIDI TRUSTEE 645296 0 0 0 115864 0 68509 0 19416 0 849085 0 0 0 NOSEWORTHY MD JOHN H CEO/PRESIDENT/TRUSTEE 0 2733672 0 0 0 683104 0 8938 0 26923 0 3452637 0 0 ROGER MD VERONIQUE L TRUSTEE 555783 0 0 0 157037 0 57429 0 7119 0 777368 0 0 0 WILLIAMSON MARY J TRUSTEE 718318 0 0 0 79194 0 38148 0 27769 0 863429 0 0 0 BROWN WILLIAM A ASST TREASURER 0 246260 0 0 0 4870 0 10046 0 22095 0 283271 0 0 DAHLEN DENNIS E CFO 0 1057642 0 0 0 8679 0 5500 0 28318 0 1100139 0 0 FRANCIS JAMES R ASST TREASURER 0 417853 0 0 0 35591 0 52285 0 29689 0 535418 0 0 FROISLAND JEFFREY R ASST TREASURER 0 325617 0 0 0 11959 0 32911 0 10513 0 381000 0 0 GORMAN PAUL A ASST TREASURER 0 589401 0 470400 0 74769 0 47956 0 29365 0 1211891 0 470400 HAEFLINGER RICKY J ASST TREASURER 369008 0 165955 0 27149 0 59190 0 20409 0 641711 0 165955 0 HOFFMAN III HARRY N TREASURER 0 743706 0 384767 0 123662 0 60655 0 22633 0 1335423 0 384767 HUBERT SHERRY L ASST SECY 0 304845 0 0 0 8171 0 48230 0 26522 0 387768 0 0 LOCKETT KEVIN M ASST TREASURER 0 274422 0 0 0 1556 0 42213 0 26412 0 344603 0 0 MURPHY JOSHUA B SECY 0 819403 0 0 0 86227 0 42427 0 31074 0 979131 0 0 NORBY MARK L ASST TREASURER 0 279993 0 0 0 616 0 34393 0 15844 0 330846 0 0 UHLENKAMP SUSAN M ASST TREASURER 0 328719 0 0 0 11085 0 43743 0 17764 0 401311 0 0 WEBER JOAN A ASST TREASURER 0 365017 0 0 0 23226 0 49559 0 18540 0 456342 0 0 ZORN CHRISTINA K ASST SECY 0 630573 0 0 0 56557 0 36070 0 27504 0 750704 0 0 CIMA MD ROBERT R PHYSICIAN 506155 0 0 0 53118 0 43248 0 25670 0 628191 0 0 0 CLARK LEON G CHAIR - DEPT OF RESEARCH ADMIN 442044 0 0 0 44466 0 45558 0 26936 0 559004 0 0 0 DIASIO MD ROBERT B PHYSICIAN 734842 0 0 0 150937 0 5615 0 23511 0 914905 0 0 0 DIDEHBAN ROSHANAK CHAIR - DEPT OF PRACTICE ADMIN 377384 15587 15000 0 40128 21 26018 313 8837 754 467367 16675 0 0 FRANK MD IGOR PHYSICIAN 547235 0 0 0 39871 0 35504 0 27263 0 649873 0 0 0 GORES MD GREGORY J PHYSICIAN 872578 0 0 0 145054 0 11019 0 24035 0 1052686 0 0 0 HADAWAY CHERYL J CHAIR - DEPT OF DEVELOPMENT 535248 0 0 0 59877 0 11005 0 19741 0 625871 0 0 0 HAYES MD DAVID L PHYSICIAN 616296 0 0 0 162263 0 11000 0 27624 0 817183 0 0 0 HORLOCKER MD TERESE T PHYSICIAN 510641 0 0 0 62153 0 54275 0 20338 0 647407 0 0 0 KHAN MD AMIR R PHYSICIAN 511663 0 0 0 63349 0 41894 0 27146 0 644052 0 0 0 LOFTUS MD CONOR G PHYSICIAN 595488 0 0 0 44372 0 35770 0 27453 0 703083 0 0 0 LUETMER MD PATRICK H PHYSICIAN 649400 0 0 0 113824 0 50981 0 30150 0 844355 0 0 0 MORICE MD WILLIAM G PHYSICIAN 553990 0 0 0 63897 0 42579 0 27298 0 687764 0 0 0 NARR MD BRADLY J PHYSICIAN 487997 0 0 0 111669 0 11005 0 22977 0 633648 0 0 0 THIELEN MD KENT R PHYSICIAN 757178 0 0 0 137242 0 44839 0 29900 0 969159 0 0 0 WALD MD JOHN T PHYSICIAN 651950 0 0 0 99980 0 50369 0 27548 0 829847 0 0 0 WILLIAMS MD AMY W PHYSICIAN 553413 0 0 0 95708 0 58358 0 6888 0 714367 0 0 0 KRAUSS MD WILLIAM E PHYSICIAN 1153612 0 0 0 228728 0 47927 0 29082 0 1459349 0 0 0 LANZINO MD GIUSEPPE PHYSICIAN 1149458 0 0 0 169786 0 44531 0 29049 0 1392824 0 0 0 MARSH MD W RICHARD PHYSICIAN 1079141 0 0 0 223603 0 11000 0 22050 0 1335794 0 0 0 SPINNER MD ROBERT J PHYSICIAN 1048190 0 0 0 202923 0 47402 0 8339 0 1306854 0 0 0 VAN DEURSEN JAN CHAIR BIOCHEM/MOL 298432 0 0 0 1123892 0 43851 0 29482 0 1495657 0 0 0 ADKINS JR KEDRICK D FORMER OFFICER 0 42408 0 0 0 543392 0 1321 0 869 0 587990 0 0 SANDEEN DARRELL L FORMER OFFICER 0 337714 0 0 0 30575 0 50502 0 10485 0 429276 0 0 AGERTER MD DAVID C FORMER KEY EMPLOYEE 454016 0 0 0 132000 0 11000 0 20310 0 617326 0 0 0 BLACK MD JOHN L FORMER KEY EMPLOYEE 429901 0 0 0 62116 0 11005 0 18790 0 521812 0 0 0 CAMILLERI MD MICHAEL FORMER KEY EMPLOYEE 609674 0 0 0 200448 0 11000 0 20867 0 841989 0 0 0 FOOTE MD ROBERT L FORMER KEY EMPLOYEE 634423 0 0 0 99331 0 33102 0 20709 0 787565 0 0 0 GERTZ MD MORIE A FORMER KEY EMPLOYEE 481508 0 0 0 195646 0 11000 0 20560 0 708714 0 0 0 HEBL MD JAMES R FORMER KEY EMPLOYEE 603301 0 0 0 84299 0 37634 0 27418 0 752652 0 0 0 KOCH MARK B FORMER KEY EMPLOYEE 530237 0 0 0 120321 0 11071 0 10461 0 672090 0 0 0 MEYER MD FREDRIC B FORMER KEY EMPLOYEE 0 1076112 0 0 0 217626 0 11019 0 31827 0 1336584 0 0 NESSE MD ROBERT E FORMER KEY EMPLOYEE 0 928068 0 0 0 181583 0 11000 0 23400 0 1144051 0 0 OKUNO MD SCOTT H FORMER KEY EMPLOYEE 507505 0 0 0 80392 0 46313 0 29118 0 663328 0 0 0 PAIGE SR KEVIN A FORMER KEY EMPLOYEE 434985 0 0 0 53518 0 62477 0 20077 0 571057 0 0 0 ROCK MD MICHAEL G FORMER KEY EMPLOYEE 189471 0 0 0 110073 0 5794 0 6761 0 312099 0 0 0 SANTRACH MD PAULA J FORMER KEY EMPLOYEE 463412 0 0 0 48476 0 65289 0 11104 0 588281 0 0 0 WARNER MD MARK A FORMER KEY EMPLOYEE 402537 0 0 0 170088 0 11000 0 19621 0 603246 0 0 0 WHITED MD BRIAN L FORMER KEY EMPLOYEE 542170 0 0 0 52792 0 53025 0 23072 0 671059 0 0 0 PART I, LINE 1A EXTERNAL TRUSTEES MAY BE REIMBURSED FOR TRAVEL EXPENSES. THE FILING ORGANIZATION REIMBURSES TRUSTEES FOR ACTUAL TRAVEL EXPENSES (WHICH COULD INCLUDE FIRST CLASS OR CHARTER TRAVEL) UP TO THE MAXIMUM COST OF FIRST CLASS TRAVEL. IN 2018, TRUSTEE DANIEL J. BERRY M.D., FORMER KEY EMPLOYEES JOHN L. BLACK M.D. AND MORIE A. GERTZ M.D., AND KEY EMPLOYEES ROSHANAK DIDEHBAN AND DAVID L. HAYES M.D., WERE PROVIDED FIRST-CLASS AND/OR CHARTER TRAVEL JUSTIFIED BY BUSINESS NEED. THE TRAVEL WAS NOT TREATED AS TAXABLE COMPENSATION AS ALL FLIGHTS WERE BUSINESS RELATED. FIRST-CLASS AND CHARTER TRAVEL IS AVAILABLE BASED ON DEMONSTRATED BUSINESS NEED AND NOT BASED ON POSITION OR TO ANY SPECIFIC INDIVIDUALS. IN ADDITION TO ALL REGULAR TRAVEL APPROVAL AND DOCUMENTATION PROCESSES, FIRST-CLASS AND CHARTER TRAVEL REQUIRE SEPARATE DOCUMENTATION OF BUSINESS NEED, APPROVAL BY A SENIOR OFFICER, AND OVERSIGHT REVIEW BY THE TRIP AND TRAVEL COMMITTEE. TRAVEL FOR COMPANIONS IS AVAILABLE TO ALL TRUSTEES SO THAT SPOUSES CAN ACCOMPANY THEM TO THE SITE OF BOARD MEETINGS. IN ADDITION, SEVERAL LISTED PERSONS ALSO RECEIVED TRAVEL FOR COMPANIONS SO THAT SPOUSES COULD ACCOMPANY THEM TO FUNDRAISING FUNCTIONS. IN 2018, JAY ALIX, MARY SUE COLEMAN, SAMUEL A. DI PIAZZA JR., DR. EDDIE L. GREENE, CHERYL J. HADAWAY, MICHAEL K. POWELL, AND DR. RANDOLPH C. STEER RECEIVED SPOUSAL TRAVEL, WHICH WAS GROSSED UP AND TREATED AS TAXABLE INCOME. HOUSING ALLOWANCES ARE PROVIDED WHEN JUSTIFIED BY BUSINESS NEED SUCH AS RELOCATION OR WORK ASSIGNMENT. IN 2018, KEVIN A. PAIGE SR. AND DR. SCOTT H. OKUNO RECEIVED A HOUSING ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME. EMPLOYEES PERFORMING WORK OUTSIDE THEIR HOME STATE RECEIVE A SUPPLEMENTAL PAYMENT TO HELP OFFSET THE COST OF THE STATE INCOME TAXES INCURRED AS A RESULT OF HAVING TO WORK IN A DIFFERENT STATE. IN 2018, KEVIN A. PAIGE SR. RECEIVED THIS SUPPLEMENTAL PAYMENT WHICH IS GROSSED UP. SEVERAL OF THE LISTED PERSONS RECEIVED AN AWARD OR OTHER TANGIBLE RECOGNITION THAT WAS TREATED AS TAXABLE COMPENSATION. PURSUANT TO INSTITUTIONAL POLICIES, CERTAIN SUCH AWARDS HAVE A TAX GROSS-UP APPLIED IN ORDER NOT TO DIMINISH THE RECOGNITION AND CELEBRATORY NATURE OF THE AWARD. A HOME RELOCATION CASH PAYMENT OPTION IS PROVIDED TO MAYO CLINIC VOTING/CONSULTING STAFF WHEN JUSTIFIED BY BUSINESS NEED. IN 2018, ROSHANAK DIDEHBAN RECEIVED A CASH PAYMENT OPTION THAT WAS TREATED AS TAXABLE INCOME. THIS PAYMENT WAS ISSUED AFTER THE RELOCATION AND WAS GROSSED UP TO COVER THE INCREASED STATE TAXES. MOVING EXPENSE REIMBURSEMENT IS PROVIDED TO QUALIFYING EMPLOYEES WHEN JUSTIFIED BY BUSINESS NEED. IN 2018, TWO LISTED PERSONS RECEIVED SUCH A PAYMENT WHICH INCLUDED A GROSS UP PAYMENT. THE GROSS UP PAYMENT WAS TREATED AS ADDITIONAL TAXABLE COMPENSATION. THE PERSONAL SERVICES THAT WERE PROVIDED ARE INCOME TAX PREPARATION SERVICES THAT, IN ACCORDANCE WITH MAYO POLICY, ARE AVAILABLE TO MAYO CLINIC VOTING/CONSULTING STAFF. SEVERAL OF THE CURRENT AND FORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEES LISTED ON THIS RETURN RECEIVED THIS SERVICE, WHICH WAS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. PART I, LINES 4A-C THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT (TOTAL INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III)): ADKINS JR., KEDRICK D. $ 432,700 THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). ADKINS JR., KEDRICK D. $ 86,718 AGERTER M.D., DAVID C. $ 76,510 BERRY M.D., DANIEL J. $ 117,549 BLACK M.D., JOHN L. $ 38,333 BOLTON, JEFFREY W. $ 236,363 BUSKIRK M.D., STEVEN J. $ 89,538 CAMILLERI M.D., MICHAEL $ 108,899 CIMA M.D., ROBERT R. $ 46,206 CLARK, LEON G. $ 41,497 DAHLEN, DENNIS E. $ 0 DECKER M.D., WYATT W. $ 335,935 DIASIO M.D., ROBERT B. $ 119,485 DIDEHBAN, ROSHANAK $ 0 FARRUGIA M.D., GIANRICO $ 231,323 FOOTE M.D., ROBERT L. $ 91,638 FRANCIS, JAMES R. $ 30,966 FRANK M.D., IGOR $ 34,854 FROISLAND, JEFFREY R. $ 10,089 GERTZ M.D., MORIE A. $ 79,264 GORES M.D., GREGORY J. $ 134,002 GORMAN, PAUL A. $ 71,400 GOSTOUT M.D., BOBBIE S. $ 192,963 GREENE M.D., EDDIE L. $ 20,812 HADAWAY, CHERYL J. $ 50,947 HAEFLINGER, RICKY J. $ 22,848 HARPER JR., M.D., CHARLES M. $ 234,791 HAYES M.D., DAVID L. $ 98,067 HEBL M.D., JAMES R. $ 57,892 HOFFMAN III, HARRY N. $ 114,744 HORLOCKER M.D., TERESE T. $ 59,236 HUBERT, SHERRY L. $ 5,850 KHAN M.D., AMIR R. $ 59,516 KOCH, MARK B. $ 72,991 KRAHN M.D., LOIS E. $ 38,995 KRAUSS M.D., WILLIAM E. $ 221,569 LANZINO M.D., GIUSEPPE $ 165,337 LOCKETT, KEVIN M. $ 0 LOFTUS M.D., CONOR G. $ 42,575 LUETMER M.D., PATRICK H. $ 99,063 MARSH M.D., W. RICHARD $ 202,693 MENKOSKY, PAULA E. $ 73,560 MEYER M.D., FREDRIC B. $ 204,917 MORICE M.D., WILLIAM G. $ 53,100 MURPHY, JOSHUA B. $ 82,716 NARR M.D., BRADLY J. $ 67,539 NELSON M.D., HEIDI $ 97,550 NESSE M.D., ROBERT E. $ 162,219 NORBY, MARK L. $ 0 NOSEWORTHY M.D., JOHN H. $ 634,835 OKUNO M.D., SCOTT H. $ 52,234 PAIGE SR., KEVIN A. $ 36,779 ROCK M.D., MICHAEL G. $ 103,442 ROGER M.D., VERONIQUE L. $ 92,877 SANDEEN, DARRELL L. $ 17,799 SANTRACH M.D., PAULA J. $ 42,393 SPINNER M.D., ROBERT J. $ 194,293 THIELEN M.D., KENT R. $ 121,814 UHLENKAMP, SUSAN M. $ 9,981 VAN DEURSEN, JAN $ 4,997 WALD M.D., JOHN T. $ 96,264 WARNER M.D., MARK A. $ 77,262 WEBER, JOAN A. $ 20,463 WHITED M.D., BRIAN L. $ 48,987 WILLIAMS M.D., AMY W. $ 73,924 WILLIAMSON, MARY J. $ 76,791 ZORN, CHRISTINA K. $ 55,170 UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: BLACK M.D., JOHN L. CAMILLERI M.D., MICHAEL FARRUGIA M.D., GIANRICO MARSH M.D., W. RICHARD VAN DEURSEN, JAN PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. A CITY OF ROCHESTER MINNESOTA 416005494 771902FE8 2008-04-10 330000000 CONSTRUCTION OF HEALTH CARE FACILITIES & REFUND 1998 BONDS 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771902GA5 2011-05-05 293208150 REFUND 1992 AND 2001 BONDS 0 0 0 C CITY OF ROCHESTER MINNESOTA 416005494 771902GD9 2012-04-04 192662250 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 D CITY OF ROCHESTER MINNESOTA 416005494 771902GW7 2014-05-08 120000000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 325948187 8864264 2230808 87603115 227250000 2010 1 0 1 1 B 494267 293208150 2088829 291119321 2011 1 0 1 1 C 44266950 195311300 12134007 1523766 181653527 2013 0 0 1 1 D 120012445 310855 400343 119301247 2016 0 0 1 1 A 0 0 0 0 0.00870 0.00010 0.00880 0 0 1 C 1 0 0 0 0.00020 0.00000 0.00020 0 1 0.24000 1 1 D 1 0 0 0 0.01040 0.00000 0.01040 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/05/2013 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/05/2016 ISSUER NAME: CITY OF ROCHESTER, MINNESOTA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/12/2019 SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 FOR BOND ISSUES IS INVESTMENT EARNINGS OR LOSSES. A CITY OF ROCHESTER MINNESOTA 416005494 771902GB3 2015-12-31 494267 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 B CITY OF ROCHESTER MINNESOTA 416005494 771902GD9 2015-12-31 44266950 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 C CITY OF ROCHESTER MINNESOTA 416005494 771902GY3 2016-05-03 75000000 REFUND 2006 BONDS 0 0 0 D CITY OF ROCHESTER MINNESOTA 416005494 771902HE6 2016-10-13 293825280 REFUND 2000 BONDS 0 0 0 A 494267 494267 2016 1 0 1 1 B 44266950 44266950 2016 1 0 1 1 C 75000000 75000000 2016 1 0 1 1 D 293828611 2361460 1473244 290000000 140 2016 1 0 1 1 A 0 0 0 0 0.00000 0.00020 0.00020 0 0 1 B 0 0 0 0 0.00000 0.00020 0.00020 0 0 1 C 1 0 0 1 0 0.00250 0.00030 0.00280 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A CITY OF ROCHESTER MINNESOTA 416005494 771902HF3 2018-10-15 200152000 CONSTRUCTION OF HEALTH CARE FACILITIES 0 0 0 A 200971879 1140947 103828912 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 BOIS MD JOHN P FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J. 183130 EMPLOYMENT 0 BOIS MD MELANIE C FAMILY MEMBER OF TRUSTEE BUSKIRK M.D., STEVEN J. 476644 EMPLOYMENT 0 EMANUEL ELZABETH M FAMILY MEMBER OF OFFICER UHLENKAMP, SUSAN M. 53839 EMPLOYMENT 0 FARRELL ANN M FAMILY MEMBER OF OFFICER WEBER, JOAN A. 10755 EMPLOYMENT 0 FOOTE PATRICK H FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L. 77898 EMPLOYMENT 0 FOOTE ROBERT T FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L. 95451 EMPLOYMENT 0 GOSTOUT MD CHRISTOPHER J FAMILY MEMBER OF TRUSTEE GOSTOUT M.D., BOBBIE S. 72199 EMPLOYMENT 0 HARPER SARAH B FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M. 60367 EMPLOYMENT 0 HAYES MD SHARONNE N FAMILY MEMBER OF KEY EMPLOYEE HAYES M.D., DAVID L. 635794 EMPLOYMENT 0 KAPURCH MD CAITLIN J FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M. 74807 EMPLOYMENT 0 KAPURCH MD JOSEPH R FAMILY MEMBER OF TRUSTEE HARPER JR., M.D., CHARLES M. 71190 EMPLOYMENT 0 LARSON MD MARK V FAMILY MEMBER OF KEY EMPLOYEE WILLIAMS M.D., AMY W. 783182 EMPLOYMENT 0 LUETMER MD MARIANNE T FAMILY MEMBER OF KEY EMPLOYEE LUETMER M.D., PATRICK H. 66822 EMPLOYMENT 0 MEISSNER MD IRENE FAMILY MEMBER OF FKE MEYER M.D., FREDRIC B. 328995 EMPLOYMENT 0 MIDTHUN MD DAVID E FAMILY MEMBER OF KEY EMPLOYEE WILLIAMS M.D., AMY W. 634457 EMPLOYMENT 0 NEAL MD LONZETTA FAMILY MEMBER OF TRUSTEE GREENE M.D., EDDIE L. 261912 EMPLOYMENT 0 NORBY MD SUZANNE M FAMILY MEMBER OF OFFICER NORBY, MARK L. 390604 EMPLOYMENT 0 NOSEWORTHY MD PETER A FAMILY MEMBER OF TRUSTEE NOSEWORTHY M.D., JOHN H. 713846 EMPLOYMENT 0 OKUNO MADISON N FAMILY MEMBER OF FKE OKUNO M.D., SCOTT H. 12776 EMPLOYMENT 0 ROSS JARED M FAMILY MEMBER OF FKE FOOTE M.D., ROBERT L. 110077 EMPLOYMENT 0 RUDDY MD KATHRYN J FAMILY MEMBER OF TRUSTEE NOSEWORTHY M.D., JOHN H. 533264 EMPLOYMENT 0 SAITO LOFTUS MD YURI A FAMILY MEMBER OF KEY EMPLOYEE LOFTUS M.D., CONOR G. 444951 EMPLOYMENT 0 SARANO MD MAURICE E FAMILY MEMBER OF TRUSTEE ROGER M.D., VERONIQUE L. 586265 EMPLOYMENT 0 THIELEN MD JACQUELINE M FAMILY MEMBER OF KEY EMPLOYEE THIELEN M.D., KENT R. 218533 EMPLOYMENT 0 WALD MICHELLE K FAMILY MEMBER OF KEY EMPLOYEE WALD M.D., JOHN T. 64344 EMPLOYMENT 0 WARNER MD LINDSAY L FAMILY MEMBER OF FKE WARNER M.D., MARK A. 66504 EMPLOYMENT 0 WARNER MD MARY E FAMILY MEMBER OF FKE WARNER M.D., MARK A. 407930 EMPLOYMENT 0 WARNER MD MATTHEW A FAMILY MEMBER OF FKE WARNER M.D., MARK A. 486976 EMPLOYMENT 0 WARNER MD NAFISSEH S FAMILY MEMBER OF FKE WARNER M.D., MARK A. 226972 EMPLOYMENT 0 WARNER MD PAUL A FAMILY MEMBER OF FKE WARNER M.D., MARK A. 498798 EMPLOYMENT 0 WILLIAMSON MD ERIC E FAMILY MEMBER OF TRUSTEE WILLIAMSON, MARY J. 783194 EMPLOYMENT 0 X 8 0 X 0 X 0 X 263 14295735 MEAN MARKET VALUE X 1 0 X 2 4482700 MEAN MARKET VALUE X 4 11414 EXPERTS X 3 460534 EXPERTS X 1 0 X 1 1120000 EXPERTS X 1 0 X 3 0 X 2 0 X OTHER MISC 2 170364 EXPERTS X OTHER MISC 78 0 18 0 1 1 PART I, COLUMN (B): FOR PURPOSES OF SCHEDULE M, MAYO CLINIC IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). PART I, LINE 32B: MAYO CLINIC (MAYO) UTILIZES SEVERAL THIRD PARTIES TO SELL NON-CASH CONTRIBUTIONS. FOR REAL ESTATE GIFTS, MAYO CONTRACTS WITH REALTORS AND BROKERS; FOR STOCK AND SECURITY GIFTS MAYO UTILIZES SEVERAL DIFFERENT BROKERS AND BROKERAGE FIRMS; FOR TANGIBLE PERSONAL PROPERTY, MAYO USES VARIOUS AUCTION OUTLETS DEPENDING ON THE VALUE (I.E. BONHAMS, CHRISTIE'S, SOTHEBY'S, ETC). THESE ARRANGEMENTS ARE ALL FEE AND COMMISSION-BASED. PART I, LINE 33: MAYO CLINIC RECEIVED CONTRIBUTIONS OF WORKS OF ART DURING THE YEAR WHERE NO REVENUE WAS RECORDED. AS PERMITTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (SFAS 116), MAYO CLINIC DID NOT RECOGNIZE REVENUE OR CAPITALIZE THE WORKS OF ART. MAYO CLINIC RECEIVED IN-KIND GIFTS (BOOKS/PUBLICATIONS, CLOTHING/HOUSEHOLD GOODS, SUPPLIES, ETC.) THROUGHOUT THE YEAR WHERE NO REVENUE WAS RECORDED AND NO DESCRIPTIVE RECEIPTS WERE ISSUED. REVENUE IS RECOGNIZED ON GIFTS IN-KIND WHEN THE FAIR MARKET VALUE MEETS CAPITALIZATION THRESHOLDS OR WHEN TANGIBLE PERSONAL PROPERTY IS SOLD. DURING THE YEAR MAYO CLINIC RECEIVED SECURITIES OF CLOSELY HELD STOCK WHERE NO REVENUE WAS RECORDED FOR THE YEAR. REVENUE IS RECOGNIZED ON THESE GIFTS WHEN THE FAIR MARKET VALUE MEETS CAPITALIZATION THRESHOLDS OR WHEN THE PROPERTY IS SOLD. SCHEDULE M PART II DURING THE YEAR MAYO CLINIC RECEIVED NON-CASH GIFTS (REAL ESTATE AND SECURITIES) VALUED AT $27,360,625 WHICH WERE IN FULFILLMENT OF PLEDGES RECEIVED AND RECOGNIZED AS REVENUE IN A PRIOR YEAR. AS SUCH, THESE NON-CASH GIFTS ARE NOT REPORTED ON SCHEDULE M, PART I. FORM 990 LINE H MAYO CLINIC IS INCLUDED IN A GROUP EXEMPTION. THE GROUP EXEMPTION COVERS MAYO CLINIC (THE CENTRAL ORGANIZATION) AND MAYO CLINIC'S AFFILIATED SUBSIDIARIES (THE SUBORDINATE ORGANIZATIONS). FOR 2018, A GROUP RETURN (MAYO CLINIC GROUP RETURN - EIN: 38-3952644) WAS FILED THAT INCLUDED EIGHTEEN OF MAYO CLINIC'S SUBORDINATE ORGANIZATIONS. IN ACCORDANCE WITH REG. 1.6033-2(D)(5), WITH RESPECT TO THE CENTRAL ORGANIZATION, MAYO CLINIC HAS REPORTED THE INFORMATION REQUIRED BY REG. 1.6033-2(A)(2)(II)(F), (G) AND (H) ON ITS FORM 990 FOR THE 2018 TAX YEAR. THIS IS IN LIEU OF CONSOLIDATING SUCH INFORMATION WITH ITS SUBORDINATE ORGANIZATIONS AND REPORTING SUCH INFORMATION ON THE 2018 MAYO CLINIC GROUP RETURN. FORM 990, PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS MEDICAL EDUCATION: MEDICAL EDUCATION, RESEARCH TRAINING, CONTINUOUS MEDICAL LIFE-LONG LEARNING AND A COMMITTED QUEST FOR NEW KNOWLEDGE ARE INTEGRAL FUNCTIONS OF MAYO CLINIC. OUR WORLD-RENOWNED EDUCATIONAL PROGRAMS INFORM, INSTRUCT, AND EMPOWER PHYSICIANS, RESEARCHERS, MEDICAL PROFESSIONALS, PATIENTS, STUDENTS AND OUR COMMUNITIES TO IMPROVE PUBLIC HEALTH AND WELL-BEING. THESE PROGRAMS SPAN THE CONTINUUM OF HEALTH CARE AND ENSURE THE MAYO MODEL OF CARE IS PERPETUATED AND SHARED BROADLY. MAYO CLINIC IS COMMITTED TO PROVIDING USEFUL, TIMELY KNOWLEDGE AND SKILLS THAT REFLECT ITS STANDARDS OF EXCELLENCE AND ITS DEDICATION TO FINDING ANSWERS FOR UNMET PATIENT NEEDS: *EDUCATING THE NEXT GENERATION OF PHYSICIANS, MEDICAL RESEARCHERS AND HEALTH PROFESSIONALS WITH TRANSFORMATIVE CURRICULA THAT FOCUSES NOT ONLY ON HELPING THE PATIENT, BUT ALSO IMPROVING THE HEALTH CARE SYSTEM. *SHARING KNOWLEDGE AND INNOVATIVE BEST PRACTICES FREELY IN THE SPIRIT OF COLLABORATION TO ADVANCE THE SCIENCE OF MEDICINE AND THE ART OF COMPASSIONATE, PATIENT-CENTERED CARE. *EMPOWERING PEOPLE TO MANAGE THEIR HEALTH THROUGH PATIENT EDUCATION AND SHARED DECISION-MAKING MEDICAL TRAINING. *SPREADING MAYO'S MEDICAL EXPERTISE, EDUCATION AND RESEARCH FINDINGS THROUGHOUT THE WORLD TO IMPROVE HEALTH CARE FOR ALL. *WORKING COLLABORATIVELY AT A NATIONAL LEVEL TO MODERNIZE AND TRANSFORM MEDICAL EDUCATION TO ADDRESS AREAS SUCH AS IMPROVING HEALTH CARE DELIVERY, PHYSICIAN BURN-OUT, POPULATION HEALTH ISSUES, AND TEAM-BASED CARE. THE EDUCATIONAL ACTIVITIES OF MAYO CLINIC ARE CENTERED IN MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE'S FIVE SCHOOLS: 1. MAYO CLINIC SCHOOL OF GRADUATE MEDICAL EDUCATION IS ONE OF THE NATION'S LARGEST SCHOOLS OF GRADUATE MEDICAL EDUCATION WITH A TOTAL ENROLLMENT OF MORE THAN 1,770 RESIDENT AND FELLOW PHYSICIANS IN TRAINING. MORE THAN 23,500 ALUMNI HAVE BEEN TRAINED SINCE ITS INCEPTION IN 1915. THE SCHOOL TRAINS DOCTORS IN 293 RESIDENCY AND FELLOWSHIP PROGRAMS, REPRESENTING VIRTUALLY EVERY MEDICAL SPECIALTY. NINETY-FOUR PERCENT OF 2017-18 GRADUATES COMPLETED MAYO CLINIC QUALITY ACADEMY TRAINING - A CONCERTED EFFORT TO EDUCATE AND PREPARE TRAINEES TO CONTINUOUSLY EXPLORE WAYS TO IMPROVE PATIENT SAFETY, QUALITY CARE AND ELIMINATE HEALTH DISPARITIES. 2. MAYO CLINIC ALIX SCHOOL OF MEDICINE PROVIDES A FOUR-YEAR MEDICAL EDUCATION PROGRAM LEADING TO DOCTOR OF MEDICINE DEGREES AND JOINT MD/PH.D. DEGREES. AS A NATIONAL MEDICAL SCHOOL, THE SCHOOL HAS APPROXIMATELY 293 M.D. STUDENTS AND 48 M.D.-PH.D. STUDENTS ENROLLED ON THE ROCHESTER, MINNESOTA AND SCOTTSDALE, ARIZONA CAMPUSES. BY 2020, THE SCHOOL WILL DOUBLE IN SIZE WITH A TOTAL OF OVER 400 M.D. STUDENTS ACROSS CAMPUSES. THE INNOVATIVE AND TRANSFORMATIVE CURRICULUM OF MAYO CLINIC ALIX SCHOOL OF MEDICINE FOCUSES ON EDUCATING FUTURE PHYSICIAN LEADERS IN PATIENT-CENTERED, SCIENCE-DRIVEN, TEAM-BASED, HIGH VALUE HEALTH CARE. STUDENTS ACROSS ALL CAMPUSES ARE SOME OF THE FIRST NATIONWIDE TO TRAIN AND FIRST NATIONWIDE TO RECEIVE A SCIENCE OF HEALTH CARE DELIVERY CERTIFICATE IN ADDITION TO A MEDICAL DEGREE. THE INTEGRATED, TRANSFORMATIVE CURRICULUM IS PART OF AN INITIATIVE TO BETTER PREPARE STUDENTS FOR THE CHALLENGES OF DELIVERING PATIENT CARE IN A COMPLEX HEALTH CARE ENVIRONMENT. ADDITIONAL OFFERINGS AT THE SCHOOL INCLUDE VISITING MEDICAL STUDENT CLERKSHIP PROGRAMS AND SUMMER MINORITY MEDICAL STUDENT PROGRAMS. THE SCHOOL, WHICH IS RANKED NO. 9 IN THE NATION FOR BEST MEDICAL SCHOOLS IN RESEARCH TRAINING, CULTIVATES STUDENTS TO CONTINUALLY PURSUE NEW KNOWLEDGE THROUGH DISCOVERY, TRANSLATION AND CLINICAL APPLICATION TO MEET THE NEEDS OF THEIR PATIENTS. MAYO CLINIC ALIX SCHOOL OF MEDICINE STUDENTS PARTICIPATE IN UNDERSERVED AND OUTREACH CARE PROGRAMS, ALONG WITH PRIMARY CARE AND COMMUNITY CARE EXPERIENTIAL LEARNING OPPORTUNITIES NEAR THEIR CAMPUSES AND AT MAYO CLINIC HEALTH SYSTEM SITES. 3. MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES HAS A DISTINGUISHED HISTORY OF PREPARING STUDENTS FOR CAREERS AS COMPETITIVE, BASIC AND BIOMEDICAL RESEARCH INVESTIGATORS. THE SCHOOL OFFERS MASTER'S AND DOCTORAL DEGREE PROGRAMS FOCUSING ON SEVEN BIOMEDICAL SPECIALTIES, AS WELL AS ONE OF THE FIRST INTERDISCIPLINARY PROGRAMS IN REGENERATIVE MEDICAL RESEARCH. THE SCHOOL HAS BEEN A PIONEER IN EXPANDING RESEARCH TRAINING OPPORTUNITIES FOR STUDENTS FROM BACKGROUNDS UNDERREPRESENTED IN RESEARCH, INCLUDING VISITING PRE-DOCTORAL AND SUMMER UNDERGRADUATE RESEARCH PROGRAMS WHERE DIVERSE STUDENTS HAVE THE OPPORTUNITY TO WORK WITH WORLD-RENOWNED RESEARCHERS AT MAYO CLINIC CAMPUSES IN ARIZONA, FLORIDA AND MINNESOTA. IN 2018, 309 STUDENTS WERE ENROLLED IN MAYO CLINIC GRADUATE SCHOOL OF BIOMEDICAL SCIENCES. 4. MAYO CLINIC SCHOOL OF HEALTH SCIENCES PREPARES THE ALLIED HEALTH CARE WORKFORCE OF THE FUTURE IN PROGRAMS RANGING FROM A 10-MONTH PHLEBOTOMY CERTIFICATE PROGRAM TO A DOCTORATE IN PHYSICAL THERAPY OR NURSE ANESTHESIA. MORE THAN 1,852 STUDENTS WERE ENROLLED IN THE SCHOOL IN 2018. WITH CAMPUSES IN MINNESOTA, FLORIDA AND ARIZONA, THE SCHOOL PREPARES STUDENTS IN 145 PROGRAMS REPRESENTING OVER 60 HEALTH SCIENCE CAREERS. THE SCHOOL ALSO PROVIDES CLINICAL INTERNSHIPS FOR HUNDREDS OF AFFILIATED SCHOOLS. NEARLY 500 FACULTY MEMBERS ENSURE EVERY STUDENT RECEIVES EXTENSIVE PERSONALIZED TRAINING. 5. MAYO CLINIC SCHOOL OF CONTINUOUS PROFESSIONAL DEVELOPMENT PROVIDES A COMPREHENSIVE SELECTION OF CLINICAL, SURGICAL, ALLIED HEALTH AND RESEARCH COURSES, AS WELL AS PROGRAMS ON HEALTH CARE ISSUES, PRACTICE MANAGEMENT AND LEADERSHIP, TO HEALTH CARE PROFESSIONALS THROUGHOUT THE WORLD. IN 2018, THE SCHOOL PROVIDED CONTINUING EDUCATION ACTIVITIES TO MORE THAN 127,000 PARTICIPANTS. OF THOSE, APPROXIMATELY 70 PERCENT OF TOTAL PARTICIPANTS WERE NON-MAYO ATTENDEES. IN ADDITION TO ITS FORMAL PROGRAMS IN EDUCATION, SEVERAL INITIATIVES ENABLE MAYO CLINIC TO IMPROVE QUALITY AND PATIENT SAFETY, SHARE KNOWLEDGE, AND ENHANCE THE AVAILABILITY OF MEDICAL INFORMATION. THESE INCLUDE MAYO CLINIC'S "ASK MAYO EXPERT," AN ELECTRONIC DATABASE THAT ALLOWS MAYO CLINIC PHYSICIANS TO SHARE THEIR MOST UP-TO-DATE MEDICAL KNOWLEDGE. PHYSICIANS CAN SEARCH FOR DISEASES, TREATMENTS AND CLINICAL TRIAL INFORMATION QUICKLY AND EASILY. NEW CARE PROCESS MODELS WITHIN "ASK MAYO EXPERT" PROVIDE INTERACTIVE ALGORITHMS THAT DEMONSTRATE BEST PRACTICE FOR PHYSICIANS AND PROVIDE PHYSICIANS WITH A LIST OF COLLEAGUE EXPERTS SPECIFIC TO THEIR QUERY. A MOBILE VERSION IS AVAILABLE FOR APPLE IPHONE, IPAD AND IPOD TOUCH. MAYO CLINIC ALSO HAS A QUALITY ACADEMY THAT OFFERS INDIVIDUAL AND TEAM-BASED CLASSES FOR MAYO CLINIC STAFF TO LEARN QUALITY IMPROVEMENT TOOLS AND THEIR APPLICATION. THE SCIENCE OF QUALITY IMPROVEMENT IS EMBEDDED WITHIN THE CURRICULUM AND INCLUDES LEARNING HOW TO IDENTIFY AND MEASURE HEALTH CARE QUALITY, PINPOINT, IDENTIFY, AND REDUCE WASTE OR REDUNDANCIES AND IMPROVE WORK FLOW, EFFICIENCY, AND PATIENT SAFETY. THROUGHOUT MAYO CLINIC, FROM FRONT-LINE STAFF TO CEO, STAFF ARE ENCOURAGED AND EMPOWERED TO APPLY THIS TRAINING AND IMPLEMENT QUALITY PROJECTS TO IMPROVE THEIR WORK, PATIENT CARE, AND STAFF OR PATIENT SAFETY. ALL MAYO CLINIC LEADERS, MANAGERS, AND SUPERVISORS ARE CHARGED WITH COMPLETING BRONZE CERTIFICATION IN THE MAYO QUALITY FELLOWS PROGRAM AND ARE HIGHLY ENCOURAGED TO REACH SILVER CERTIFICATION IN THAT PROGRAM. TO DATE, MORE THAN 38,000 OF MAYO'S 65,000 EMPLOYEES ARE BRONZE QUALITY FELLOWS AND OVER 7,150 ARE SILVER QUALITY FELLOWS. MAYO CLINIC'S MULTIDISCIPLINARY SIMULATION CENTERS IN ARIZONA, FLORIDA, AND MINNESOTA ENABLE STATE-OF-THE-ART SIMULATION TRAINING FOR REAL-LIFE PATIENT CARE SITUATIONS, GIVING HEALTH CARE PROFESSIONALS, RESIDENTS, FELLOWS, AND STUDENTS AN UNPRECEDENTED OPPORTUNITY TO REFINE AND PERFECT SKILLS AND TEAM INTERACTIONS ON PATIENT ACTORS AND TECHNICALLY-ADVANCED MANNEQUINS THAT CAN IMITATE ALL THE CHALLENGES OF REAL PATIENTS. OUTSIDE ORGANIZATIONS AND COMMUNITY GROUPS, SUCH AS MILITARY, FIRST RESPONDERS, FIREFIGHTERS AND DISASTER RESPONSE TEAMS ARE GIVEN THE OPPORTUNITY TO TRAIN AT MAYO CLINIC'S SIMULATION CENTERS. MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE ALSO HAS INITIATED MAYO CLINIC EDUCATION PLATFORMS TO DEVELOP AND DELIVER ONLINE EDUCATIONAL OPPORTUNITIES FOR BROAD DISTRIBUTION OF CONTINUING MEDICAL EDUCATION, FACULTY DEVELOPMENT, STUDENT EDUCATION AND FUTURE PATIENT EDUCATION. VIDEO SEMINARS AND ONLINE LEARNING MODULES PROVIDE CONSISTENT KNOWLEDGE DELIVERY ACROSS MULTI-SPECIALTIES AND ALLOW FOR MORE INTERACTIVE FACULTY/STUDENT PARTICIPATION IN THE CLASSROOM SETTING. ONLINE LEARNING ALSO FACILITATES THE ABILITY FOR MAYO CLINIC TO SHARE AND EXPAND THE LATEST MEDICAL KNOWLEDGE AND INNOVATIVE LEARNING OPPORTUNITIES WITH OTHERS OUTSIDE MAYO CLINIC. FORM 990, PART III, LINE 4A ANOTHER INITIATIVE IMPLEMENTED THROUGH MAYO CLINIC COLLEGE OF MEDICINE AND SCIENCE IS THE OFFICE OF APPLIED SCHOLARSHIP AND EDUCATION SCIENCE (OASES). THIS INNOVATIVE OFFICE PROVIDES EXPERTISE AND SUPPORT IN FACULTY DEVELOPMENT, EDUCATION EVALUATION AND PRINCIPLES AND PRACTICES OF EDUCATION SCIENCE TO ENSURE THE HIGHEST QUALITY OF EDUCATION DELIVERY WITHIN EACH OF THE SCHOOLS WITHIN THE COLLEGE. THE COLLEGE HAS ALSO IMPLEMENTED AN ACADEMY OF EDUCATIONAL EXCELLENCE TO DEVELOP AND RECOGNIZE EDUCATORS TO BETTER PREPARE LEARNERS TO ADVANCE SCIENCE, MEET PATIENTS' NEEDS AND SERVE AS TRANSFORMATIVE LEADERS IN HEALTH CARE. MAYO CLINIC'S SOCIAL MEDIA NETWORK - THE FIRST OF ITS KIND FOCUSED ON HEALTH CARE - IS A NETWORK OF HEALTH CARE ORGANIZATIONS, HOSPITALS AND MEDICAL PROFESSIONALS COMMITTED TO BROADER AND DEEPER ENGAGEMENT IN SOCIAL MEDIA TO HELP IMPROVE HEALTH CARE LITERACY, HEALTH CARE DELIVERY AND POPULATION HEALTH WORLDWIDE. IN 2018 MAYO CLINIC ENGAGED WITH MORE THAN 20 MILLION PEOPLE THROUGH SOCIAL MEDIA CHANNELS. MAYO CLINIC LIBRARIES REFLECT AN INTEGRATED SYSTEM OF LIBRARIES, KNOWLEDGE CENTERS AND ARCHIVES INCLUDING EXTENSIVE ONLINE RESOURCES AND EFFICIENT DELIVERY SYSTEMS. THE BREADTH AND DEPTH OF THESE RESOURCES AND THEIR INTEGRATION USING COMMON ONLINE MANAGEMENT SYSTEMS AND A KNOWLEDGE PORTAL MAKES THE MAYO CLINIC LIBRARIES AMONG THE MOST COMPREHENSIVE IN NORTH AMERICA. SPECIAL COLLECTIONS INCLUDE HOSPITAL-BASED PATIENT LIBRARIES SUPPORTING THE NEEDS OF HOSPITALIZED PATIENTS AND THEIR FAMILIES. MAYO CLINIC LIBRARIES SUPPORT EMPLOYEES, RESEARCHERS, FACULTY AND STUDENTS IN THEIR CARE OF PATIENTS AND BIOMEDICAL RESEARCH WITH A NETWORK OF ONLINE AND PRINT RESOURCES. MAYO LIBRARIES PARTICIPATE IN REGIONAL AND NATIONAL INTERLIBRARY LOAN NETWORKS INCLUDING THE NATIONAL NETWORK OF LIBRARIES OF MEDICINE. ALL OF THESE EDUCATIONAL EFFORTS TO DISCOVER, DELIVER, EXPAND AND SHARE MEDICAL KNOWLEDGE PROMOTE MAYO'S CLINIC'S ABILITY TO PERPETUATE THE HIGHEST QUALITY AND SAFETY IN PATIENT CARE. FORM 990, PART III, LINE 4B PATIENT CARE: MAYO CLINIC IS THE FIRST AND LARGEST INTEGRATED, NOT-FOR-PROFIT MEDICAL GROUP PRACTICE IN THE WORLD. ITS STANDARD OF CARE BRINGS TOGETHER TEAMS OF EXPERTS TO PROVIDE HIGH-QUALITY, AFFORDABLE AND COMPASSIONATE CARE TO EACH PATIENT CONSISTENT WITH MAYO CLINIC'S PRIMARY VALUE - "THE NEEDS OF THE PATIENT COME FIRST." MAYO CLINIC'S MISSION 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." MAYO CLINIC'S HERITAGE OF COLLABORATIVE MEDICAL EXPERTISE IS COMBINED WITH CAREFUL ATTENTION TO INDIVIDUAL PATIENT NEEDS, RESULTING IN A THOROUGH AND PERSONAL APPROACH TO HEALTH CARE. TO ACCOMPLISH ITS MISSION, MAYO CLINIC NOT ONLY PROVIDES A VARIETY OF PROGRAMS IN DIRECT PATIENT CARE, MEDICAL EDUCATION AND RESEARCH, BUT ALSO SERVES AS THE PARENT ORGANIZATION OF A MULTI-ENTITY ORGANIZATION CONSISTING OF HOSPITALS, CLINICS, HEALTH CARE PROVIDERS AND OTHER ENTITIES PROVIDING HEALTH CARE-RELATED SERVICES AND KNOWLEDGE DELIVERY TO THE PUBLIC THROUGHOUT THE WORLD. IN ROCHESTER, MAYO CLINIC WORKS COLLABORATIVELY WITH MAYO CLINIC HOSPITAL - ROCHESTER, AN AFFILIATED ENTITY COMPRISED OF SAINT MARYS CAMPUS AND METHODIST CAMPUS TO FORM AN INTEGRATED MEDICAL CENTER DEDICATED TO PROVIDING COMPREHENSIVE DIAGNOSIS AND TREATMENT IN VIRTUALLY EVERY MEDICAL AND SURGICAL SPECIALTY. MAYO CLINIC IS ALSO THE SOLE MEMBER OF MAYO CLINIC ARIZONA AND MAYO CLINIC JACKSONVILLE WHICH PROVIDE SERVICES TO PATIENTS IN THE SOUTHWEST AND SOUTHEAST REGIONS OF THE UNITED STATES. IN THE MIDWEST, MAYO CLINIC HEALTH SYSTEM SERVES MORE THAN 60 COMMUNITIES IN MINNESOTA, WISCONSIN, AND IOWA THROUGH A NETWORK OF COMMUNITY-BASED PHYSICIANS TO PROVIDE QUALITY HEALTH CARE CLOSE TO HOME, AND ALSO SUPPORTED BY THE HIGHLY SPECIALIZED EXPERTISE AND RESOURCES OF MAYO CLINIC. UTILIZING COMMON GOVERNANCE, SHARED SYSTEMS AND STANDARDIZED POLICIES AND PROCEDURES WHENEVER POSSIBLE, MAYO CLINIC STRIVES TO PROVIDE CONSISTENT, HIGH QUALITY HEALTH CARE SERVICES AND KNOWLEDGE DELIVERY WITHIN EVERY ASPECT OF CARE. A 31 MEMBER BOARD OF TRUSTEES COMPRISED OF A MAJORITY OF PUBLIC MEMBERS ALONG WITH MAYO PHYSICIANS AND ADMINISTRATORS ENSURE THE ENTIRE ORGANIZATION REMAINS TRUE TO ITS MISSION AND CULTURE OF PROVIDING FOR THE HEALTH CARE NEEDS OF THE PUBLIC RATHER THAN FOR PRIVATE BENEFIT. PATIENT CARE ADVANCED THROUGH EDUCATION AND RESEARCH IS THE FOUNDATION OF MAYO CLINIC'S MISSION. EACH YEAR, PEOPLE FROM ALL 50 STATES AND MORE THAN 135 COUNTRIES COME TO MAYO CLINIC FOR CARE. IN ROCHESTER, OVER 35,000 PATIENT CARE PHYSICIANS, RESIDENTS AND ALLIED HEALTH STAFF PROVIDED SERVICES FOR MORE THAN 1.2 MILLION OUTPATIENT VISITS IN 2018. MAYO CLINIC PROVIDES CARE TO PEOPLE COVERED BY GOVERNMENTAL PROGRAMS SUCH AS MEDICARE AND MEDICAID, AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. IN 2018, THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICAID AND MINNESOTA CARE (A PROGRAM THAT PROVIDES MEDICAL ASSISTANCE FOR LOW INCOME POPULATIONS) WAS APPROXIMATELY $218,517,000. THIS AMOUNT INCLUDES $43,907,000 PAID TO MINNESOTACARE. THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $1,182,643,000 AND THE COST OF CHARITY CARE PROVIDED IN 2018 WAS APPROXIMATELY $22,974,000. IN 2018, WITH SYSTEM-WIDE REVENUES OF $12.6 BILLION, MAYO CLINIC AND ITS AFFILIATES PROVIDED $589 MILLION IN CARE TO PEOPLE IN NEED. THIS TOTAL INCLUDES $78 MILLION IN CHARITY CARE AND $511 MILLION IN UNPAID PORTIONS OF MEDICAID AND OTHER INDIGENT CARE PROGRAMS FOR PEOPLE WHO ARE UNINSURED OR UNDERINSURED. MAYO ALSO PROVIDED $2.2 BILLION IN UNPAID PORTIONS OF MEDICARE AND OTHER SENIOR PROGRAMS. MORE THAN 54 PERCENT OF MAYO'S TOTAL MEDICAL SERVICES PROVIDED ARE FOR MEDICARE AND MEDICAID PATIENTS. MAYO CLINIC AND ITS AFFILIATES CONTRIBUTED MORE THAN $6 MILLION IN CASH AND IN-KIND DONATIONS TO LOCAL COMMUNITIES. MAYO CLINIC IS RECOGNIZED FOR HIGH-QUALITY PATIENT CARE MORE OFTEN THAN ANY OTHER ACADEMIC MEDICAL CENTER IN THE NATION. THESE ENDORSEMENTS REINFORCE ITS CENTURY-OLD COMMITMENT TO PROVIDE THE HIGHEST QUALITY CARE TO EACH PATIENT EVERY DAY. ALTHOUGH NO SINGLE SET OF MEASURES CAN PERFECTLY REPRESENT HEALTH CARE QUALITY, MAYO CLINIC IS PROUD TO BE RECOGNIZED. THE FOLLOWING ORGANIZATIONS RECOGNIZE MAYO CLINIC FOR HIGH LEVELS OF QUALITY AND SAFETY: * U.S. NEWS & WORLD REPORT BEST HOSPITAL IN THE NATION AND NO. 1 IN MORE SPECIALTIES THAN ANY OTHER HOSPITAL * 2018 BERNARD A. BIRNBAUM, M.D. QUALITY LEADERSHIP AWARD NO. 1 RANKING AMONG 99 ACADEMIC MEDICAL CENTERS * CENTERS FOR MEDICARE AND MEDICAID SERVICES AWARDED 14 MAYO CLINIC HOSPITALS WITH 5 STARS (THEIR HIGHEST SCORE) FOR OVERALL HOSPITAL QUALITY * FOUR MAYO CLINIC HOSPITALS WERE RECOGNIZED WITH PRESS GANEY'S 2018 GUARDIAN OF EXCELLENCE AND PINNACLE OF EXCELLENCE AWARDS FOR EXTRAORDINARY ACHIEVEMENTS IN PATIENT EXPERIENCE. * FORTUNE'S "100 BEST COMPANIES TO WORK FOR" * DIVERSITY INC TOP HOSPITAL AND HEALTH SYSTEM MAYO CLINIC OFFERS BOTH SPECIALTY AND PRIMARY CARE IN ITS COMMUNITY PRACTICES AND CREATED A POPULATION HEALTH OFFICE IN 2013. IT IS THE CHARGE OF MAYO'S POPULATION HEALTH COMMITTEE TO TRANSFORM THE WAY COMMUNITY CARE IS DELIVERED AND IMPROVE PATIENT OUTCOMES WHILE REDUCING THE OVERALL TOTAL COST OF CARE. POPULATION HEALTH AT MAYO COORDINATES EXISTING PRACTICE MODELS WITH TRANSFORMATIONAL INITIATIVES TO BETTER ENGAGE PATIENTS, KEEP THEM HEALTHY, SUPPORT PATIENT WELLNESS GOALS AND HELP PATIENTS TO BETTER MANAGE CHRONIC ILLNESSES. THE PRACTICE CHANGE INITIATIVES DEVELOPED, TESTED AND IMPLEMENTED THROUGH THE MAYO MODEL OF COMMUNITY CARE (MMOCC) ARE AIMED AT IMPROVING THE QUALITY OF LIFE FOR PATIENTS, REDUCING OVERALL HEALTH CARE COSTS AND BUILDING A SUSTAINABLE PRACTICE MODEL THAT TRULY SUPPORTS THE NEEDS OF COMMUNITY PATIENTS. THE MAYO CLINIC CARE NETWORK CONSISTS OF INDEPENDENT HEALTH-CARE ORGANIZATIONS THAT SHARE A COMMON GOAL OF IMPROVING DELIVERY OF HEALTH CARE IN THEIR COMMUNITIES THROUGH HIGH-QUALITY, DATA DRIVEN AND EVIDENCE BASED MEDICAL CARE. MEMBERS OF THE NETWORK HAVE ACCESS TO MAYO CLINIC KNOWLEDGE, COLLABORATION TOOLS, DISEASE MANAGEMENT PROTOCOLS, CLINICAL CARE GUIDELINES, TREATMENT RECOMMENDATIONS, PATIENT EDUCATION MATERIALS AND CONTINUING MEDICAL EDUCATION OPPORTUNITIES. THE MAIN GOAL OF THE NETWORK IS TO HELP PEOPLE GAIN THE BENEFITS OF MAYO CLINIC EXPERTISE WITHOUT HAVING TO TRAVEL TO A MAYO CLINIC FACILITY. BY THE END OF 2018, THE MAYO CLINIC CARE NETWORK CONSISTED OF MORE THAN 40 MEMBERS LOCATED ACROSS THE UNITED STATES AND IN PUERTO RICO, MEXICO, UNITED ARAB EMIRATES AND SINGAPORE. FORM 990, PART III, LINE 4C RESEARCH: MAYO CLINIC IS ONE OF THE PREMIER MEDICAL RESEARCH ORGANIZATIONS IN THE WORLD. INNOVATION AND IMPROVEMENT OF SCIENCE AND THE DELIVERY OF HEALTH CARE ARE ENHANCED THROUGH MAYO CLINIC'S RESEARCH PROGRAMS. CLINICAL PRACTICE OBSERVATIONS BECOME THE BASIS FOR RESEARCH STUDIES AND THE FINDINGS FROM RESEARCH FLOW BACK INTO THE PRACTICE TO IMPROVE PATIENT CARE AND OUTCOMES. PHYSICIAN/RESEARCHERS AND CAREER SCIENTISTS WORK IN TANDEM TO ADVANCE MEDICINE AND TO IMPROVE THE HEALTH AND WELLBEING OF NOT JUST MAYO CLINIC PATIENTS, BUT ALSO THE PUBLIC AT LARGE, AS THESE FINDINGS ARE DISSEMINATED WORLDWIDE. RESEARCH AT MAYO CLINIC INVOLVES THOUSANDS OF MEDICAL PROFESSIONALS COMMITTED TO SEARCHING FOR ANSWERS TO COMPLEX MEDICAL PROBLEMS WITH THE GOAL OF BRINGING NEW SOLUTIONS AND ADVANCED CARE RAPIDLY TO PATIENTS THROUGHOUT THE WORLD. IN 2018, 254 FULL-TIME SCIENTIFIC FACULTY MEMBERS, 766 PHYSICIANS AND 4,027 FULL-TIME RESEARCH PERSONNEL WERE ACTIVELY ENGAGED IN RESEARCH ACTIVITIES. THESE ACTIVITIES INCLUDE BASIC SCIENCE RESEARCH, CLINICAL TRIALS, TRANSLATIONAL RESEARCH AND HUMAN RESEARCH STUDIES. DURING 2018, MORE THAN 9,275 RESEARCH AND REVIEW ARTICLES BASED ON MAYO CLINIC RESEARCH WERE PUBLISHED IN PEER-REVIEWED JOURNALS. ALSO IN 2018 THERE WERE MORE THAN 12,760 ACTIVE HUMAN RESEARCH STUDIES AND 3,067 NEW HUMAN STUDIES WERE APPROVED BY THE INSTITUTIONAL REVIEW BOARD. THROUGH MAYO CLINIC'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE, MAYO CLINIC COLLABORATES WITH DIVERSE COMMUNITY MEMBERS TO HELP COMMUNITY MEDICAL PROVIDERS INCORPORATE PRACTICE-BASED AND RESEARCH-BASED KNOWLEDGE TO IMPROVE OVERALL COMMUNITY HEALTH OUTCOMES AND ELIMINATE HEALTH DISPARITIES. ONE CRITICAL COMPONENT OF MAYO CLINIC'S RESEARCH EFFORTS IS THE ROCHESTER EPIDEMIOLOGY PROJECT, A COLLABORATION THAT LINKS TOGETHER NEARLY ALL OF THE MEDICAL RECORDS OF THE RESIDENTS OF OLMSTED COUNTY IN MINNESOTA. THIS UNIQUE DATABASE PROVIDES AN EXTENSIVE DATA REPOSITORY OF MEDICAL CARE DELIVERED TO COMMUNITY RESIDENTS FOR OVER HALF A CENTURY AND IS VIRTUALLY UNPARALLELED IN THE UNITED STATES. MAYO CLINIC IS ALSO IMPROVING PATIENT CARE WITH THE ACTIVITIES OF ITS ROBERT D. AND PATRICIA E. KERN CENTER FOR THE SCIENCE OF HEALTH CARE DELIVERY, THE CENTER FOR INDIVIDUALIZED MEDICINE AND THE CENTER FOR REGENERATIVE MEDICINE. THESE STRATEGIC CENTERS ARE CHANGING HOW MEDICINE IS PRACTICED THROUGH DIRECT APPLICATION OF INNOVATIONS AND BEST PRACTICES. THE REGENERATIVE AND INDIVIDUALIZED MEDICINE CENTERS ARE ACTIVELY PURSUING ANSWERS TO COMPLEX CLINICAL PROBLEMS THROUGH CUTTING EDGE METHODOLOGIES. FUNDING OF RESEARCH ACTIVITIES AT MAYO CLINIC COMES FROM GRANTS AND CONTRACTS AS WELL AS FROM MAYO FUNDS AND GIFTS FROM GENEROUS BENEFACTORS. FORM 990, PART VI, SECTION A, LINE 1 BETWEEN MEETINGS OF MAYO CLINIC'S BOARD OF TRUSTEES, MAYO CLINIC'S BYLAWS DELEGATE TO THE MAYO CLINIC BOARD OF GOVERNORS, AN EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, BROAD AUTHORITY TO EXERCISE THE POWERS OF THE BOARD OF TRUSTEES WITHIN CERTAIN LIMITATIONS OF TIME AND TOPIC. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: DAHLEN, DENNIS E., UHLENKAMP, SUSAN M., NOSEWORTHY M.D., JOHN H., NORBY, MARK L., MURPHY, JOSHUA B., HUBERT, SHERRY L., HOFFMAN III, HARRY N., HARPER JR., M.D., CHARLES M., GOSTOUT M.D., BOBBIE S., GORMAN, PAUL A., FROISLAND, JEFFREY R., FRANCIS, JAMES R., FARRUGIA M.D., GIANRICO, DECKER M.D., WYATT W., BROWN, WILLIAM A., BOLTON, JEFFREY W., WEBER, JOAN A., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ZORN, CHRISTINA K., MENKOSKY, PAULA E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HOFFMAN III, HARRY N., FROISLAND, JEFFREY R., FRANCIS, JAMES R., BROWN, WILLIAM A., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: MENKOSKY, PAULA E., KRAHN M.D., LOIS E., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: MENKOSKY, PAULA E., KRAHN M.D., LOIS E., DECKER M.D., WYATT W., FROISLAND, JEFFREY R., THE FOLLOWING INDIVIDUAL(S) IS/ARE EMPLOYED BY A RELATED ORGANIZATION: ZORN, CHRISTINA K., LOCKETT, KEVIN M., BUSKIRK M.D., STEVEN J., RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUAL(S) WHO IS/ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: ZORN, CHRISTINA K., LOCKETT, KEVIN M., FARRUGIA M.D., GIANRICO, BUSKIRK M.D., STEVEN J., ********************** HOFFMAN III, HARRY N., HAEFLINGER, RICKY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF BWL HOLDINGS, INC, A RELATED TAXABLE ENTITY. HUBERT, SHERRY L., HAYES M.D., DAVID L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC SUPPORT SERVICES, TEXAS, A RELATED TAXABLE ENTITY. MENKOSKY, PAULA E., FROISLAND, JEFFREY R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., MURPHY, JOSHUA B., HUBERT, SHERRY L., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO HOLDING COMPANY, A RELATED TAXABLE ENTITY. DAHLEN, DENNIS E., HOFFMAN III, HARRY N., FROISLAND, JEFFREY R., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO INSURANCE COMPANY, LTD, A RELATED TAXABLE ENTITY. WILLIAMSON, MARY J., BOLTON, JEFFREY W., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF RESOUNDANT, INC, A RELATED TAXABLE ENTITY. UHLENKAMP, SUSAN M., HOFFMAN III, HARRY N., HAEFLINGER, RICKY J., HAVE A BUSINESS RELATIONSHIP AS THEY SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF LATIGO PETROLEUM, A RELATED TAXABLE ENTITY. MULALLY, ALAN R. SCHMIDT, ERIC E. SERVE AS AN OFFICER, DIRECTOR, OR TRUSTEE OF MAYO CLINIC AND HAVE A BUSINESS RELATIONSHIP WITH GOOGLE, INC./ALPHABET. FORM 990, PART VI, SECTION A, LINE 3 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES WHICH WOULD INCLUDE THE FILING ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 4 MAY 2018 AMENDMENT AMENDMENT IS SPECIFIC TO VARIOUS COMMITTEES CREATED BY THE BYLAWS. FINANCE AND INVESTMENT COMMITTEES WERE COMBINED AND WERE RENAMED THE FINANCE AND INVESTMENT COMMITTEE. BUSINESS DEVELOPMENT COMMITTEE WAS RENAMED AS THE BUSINESS DEVELOPMENT AND MARKETING COMMITTEE. ADDITIONAL DUTIES OF THE COMMITTEE INCLUDE REVIEWING AND MAKING RECOMMENDATIONS REGARDING MAYO CLINIC'S BRAND AND ENSURING THAT BRAND/MARKETING STRATEGIES ARE ALIGNED WITH BUSINESS/STRATEGIC GOALS. INFORMATION MANAGEMENT AND TECHNOLOGY OVERSIGHT COMMITTEE RENAMED INFORMATION MANAGEMENT AND TECHNOLOGY GOVERNANCE COMMITTEE. AUGUST 2018 AMENDMENT THE DESCRIPTION AND THRESHOLD REGARDING SUBSIDIARY EXPENDITURES OVER WHICH MAYO CLINIC HAS RESERVED POWER WERE MODIFIED. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT AND IS REVIEWED BY THE TAX DIRECTOR. IT IS THEN REVIEWED BY THE CHAIR OF FINANCE MAYO CLINIC IN THE MIDWEST, CHAIR OF FINANCIAL AND ACCOUNTING SERVICES, CHAIR AND VICE CHAIR OF FINANCIAL REPORTING, THE CHIEF FINANCIAL OFFICER, THE CHAIR OF DEVELOPMENT, GENERAL COUNSEL, THE CHIEF ADMINISTRATIVE OFFICER, AND THE CHIEF EXECUTIVE OFFICER. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF MAYO CLINIC'S GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS. THIS POLICY APPLIES TO THE ORGANIZATION'S DISREGARDED ENTITIES. FORM 990, PART VI, SECTION B, LINE 15B MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP, ALONG WITH ALLIED HEALTH STAFF. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY OR REGIONAL LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY PRIOR TO IMPLEMENTATION OF THE RESPECTIVE COMPENSATION INCREASE. THE COMPENSATION AND BENEFITS OF THE CHIEF EXECUTIVE OFFICER (CEO) WAS REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR EXECUTIVE LEADERSHIP. THE COMPENSATION AND BENEFIT PROGRAM OF SEVERAL OTHER OFFICERS, KEY EMPLOYEES AND TRUSTEES WERE REVIEWED AND APPROVED BY THE PROCESS DESCRIBED BELOW FOR PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE LEADERSHIP. THE COMPENSATION AND BENEFITS OF EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS, AND SENIOR ADMINISTRATIVE FOR ALL CAMPUSES, INCLUDING THE MAYO CLINIC HEALTH SYSTEM LOCATIONS, ARE REVIEWED AND APPROVED BY THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE. THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE IS COMPRISED OF NINE OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. THIS GROUP REVIEWS AND APPROVES THE COMPENSATION AND BENEFIT PROGRAMS FOR EXECUTIVE LEADERSHIP, PHYSICIANS, SCIENTISTS, ATTORNEYS AND CERTAIN SENIOR ADMINISTRATIVE LEADERSHIP FROM ALL CAMPUSES (INCLUDING ALL PERSONS BELIEVED TO BE DISQUALIFIED PERSONS). THIS PROCESS ESTABLISHES ACCEPTABLE RANGES FOR VARIOUS POSITIONS, LEVELS, AND SPECIALTIES. THE COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. IN ADDITION, THE MAYO CLINIC BOARD OF TRUSTEES GOVERNANCE AND NOMINATING COMMITTEE DIRECTLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT TO PROVIDE RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION FOR A SMALL GROUP OF EXECUTIVE LEADERSHIP AND SENIOR PHYSICIAN POSITIONS FOR WHICH AN INDIVIDUALIZED REVIEW AND RECOMMENDATION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 MAYO CLINIC'S ARTICLES OF INCORPORATION ARE AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE OR UPON REQUEST FROM MAYO CLINIC. BYLAWS AND OTHER GOVERNANCE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR PURPOSES THAT MAYO CLINIC DEEMS APPROPRIATE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON MAYO CLINIC'S WEBSITE OR UPON REQUEST. MAYO CLINIC'S CONSOLIDATED FINANCIAL STATEMENTS AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST OR THROUGH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. FORM 990, PART IX, LINE 11G I/C PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 145,849,443. MANAGEMENT AND GENERAL EXPENSES 894,532,570. FUNDRAISING EXPENSES 4,954,430. TOTAL EXPENSES 1,045,336,443. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 255,914,769. MANAGEMENT AND GENERAL EXPENSES 12,171,114. FUNDRAISING EXPENSES 4,503,290. TOTAL EXPENSES 272,589,173. FORM 990, PART XI, LINE 9: RETURN OF CAPITAL FROM TAXABLE SUBSIDIARY 4,000,000. PENSION-POST RETIREMENT (PER FASB ASC 715) 459,438,496. LOSSES ON UNCOLLECTIBLE PLEDGES -1,574,181. REFUNDS OF CONTRIBUTIONS -35,259. JOHN E HERMAN HOME AND TREATMENT FACILITY LLC 200 FIRST STREET SW ROCHESTER MN 55905 824183345 RESIDENTIAL RECOVERY AND TREATMENT FACILITY MN 238745 7096876 MAYO CLINIC MAYO CLINIC COMMUNITY ACO LLC 200 FIRST STREET SW ROCHESTER MN 55905 830610557 ACCOUNTABLE CARE ORGANIZATION MN 0 -34778 MAYO CLINIC MAYO COLLABORATIVE SERVICES LLC 200 FIRST STREET SW ROCHESTER MN 55905 411346366 REFERENCE LAB SERVICES MN 735064690 181055885 MAYO CLINIC MC INTERNATIONAL LLC 200 FIRST STREET SW ROCHESTER MN 55905 832805059 CONTRACTING SERVICES MN 0 0 MAYO CLINIC BLOOMER LAKEVIEW INC 2110 DUNCAN ROAD BLOOMER WI 54724 391450617 LOW INCOME HOUSING WI 501(C)(3) 7 MCHS--NORTHWEST WISCONSIN REGION INC 1 CHARTERHOUSE INC 200 FIRST STREET SW ROCHESTER MN 55905 411405254 RETIREMENT LIVING CENTER MN 501(C)(3) 10 MAYO CLINIC 1 DESTINATION MEDICAL CENTER EDA 50 SOUTH SIXTH STREET SUITE 1500 MINNEAPOLIS MN 554021498 464893585 ECONOMIC DEVELOPMENT MN 501(C)(3) 12-I MAYO CLINIC 1 GOLD CROSS AMBULANCE SERVICE 200 FIRST STREET SW ROCHESTER MN 55905 411917516 AMBULANCE SERVICE MN 501(C)(3) 10 MFMER 1 LUTHER LAKESIDE APARTMENTS INC PO BOX 1510 EAU CLAIRE WI 54702 391409024 LOW INCOME HOUSING FOR ELDERLY WI 501(C)(3) 10 MCHS--NORTHWEST WISCONSIN REGION INC 1 MAYO CLINIC 200 FIRST STREET SW ROCHESTER MN 55905 416011702 PATIENT CARE - CLINIC MN 501(C)(3) 10 N/A 1 MAYO CLINIC ARIZONA 13400 EAST SHEA BOULEVARD SCOTTSDALE AZ 85259 860800150 HOSPITAL AND CLINIC AZ 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION) 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 590714831 HOSPITAL FL 501(C)(3) 3 MAYO CLINIC JACKSONVILLE 1 MAYO CLINIC HOSPITAL -- ROCHESTER 200 FIRST STREET SW ROCHESTER MN 55905 410944601 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MAYO CLINIC JACKSONVILLE 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 PATIENT CARE - CLINIC FL 501(C)(3) 7 MAYO CLINIC 1 MAYO CLINIC STIFTUNG 60486 FRANKFURT AM MAIN FRANKFURT GM FUNDRAISING FOUNDATION GM MFMER 1 MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST STREET SW ROCHESTER MN 55905 411506440 CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES MN 501(C)(3) 10 MAYO CLINIC 1 MCHS--AUSTIN FOUNDATION 1000 FIRST DRIVE NW AUSTIN MN 55912 300107471 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MCHS--SOUTHEAST MINNESOTA REGION 1 MCHS--FAIRMONT 800 MEDICAL CENTER DRIVE PO BOX 800 FAIRMONT MN 56031 410760836 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--SOUTHWEST MINNESOTA REGION 1 MCHS--FRANCISCAN HEALTHCARE INC 700 WEST AVE SOUTH LA CROSSE WI 54601 391411999 HEALTHCARE SYSTEM PARENT WI 501(C)(3) 12-I MAYO CLINIC 1 MCHS--FRANCISCAN MEDICAL CENTER INC 700 WEST AVE SOUTH LA CROSSE WI 54601 390806374 HOSPITAL AND CLINIC WI 501(C)(3) 3 MCHS--FRANCISCAN HEALTHCARE INC 1 MCHS--LAKE CITY 500 WEST GRANT STREET LAKE CITY MN 55041 411906820 HOSPITAL MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--NORTHWEST WISCONSIN REGION INC 1221 WHIPPLE STREET EAU CLAIRE WI 54703 390813418 HOSPITAL WI 501(C)(3) 3 MAYO CLINIC 1 MCHS--SOUTHEAST MINNESOTA REGION 1000 FIRST DRIVE NW AUSTIN MN 55912 411404075 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--SOUTHWEST MINNESOTA REGION 1025 MARSH STREET MANKATO MN 56001 411236756 HOSPITAL AND CLINIC MN 501(C)(3) 3 MAYO CLINIC 1 MCHS--ST JAMES 1101 MOULTON PARSONS DR PO BOX 460 ST JAMES MN 56081 410797368 HOSPITAL AND CLINIC MN 501(C)(3) 3 MCHS--SOUTHWEST MINNESOTA REGION 1 MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES 200 FIRST STREET SW ROCHESTER MN 55905 412020392 SUPPORT RESEARCH, PRACTICE & EDUCATION MN 501(C)(3) 12-I MAYO CLINIC 1 POVERELLO FOUNDATION 200 FIRST STREET SW ROCHESTER MN 55905 411494881 FUNDRAISING FOUNDATION MN 501(C)(3) 7 MAYO CLINIC HOSPITAL - 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